Background. Near-death experience is an altered state of consciousness at the time when the person is on the threshold of death. Near-death experience has a specific structure which includes such elements as extra corporal experience, moving in a dark tunnel, seeing bright light, meetings with the deceased persons, panoramic life review and many others. The condition is quite common nowadays particularly due to the success of resuscitation and a high level of emergency care organization). Experience in itself and its some consequences derivate a lot of psychological problems at the person, which he is afraid to tell not only medical staff, but also relatives because of danger of interpretation his (her) near-death experiences as marks of psychic illness.
The Objective of the analytical theoretical research was to study the experience of working with such patients, accumulated in Western medicine, psychology and psychotherapy, the organization of the training process and also the organization of psychotherapeutic support for survivors and members of their families.
Design. This article analyzes the foreign (most publications on this subject is carried out in the United States) works on the problem of treatment with near-death experiencer and psychological support for them, the material contained in these works is structured and summarized on the main problems in this area.
Research results. Based on the review and analysis of the reference literature a preliminary Atwater's adaptation model of the near-death experience is proposed, the integration of this experience is viewed as the main goal to be implemented by the experiencer independently or in collaboration with a psychotherapist, the universal rules of treating near-death experiencers are elaborated. There are rules of treating different groups of experiencers and different categories of people interacting with them are identified and integrated: the rules of treating children with near-death, the experience of organizing psychotherapeutic assistance to their relatives.
Conclusion. The compliance with the rules by physicians, psychotherapists and relatives of near-death patients contributes to the decreased emotional and social problems in the patient, and sometimes even prevents their occurrence.
DOI: doi: 10.11621/npj.2018.0209
Available Online: 08/01/2018
The paper is devoted to the study of coping behavior of adults with cystic fibrosis, who manage stressful situations, and also individual and specific strategies for healing cystic fibrosis regarding subjective illness perception as either moderate or expressed threat to life and health. Cystic fibrosis is regarded as a real threat to life and health, which launches the cognitive and emotional processes of its regulation and influence on the choice of coping with the disease. We suggest that healing cystic fibrosis in adult patients will be differentiated regarding the subjective illness perception as a threat to life and health.
The research involved 86 male and female patients (mean age – 23.7 ± 4.8 years) with cystic fibrosis, with severe and moderate course, receiving inpatient or outpatient treatment. The research identified adaptive and maladaptive ways of coping with cystic fibrosis and ways of overcoming their difficult life situations. We confirmed that perceptions of cystic fibrosis as a moderate threat to life and health contributes to psychological adjustment to problem life situations and illness proper due to moderately intensive use of adaptive coping strategies and more rare reference to the maladaptive coping strategies avoidance. The perception of cystic fibrosis as expressed threat to life and health is associated with decreased psychological adjustment to problem life situations and illness caused by the rise of cystic fibrosis avoidant behaviour and suppression of optimistic illness acceptance.