Like the better-publicized pleasurable NDEs, distressing near-death experiences are both fascinating and frustrating as altered states of consciousness. Because of the deeply rooted concept of hell in Western culture and its Christian association with eternal physical torment, they pose serious challenges to the individuals who must shape their lives around such a profoundly durable event, and to their families, friends, and physicians. In the absence of clear-cut clinical data and universal cultural views, physicians are advised that neutrality of opinion and careful listening are likely to constitute best professional practice for addressing these difficult near-death experiences.
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