1 - The Phenomenon Of Death

What is it like to die?

That is a question which humanity has been asking itself ever since there have been humans. Over ,he past few years, I have had the opportunity to raise this question before a sizable number of audiences. These groups have ranged from classes in psychology, philosophy, and sociology through church organizations, television audiences, and civic clubs to professional societies of medicine. On the basis of this exposure, I can safely say that this topic excites the most powerful of feelings from people of many emotional types and walks of life.

Yet, despite all this interest it remains true that it as very difficult for most of us to talk about death. There are at least two reasons for this. One of them is primarily psychological and cultural: The subject of death is taboo. We feel, perhaps only subconsciously, that to be in contact with death in any way, even indirectly, somehow confronts us with the prospect of our own deaths, draws our own deaths closer and makes them more real and thinkable. For example, most medical students, myself included, have found that even the remote encounter with death which occurs upon one's first visit to the anatomical laboratories when entering medical school can evoke strong feelings of uneasiness. In my own case, the reason for this response now seems quite obvious. It has occurred to me in retrospect that it wasn't entirely concern for the person whose remains I saw there, although that feeling certainly figured, too. What I was seeing on that table was a symbol of my own mortality. In some way, if only pre-consciously, the thought must have been in my mind, "That will happen to me, too."

Likewise, talking about death can be seen on the psychological level as another way of approaching it indirectly. No doubt many people have the feeling that to talk about death at all is in effect to conjure it up mentally, to bring it closer in such a way that one has to face up to the inevitability of one's own eventual demise. So, to spare ourselves this psychological trauma, we decide just to try to avoid the topic as much as possible.

The second reason it is difficult to discuss death is more complicated, as it is rooted in the very nature of language itself. For the most part, the words of human language allude to things of which we have experience through our own physical senses. Death, though, is something which lies beyond the conscious experience of most of us because most of us have never been through it.

if we are to talk about death at all, then, we must avoid both social taboos and the deep-seated linguistic dilemmas which derive from our own inexperience. What we often end up doing is talking in euphemistic analogies. We compare death or dying with more pleasant things in our experience, things with which we are familiar.

Perhaps the most common analogy of this type is the comparison between death and sleep. Dying, we tell ourselves, is like going to sleep. This figure of speech occurs very commonly in everyday thought and language, as well as in the literature of many cultures and many ages. It was apparently quite common even in the time of the ancient Greeks. In The Iliad, for example, Homer calls sleep "death's sister," and Plato, in his dialogue The Apology, put the following words into the mouth of his teacher, Socrates, who has just been sentenced to death by an Athenian jury.

[Now, if death is only a dreamless sleep,] it must be a marvelous gain. I suppose that if anyone were told to pick out the night on which he slept so soundly as not even to dream, and then to compare it with all the other nights and days of his life, and then were told to say, after due consideration, how many better and happier days and nights than this he had spent in the course of his life-well, I think that . . . [anyone] would find these days and nights easy to count in comparison with the rest. If death is like this, then, I call it gain, because the whole of time, if you look at it in this way, can be regarded as no more than one single night. (1)

This same analogy is embedded in our own contemporary language. Consider the phrase "to put to sleep." If you present your dog to a veterinarian with the instruction to put him to sleep, you would normally mean something very different than you would upon taking your wife or husband to an anesthesiologist with the same words. Others prefer a different, but related analogy. Dying, they say, is like forgetting. When one dies, one forgets all one's woes; all one's painful and troubling memories are obliterated.

As old and as widespread as they may be, however, both the "sleeping" and the "forgetting" analogies are ultimately inadequate in so far as comforting us is concerned. Each is a different way of making the same assertion. Even though they tell us so in a somewhat more palatable way, both say, in effect, that death is simply the annihilation of conscious experience, forever. If this is so, then death really doesn't have any of the desirable features of sleeping and forgetting. Sleeping is a positive, desirable experience in life because waking follows it. A restful night's sleep makes the waking hours following it more pleasant and productive. If waking did not follow it, the benefits of sleep would not be possible. Similarly, annihilation of all conscious experience implies not only the obliteration of all painful memories; but of all pleasant ones, too. So upon analysis, neither analogy is close enough to give us any real comfort or hope in facing death.

There is another view, however, which disavows notion that death is annihilation of consciousness. According to this other, perhaps more ancient tradition, some aspect of the human being survives even after the physical body ceases to function and is ultimately destroyed. This persistent aspect has been called by many names, among them psyche, soul, mind, spirit, self, being, and consciousness. 3y whatever name it is called, the notion that one passes into another realm of existence upon physical death is among the most venerable of human beliefs. There is a graveyard in Turkey which was used by Neanderthal men approximately 100,000 years ago. There, fossilized imprints have enabled archaeologists to discover that these ancient men buried their dead in biers of flowers, indicating that they perhaps saw death as an occasion of celebration-as a transition of the dead from this world to the next. Indeed, graves from very early sites all over the earth give evidence of the belief in human survival of bodily death.

In short, we are faced with two contrasting answers to our original question about the nature of Death, both of ancient derivation, yet both widely held even today. Some say that death is annihilation of consciousness; others say with equal confidence at death is the passage of the soul or mind into another dimension of reality. In what follows I do not wish in any way to dismiss either answer. I simply wish to give a report on a search which I have personally undertaken.

During the past few years I have encountered large number of persons who were involved in what I shall call "near-death experiences." I have met these persons in many ways. At first it was by coincidence. In 1965, when I was an undergraduate student studying philosophy at the University of Virginia, I met a man who was a clinical professor of psychiatry in the School of Medicine. I was struck from the beginning with his warmth, kindliness and humor. It came as a great surprise when I later learned a very interesting fact about him, namely, that he had been dead-not just once but on two occasions, about ten minutes apart-and that he had given a most fantastic account of what happened to him while he was "dead." I later hear.:. him relate his story to a small group of interested students. At the time, I was most impressed, but since I had little background from which to judge; such experiences, I "filed it away," both in my mind and in the form of a tape recording of his talk.

Some years later, after I had received my Ph.D. in philosophy, I was teaching in a university in eastern North Carolina.. In one course I had m y students read Plato's Phaedo, a work in which immortality is among the subjects discussed. In my lectures I had been emphasizing the other doctrines which Plato presents there and had not focused upon the discussion of life after death. After class one day a student stopped by to see me. He asked whether we might discuss the subject of immortality. He had an interest in the subject because his grandmother had "died" during an operation and had recounted a very amazing experience. I asked him to tell me about it, and much to my surprise, he related almost the same series of events which I had heard the psychiatry professor describe some years before.

At this time my search for cases became a bit more active, and I began to include readings on the subject of human survival of biological death in my philosophy courses. However, I was careful not to mention the two death experiences in my courses. I adopted, in effect, a wait-and-see attitude. If such reports were fairly common, I thought, I would probably hear of more if I just brought up the general topic of survival in philosophical discussions, expressed a sympathetic attitude toward the question, and waited. To my amazement, I found that in almost every class of thirty or so students, at least one student would come to me afterwards and relate a personal near-death experience.

What has amazed me since the beginning of my interest are the great similarities in the reports, despite the fact that they come from people of highly varied religious, social, and educational backgrounds. By the time I entered medical school in 1972, I had collected a sizable number of these experiences and I began mentioning the informal study I had been doing to some of my medical acquaintances. Eventually, a friend of mine talked me into giving a report to a medical society, and other public talks followed. Again, I found that after every talk someone would come up to tell me of an experience of his own.

As I became more widely known for this interest, doctors began to refer to me persons whom they had resuscitated and who reported unusual experiences. Still others have written to me with reports after newspaper articles about my studies appeared.

At the present time, I know of approximately 150 cases of this phenomenon. The experiences which I have studied fall into three distinct categories:

From the vast amount of material that could be derived from 150 cases, selection obviously has occurred. Some of it has been purposeful. For example, although I have found reports of the third type to complement and to agree very well with experiences of the first two types, I have for the most part dropped them from consideration for two reasons. First, it helps to reduce the number of cases studied to a more manageable level, and second, it enables me to stick as close as possible to firsthand reports. Thus, I have interviewed in great detail some fifty persons upon whose experiences I am able to report. Of these, the cases of the first type (those in which an apparent clinical death actually occurs) are certainly more dramatic than those of the second type (in which only a close brush with death occurs). Indeed, whenever I have given public talks on this phenomenon, the "death" episodes have invariably drawn most of the interest. Accounts in the press have sometimes been written so as to suggest they are the only type of case with which I have dealt.

However, in selecting the cases to be presented in this book, I have avoided the temptation to dwell only on those cases in which a "death" event took place. For, as will become obvious, cases of the second type are not different from, but rather form a continuum with, cases of the first type. Also, though the near-death experiences themselves are remarkably similar, both the circumstances surrounding them and the persons describing them vary widely. Accordingly, I have tried to give a sample of experiences which adequately reflects this variation. With these qualifications in mind, let us now turn to a consideration of what ma happen, as far as I have been able to discover, during the experience of dying.

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Notes:

(1) Plato, The Last Days o f Socrates, trans. Hugh Tredennick (Baltimore: Penguin Books, 1959), p. 75.

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