For me, 2025 has so far been a year of thinking about the end of life. I lost both my mother and my much younger mother-in-law in the first few months of the year, and was present in the room for the latter. These events have re-ignited my interest in stories about what happens to us during the process of dying. A few of the books on this subject that I quickly devoured are Roz Chast’s graphic novel about her parents’ eventual final decline Can’t We Talk About Something More Pleasant?, hospice care nurse and TikTok star Hadley Vlahos’ collection of stories The In-Between: Unforgettable Encounters during Life’s Final Moments, and atheist and journalist Sebastian Junger’s memoir In My Time of Dying: How I Came Face to Face with the Idea of an Afterlife.

One of the most common phenomena during the death process is that of seeing deceased loved ones shortly before death. This occurs across cultures, religions, and time periods. Studies estimate that 50-80% of dying patients experience seeing the dead during the days or hours before death occurs. These are usually family or friends. Sometimes they are deceased children of the one dying. Sometimes they are those who are very recently deceased. These experiences occur when the patients are conscious and lucid and are usually considered comforting rather than frightening.

There is a story I grew up hearing about from my mother’s Lutheran family. When her grandfather died, her aunt was very upset. They had been extremely close, and she was grieving so much that she wasn’t eating and had made herself gravely ill. She had a vision of her deceased father visiting her in her bedroom in which he told her that he was all right, and that she needed to stop grieving and start living or she would soon join him. She was so frightened by this encounter that she stopped grieving and went back to normal life. She didn’t want him to come back!

When I was living in Singapore, the much anticipated final movie in the Harry Potter series, Deathly Hallows Part 2, was in theaters. Everyone lined up to see it. In the restroom after the film I overheard two Singaporean women discussing their confusion about the King’s Cross scene in which a dying Harry has a discussion with Dumbledore. Ultimately, Dumbledore advises him that he can choose to return to fight Voldemort or can choose to die like Dumbledore has before him. This encounter is very similar to Near Death Experiences (NDEs) we’ve all heard about in western culture, but these women found the scene a bit confusing. It didn’t make sense within their worldview. There were some assumptions that were unstated in the scene that didn’t translate. I asked my assistant about it at work afterward, and she had also been confused by the scene. Was he dead or alive? Was it a vision or an encounter? Why were they in a train station?

While studies show that dying people across cultures, including Asian cultures, see “dead people” as they are dying, the meaning of these experiences about them vary depending on the cultural assumptions of the patient. They are not universal evidence of an afterlife that is consistent with Anglicanism, for example, except when the one dying is an Anglican. Deathbed Visions (DBVs) may be consistent across cultures, but how they manifest differs. They are not “evidence,” as some memoirs have claimed that their own religious perspective is correct; if they were, then dying Buddhists would see Jesus and angels.

FeatureWestern CultureEastern Culture
Common figures seenDeceased relatives, Jesus, angelsAncestors, karmic beings, religious deities
Afterlife beliefHeaven/hell (linear)Rebirth, reincarnation (cyclical)
Emotional toneComfort, closure, reassuranceTransition, preparation, spiritual duty
Cultural reactionSpiritual comfort or medical skepticismNatural part of death, culturally accepted
Ritual responsePrayers, sacramentsChanting, ancestor offerings, death rites

This points to the idea that our religious or personal beliefs about the afterlife color the experience of dying rather than that the experience of dying reveals accurate, universally-true information about the afterlife.

In Junger’s memoir about his own NDE, he feels himself being sucked into a black pit. His deceased father assures him it will be all right if he gives in. This view of the afterlife honestly sounds terrifying to me, and possibly even to Junger. While he found his father’s words to be comforting, he chose to fight to live rather than have his consciousness be sucked into a black pit of unfathomable depths from which he could not emerge. The idea of remaining conscious but disembodied sounded bad, not good. Others who experience NDEs report being told it’s OK to “go toward the light” or to cross a river to the other side where their deceased loved ones will greet them.

Scientific explanations of these experiences include:

  • Neurological responses to the brain shutting down
  • Hypoxia (low oxygen levels)
  • Psychological coping mechanisms
  • Dream-like consciousness states in terminal phases

Spiritual traditions see them in the context of confirming existing religious beliefs: evidence of an afterlife, spiritual transition, or the presence of loved ones coming to guide them. That’s why the details often reflect existing belief systems. It’s also one reason I don’t find the religious beliefs about end of life visions very compelling; they don’t provide “proof” beyond the belief system of the one experiencing them.

But how could they? While there are elements of afterlife theory in nearly all current religious belief systems, that doesn’t mean there is a coherent dogma in any of those systems. For example, Mormons believe that through the sealing process, we will live together forever as families, an idea many find comforting. But how does that work exactly? If you are married, and you have children, do you live with your married children, their married children, their married grandchildren, etc.? Do you live with your parents? Isn’t the entire human race living together in this scenario? And what does “living” mean anyway? Is the afterlife like one big church meeting followed by a Sunday dinner? Are there planetary board meetings? Are we attending classes to learn how to become a God? Is it endless childbirth for women? Are we singing and strumming a harp like other Christian sects portray?

The problem with an afterlife is that once you go there, you don’t come back and write books. There are a few exceptions where people claim they literally walked the streets of Heaven, but again, they weren’t there for any great length of time. If you spent an hour in a foreign country, would you really understand what goes on there, what it’s like to live there for any length of time, how to navigate public transportation, what the culture was like?

Which reminds me of a joke my sister used to tell when I was a kid. A person dies and when they get to the afterlife, they are given a tour and told they can choose which room they want to stay in. In the first room, people are standing on their heads on a hardwood floor. In the next room, they are standing on their heads on a hard concrete floor. In the third room, they are sitting at tables drinking coffee ankle-deep in manure. While none of the rooms seems ideal, the person chooses the third room as the least awful. As they get situated, the supervisor comes back in and says “OK everyone, coffee break’s over! Time to get back on your heads!”

  • Do you know anyone who experienced an NDE or who saw dead friends or relatives at the end of life?
  • What do you make of these experiences?
  • How do you explain the universality of these experiences? How do you explain the differences?
  • What do you hope happens when you die? What do you think happens?

Discuss.