Physician
Views and Response to Patients' Near-Death Experience (NDE) |
Physician
Views and Response to Patients' Near-Death Experience (NDE):
A Survey
Dr. Jeff, M.D.
It must be emphasized that the results of this study cannot be considered representative of the attitudes of physicians in general regarding NDE. A very low percentage of physicians contacted completed the survey. Those responding almost certainly had significantly different attitudes regarding NDE than physicians in general. The survey involved only a single institution with a medical school environment that may not represent attitudes of physicians outside an academic environment. Physicians practicing in other areas of the country or representing a different mix of medical specialties may have different attitudes toward NDE. Additionally, the Internet survey form methodology may be unfamiliar to some physicians potentially biasing the results. It also must be emphasized that any generalizing statements presented herein must be considered highly tentative and unproven. Certainly more research regarding physician attitudes toward NDE is needed.
In spite of
the aforementioned significant study limitations, the results are interesting.
None of the respondents personally experienced a NDE.
A Gallup Poll in 1992 led to an estimate that 13 million adult Americans
may have experienced a NDE, suggesting approximately 4% of the
Those responding had
been practicing an average of 20 years following completion of medical school
suggesting they had considerable medical practice experience.
When asked 'Have you ever talked to any patient as part of your
professional practice who told you about his/her NDE?' responses were Yes: 6
(33%), No: 11 (61%) and Uncertain: 1 (6%). It
is notable that even in this select group, only a minority of physicians has
encountered patients who shared their NDEs.
This suggests the great majority of physicians in general may not have
heard of NDE from their patients' personal experience.
When asked both 'How comfortable was the patient(s) in sharing their
NDE with you?' and 'How comfortable you were discussing the NDE with the
patient(s)?', both questions had 6 responses of 'Very comfortable' and 12
responses of 'No comment'. The
consistent high level of comfort in sharing NDE experiences among both the
physicians and patients is somewhat surprising.
We suspect this level of comfort in both sharing and listening to the NDE
experience occurs in a small percentage of NDErs and physicians.
In
our NDE research, we have encountered a number of NDErs who describe
unsatisfactory or unpleasant experiences when they tried to share their NDE with
their physicians. It is likely the
six survey respondents who were very comfortable hearing about the NDE both knew
about and respected NDE prior to hearing about their patients' NDEs.
One respondent wrote 'I feel at ease discussing these experiences, and
actually try to help the patient use the experience to help learn to experience
greater peace in his or her life.' If
there were a higher level of comfort in both sharing and listening to NDEs,
perhaps far more NDEs would be shared.
When asked, 'Which of the
following best describes your view of NDE (please check or uncheck all that
apply). NDEs are:' the responses were:
Hallucinations
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3 |
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Dreams
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3 |
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Caused
by endogenous drugs ("brain chemistry") |
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7 |
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Caused
by exogenous drugs (externally administered) |
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2 |
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Caused
by physiological changes brought on by extreme stress |
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8 |
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Suggestive
of mental disorder |
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0 |
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An
experience of a higher dimension/reality |
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8 |
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A
spiritual encounter with a divine force |
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6 |
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Unknown
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4 |
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Home Page Current NDEs Share NDE |
To the question 'Have you discussed NDE with other physician(s) at any time under any circumstances?' responses were: Yes: 6 (33%) and No: 12 (67%). Even in this select group of respondents with an average of 20 years of medical practice, NDE is clearly an uncommon topic of informal discussion. This suggests physicians in general are unlikely to have discussed NDE at any time with other physicians.
When asked, 'What do you think is the most common view of other physicians regarding NDE?' responses were:
Hallucinations
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5 |
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Dreams
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3 |
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Caused
by endogenous drugs ("brain chemistry") |
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3 |
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Caused
by exogenous drugs (externally administered) |
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2 |
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8 |
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Suggestive
of mental disorder |
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0 |
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An
experience of a higher dimension/reality |
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3 |
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A
spiritual encounter with a divine force |
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2 |
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Unknown
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7 |
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Home Page Current NDEs Share NDE |
We suspect this is a more
accurate representation of general physician attitude toward NDE than the
previously noted respondents' personal views of NDE.
Differences in responses between the preceding two tables are further
evidence that the respondents' attitudes are not typical of the attitudes of
physicians in general toward NDE. The
infrequency that physicians discuss NDE among themselves must be borne in mind
in considering responses to this question. The most common expected view of
other physicians is that NDE is 'Caused
by physiological changes brought on by extreme stress' (8), followed by the
response of 'Unknown' (7) and 'Hallucinations' (5).
The choices suggesting NDE is a valid spiritual experience are uncommonly
selected with responses of 'An
experience of a higher dimension/reality' (3) and 'A spiritual encounter
with a divine force' (2) selected infrequently.
It is interesting to note that no respondent selected the option of
'Suggestive of mental disorder' as their own view or expected other
physicians' view of NDE.
When asked,
'Should information on NDEs be part of the education of medical students
and physicians?' responses were: Yes: 7 (39%), No: 5 (28%) and Uncertain: 6
(33%). When asked about a variety of
methods of teaching medical students, the top three choices were: 'Optional
reading' (7), 'NDE experiencers personally sharing their account' (6) and
'Seminars' (5). Any efforts to
teach NDE in a medical school may be resisted by those doubting the validity of
NDE, as expressed by one respondent who wrote 'That anyone supposes there is a
fragment of scientific information to be gained by 'studying' NDE is
disturbing, and symptomatic of the pseudoscience that infests the study of
man's mind.'
There is some
interest in NDE research among the respondents.
When asked, 'Would you be interested in participation in NDE research
projects?' responses were: Yes: 4 (22%), No: 11 (61%), Uncertain: 2 (11%) and
No response: 1 (6%). One respondent
wrote 'NDEs are only one form of spiritual or 'higher power' experiences
that patients have that would be useful to study.
Events/experiences related to pre-diagnosis, diagnosis, treatment,
relapses, etc. would all be valuable to study.'
It is noteworthy that four respondents (22%) expressed an interest in
participating in NDE research projects. This
suggests a large number of physicians nationwide may have an interest in NDE to
the degree they would be interested in participating in NDE research.
If a mechanism could be found to identify and contact physicians with
such an interest, NDE research might be greatly expanded.
One study
co-investigator (Dr. Jeff, M.D.) is a physician and NDE researcher.
Dr. Jeff's commentary is as follows:
At least three physicians have submitted their experience to my www.nderf.org
(Near Death Experience Research Foundation) web site.
All of them were greatly affected by the experience, and had no doubts
about its validity and significance. I
think most physicians (as with other professionals) are quite busy with their
professional as well as personal lives, and have less exposure to media
presentations about NDE than the general public.
Probably the great majority of physicians have not encountered NDE
experiences shared by their patients and have not discussed NDE with other
physicians. Thus, physicians in
general probably have little exposure to NDE and little factual information to
make an informed decision about its validity.
IANDS is aware of the need to present physicians and medical students
with factual information regarding NDE and is actively pursuing this goal.
If
any readers have any comments regarding this survey and study, or have ideas on
how this survey could be provided to other medical staff groups, please e-mail
us at (Dr. Jeff, M.D.)
or JUDITHB@prodigy.net
(
Copyright1999 by Dr. Jeff and Jody Long
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