Within-subject comparison of near-death and psychedelic experiences: acute and enduring effects

Neuroscience of Consciousness  – January 01, 2024

Source: OpenAlex

Summary

Profound mystical states of consciousness, whether from near-death experiences or hallucinogens like psilocybin, ayahuasca, and mescaline, share remarkable similarities. A study of 31 adults who experienced both revealed significant overlap in their phenomenology and attribution of reality. While sensory perception differed—NDEs involved more disembodiment, psychedelics more visual imagery—both induced similar mystical-like effects. This suggests the psychology of psychedelic experiences offers a valuable lens for understanding profound, sometimes paranormal, insights.

Abstract

Abstract Mystical-like states of consciousness may arise through means such as psychedelic substances, but may also occur unexpectedly during near-death experiences (NDEs). So far, research studies comparing experiences induced by serotonergic psychedelics and NDEs, along with their enduring effects, have employed between-subject designs, limiting direct comparisons. We present results from an online survey exploring the phenomenology, attribution of reality, psychological insights, and enduring effects of NDEs and psychedelic experiences (PEs) in individuals who have experienced both at some point during their lifetime. We used frequentist and Bayesian analyses to determine significant differences and overlaps (evidence for null hypotheses) between the two. Thirty-one adults reported having experienced both an NDE (i.e. NDE-C scale total score ≥27/80) and a PE (intake of lysergic acid diethylamide, psilocybin/mushrooms, ayahuasca, N,N-dimethyltryptamine, or mescaline). Results revealed areas of overlap between both experiences for phenomenology, attribution of reality, psychological insights, and enduring effects. A finer-grained analysis of the phenomenology revealed a significant overlap in mystical-like effects, while low-level phenomena (sensory effects) were significantly different, with NDEs displaying higher scores of disembodiment and PEs higher scores of visual imagery. This suggests psychedelics as a useful model for studying mystical-like effects induced by NDEs, while highlighting distinctions in sensory experiences.

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