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Visions of Hell in Near Death Experiences: A Companion Article to the Narrative Story, “In The Ring”

Larry Kravitz

Texas Family Medicine Research Journal December 22, 2025 DOI: 10.65738/001c.154470 (opens in new tab)

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AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Near-death experience
Key findings The article explores medical perspectives on near-death experiences, comparing them with other altered mental states, anesthesia recollections, psychedelic and psilocybin experiences, and dreams, and raises questions about consciousness and machine sentience. It presents an additional distressing NDE case alongside discussion of the narrative medicine story "In The Ring." The authors state that a deep dive into these existential questions is beyond the manuscript's scope.

Abstract

This is a companion review article to a narrative medicine story in this issue of the journal. “In The Ring” is a true story of a patient’s father’s near-death experience of Hell and the history of its follow up impact on the patient and her doctor. This article explores the medical perspective on NDE’s. How are NDE’s different from other altered mental states? What about deep anesthesia recollections? How do the NDE’s compare to psychedelic experiences and the new psylocibin treatments for psychiatric conditions? How are they different from our usual dreams and nightmares? What is the line between our imagination, dreams, and our conscious state? What determines that line? What does science now understand about consciousness itself? What is the difference between computer artificial intelligence (AI) and sentience? Can there be “machine consciousness”? A deep dive into these existential and highly relevant questions is beyond the scope of this manuscript, but this article is an attempt to succinctly address some of these questions in relation to this journal’s narrative medicine story of Hell, “In The Ring” and presents a similar additional distressing NDE case.

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