This descriptive, interpretative study examined the initial aftermath of a near-death experience (NDE) and sought to make visible meanings embedded in the experience of surviving NDE. Although significant numbers of people who survive a near-fatal encounter with death report some variant of the phenomenon known as NDE, no previous research has focused on the initial aftermath, defined in this study as the period of hospitalization subsequent to NDE.

The hermeneutic perspective of German philosopher Hans-Georg Gadamer guided the study. Reflexive Dialectics, an interpretive method adapted from Gadamerian hermeneutics, was designed by the investigator for use in this project of inquiry.

Nine individuals who had undergone an NDE during a documented cardiac or respiratory arrest participated in multiple, non-structured dialogical sessions shortly before/following hospital discharge. The audiotaped sessions were transcribed, thus creating nine individual texts. The texts served as the data for hermeneutic interpretation.

Analysis of the multiple texts revealed one striking pattern or metatheme, "The Search for Meaning." This will to meaning, precipitated by NDE, characterized the experience of early survival for all participants. For some, the search was an anguished affair; for others, this was not the case. It did, however, engender new meaning. Some were empowered by new meaning in their lives; others were left impotent and fearful. Although a multiplicity of meanings characterized early NDE survival, amidst the diversity there were commonalities as well.

Three core themes, A Lived Affirmation, An Apprehensive Plight, and Dying is Easy, Surviving is Hard, describe the commonalities. These themes illuminate what surviving meant to participants, the impact of coming back to life and the early days and weeks of survival, the problems and possibilities encountered, and how, in varying degrees, surviving NDE changed these individuals.

This interpretation reveals a vastly different portrait of NDE and the initial aftermath experience, an interpretation which counters the pervasive lore that NDEs are virtually all pleasant, peaceful, and positive, and that surviving NDE is an exhilarating and personally enlightening experience.