Ölüm iyiliği fenomeni

Yıl 2016, Cilt: 41 Sayı: 3, 559 - 563, 30.09.2016

Mehmet Emin Demirkol Lut Tamam

https://doi.org/10.17826/cukmedj.237519

Öz

Psikiyatrik ve nörolojik hastalıklarda, hastalığın genel seyrinin aksine ölümden kısa süre önce zihin açıklığı yaşanması, hastalık semptomlarının iyileşme göstermesi son 250 yıldır literatürde yer almasına rağmen yeteri kadar ilgi görmemiştir. İngilizce kaynaklarda ‘terminal lucidity’ olarak yer alan bu durum Türkçe’ye ‘Son dönem zihin açıklığı fenomeni’ (ölüm iyiliği) olarak çevrilebilir. Terminal lucidity fenomeni; demans, şizofreni, beyin absesi, beyin tümörü, inme ve duygudurum bozukluklarında görülebilir. Bu fenomenin sebeplerinin, nörobiyolojisinin açıklığa kavuşturulması, bahsedilen hastalıklar için yeni tedavi yöntemlerinin geliştirilmesine ve ölümden önceki son zamanların hastalar ve hasta yakınları açısından daha mutlu geçirilmesine katkıda bulunacaktır.

Anahtar Kelimeler

Ölüm iyiliği, demans, şizofreni

Terminal lucidity phenomena

Öz

Unexpected symptom remission in psychiatric and neurologic disesases shortly before patients’ death have been known since last 250 years but not received enough attention. This phenomenon is called terminal lucidity. Terminal lucidity can be experienced at patients with diagnosis of dementia, schizophrenia, brain abscess, brain tumour, stroke and mood disorders. Explanatory models about reasons and neurobiology of this phenomenon will contribute to develop new treatment strategies about mentioned diseases and to pass the last times before death better

Anahtar Kelimeler

Terminal lucidity, dementia, schizophrenia

Kaynakça

• Nahm M. Terminal lucidity in people with mental illness and other mental disability: an overview and implications for possible explanatory models. J Near Death Stud. 2009;28:87-106.
• Nahm M, Greyson B, Kelly WE, Haraldsson E. Terminal lucidity: a review and case collection. Arch Gerontol Geriatr. 2012;55:138-42.
• Fenwick P, Lovelace H, Brayne S. Comfort for dying: Five year retrospective and one year prospective studies of end life experiences. Arch Gerontol Geriatr. 2010;51:173-9.
• Fenwick P. End of life experiences: phenomena of dying. J Holistic Health. 2011;8:22-6.
• Nahm M, Greyson B. Terminal lucidity in patients with chronic schizophrenia and dementia. J Nerv Ment Dis. 2009;197:942-4.
• Turetskaia BE, Romanenko AA. Agonal remission in the terminal stages of schizophrenia. Korsakov J. Neuropathol Psychiatr. 1975;75:559-62.
• Bennett AE, Cash PT, Hoekstra CS. Artificial fever in general paresis with electroencephalographic studies. Psychiatr Q. 1941;15:750-71.
• Braslow J. Mental Ills and Bodily Cures: Psychiatric Treatment in the First Half of Twentieth Century. Berkeley, University of California Press, 1997.
• Shorter E. A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. New York, Wiley, 1997.
• Palop JJ, Chin J, Mucke L. A network dysfunction perspective on neurodegenerative diseases. Nature. 2006;443:768-73.
• Savioz A, Leuba G, Vallet PG, Walzer C. Contribution of neural networks to Alzheimer’s disease progression. Brain Res Bull. 2009;80:308-14.
• Happich F. Das Hessische Brüderhaus und seine Anstalten Hephata. Treysa, Hessisches Brüderhaus, 1947.
• Wittneben W. Erziehung, behandlung und pflege geistesshwacher. Geisteskrankenpflege. 1934;38:146- 54.
• Nahm M, Greyson B. The death of Anna Katharina Ehmer: a case study in terminal lucidity. Omega. 2013;68:77-87.
• Leubuscher R. Wiederkehr des Bewustseins vor dem Tode bie einer Blödsinnigen. Medicinische Zeitung von dem Verein für Heilkunde in Pressen 48, 1846.
• Noyes M. A true account of a beautiful passing. Light. 1952;72:65.
• Osis K. Deathbed Observations by Physicians and Nurses. New York, Parapsychological Assoc., 1961.
• Butzke F. Rückblicke auf das klinische Jahr 1938 im Provinzial-Landkran-kenhause Westpreussen bei Schwetz. Magazin für die gesammte Heilkunde. 1840;14:140-71. der Prowinz