Friday, June 24, 2022

Data on adult ELDVs: Kerr excerpt #3

Although there was growing cultural recognition that ELDVs [End-of-Life Dreams and Visions] are psychologically and existentially significant, they had rarely been explained in a clinical context or presented as medically relevant. There was also a scarcity of data addressing the prevalence, content, and significance of ELDVs. Nor had studies directly addressed the issue of delirium or confusional states that may confound our interpretation of ELDs [End-of-Life Dreams].

The first study* was therefore designed to 1) document ELDV experiences using a longitudinal survey and semi-structured interview format in hospice patients nearing the end of life; 2) examine the content and subjective significance of ELDVs; 3) relate the prevalence, content, and significance of ELEs over time until death and 4) clearly address the issue of altered cognition or confusion by excluding those who met diagnostic criteria for either dementia or delirium.

For this study, Hospice patients who had been admitted to a Hospice Inpatient Unit were screened for eligibility. Inclusion criteria were age 18 or older, capacity to provide informed consent, and a Palliative Performance Scale (PPS16) score of 40 or greater. Exclusion criteria were diagnosis of a psychotic disorder as per the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) and a barrier of language or communication. 59 patients agreed to participate in the study and were interviewed daily by a study investigator using a standard framework of questions.

The study included close-ended questions related to the presence or absence of dreams/visions, whether these experiences occurred during sleep or wakefulness, dream/vision content and frequency, degree of realism, and comfort versus discomfort. For questions regarding dream content, investigators checked boxes from a list of eight items (deceased friends/relatives, living friends/relatives, other people, deceased pets/animals, living pets/animals, religious figures, past meaningful experiences, other). Patients reported dream frequency by choosing a range of once a day, 2 to 4 times/day, or > 4 times a day. Comfort provided by the dream/vision was rated on a 5-point semantic differential scale with 1 = Extremely Distressing and 5 = Extremely Comforting.

Investigators also recorded key clinical indicators: overall clinical status (Palliative Performance Score), oral intake, presence/absence of fever, alertness level, as well as medication changes. With respect to data analysis, multiple approaches were used and included descriptive statistics, graphic analyses, and inferential analyses. Multilevel models were chosen to account for the varying patterns of reports by individual patients, including variation in number of days included, missing days due to patient condition, and the possibility of multiple event reports per day.

The results of this initial study were based on 59 patients and a total of 453 interviews with a mean of 7.68 interviews per person. Range of days before death for interviews was 0 to 87 days, with a mean of 21.58 and a median of 15 days. Of the 59 patients who were interviewed, 52 (88.1%) reported experiencing at least one dream or vision. Almost half of the dreams/visions (45.3%) occurred while asleep, 15.7% occurred while awake, and 39.1% occurred while both asleep and awake. Degree of realism was recorded on a 10-point Likert scale and nearly all ELDV events (267/269, 99%) were reported by patients to seem or ‘‘feel more real than real.’’ Most daily reports included a single ELDV event (179, 81.4%) with two (13.2%), three (4.1%), and four events (1.4%) on other days.

Patients were also asked to describe what they had dreamt about. The interviewer coded responses on a checklist with eight categories, noting all that were included. Many patients reported end-of-life experiences that included reunions with deceased friends or relatives (72 %) living friends or relatives (17%), other people (10%), and deceased pets or animals, living pets or animals, religious figures, past meaningful experiences, and other content not listed (singly and in combination, 35%). Note that the total percentage is greater than 100% because multiple responses could be recorded for each event (e.g., deceased friend/relative and living friend/ relative in the same dream). In addition, 38.9% of all dreams included a theme of going or preparing to go somewhere.

Patients also rated the degree of comfort/distress associated with their ELDVs on a 5-point scale ranging from Extremely Comforting (5) to Extremely Distressing (1). The mean comfort rating for all dreams and visions was 3.59 (SD= 1.21, 95% confidence interval [CI] = 3.44–3.73) with 60.3% rated as comforting or extremely comforting, 18.8% distressing or extremely distressing and 20.7% neither comforting nor distressing. The highest average comfort rating was associated with dreams/visions about the deceased (mean = 4.08, SD= 1.05), followed by deceased and living (mean = 3.61, SD= 0.78), living (mean = 3.22, SD= 1.15), and finally other people and experiences (mean = 2.86, SD= 1.19).

One other clear pattern was evident: the frequency of end-of-life experiences not only increased as death neared, but the most prevalent ELDV content involved reunions with the deceased which were also rated as the most comforting theme. In other words, as patient drew closer to the physical end of life, they were progressively more soothed by the comforting presence of those they loved and who had died. ELDVs may also be prognostically significant based on changes in content and increased frequency as death nears. This pattern of ELDVs bringing greater level of comfort with approaching death challenges the notion the dying involves increasing psychogenic distress.

There seems to be a distinction between the dying process we imagine, and often fear, versus the death experienced. In the following video is of an interview of a dying woman named Jeanne, as well as input from her daughter Julie (Link to Jeanne and Julie Interview Video: https://www.youtube.com/watch?v=HAbhtQCB6SM). Clearly, Jeanne isn’t confused and describes the experiences as vivid, rich in detail (including tactile sensations) and interprets these experiences as having “actually happened”.

In summary, our original study demonstrated that ELDVs were common, as 87% of study patients reported such dreams/visions. Regardless of whether the experience occurred during waking (19%) or sleep states (46%) or both (35%), the dreams/visions conveyed a sense of realism. In fact, many patients reported that these in fact were not dreams but actual occurrences, and many were adamant that they don’t usually dream or recall their dreams. The descriptions of ELDVs provided by participants were typically vivid with great detail and personal meaning. There were several important and unforeseen observations made by the investigators while conducting the study. For example, patients’ predeath dreams were frequently so intense that the dream carried into wakefulness and the dying often experienced them as waking reality. The realism of predeath dreams/visions is consistent with prior research suggesting that during stages of transition or crisis, dreams become more vivid, intense, and memorable. In addition, despite very little spoken dialogue within the dreams/visions, the circumstances and significance of the experiences were still conveyed. The predominant quality of predeath dreams/visions was a sense of personal meaning, which frequently carried emotional significance for the patient. This was also true of ELDVs that were not comforting. 

*Kerr CW, Donnelly JP, Wright ST, Kuszczak SM, Banas A, Grant PC, Luczkiewicz DL. End-of-Life Dreams and Visions: A Longitudinal Study of Hospice Patients' Experiences. J Pall Med. 2014;17(3);296-303.

Christopher Kerr, “Experiences of the Dying: Evidence of Survival of Human Consciousness,” an essay written for the 2021 Bigelow Institute for Consciousness Studies in response to the question: “What is the best evidence for survival of consciousness after bodily death?” Dr. Kerr, MD, PhD, is the Chief Medical Officer and Chief Executive Officer for Hospice & Palliative Care Buffalo. The full text with notes is available at https://bigelowinstitute.org/contest_winners3.php.

Thursday, June 23, 2022

Summary of dying research: Kerr excerpt #2

Dr. Christopher Kerr, director of the Buffalo New York Hospice, writes: Our research began in 2010 and has so far resulted in 9 peer-reviewed publications (17-25). However, it did not originally seek to demonstrate the continued existence of consciousness after death. In fact, our intention was quite different. Our work grew out of frustration in trying to teach young doctors that dying is more than failing organs but should instead be regarded as a closing of a life in which the patients live and die in totality, not in parts. Our objective was to honor and validate the patient experience rather than fulfill the expectations, prophecies or the beliefs of the observer. We were consistent and intentional in our commitment to translate the words and experiences of dying patients without extrapolating or editorializing about the afterlife, the paranormal or the religious. But when we paused and listened to our patients, they told a story we had neither sought nor anticipated. The results of one study spurred on the next such that when taken together, an overarching yet unanticipated theme emerged which indeed suggests that consciousness extends beyond physical death and connects us to one another, whether living or dead.

The common notion that nothing valuable can come from patients in the final days and weeks of life reflects a limited insight into the meaning of the patient’s dying experience which includes predeath experiences. Too often, the medical students or fellows with whom I worked at Hospice would dismiss the patient’s inner experiences as the manifestations of psychogenic drivers or the neuronal workings of a dying brain. Their reaction inevitably failed to account for the spiritual and psychological benefits of the occurrences. The more I taught the more I heard young doctors retort that there was “no evidence,” which meant measurable evidence, in language they considered valid. To help them rethink their approach, we needed science-based evidence; that meant studies that were objective, systematic, and rigorous, that met the standards of scientific scrutiny and could be published in peer-reviewed medical journals.

To achieve this, it was essential to add authenticity and hear from the patients and families in their own voice. To further corroborate and better represent the patient’s perspective, as well as refute the notion that end-of-life experiences are merely manifestations of a cognitively impaired or confused mind, the decision was made to videotape many of our patients. We all have biases or assumptions about the dying process, and such misconceptions are best addressed by hearing from the patients themselves. We wanted to show that dying patients are not just what they are too often imagined to be--faded, lethargic and often time-ravaged people in a hospital gown, too frail to function, think or express themselves. Rather, they represent the full diversity of the living; they may be alert, contemplative, thoughtful or intuitive, young or old, able-bodied or disabled. They may each be unique in their own way, but they all represent the universality of the phenomenon we set out to examine. Perhaps, most importantly, these patients wanted their voices heard.

Clinicians unfamiliar with predeath experiences often discount them as hallucinations caused by medications, fever, or confusional states, thus insinuating that these experiences hold little intrinsic or clinical value (26). Although it is common for dying patients to exhibit delirium when transitioning from life to death (27, 28), the state is marked by disorganized thinking, altered sensorium, agitation, anxiety, or fearfulness (29, 30). Patients frequently experience predeath phenomena as well as fluctuating states of delirium, particularly before death, but predeath experiences, even in the context of episodic delirium, typically involve clear consciousness, heightened acuity, and awareness of one’s surroundings; they are memorable and recalled with clarity; they contain subjective meaning, provide a source of personal solace, and are mostly characterized as comforting or extremely comforting in contrast to delirium (13, 32, 33, 34). Predeath experiences differ most from hallucinations or delirium by the responses they evoke, including inner peace, acceptance, and the sense of impending death (34, 35, 36). These distinctions are critical, because medicating pre-death experiences mistakenly perceived as delirium may remove the dying patient from comforting experiences inherent to the dying process. This further causes isolation, suffering, and impairment in the dying person’s ability to experience and communicate meaning at end of life (14, 34).

Our understanding of the experiences at life’s end is complicated by inconsistent nomenclature or terminology that is not fully applicable to the occurrence and may even be misleading. End-of-Life Experiences is a broad term that is commonly used to describe a wide range of phenomena that people may experience near the time of death (11, 12, 37, 38). End-of-Life Dreams and Visions (ELDVs) are a form of End-of-Life Experiences and our preferred nomenclature in our research.

For reference purposes, the word dreaming is often used to describe predeath experiences, simply because this is the closest description or reference point we have. Yet, it’s important to note that patients frequently insist that their subjective experiences are more dissimilar than like previously experienced dreams. In fact, they often refer to these episodes as “visions” to convey the distinct realism. What is more, half of the patients in one study reported that these events occurred while they were awake (18).

Although the topic of End-of-Life Dreams and Visions has been well-documented over time, our research approach is unique in several ways. With the exception of some case reports, the majority of previous studies rely on surveys or interviews with families of the deceased or with clinicians who work with the dying (13, 26, 33, 35, 39). By contrast, our studies adopt an objective approach to the reports taken directly from patients themselves rather than their observers. What is more, previous researchers had collected their data during singular or sporadic moments very near death, thus failing to capture dying as a process that changes over days to months. By contrast, we interviewed patients longitudinally and, in some cases, near daily until death. Our approach included both quantitative and qualitative studies as well as hundreds of hours of video footage. Finally, all study patients were screened for any evidence of confusion or delirium and were excluded if any cognitive impairment was detected. We also documented the experiences of children as well as adults. 

 

Christopher Kerr, “Experiences of the Dying: Evidence of Survival of Human Consciousness,” an essay written for the 2021 Bigelow Institute for Consciousness Studies in response to the question: “What is the best evidence for survival of consciousness after bodily death?” Dr. Kerr, MD, PhD, is the Chief Medical Officer and Chief Executive Officer for Hospice & Palliative Care Buffalo. The full text with notes is available at https://bigelowinstitute.org/contest_winners3.php.


Wednesday, June 22, 2022

Experiences of the dying: Kerr excerpt #1

Dr. Christopher Kerr, author of the 2021 essay “Experiences of the Dying: Evidence of Survival of Human Consciousness” written for the Bigelow Institute for Consciousness, writes:

When I became a hospice doctor 23 years ago, neither my medical training nor my doctoral degree in neurobiology could have prepared me for what I would witness at bedside of patients nearing death. I used to believe that my job was caring for life predeath. Instead, I came to realize that there is more to dying than death.

My observations at bedside have led me to the counterintuitive claim that the survival of human consciousness after death may be nowhere more evident than in what happens to the dying before death. These are moments of transition when the mind’s elevation transcends the body and brain’s deterioration. Put another way, we can’t look into the continuity of consciousness past death by having an exclusive focus on the after. Doing so would assume a before/after division that the dying experience itself renders irrelevant. The dying process is a continuum within which our patients experience a heightening of consciousness and an acute awareness of their past and present existence. This experience includes a consciousness that is most often shared with others who died before them and but who are now fully present to them. The dying process reveals a connectivity between and across lives, both living and dead. This continuity of connectivity persists regardless of time or bodily existence and supports the hypothesis that consciousness survives beyond bodily death.

I used to believe that end of life includes processes that understandably draw us inward towards introspection and reflection, processes that distill life into what truly counts and in so doing, validate having lived and mattered. That the dying process would alter the patient’s perception made sense. What was unexpected if not jarring was that the process entails so much more than just a changed outlook in patients. Shortly before death, the dying have dreams and visions of their predeceased loved ones, scenes of vivid and meaningful reunions that testify to an inexplicably rich and transformative inner life. The phenomenon includes a lived, felt, often lucid experiential reality whereby those loved and “lost” return to the dying in ways that cannot be explained by memory alone. Children and parents sometimes lost decades earlier come back to put patients back together and help them transition peacefully. At the precise moment we associate with darkness, loss, physical decline, and sadness, their presence helps the dying achieve peace, comfort, and forgiveness, which suggests an existence beyond our bodily form. A failing brain does not imply a failing mind, and biological decline does not diminish the soul. In fact, in our final days, our physical form does not follow function: patients are spiritually and perceptually alive and vibrant despite a failing body. This is the paradox of dying.

A remarkable body of work on Near-Death Experiences (NDE) has been cited as evidence that consciousness is more than a byproduct of our brain and survives our mortal form (1-5). Skeptics offer physiologic explanations and argue that the memories or sensations of NDE-like experiences are actually triggered by the brain as it shuts down or reboots; they attribute the phenomena to causes including oxygen shortage, anesthesia, neurochemical responses to trauma and “post-resuscitation syndrome” (6-8). Critics of NDE study protocols also suggest that this research does not “exclude that the reported memories were based on retrospective imaginative (re)constructions built up from memories, prior knowledge, and/or expectations about the world” (9). Others explain NDEs based on spiritual or psychological interpretations, ranging from the theories of Expectancy to Dissociation (6, 9, 10).

Proving consciousness beyond death must not only account for neurobiological changes associated with “clinical death” but also address factors that define and inform consciousness, such as changes in awareness, wakefulness, and connectedness. At Hospice, we routinely care for dying patients who are not only neurologically intact but fully aware and awake. Whereas physical death is a circumscribed event, dying for most is a prolonged process that inherently alters consciousness. The dying processes we witness are anticipated, non-acute and physically irreversible. Yet, instead of exhibiting a waning consciousness, many of our patients display a heightened acuity and a rich inner life which includes changes in perception as well as an awareness of both their internal and external existence. Not surprisingly, such experiences of consciousness are qualitatively distinct from those events described in traumatic or acute death, alterations in brain function from anesthesia or recovery from recusation. The studies conducted at Hospice Buffalo for over a decade further corroborate that the dying are paradoxically often emotionally and spiritually alive, even enlightened, despite their terminal physical decline, not just in the minutes or hours before physical death, but in the days and weeks. In other words, these extraordinary inner experiences that have been attributed to a failing brain with NDEs occur during the dying process on a continuum that goes from intact cognition to the fluctuating states of consciousness and failing organs that define the immediate hours before death.

We hypothesize that only those who are actively dying have the vantage point and the language to define their changing and enlightened existence, the keyhole through which to see what’s beyond. Our work focuses not only on the dying process but specifically, on the experiencing of it, the subjective or conscious dimensions of dying. The tragic physical process of dying often obscures the experiential, inner or subjective dimensions of dying which represent a heightened form of consciousness, an awakening of feelings, wonderous perceptual experiences, insights into one’s present and future existence as well as a feeling of connectivity, wholeness and belonging. Our patients exhibit changes in awareness of thought, memories, feelings, sensations, and environments. Not only are such experiences near universal, but they are remarkably similar. This is why to find evidence of the survival of human consciousness after death, we need to look at what happens before death, in these moments of transition when the before and after merge to the point of irrelevance and the enlightened mind transcends the body and brain’s deterioration.

The following is a video of our patient Florence, six days before death. She is free of neurologic disease and has not taken any psychoactive medication. Although dying, Florence is physically unburdened and cognitively intact while describing the closing of her life. To her, dying is a conscious experience that is vibrant as well as self-fulfilling. Her consciousness is lucid: she is fully awake, aware and connected. Through this keyhole, Florence doesn’t dream, analyze or simply remember, but instead feels the familiar and comforting presence of those she has loved and lost. Unlike the epiphanies or revelations often associated with NDEs, there are no great insights or messages. In fact, language is near absent and not needed. Florence is instead at her family’s kitchen table in the company of her deceased husband and daughter; she has been put back together and is truly home. Her awareness is acute, complete and secured in the certainty of what has always defined who she is: her relationships. She is now restored in a promise of what lies ahead. Florence doesn’t have any feeling of being out of her body or any perception that she is dead: her existence, as defined by love, is understood and sustained. These experiences are not only validating but remove any fear of physical death. Florence is already on her journey, her consciousness continuing where her body can no longer go (Link to: Florence Interview Video).

These moments of life-affirming enlightenment at the time of death have been acknowledged across cultures and throughout history. Indeed, while modern medicine has been resolutely silent on the topic of dying, often reducing it to mere “medical failure”, the humanities, the realm of culture and religion, have long testified to its significance to humanity. From writers, poets and philosophers as far back as ancient Greece, from Buddhist and Islamic texts to accounts from China, Siberia, Bolivia, Argentina, India and Finland, from the religious and sacred traditions of Native Americans and other indigenous peoples around the world, meaningful pre-death dreams and visions have been widely recognized and celebrated. They are mentioned in the Bible, Plato’s Republic, and in medieval writings such as the 14th century mystic Julian of Norwich’s The Revelations of Divine Love. They show up in Renaissance paintings and in Shakespeare’s King Lear. They appear in 19th-century American and British novels, in T.S. Eliot’s poetry, and last but not least, in the Dalai Lama’s meditations on death. If anything, the medicalization of death has obscured a language that has always been available to make sense of our finitude and that has been integral to humanity’s need to maintain connection with the departed. This awareness that we remain intertwined beyond death is central to the story of our shared humanity.

Starting in the twentieth century, reports on pre-death experiences began to be collected systematically through eyewitness accounts (11-16). More recently, a research team at Hospice Buffalo, has conducted studies on over 1,500 patients and families. The process of dying is a reality that only the dying could tell us about, from a vantage point that the living do not share. It was the testimonies of these patients as well as our subsequent systematic studies of their inner experiences that helped us reframe dying and our notion of a before and an after death and of consciousness itself. The data confirmed that the vast majority of dying patients, shortly before death, have these comforting dreams and visions that most commonly summon predeceased loved ones. After witnessing how these bonds of love re-emerge as unbreakable at life’s end, the question we were left pondering was “are the deceased ever really gone?” Indeed, those who returned were not just random appearances; they were most commonly, as with Florence, people who best loved and secured the dying in life and were reuniting at a depth that suggests they were never gone. One ninety-five-year-old gentleman claimed to smell his mother’s perfume as she whispered “I love you” in his ear. His mother had passed ninety years earlier when he was five years old, yet his vision of her was as crisp as if she had just left him. Such experiences return at life’s end in ways that transcend mere recollection and are instead tangible, material, and lived. With full lucidity, these patients claim such experiences are “more real than real” and rich in detail not previously recalled but now vividly summoned.

“Transcendence” is typically the concept used to denote an existence or experience beyond the normal or physical level. The word literally means “going beyond.” It is also a state that is associated with the afterlife and that best represents the work that pre-death experiences do in helping patients transition to death. In fact, the power of the spiritual transformation and “transcendence” they occasion in patients’ lives cannot be overstated. Near death, the boundaries between the experiential and the spiritual, body and mind, present and past, conscious and unconscious impulses dissolve to provide comfort through a process of connectivity across the living, the dying, and the dead. The process brings about a form of spiritual and emotional solace that is rooted in lived experience rather than just dreams or memories. Recognizing people’s experience of dying as the gateway to continued consciousness beyond life and death is crucial if we are to become more literate on what constitutes our mortality.

 

Christopher Kerr, “Experiences of the Dying: Evidence of Survival of Human Consciousness,” an essay written for the 2021 Bigelow Institute for Consciousness Studies in response to the question: “What is the best evidence for survival of consciousness after bodily death?” Dr. Kerr, MD, PhD, is the Chief Medical Officer and Chief Executive Officer for Hospice & Palliative Care Buffalo. The full text with notes is available at https://bigelowinstitute.org/contest_winners3.php.

Tuesday, June 21, 2022

The dead continue to exist: Sommer excerpt #13

Historian Andreas Sommer concludes his review of the evidence for conscious life after physical death: After Part 1 cleared the path for an ideally unbiased recognition of a serious research tradition which most educated people are unaware of, it seems there are only two interpretations of the empirical evidence discussed in Part 2: We can either assume some kind of cosmic conspiracy by a Neoplatonic ‘world-soul’ or Absolute Mind bent on perpetually tricking us, or adopt the more natural and simpler view that the dead continue to exist, and sometimes – under conditions whose exploration will need to be part of continuing research – are able to manifest, either sporadically as suggested by the best cases of apparitions and mediumship, or through rebirth into a new life.

Note that I do not claim personal survival is scientifically proven. However, unlike our alternative hypothesis, the idea of survival can be put to work for the purpose of developing new avenues of research, whose results may eventually engender techniques or devices which might allow us to communicate with the ‘other’ side in much the same reliable and robust ways we communicate with the living today. But for that to happen, not only will we need to actively work to remove the immense social stigma associated with this kind of research, but also raise a question which is practically never raised by survival researchers: Who is our audience?

This question brings us back to the concrete context of F. C. S. Schiller’s sarcastic comment on fundraising for survival research vs. medical care for leprous cats at the beginning of this essay. Schiller’s article was in fact part of an appeal to fellow academics to help him tackle questions that had never been addressed in a systematic manner: Is it true, as it has been asserted by advocates and opponents of survival, that the question was felt by most humans to be of fundamental importance? And was there really a universal preference for survival – or a ‘will to believe’ in it, which, it has often been argued, inevitably contaminated any supporting evidence? Schiller – you probably guessed it already – was a member of the SPR. And like his friend William James, he was on the fence regarding survival but still a vocal advocate of impartial survival research.

To obtain an informed picture of actual attitudes to survival in the educated public, Schiller designed a questionnaire which was sent to around 10,000 participants. The project was quite different from more recent sociological surveys, which have assessed the prevalence of belief in life after death. Among the key questions was if survival was desirable in the first place, while others tried to tease out how common not just a ‘will to believe’ in it was, but also a ‘will to disbelieve’. Most crucially for survival researchers, Schiller wanted to find out how common the ‘will to know’ was. After all, the question whether or not there is an audience for the findings of empirical studies regardless of results, was and is now vital for the future of research funding.

The results of Schiller’s questionnaire study predicted a rather bleak future for survival researchers: Not only was there a high ambivalence in attitudes regarding the desirability of survival. Most significantly for investigators, the results suggested a striking lack of interest by most respondents to have their beliefs or disbeliefs informed by solid evidence. The results were met with silence then, and there has never been a discussion of their implications in the dwindling community of survival researchers up to the present day.

I think this silence spoke, and continues to speak, volumes. The practical point I’m trying to make is this: To the majority of educated Westerners, what I may think is evidence for survival ‘beyond reasonable doubt’ can never be as straightforwardly persuasive as, say, evidence for the discovery of a new butterfly species. The question of survival goes straight to the essence of what we believe, hope, and fear we are. I doubt that anything resembling mathematical proof for survival is possible, but as long as the problem of the ‘personal equation’ is simply ignored, such proof would fall on deaf ears just the same way as the already existing volumes of published empirical evidence has. After all, as Schiller observed, if there is resistance you can’t make someone even add 2+2.

Biases either way do exist and must be dealt with in a systematic way, before there can be any tangible progress. Rather than exclusively focusing on empirical research, I therefore think that public education concerning the nature and history of both conventional and unorthodox science will be just as important as the actual empirical research.

 

Andreas Sommer, “What is the Best Available Evidence for the Survival of Human Consciousness after Permanent Bodily Death? Submitted to the Bigelow Institute 2021 contest on this topic. The paper with all notes and bibliography is available at https://bigelowinstitute.org/Winning_Essays/12_Andreas_Sommer.pdf.

Monday, June 20, 2022

Embodied minds: Sommer excerpt #12

Exotic and strange as distinctions of parapsychological capacities of embodied minds from the agency of discarnate spirits may appear to most moderns, they are hardly new. Such ideas were in fact at the heart of mainstream Renaissance natural philosophy and related Neoplatonic currents, which centred around notions of a ‘world soul’, in which individual minds were thought to be embedded and intrinsically interconnected with the material world on a basic ontological level. This was also the cosmology of early modern science icons including Copernicus, Kepler, Galileo and Francis Bacon. In 1605, for example, Bacon noted that parapsychological cognitions needed to be distinguished according to the ‘input source’: In his discussion of psychic phenomena occurring near death and in altered states, from which we briefly quoted in Part 1, for example, Bacon divided ‘natural divination’ (divinatio naturalis) into ‘primitive’ divination – parapsychological capacities of the embodied mind – and divination by ‘influxion’ – veridical input from disembodied spirits.206

Far from being refuted during the supposedly linear growth of scientific knowledge, it would again be fair to say that such holistic cosmologies were squarely written out of history by figures like Huxley and du Bois-Reymond, along with striking continuities of associated ‘paranormal’ beliefs held by members of intellectual elites. Notions of a ‘world soul’ would be preserved in major philosophical systems of German idealism, a worldview which grounded much of late-eighteenth and early nineteenth century science. These idealist frameworks were notably formulated by F. W. J. Schelling, J. G. Fichte and later G. W. F. Hegel – all of whom were convinced of the reality of ‘paranormal’ phenomena, especially those reported to occur in mesmerist trance and other altered states.

For example, Hegel’s leading philosophical antagonist was Arthur Schopenhauer, who still agreed with Hegel that “He who nowadays doubts the facts of animal magnetism and its clairvoyance is not to be called incredulous, but ignorant”. Schopenhauer also studied reports of spirit apparitions, which, however, he did not interpret as evidence for personal survival, but as indications of dramatized expressions of an impersonal and unconscious ‘world will’. Similar notions were at the roots of the famous Philosophy of the Unconscious by Eduard von Hartmann, who adopted Schopenhauer’s comparisons of biological instinct with clairvoyance, and who was a major German critic of spiritualism.

Gustav T. Fetchner
One scientifically eminent contemporary of Hartmann who also subscribed to the notion of a ‘world soul’ was the aforementioned Gustav T. Fechner, whose works would increasingly come to inspire William James’s philosophy. And it is hardly an accident that James’s fellow psychical researcher Frederic Myers was a trained classicist. In fact, Myers’s coinage of ‘telepathy’ in 1882 – as well as his invention of the word ‘subliminal’ – was more than informed by his studies of ancient Greek mystical to Renaissance natural philosophical and German idealist traditions. While Skeptics typically portray Myers as a haplessly naïve and uncritical spiritualist, his early work in fact seemed to directly undermine the idea of spirit agency, which provoked rather fierce attacks by actual spiritualists.

Rather than through isolated investigations of anomalies directly suggestive of survival only – verifications of ‘spirit identity’ in mediumship and apparitions – Myers tried to strengthen the scientific case for survival by constructing a model of the self, in which undisputed psychological and properly parapsychological phenomena did not face each other as irreconcilable, but were continuous. For the case of mediumship, for example, Myers argued that properly scientific research in this area

will not be difficult only, but impossible, – it will lead to mere confusion and bewilderment – if it be undertaken without adequate preliminary conception of what our own personalities, our own intelligences, are in reality and can actually do. The most ardent Spiritist should welcome a searching inquiry into the potential faculties of spirits still in the flesh. Until we know more of these, those other phenomena to which he appeals must remain unintelligible because isolated, and are likely to be obstinately disbelieved because they are impossible to understand.

This quote is from Myers’s review of James’s Principle of Psychology, where we find a general conception of mediumship which James himself had adopted from Myers. Somewhat oversimplified, this methodological maxim roughly goes like this:

Even veridical cases of mediumship should initially be approached as non- pathological instances of multiple personality. A medium is simply someone with a disposition to go into a self-induced trance, during which expectations by a sitter wishing to communicate with a deceased loved one are unconsciously acted out. Rather than actually ‘channelling’ the spirit in question, the entranced medium, uninhibited by the habitual control of self-consciousness, constructs a ‘split personality’, persuasively camouflaging as the expected ‘spirit’ by accessing a cosmic mental nexus, in which the minds of all beings (living and dead) are constantly connected below the threshold of everyday conscious awareness.

A similar approach was applied in the SPR’s aforementioned early studies of veridical ‘hallucinations’, which Myers conceptualized as exceptional, dramatized telepathic eruptions of subliminal mental interconnectedness into conscious experience. One of the spiritualists who had absolutely no use of all this new talk about subliminal minds and divisions of the self was the ‘other Darwin’, Alfred Russel Wallace. But instead of attacking his fellow countryman Myers, he singled out Carl du Prel, a German author who proposed similar ideas. Never mind that du Prel – the most prominent German- language theorist of the unconscious mind before Freud, who once called du Prel “that brilliant mystic” – was a devout spiritualist himself, as he reminded Wallace in his reply.

At a time when the medical and psychological mainstream still regarded hallucinations and trance states as clear signs of mental degeneration, Myers and colleagues at the English SPR, William James in the US, and du Prel in Germany belonged to the most vocal figures who disputed such blanket diagnoses. Their insistence on more discerning diagnostics would in fact place them firmly against the grain of medical orthodoxy even before they discussed properly parapsychological phenomena. Regarding divisions of the self, for example, du Prel argued that rudimentary forms of non-pathological multiplicity already occurred in ordinary dreams:

If in dream I sit at an examination, and do not find the answer to the question put by the teacher, which then my next neighbor, to my great vexation, excellently gives, this very clear example shows the psychological possibility of the identity of the Subject with the contemporaneous difference of persons.

Approaching spiritualism using such minimalist conceptions which were continuous with ordinary psychological knowledge, Myers and James initially viewed trance mediumship as a more pronounced instance of such dramatized dream monologues. For example, on the height of her career Mrs. Piper occasionally gave up to three communications simultaneously, each hand writing a message from a different ‘spirit’, while a third would coherently address another sitter in the room.  Spiritualists viewed such dramatic instances as self-evident spirit communication even when messages were not veridical. However, Gurney, James and various psychologists were able to demonstrate similar multiple automatic action in hypnotized subjects, while experiments in telepathy between the living through automatic writing likewise suggested striking parallels without the need to invoke spirits.

And it is in this context that early Piper investigators came to believe that her first prominent ‘spirit control’, a personality calling himself ‘Phinuit’, was not a spirit, but a fragment of Piper’s own mind: Not only did ‘Phinuit’ fail to produce evidence supporting his claim that he was the spirit of a certain French doctor. While he did often provide highly specific veridical information about ‘spirits’ other than himself, Phinuit and other trance personalities would also often make absurd statements reminiscent of confused ramblings of a sleepwalker. One example is the often-cited claim by the ‘spirit’ of Sir Walter Scott that there were monkeys in the sun, a statement the reasonably well- educated medium would not have made in the waking state. On another occasion, the entranced Mrs. Piper grabbed the arm of the chair she sat in, correctly identifying it as belonging to a deceased aunt of Lodge’s, but stating it was part of a church organ.

Another strong indication that Phinuit was indeed a partition of Mrs. Piper’s own mind was the fact that he would sometimes shamelessly ‘fish’ for information, trying to tease out responses from sitters which might help to improve his performance. These and other instances – for example, Phinuit sometimes making up ludicrous excuses for giving blatantly false information – only reinforced the impression that the entranced Mrs. Piper, through the vehicle of ‘Phinuit’, was unconsciously responding to investigators’ expectations like a hypnotic subject, compelled to satisfy sitters by furnishing them with ‘information’ no matter how. Principal Piper investigators frequently discussed these and many other signs as fundamental hurdles for the spirit hypothesis. At the same time, they still struggled to make sense of the wealth of impressive veridical information provided by Phinuit and other supposed ‘split personalities’ of Mrs. Piper, which they preliminarily pigeonholed as ‘telepathy from the living’.

One of several early examples which appeared to far outstrip such an interpretation, however, was reported by Oliver Lodge. When he hosted Mrs. Piper during the first series of experiments in England, a personality claiming to be the son of Mr. Rich, head of the Liverpool post office, was purported to communicate. The only other sitter present was a friend of Lodge’s, whom he had introduced to Piper using a pseudonym, but who was still addressed by his actual name. Moreover, while Lodge and his friend faintly knew Mr. Rich, neither were aware that his son had died. The communicator then urged Lodge and his friend to pass on a message to Mr. Rich, expressing worry over his wellbeing and claiming among other things that he had recently suffered from dizziness and saw himself forced to retire.

Lodge decided to bite the bullet and convey the message to Mr. Rich as requested, who confirmed these and other details. Moreover, Rich said that he took the loss particularly badly because of an estrangement with his son shortly before his unexpected death a few months before the sitting. Considering how he should explain Piper’s veridical impersonation of his dead son to Mr. Rich in terms of telepathy from the living, Lodge wrote:

the only thought-transference explanation I can reasonably offer him is that it was the activity of his own mind, operating on the sensitive brain of the medium, of whose existence he knew absolutely nothing, and contriving to send a delusive message to itself!

This is by no means one of the most striking cases, and there are countless others, reported and analyzed in often painstaking detail, in studies of many other mediums. Moreover, the case of Mr. Rich already gives us an idea of the intimacy of many communications. In fact, a frequent complaint by James in his writings and private letters to friends was that sitters frequently did not consent to a publication of some of the most striking veridical material because it was too private and personal.

A much more complicated case of mediumship strongly suggestive of survival were the so-called ‘cross-correspondences’, beginning in 1906. On the face of it, this appeared like a concerted long-term effort from the ‘other side’ by deceased SPR personnel – including Gurney, Myers, Henry Sidgwick and Hodgson – to prove their continued existence through mediums distributed across three continents. These included Rosalie Thompson, ‘Mrs. Forbes’ (the wife of Judge Raikes), Mrs ‘Willett’ (Mrs Winifred Coombe-Tennant), and Margaret Verrall and her daughter Helen in Britain; Mrs. Piper in the US; and ‘Mrs. Holland’ (Rudyard Kipling’s sister Alice Fleming) in India. Prompted by the supposed spirits of Myers and colleagues, each medium conveyed pieces of a literary jigsaw puzzle, whose individual parts were meaningless in themselves, but assumed significance when assembled according to directives of ‘Myers’ and fellow spirits.

An often-cited critique of the cross-correspondences has interpreted them as a result of chance-coincidence. However, the author only used a small fraction of these literary fragments, while ignoring said ‘directives’ by ‘Myers’ and other supposed spirits, which in themselves contained many rather specific, veridical aspects. The most recent and comprehensive account and painstaking analysis of published and previously unpublished primary sources has clearly shown that chance coincidence is a rather inadequate explanation for the bulk of the messages: “Whatever the source”, Trevor Hamilton has argued, “the scripts were not passive inert structures that did not answer back”. ‘Myers’ and other communicators regularly gave explicit instructions in which order to assemble the pieces of the puzzle, gave hints of interpretations, and provided an overall strong impression of a conscious, deliberate direction and monitoring of the process from the outside.

William James and other critical mediumship researchers increasingly acknowledged that telepathy and clairvoyance of the living seemed insufficient as an explanation of subtle aspects of the ‘trance drama’, which were often lost in the printed records. Even the most seasoned and cautious sitters would often admit to be impressed not only by veridical bits of information specifically matching a certain deceased individual, but especially the way in which it was conveyed – vividly displaying a deceased person’s unique mannerisms, tone of voice, characteristic humor, and so on.

In his final comprehensive study of Piper’s mediumship, James once again admitted to struggle with what he called the “rubbish of trance-talk”, which we briefly addressed above. At the same time, he strongly doubted that a medium’s subconscious ‘will to personate’ plus telepathy was a sufficient explanation. If telepathy from the living was all there was, James argued, it should “play an entirely passive role – that is, the telepathic data would be fished out by the personating will, not forced upon it by desires to communicate, acting externally to itself”.

Some of the strongest impressions of such an external ‘push’ often only emerge from a close study of certain details in the original records. Boston psychiatrist Walter F. Prince, an authority in the study of multiple personality disorder, provided a vivid example of the apparent discrepancy between a medium’s ‘will to personate’ and a supposed spirit’s ‘will to communicate’ in an account of his investigations of Mrs. Chenoweth. There, a ‘spirit’ claiming to be Prince’s deceased mother tried to identify herself by mentioning an event in Prince’s childhood, a visit to a neighbor who owned a young calf (colloquially a ‘bossy’) which young Prince had been fond of. Here’s an excerpt from the stenographic records of communications from Prince’s supposed mother:

“We went to a neighbor’s to see a pet Bunny” – pause – “pet Bunny BB Bunny” – pause – “No, it was a pet Bunny BB Bunny B” – long pause – (medium moans) “Milk – a small cow Bossy”.

Prince, who stated there was no plausible way for the medium to be aware of the event from his childhood through conventional means, comments:

Who can doubt that someone or something intended “Bossy” [...] from the first? Else why did the communicator stop at Bunny every time and begin again, express dissatisfaction, pause as though pondering what was the matter or how to remedy it, experience emotion which extorted moans from the medium, and finally say ‘small cow’ as though to avoid the word beginning with B? If two minds were engaged in the process, the second receiving from the first, we can see how this second, call it [...] the medium’s subconscious, would, when the ‘pet B-‘ was reached, conceive the picture of a rabbit and cling to the preference for some time despite the efforts of the first mind to dislodge it.

In short: The stammers in the communication suggest signs of a struggle by the spirit of Prince’s mother to enforce her own memory against the medium’s immediate association with the letter B.

By far the strongest evidence for personal survival along these lines available by 1939 has been provided by German philosopher Emil Mattiesen. Discussing findings of English, American, French, Italian and German psychical research throughout his three volumes of fine-grained analysis of such important formal aspects of mediumistic impersonations, as well as apparitions, Mattiesen identified what he called a “center of activity”, arguing that

a complete theory has to explain not only where the expressed knowledge comes from, but also determine the origin of the drive that weaves both into a lively personation, which as such bowls over the sitter as persuasive.

Similar views were also expressed by perhaps the last scientifically eminent figure to sit with Mrs. Piper, American psychologist Gardner Murphy. Following an intense study of the literature on mediumship, Murphy likewise concluded that it was “the autonomy, the purposiveness, the cogency, above all the individuality, of the source of the messages, that cannot be by-passed”.

Finally, another class of mediumistic case reports also more than suggests a ‘push’ from the ‘other side’ instead of a ‘pull’ from the living: well-documented cases in which a ‘spirit’ who was completely unknown not just to the medium, but to all sitters, initiates communications. While Lodge and his friend in the Rich case cited above, for example, were aware of the existence (though not of the death) of Rich’s son, cases of so-called ‘drop-in communicators’ are defined by the perfect strangeness of a ‘spirit’, whose deceased biographical counterpart is eventually identified only through its own veridical statements. Here, motivations to produce impersonations are typically difficult to ascribe to the medium or any of the sitters, but more plausibly to a deceased man or woman whose communications seem driven by their own motivations.

There are close equivalents of ‘drop-in’ cases in studies of apparitions, some of which seem even more suggestive of spirit agency than so-called ‘Peak-in-Darien’ cases, where a person thought to be alive appears, and is later found to have died before the ‘hallucination’ occurred. The most striking and recent counterpart of ‘drop-ins’, however, is to be found in certain cases of the reincarnation type. Here are some of the most impressive and well-documented features:

·  Reported past-life memories by young children are narrated repeatedly and with strong emphasis;

·  Specific names of persons, places, etc. are given, which eventually lead to the discovery of the child’s supposed previous personality (PP);

·  Social standing and profession of the PP is acted out in play;

·  Claimed memories engender family conflicts, due to ambiguity of family

membership;

·  Sexual precocity and gender dysphoria in cases where the PP belonged to the opposite biological sex;

·  Display of unlearned skills not plausibly acquired in the present life, including basic foreign language skills, procedures associated with a profession, etc.;

·  Unusual behavior and idiosyncratic traits corresponding to the PP, including phobias, aversions, obsessions, and penchants;

·  Alcohol and drug addictions that were manifest in the PP;

·  Symptoms of post-traumatic stress disorder, which do not seem to match any events in the child’s current life, but to specific circumstances in the remembered PP’s life, often their mode of death; and not least:

·  Birthmarks, differing in etiological features such as size, shape and colour from conventional birthmarks, and other bodily abnormalities, including severe deformations. Often resembling actual scars and lesions, they significantly correspond to wounds involved in the death of the PP as shown by autopsy reports and other evidence.

Puzzling psychological and behavioral reincarnation evidence, especially children’s substance addictions seemingly out of nowhere, and phobias and full-blown post-traumatic stress disorder symptoms corresponding with remembered causes of death, is occasionally discussed even in conventional medical and psychology journals. Together with the physical evidence – specific lesions which mirror typically fatal wounds of a PP – they strongly point to the carrying-over of affects and other compulsive elements of personality from one life to the next. And while cases of birthmarks and lesions may appear especially odd and inexplicable, even they seem continuous with phenomena of conventional biomedicine: Shortly after World War 2, for example, the Lancet reported the case of a traumatized army officer, on whose body marks or imprints would spontaneously appear, resembling ropes with which he had been tied up during war. Other cases reported since then have involved similar spontaneous reappearances during psychotherapy of signs of physical abuse.

 

Andreas Sommer, “What is the Best Available Evidence for the Survival of Human Consciousness after Permanent Bodily Death? Submitted to the Bigelow Institute 2021 contest on this topic. The paper with all notes and bibliography is available at https://bigelowinstitute.org/Winning_Essays/12_Andreas_Sommer.pdf.

Sunday, June 19, 2022

Reincarnation evidence: Sommer excerpt #11

Ian Stevenson

Historian Andreas Sommer writes: Ian Stevenson did not just replicate findings from classical areas of survival research. In the early 1960s, he single-handedly created a new branch of investigations into survival, which can be considered complementary to classical research on mediumship and apparitions: the evaluation of claimed memories of previous lives by young children. As put by Stevenson, if the strongest mediumship and apparition cases suggested that someone who had died was still alive, some cases of the reincarnation type suggested that someone who is now alive had previously died.

In the early days of the SPR, ideas of reincarnation were strongly associated with the ‘Indian Theosophy’ of H. P. Blavatsky, one of several psychics debunked by Richard Hodgson. However, although early psychical researchers like James and Myers did not investigate claimed reincarnation memories, they were certainly open to the notion. In fact, years before James came rather close to accepting the ‘spirit hypothesis’ as an interpretation of the strongest mediumship cases, he wrote that to him empirical evidence for reincarnation would make the most convincing case for personal survival.

In 1960, Stevenson was the first scientist to write about rigorously investigated empirical indications of reincarnation, and eight years later he published his first collection of 20 investigated cases. Most though by no means all of Stevenson’s investigations took place in India and other countries and regions where belief in reincarnation is widespread and cases not as difficult to come by as in the West. Today, however, there are thousands of cases on record internationally. And while modern Skeptics dismiss this material along with other findings of psychical research, one of the most widely read endorsements of Stevenson’s research in 1995 came from a rather unlikely figure: co-founder of modern Skepticism Carl Sagan, who wrote in his classic The Demon-Haunted World that Stevenson’s cases of the reincarnation type (CORT) deserved “serious study”.

By the time of Sagan’s reference, Stevenson was no longer the only scientist to investigate CORT by applying rigorous methods and the highest standards of documentation. Principal investigators who independently replicated his findings were the aforementioned Erlendur Haraldsson, Indian psychologist Satwant Pasricha, Canadian anthropologist Antonia Mills, German-born psychologist Jürgen Keil at the University of Tasmania, and the current director of DOPS at the University of Virginia, psychiatrist Jim Tucker, whose own research has strongly focused on American cases. 

 

A strong case might look like this: A child, usually aged between 2 and 5, alarms their parents by claiming to be someone else, stating the name of their ‘previous self’. To the parents’ added horror, the child also demands to be reunited with their spouse, children, and ‘real’ parents, whose names are also given. Despite threats and beatings by the parents, the child continues to insist. Apart from giving names and other details, the child also exhibits unusual and specific behaviors, which strikingly correspondent with idiosyncrasies of personality in an actual individual, who is eventually located in a different city or village, and who had in fact died a few years before the child was born. Perhaps most incredibly, in addition to specific memories, the child also displays birthmarks, lesions or deformations, which strikingly correspond to fatal wounds in the ‘previous self’ (as corroborated by autopsy reports), who had died in an accident, or by murder or suicide.

Stevenson and most other principal investigators never claimed that the mass of this astounding empirical material provided conclusive proof of reincarnation. One seasoned CORT researcher, Jürgen Keil, even explicitly argued against the reincarnation hypothesis, but his alternative still had to resort to squarely parapsychological explanations involving ‘psi’ (extra-sensory perception and psychokinesis) from the living. You remember a similar theme in my brief account of Piper’s mediumship, whose principal investigators discussed whether her trance phenomena should be explained by spirit agency or unconscious telepathic information acquisition from the minds of living persons. And it is in a discussion of these ideas where I believe we can find evidence that more than just tips the scale towards personal survival.

 

Andreas Sommer, “What is the Best Available Evidence for the Survival of Human Consciousness after Permanent Bodily Death? Submitted to the Bigelow Institute 2021 contest on this topic. The paper with all notes and bibliography is available at https://bigelowinstitute.org/Winning_Essays/12_Andreas_Sommer.pdf.

Gödel's reasons for an afterlife

Alexander T. Englert, “We'll meet again,” Aeon , Jan 2, 2024, https://aeon.co/essays/kurt-godel-his-mother-and-the-a...