ISSN 2079-6617 (Print)
ISSN 2309-9828 (Online)
Psychological assistance to patients with near-death experience

Psychological assistance to patients with near-death experience

PDF (Rus)

Recieved: 05/04/2018

Accepted: 05/17/2018

Published: 08/01/2018

p.: 75-91

DOI: 10.11621/npj.2018.0209

Keywords: near-death experience; altered states of consciousness (ASC); psychotherapy ; psychological support; personal transformation; psychological adaptation; interpersonal relations

Available online: 01.08.2018

To cite this article:

Gordeeva Olga V. . Psychological assistance to patients with near-death experience. // National Psychological Journal 2018. 2. p.75-91. doi: 10.11621/npj.2018.0209

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Issue 2, 2018

Gordeeva Olga V. Lomonosov Moscow State University


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.


Atwater, P.M.H. (2009) Children and near-death experience. Moscow, Stigmarion.

Atwater, P.M.H. (1992) Is there a hell? Journal of Near-Death Studies, 10(3). Retrieved from: (Accessed 16.06.2018).

Atwater, P.M.H. (2013) Aftereffects of Near-death States. International Association for Near-Death Studies, Inc. Retrieved from: (accessed 20.06.2018)

Atwater, P.M.H., & Williams, K. (2014) Children’s near-death experiences. International Association for Near-Death Studies, Inc. Retrieved from: (accessed 16.06.2018)

Bucher, L., Wimbush, F.B., Hardie, T., & Hayes, E.R. (1997) Near death experiences: critical care nurses’ attitudes and interventions. Dimensions Of Critical Care Nursing, 16(4), 194–201. doi: 10.1097/00003465-199707000-00003

Corcoran, D. An open letter to health professionals. Vital Signs. 1994–1995, 14(5), 3–4.

Corcoran, D. (1988) Helping patients who’ve had near-death experiences. Nursing. November, 18 (11), 34–39.

Dougherty, C.M. (1990) The near-death experience as a major life transition. Holistic Nursing Practice, 4, 84–90. doi: 10.1097/00004650-199005000- 00012

Duffy, N., & Olson, M. (2007) Supporting a patient after near-death experience: Recovering from cardiac arrest, your patient reports an out-of-body experience. Do you know how to respond? Nursing, 47–48. doi: 10.1097/01.NURSE.0000266041.11793.9d

(1994) Emergency Nurses Association. Family presence at the bedside during invasive procedures and/or resuscitation (position statement). Park Ridge (IL): Emergency Nurses Association.

(2013) Experiencer’s Guide to Psychotherapy. International Association for Near-Death Studies, Inc. Retrieved from: (accessed 17.06.2018)

Greyson, B., & Harris, B. Counseling people with near-death experience. Retrieved from: (accessed: June 16, 2018)

Greyson, B. (1983) The Near-Death Experience Scale Construction, Reliability, and Validity. The Journal of Nervous and Mental Disease, 171(6), 369–375. doi: .1097/00005053-198306000-00007

Greyson, B. (1997) The near-death experience as a focus of clinical attention. The Journal of Nervous And Mental Disease, 185(5), 327–334. doi:.1097/00005053-199705000-00007

Greyson, B. (1983) The psychodynamics of Near-Death Experiences. The Journal of Nervous and Mental Disease, 171(6), 376–381. doi: 10.1097/00005053-198306000-00008

Greyson, B. (2003) The Near-Death Experience Scale Construction, Reliability, and Validity. The Journal of Nervous and Mental Disease, 171(6), 369–375. doi: 10.1097/00005053-198306000-00007

Greyson, B., & Bush, N.E. (1992) Distressing Near-Death Experiences. Psychiatry, 55, 95–110. doi: 10.1080/00332747.1992.11024583

Greyson, B., & Stevenson, I. (1980) The phenomenology of near-death experiences. American Journal of Psychiatry, 137(1)0, 1193–1196.

Griffith, L.J. (2009) Near-death experiences and psychotherapy. Psychiatry (Edgmont), 6(10), 35–42. Retrieved from: (accessed 05.06.2018)

Hoffman, R.M. (1995) Disclosure habits after near-death experiences: influences, obstacles and listener selection. Journal of Near-Death Studies, 14, 29–48.

International Association for Near-Death Studies (IANDS) Retrieved from: (accessed 05.06.2018).

Johnson, D.M. (1988) Counseling After an NDE. Letters to the editor. Journal of Near-Death Studies, 6(4), 264–265. doi: 10.1007/BF01079927

Klemenc-Ketis, Z. (2013) Life Changes in Patients After Out-of-Hospital Cardiac Arrest: The Effect of Near-Death Experiences. The International Journal of Behavioral Medicine, 20, 7–12. doi: 10.1007/s12529-011-9209-y

Levinson, B.U. (2012) States of awareness during general anesthesia. [Izmenennye sostoyaniya soznaniya: priroda, mekhanizmy, funkcii, harakteristiki: khrestomatiya]. Moscow: Kogito-Tsenter, 220–223.

Manley, L.K. (1996) Enchanted journeys: Near-death experiences and the emergency nurse. Journal of Emergency Nursing, 22(4), 311–316. doi: 10.1016/ S0099-1767(96)80028-6

Morse, M.L. (1994а) Near Death Experiences and Death-Related Visions in Children: Implications for the Clinician. Current Problems in Pediatrics, 24, 55–83.

Morse, M.L. (1994b) Near-death experiences of children. Journal of Pediatric Oncology Nursing, 11(4), 139–144. doi: 10.1177/104345429401100403

Moudi, R. (1990) Life after life. Moscow, Fizkul’tura i sport.

Moudi, R. Reflections on life after life. Retrieved from: (accessed June 16, 2018)

Noyes, R. (1980) Attitude Change Following Near-Death Experiences. Psychiatry, 43(3), 234–242. doi: 10.1080/00332747.1980.11024070

Noyes, R., & Kletti, R. (1976) Depersonalization in the face of life-threatening danger. Psychiatr, 39(1), 19–27. doi: 10.1080/00332747.1976.11023873

Orne, R.M. (1995) The meaning of survival: the early aftermath of a near-death experience. Research in Nursing and Health, 18, 239–247. doi: 10.1002/ nur.4770180307

Osis, K., & Haraldsson, E. (1986) At the hour of death. N.Y.: Hastings House.

Parnia, S., & Fenwick, E. (2002) Near death experiences in cardiac arrest: Visions of a dying brain or visions of a new science of consciousness. Resuscitation, 52(1), 5–11. doi: 10.1016/S0300-9572(01)00469-5

Ring K. (1985) Heading toward omega. New York: William Morrow.

Ring, K. (1998) The project «Omega». Death experience, contacts with UFOs and World Mind. Moscow, Izdatel’stvo TPI.

Ring, K. (1996) Near-Death Experiences. [Puti za predely «ego»]. Moscow, Izdatel’stvo TPI, 222–-230.

Roolings, M. (2003) Behind the threshold of death. SPb., Kormchiy. Retrieved from: (accessed 16.06.18)

Sabom, M.B., & Kreutziger, S. (1977) Near-death experience. The New England Journal of Medicine, 297(19), 1071. doi: 10.1080/07481187708252891

Sartori, P. (2006) A long-term prospective study to investigate the incidence and phenomenology of near-death experiences in a Welsh Intensive Therapy Unit. Network Review. 90, 23–25.

Schoenbeck, S.B. (1993) Exploring the Mystery of Near-Death Experiences. The American Journal of Nursing, 93(5), 42–46. doi: 10.2307/3464363

Schwaninger, J., Eisenberg, P.R., Schechtman, K.B., & Weiss, A.N. (2002) A prospective analysis of near death experiences in cardiac arrest patients. Journal of Near-Death Studies, 20(4), 215–232. doi: 10.1023/A:1015258818660

Simpson, S.M. (2001) Near death experience: a concept analysis as applied to nursing. Journal of Advanced Nursing, 36(4), 520–526. doi: 10.1046/j.1365- 2648.2001.02004.x

Sommers, M.S. (1994) The near-death experience following multiple trauma. Critical Care Nurse, 14, 62–66.

Sutherland, C. (1992) Reborn in the light: life after near-death experiences (foreword). N.Y.: Bantam Books.

Tassel-Matamua, N.A. Near-death experiences and the psychology of death. Omega. 2013–2014, 68(3), 259–277. doi: 10.2190/OM.68.3.e

Van Lommel, P., van Wees R., Meyers, V., & Elfferich, I. (2001) Near-death experience in survivors of cardiac arrest: a prospective study in the Netherlands. The Lancet, 358(9298), 2039–2045. doi: 10.1016/S0140-6736(01)07100-8

Van Lommel, P. (2011) Near-death experiences: the experience of the self as real and not as an illusion. Annals of the New York Academy of Sciences, 1234, 19–28. doi: 10.1111/j.1749-6632.2011.06080.x

Van Lommel, P. (2010) Consciousness Beyond Life. The Science of the Near-Death Experience. N.Y.: Harper Collins.

Wimbush, F.B., & Hardie, T. (2001) Supporting your patient after a near-death experience. Nursing, 31(10), 48–50. doi: 10.1097/00152193-200131100- 00017

Zingrone, N.L, & Alvarado, C.S. (2009) Pleasurable Western adult near-death experiences: features, circumstances, and incidence. The Handbook of Near-Death Experiences. Santa Barbara, CA: Praeger Publishers.
To cite this article:

Gordeeva Olga V. . Psychological assistance to patients with near-death experience. // National Psychological Journal 2018. 2. p.75-91. doi: 10.11621/npj.2018.0209

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