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The unconscious experience

Marilyn Lawrence

American Journal of Critical Care May 1, 1995 DOI: 10.4037/ajcc1995.4.3.227 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 100
Population Patients whose hospital records documented an episode of unconsciousness during hospitalization
Citations 33
Key findings Patients who had been documented as unconscious reported five kinds of experience, including inner consciousness and hearing and emotionally responding to speech around them while assumed unaware; 23 of 100 reported near-death experiences, out-of-body experiences, or other paranormal experiences. The authors conclude these experiences can cause long-term effects and that patients often need reassurance that others have had similar experiences.

Abstract

Background: Although considerable research has been done on pathophysiology, metabolic and physical causes, and prognostic indicators, little is known about unconsciousness or coma from the perspective of the patient.

Objective: To describe the experiences of patients who were once documented as being unconscious.

Methods: Phenomenologic interviews were conducted with 100 patients whose records indicated that they had been unconscious during hospitalization. Interviews were also attempted with primary family members, significant others, or other external observers. Chart audits documenting the unconscious episode, medications, and diagnoses were also carried out. Data were compared, using van Kaam's method, and contrasted.

Results: Patients experienced one or more of five states: unconsciousness, inner consciousness, perceived unconsciousness, distorted consciousness, and paranormal experiences. They described hearing, understanding, and responding emotionally to what was being said when it was assumed they were not aware. In addition, 23 subjects reported near-death experiences or visits, out-of-body experiences, or some other paranormal experience.

Conclusion: Patients' unconscious experiences can cause long-term effects. Patients often need reassurance that other patients subjected to similar conditions also have these experiences.

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