[HN Gopher] The hallucinatory thoughts of the dying mind
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       The hallucinatory thoughts of the dying mind
        
       Author : anarbadalov
       Score  : 81 points
       Date   : 2025-02-10 13:11 UTC (1 days ago)
        
 (HTM) web link (thereader.mitpress.mit.edu)
 (TXT) w3m dump (thereader.mitpress.mit.edu)
        
       | tamaharbor wrote:
       | Just before my mom died recently, she told me that my dad (died
       | in 1997) had finally come to take her home. I am OK with that.
        
       | ImHereToVote wrote:
       | I often notice these demented moments before I fall asleep.
       | Completely nonsensical thoughts like the argument from bear
       | bicyclist study when you need to turnkey.
        
         | croisillon wrote:
         | at the beginning of the night i regularly have this strain of
         | thought: "oh shit i'm still not sleeping? but i was just
         | planning a vacation on the moon, i must be sleeping"
        
           | aradox66 wrote:
           | "I'm still awake" can become a kind of assumption that
           | survives falling asleep
        
         | aszantu wrote:
         | Sleep writing is funny
         | 
         | Put a piece of paper under the hand with a pencil, write down
         | thoughts until you're gone, read in the morning - profit
        
         | MadcapJake wrote:
         | Salvador Dali would hold an object like a spoon in his hand
         | while sitting in front of his canvas and fall asleep. This
         | would cause him to drop the spoon waking him back up and then
         | he would draw what he saw.
        
         | atiffany wrote:
         | Hypnagogia is the name of this state between sleep and
         | wakefulness - https://en.m.wikipedia.org/wiki/Hypnagogia
        
         | EvanAnderson wrote:
         | In my youth I'd keep friends on the phone entirely too long,
         | and sometimes fall asleep while talking. (How my friends
         | tolerated me I'll never know...)
         | 
         | Occasionally I'd realize I was saying something ridiculous and
         | catch myself. Most times, though, they'd ask me for
         | clarification about whatever crazy-sounding thing I said and
         | I'd snap back to wakefulness (briefly). I wish I had recordings
         | of some of those things I said. They left my mind almost
         | immediately (to the point that I couldn't respond to questions
         | asked directly after whatever I'd said). It would be
         | entertaining to know what I was saying. (I didn't ask friends
         | at the time and, at >30 years ago, I doubt any of them
         | remember.)
         | 
         | I read to my daughter before bed. She drifts off sometimes when
         | I'm reading "boring" stuff (at her request) and says fun
         | things. I keep notes and ask her about it later. I enjoy the
         | window into her mind.
        
         | siavosh wrote:
         | I think these thoughts are happening all the time we just don't
         | normally notice them. During the transition to sleep, some
         | parts of our thinking mind start shutting off and the filter
         | cracks and that's what we notice sometimes, if we remember.
        
           | ImHereToVote wrote:
           | It might be the latent space hidden in the deep parts of our
           | brain.
        
       | rpaddock wrote:
       | About eight hours before my father died he was having a
       | conversation with his unseen mother, who died when he was 14.
       | 
       | I asked him "Who are you talking to?" and got a rather rude
       | response, not like him, "My mother" in a tone you give a five
       | year old "go away kid you are bothering me".
       | 
       | The International Association for Near-Death Studies (IANDS) is
       | worth checking out if you have interest. I've never had a NDE,
       | however I've spent a lot of time in their library in Durham North
       | Carolina.
       | 
       | https://iands.org
        
         | FirmwareBurner wrote:
         | _> About eight hours before my father died he was having a
         | conversation with his unseen mother, who died when he was 14. _
         | 
         | Anecdotally, my grandad did the same thing a day before he
         | died. Except he was talking to his best friend who's been dead
         | a long time.
        
         | hibikir wrote:
         | We don't even need to be all that close to death for this, just
         | suffer sufficient brain damage. I have a family member that had
         | enough mini strokes that, whenever they have something like an
         | urinary infection, they disassociate from reality and start
         | talking to dead people, and they understand reality as if they
         | were children. It's how we detect infections, as the
         | hallucinations come in pretty early. A course of antibiotics,
         | and they are their normal elderly selves, remembering little of
         | the previous week
        
           | pipes wrote:
           | Well this is a holy shit moment for me. My grand mother was
           | having really strange hallucinations, like explaining how she
           | was talking to people on TV and the neighbours came round and
           | joined in too. I had never heard about the infection thing
           | before. It was really upsetting my mum and no health care
           | professional ever suggested it might be infections. This was
           | ten years ago and she's dead now, but I wish I'd known then.
           | 
           | It sounds very similar to your experience, they'd just
           | randomly come and disappear after a while.
        
       | sys32768 wrote:
       | My mom passed recently. She battled Alzheimer's for 15 years,
       | then passed five days after breaking her hip, even though she was
       | singing and goofing around the day of the break. She was only 77.
       | 
       | A month prior to this, she had begun to sometimes stay in her bed
       | often half the day, lying awake looking up at the ceiling with
       | the most joyous look of peace in her eyes, as if seeing something
       | or someone very special, often whispering as if in dialogue. This
       | went on for hours sometimes.
       | 
       | I was incredibly moved at the time, but there were otherwise no
       | indicators she was near death, so I filed it away as some new
       | development in the progression of her disease.
       | 
       | I now take great comfort knowing this is not uncommon among
       | people who are soon to die, especially since she was unable to
       | communicate the day she died.
        
         | inglor_cz wrote:
         | My great-grandma talked to several children that she miscarried
         | when young.
        
       | namshe wrote:
       | In some traditions it's not a hallucination taking place:
       | https://en.wikipedia.org/wiki/Bardo
        
         | krapp wrote:
         | In some traditions it isn't _interpreted_ as a hallucination
         | taking place.
         | 
         | But in reality, it is _always_ a hallucination taking place,
         | because the supernatural isn 't real.
        
           | ChrisClark wrote:
           | It isn't?
        
           | strogonoff wrote:
           | Unless you somehow possess the ultimate, complete and
           | provably correct description of reality (which is, of course,
           | an oxymoron), or direct access to the underlying territory
           | (which would mean, of course, you are high), everything is a
           | model, and a model is essentially just an interpretation.
        
           | driggs wrote:
           | You must be really fun at parties.
        
           | demosthanos wrote:
           | The supernatural part is unfalsifiable--they can't prove it's
           | real, you can't prove it isn't. You assume it's not real
           | because that fits your priors better, they assume it is real
           | because that better fits their priors.
           | 
           | Dogmatically defining metaphysical claims as "not real"
           | because they are unfalsifiable is no more rational than
           | dogmatically accepting them--the only purely rational
           | approach is to say "we don't know and cannot know" and then
           | move on.
        
           | m1n1 wrote:
           | > the supernatural isn't real
           | 
           | So ... only what is physical is real? Like only matter and
           | energy? Then there's no such thing as significance or value,
           | only different combinations of matter and energy. Any opinion
           | or argument, held however strongly, is only a set of chemical
           | reactions, nothing more?
        
       | BSOhealth wrote:
       | I don't want to trivialize the positive aspects this can have on
       | someone who otherwise might have a sad or challenging death, and
       | to that extent perhaps it's just an evolved mechanism to make us
       | accept death more gracefully.
       | 
       | But if you've ever stayed awake for many days or had other
       | hallucinogenic experiences, you'll know how powerfully thoughts
       | can manifest. And how deep our memory actually goes. Clearly it's
       | inappropriate to vividly see your memories during waking life,
       | but as you transition to death those barriers are less necessary
       | as the body diverts increasingly scarce resources to surviving
       | just a few moments longer.
        
         | wutwutwat wrote:
         | Please describe what makes one's death a "sad death"
        
           | 2snakes wrote:
           | Real yoga is possible.
        
             | wutwutwat wrote:
             | That has what to do with this person saying a death is sad?
        
           | BSOhealth wrote:
           | Of course, I'd be happy to! That would be something in
           | contrast to all the fortunate, welcomed, gleeful, and
           | celebrated deaths we hear about frequently in Western news
           | and experience in our own personal lives.
           | 
           | Instances where people are not ready to go, sorrowful,
           | regretful, spiteful, guilty, etc.
        
           | MomsAVoxell wrote:
           | A sudden or unexpected departure, under some circumstances
           | that highlight the grief of passing, such as in a car
           | accident on the way home from a wedding, or having just given
           | birth, or some such circumstances.
           | 
           | I think I can imagine there being 'non-sad' deaths, though -
           | such as in the case of dying close to 100 years old,
           | surrounded by ones loved ones, family, friends, with time to
           | say goodbye. So, basically any circumstance which does not
           | allow for the ideal departure, could be classed as a 'sad
           | death' ..
        
           | temp0826 wrote:
           | Any death of a child. Astronomical loss of potential vs
           | someone who has lived a long life.
        
       | aradox66 wrote:
       | "Terminal lucidity" is common and seems to undermine the notion
       | that the physiology of the dying brain necessarily implies
       | impaired function.
        
         | caspper69 wrote:
         | My great grandmother, who was 83 or 84 at the time, had had a
         | brain tumor (which was removed once it got to between golf ball
         | and baseball size) and was pretty far along into Alzheimer's as
         | she got got close to her death.
         | 
         | For the last several months, she wasn't able to feed or clothe
         | herself, and she was basically immobile.
         | 
         | The day she died, she got up, went to her room, made her bed
         | (unthinkable in the state she was in), put on her "Sunday's
         | best" and laid down peacefully in the middle of her bed and
         | passed.
         | 
         | Her daughter (my grandmother), was floored. She just said she
         | must have just known it was her time, and that she had a few
         | minutes of lucidity before dying.
         | 
         | Whether there's any truth to that I'm not qualified to answer,
         | but if you had seen the state she was in for quite some time
         | prior to that day, her actions would certainly have been
         | surprising to say the least.
        
       | jawns wrote:
       | > "Do not contradict, explain away, belittle or argue about what
       | the person claims to have seen or heard," reads a short text that
       | a hospice provides about the dying process. "Just because you
       | cannot see or hear it does not mean it is not real to your loved
       | one. Affirm his or her experience. They are normal and common."
       | 
       | Not all hospice or elder-care providers recommend affirming
       | hallucinations.
       | 
       | Here's a quote from a nursing home guide that explores the
       | ethical considerations of this practice:
       | 
       | > Lying to someone with dementia, often termed "therapeutic
       | lying," poses a nuanced ethical dilemma. While entering a
       | person's altered reality can indeed reduce their immediate
       | distress, it's important to acknowledge that lying is still
       | lying.
       | 
       | > Over time, this practice may lead to confusion, especially in
       | moments of clarity, and strain the trust and relationship between
       | the patient and caregiver.
       | 
       | > This complexity has led caregivers and professionals to explore
       | alternative communication strategies that honor the truth while
       | providing comfort and reducing agitation. Two such approaches are
       | reflection and redirection. Reflection involves acknowledging the
       | person's feelings and statements without directly affirming the
       | distorted reality or lying. Redirection gently shifts the
       | conversation or activity towards something positive and engaging
       | without directly contradicting the person's beliefs.
        
         | jjmarr wrote:
         | While this nursing home guide is interesting, it's important to
         | acknowledge that it sounds like ChatGPT.
        
         | 1659447091 wrote:
         | The first example says it's "...about the _dying process_ "
         | 
         | The second example is for "...someone with dementia"
        
       | tsoukase wrote:
       | Delirium, so called the organic psychosis, is the common end
       | result of every diffuse brain dysfunction, so it be chemical
       | toxicity, inflammation, trauma or most commonly senility-
       | dementia. It's caused because of a chemical disturbance of the
       | brain-'soup'. Any psychotic symptom can be manifested, not only
       | visual hallucinations. Antipsychotic therapy has massively varied
       | results
        
         | nabla9 wrote:
         | It's common with alcoholics when they start having withdrawal.
         | 
         | Easy suggestibility is common. You hold a blank paper in front
         | of someone in delirium and ask them to read what it says and
         | they start reading like there was something there.
        
       | cm2012 wrote:
       | My wife can be psychotic at times (in the medical meaning) and
       | trying to argue against the delusions is useless, you just have
       | to reflect and redirect.
        
       | ge96 wrote:
       | Oh man Brainstorm had a trippy scene about this
        
       | dr_dshiv wrote:
       | My father, at one point, imagined himself on a Greek island.
       | "Ouzo!" He'd offer from his hospital bed.
       | 
       | He was an avid fisherman and his last words were, distinctly,
       | "Big fish."
       | 
       | Yet, he was mostly unconscious for his last day. I spent time
       | talking with him as he slept, massaging his hands and feet. Later
       | we had a party for him and played music. Around 10 at night he
       | began to die (the breathing changes). At the very end he opened
       | his eyes, looked at my mother, sister and me, and passed.
       | 
       | It was a beautiful death.
        
         | jvanderbot wrote:
         | Thank you for sharing this. We should all be so lucky.
        
       | jvanderbot wrote:
       | I wish there was a place I could share the experience of my
       | father's death. This doesn't seem to be it, though I appreciate
       | everyone's story.
       | 
       | Is there such a place?
        
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