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Near-death experience: arising from the borderlands of consciousness in crisis.

Kevin R. Nelson

Annals of the New York Academy of Sciences November 1, 2014 DOI: 10.1111/nyas.12576 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Near-death experience
Keywords Consciousness
Key findings Near-death experiences are explained by brain activity, particularly the blending of REM and waking consciousness during brain ischemia, rather than by a single physiological or anatomical cause.

Abstract

Brain activity explains the essential features of near-death experience, including the perceptions of envelopment by light, out-of-body, and meeting deceased loved ones or spiritual beings. To achieve their fullest expression, such near-death experiences require a confluence of events and draw upon more than a single physiological or biochemical system, or one anatomical structure. During impaired cerebral blood flow from syncope or cardiac arrest that commonly precedes near-death, the boundary between consciousness and unconsciousness is often indistinct and a person may enter a borderland and be far more aware than is appreciated by others. Consciousness can also come and go if blood flow rises and falls across a crucial threshold. During crisis the brain's prime biologic purpose to keep itself alive lies at the heart of many spiritual experiences and inextricably binds them to the primal brain. Brain ischemia can disrupt the physiological balance between conscious states by leading the brainstem to blend rapid eye movement (REM) and waking into another borderland of consciousness during near-death. Evidence converges from many points to support this notion, including the observation that the majority of people with a near-death experience possess brains predisposed to fusing REM and waking consciousness into an unfamiliar reality, and are as likely to have out-of-body experience while blending REM and waking consciousness as they are to have out-of-body experience during near-death.

Comparable studies

Other narrative reviews on near-death experience, most cited first.

Study Year Design Participants
Distressing Near-Death Experiences 1992 Review
Attitude Change Following Near-Death Experiences Individuals who have had near-death experiences 1980 Review n = 21
Near-death experiences. 2004 Review
The Handbook of Near-Death Experiences 2009 Review
Near-death experiences in cardiac arrest survivors 2005 Review

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