Abstract

In this response to Keith Augustine's paper, I discuss the question of the nature and causation of near-death experiences (NDEs) with hallucinatory features. The attribution of hallucinations to either a brain mechanism or a peek into the afterworld raises fundamental questions about both the epistemology and ontology of our neuroscience, and of our scientific models of an afterlife. It also raises questions about the physiological state of the brain giving rise to NDEs that arise in very different situations and are clearly unlikely to have a unitary cause. These fundamental questions can be answered only in proper prospective trials when both the brain physiology and psychological variables of the experiencer are known.