Chapter 24
Picture two people standing in an operating room. On the table lies a woman whose body temperature has been dropped to about 60 degrees Fahrenheit. Her heart is stopped. Her brain has no measurable electrical activity. By every clinical test the surgeons can run, she is dead.1
And yet—something about her is awake.
Later, when she returns to her body, she will describe the bone saw used on her skull. She will describe a comment a cardiac surgeon made about her veins. She will know that two shocks were needed to restart her heart. None of this should be possible if she is just a body and a brain. Brains in that condition do not see, hear, or remember.
So what was awake in that room?
That is the question of this chapter. Christians have an old answer for it. They call it the soul. Philosophers have a name for the view that a person is a body and a soul together. They call it substance dualism. And the evidence we’ve been gathering through this book points toward that old answer with surprising force.2
Michael Marsh does not deny that people speak of a soul. He denies what most Christians have meant by the word.
In his tenth chapter, Marsh sets out his anthropology—his picture of what a person is. He writes that human beings are “tightly bound psychophysical units of body, brain and mind,” and that the soul is “emergent as a property of that biological unity.”3 The soul, on this view, is not a separate thing. It is the personality that arises out of a working brain. When the brain stops working, the soul stops too. Marsh says this plainly: “if ‘soul’ is an emergent property of body and brain, then, by its nature, it cannot be deemed to be immortal, escaping the impact of death.”4
Notice what Marsh has done. He has used the word “soul,” but he has emptied it of the content most Christians (and most NDE researchers) mean by it. There is nothing left in his soul that could leave the body, see a bone saw from the ceiling, or carry the person forward into the presence of God.
Marsh defends this move on several fronts. He points to philosophers like Richard Swinburne and Keith Ward, both of whom describe the soul as deeply tied to the brain.5 He notes that even sympathetic thinkers will not dogmatically claim that this kind of soul can survive the death of its brain.6 He calls a clearly separable soul “foreign to much current” thought.7 And he insists that the only kind of dualism worth refuting is “Platonic and Cartesian”—the view that the soul is a complete person trapped inside a body, naturally immortal, eager to escape.8
That is the dualism Marsh dismisses. He calls it inconsistent with modern neuroscience, with much modern philosophy, and with what he reads as the holistic anthropology of the Bible. From that platform, he treats out-of-body experiences as illusions of a damaged-but-recovering brain. The soul, in his hands, becomes a label for a process. Not an entity. Not a passenger. Just a way of describing what a working brain does.
Fischer and Mitchell-Yellin reach a similar place by a different road. Where Marsh argues from neuroscience, they argue from philosophy of mind, urging that any future explanation of consciousness will be physical—and that no NDE evidence requires us to bring an immaterial soul into the picture.9
Both moves rely on the same assumption. There is no second substance. There is only matter, doing complicated things.
Three weaknesses do most of the damage to Marsh’s case.
The first is a caricature. The dualism most NDE researchers (and most thoughtful Christians) defend is not Platonic dualism. It is not the view that the soul is a ghost trapped in a machine. It is not the view that the soul is naturally immortal. The historic Christian position is what J. P. Moreland and others now call holistic substance dualism: in this life, body and soul are deeply integrated. They work together. They suffer together. But they are distinguishable, and at death they can come apart.10 The soul does not survive on its own steam. It survives because God upholds it. Marsh aims his fire at Plato and hits the wrong target.
The second weakness is the magic word. Marsh keeps calling the soul an “emergent property” of the brain. The phrase sounds scientific. It is also empty. As philosopher of mind B. Alan Wallace puts it, real emergent properties—like the fluidity of water or the brain’s soft consistency—can be explained from the parts they emerge from. But no one can explain how the firing of neurons gives rise to the felt experience of seeing red, of tasting coffee, of grieving a friend.11 The relation between consciousness and neurons is, Wallace says, “fundamentally unlike every other emergent property and function found in nature.”12 Calling consciousness an emergent property names the puzzle. It does not solve it.
Key argument: “Emergence” is a scientific-sounding label for a problem we have not solved. To say consciousness emerges from the brain is not to explain how matter produces an inner life—it is to assume that it does.
The third weakness is the loop. Marsh uses his anthropology to rule out NDE evidence, then uses the absence of acceptable NDE evidence to confirm his anthropology. If the soul is a property of the brain, then a soul cannot leave the brain, so any report of leaving the brain must be a brain malfunction. Watch the circle close. The conclusion was already inside the premise. Chapter 25 takes up this circular move at length; here it is enough to note that the case against substance dualism rests heavily on a question already begged.13
Substance dualism is the view that a human being is composed of two distinct kinds of thing: a physical body and an immaterial soul (sometimes called the mind, the self, or the psyche).14 Each is real. Each is a “substance” in the philosophical sense—not a stuff like wood or steel, but a thing that exists in its own right rather than as a property of something else.
The soul, on this view, is the seat of conscious experience. It is the you that thinks, perceives, remembers, decides, and loves. The body, including the brain, is the vehicle through which the soul operates in the world. While we are alive, the two are knit together so closely that what affects one affects the other. A drink dulls the soul’s attention; a memory raises the body’s pulse. Body and soul are partners, not strangers.
Two clarifications matter for our purposes.
First, this is not Platonic dualism. The soul is not a divine spark, naturally indestructible. It is a creature. God made it; God can unmake it. As Jesus warned, only God can “destroy both soul and body in hell” (Matt. 10:28).15 Substance dualism in its Christian form is fully consistent with conditional immortality and with bodily resurrection. The soul’s separation from the body at death is real but not final; the resurrection reunites them.16
Second, dualism does not picture the soul as a homunculus—a little person sitting at the controls of the body. The soul is the subject of experience, not a separate observer behind the eyes. We do not see two things when we see ourselves. We see one person with two natures bound together.
An imperfect analogy may help. Think of a musician and a piano. The music depends on the instrument; a damaged piano produces strained notes. But the music is not identical to the piano. The musician is the source. While she is at the keys, you cannot easily separate them in your hearing—and yet they are two things, not one. So with the soul and the body. In ordinary life, the soul plays through the body. At death, the player walks away from the keyboard—and on the Christian picture, will one day return to a new and better instrument.
Why think any of this is true? The condensed answer comes in three lines.
The hard problem. Chapter 23 made the case at length, so I will keep this short.17 No one—not Marsh, not any neuroscientist—can explain how a three-pound lump of tissue produces the felt quality of an experience. Marsh himself admits there is “no explanation as to how, or why, consciousness should necessarily arise” from neural activity.18 If consciousness is a kind of thing matter cannot in principle produce, the simplest reason is that consciousness is a different kind of thing.
The unity of consciousness. When you look at a sunset, you do not get a yellow patch over here, a memory of last summer over there, and a feeling of awe in a third location. You get one experience. Yet the brain processes color, memory, and emotion in widely separated regions. How do they combine into a single, owned moment? Philosophers call this the binding problem.19 The dualist answer is straightforward: the soul is the unity. There is no need to manufacture wholeness out of scattered firings, because the experiencer is already one thing.20 Physicalists have tried various ways to glue the pieces together—synchronized brain waves, “global workspace” theories—but the puzzle keeps reappearing in a new place. Dualism dissolves it from the start.
The first-person perspective. Every conscious experience is owned by someone—a “what it is like to be me.” You can describe the brain from the outside in any detail you like. You will never reach the inside view from those descriptions alone. That perspective is not a third thing alongside the neurons. It is a someone. Substance dualism takes this seriously: there is a self, and the self is the soul.21
None of these arguments by themselves proves dualism. Each shifts the weight of evidence. Together, they tip it.
Now add the empirical layer. If substance dualism is true, then under the right conditions, consciousness should be able to function when the brain cannot. We would not expect this to happen often. The body and soul are made to work together. But if they are genuinely two things, then in extreme cases they should come apart—and the soul should still be there, perceiving, remembering, choosing.
That is exactly what veridical NDEs report. Not vague feelings. Specific, checkable details, perceived by a person whose brain at that moment was incapable of producing them.
Pam Reynolds described the bone saw used on her skull, identified a remark made about her veins, and recalled the song playing as her body jumped from defibrillation—all while her body temperature was lowered, her blood drained from her head, and her EEG flat.22 Chapter 5 walks through her case in detail; here it is enough to say that her experience occurred during conditions in which Marsh’s anthropology cannot generate consciousness at all.
The Dentures Man, treated more fully in Chapter 4, came in by ambulance, blue and pulseless. A nurse removed his upper dentures and dropped them into a crash cart drawer. A week later, recovered, he recognized the nurse and asked for the dentures back, naming the drawer.23 Maria, hospitalized in Seattle for a heart attack, described the worn-out toe and tucked-in lace of a tennis shoe she said she saw on a third-floor window ledge during her cardiac arrest. The shoe was found exactly as she described.24
These are not isolated stories. Janice Holden’s analysis in The Handbook of Near-Death Experiences reviewed the verifiable veridical claims in the published literature and found that 92 percent were entirely accurate.25 Rivas, Dirven, and Smit document over one hundred such cases.26
One subset is especially difficult for the brain-only view. Some NDErs were born blind. Vicki Umipeg, blind from birth, described seeing herself on the operating table after a car accident—long hair, a gold wedding ring, the surgical lights overhead—though she had never seen anything in her life. Whatever a brain that has never processed visual data is doing in such a state, it is not generating the visual content. Chapter 6 walks through the Ring and Cooper research on these cases. The point here is simply that dualism predicts a soul that can perceive without the body’s sensory equipment—and people who could not see in life report seeing during their NDE.
Notice what kind of evidence this is. It is not philosophical speculation. It is observation. People reported things they could not have known, and those things checked out. If a soul is a real entity that operates the body in life and can, under extreme conditions, function briefly without it, this is what the data should look like. It is what the data do look like.
Insight: Veridical NDEs are not dualism’s only support—but they are the kind of support a worldview that says “you are more than your brain” ought to be able to produce. Quietly, repeatedly, that is what they have produced.
Substance dualism does not stand on the NDE evidence alone. Three strands are converging.
Philosophy gives us reasons to think consciousness cannot be reduced to the brain—the hard problem, qualia, intentionality, the binding problem, the first-person perspective. Scripture gives us a consistent picture of human beings as embodied souls who survive death in a conscious intermediate state and await bodily resurrection (the case is laid out in Chapter 26).27 NDEs add the empirical strand: people do appear to function consciously when, by physicalism’s own measures, they should not.
Any one of these alone could be argued away. Together, they form a rope, not a thread. As philosopher Gary Habermas has long argued in his work on minimal-facts apologetics, the strength of a case often lies less in any single line of evidence than in the convergence of independent lines.28 That is the situation here. A skeptic can pluck at one strand and find it bendable. He cannot easily explain why all three—philosophy, theology, and verified clinical observation—point in the same direction unless that direction tracks something true. Substance dualism is the simplest story that holds the rope together.
Two objections deserve a hearing before we close.
The interaction problem. If the soul is immaterial, how does it move neurons? Doesn’t physics say causation requires energy transfer? This was thought, for a long time, to be the killing blow against dualism. It is much weaker than it looks. As physicist Bernard Rosenblum has noted, the classical picture of cause-and-effect was overturned a century ago by quantum mechanics, where the very idea of substance has been replaced by “events and possibilities.”29 No one has actually shown that mind-to-brain causation must work the way billiard-ball causation works. And even if interaction remains mysterious, “mysterious” is not the same as “impossible.” The fact that I find your behavior puzzling is no proof that you are not there.
The brain-damage objection. If consciousness is the soul’s, why does a head injury change personality? Why does Alzheimer’s erode memory? Doesn’t this prove the mind is the brain? It does not. It proves that in this life, the soul ordinarily expresses itself through the brain. Damage the instrument, and the music sounds wrong—but the musician has not vanished. The strongest evidence for this comes from the other direction: in cases of terminal lucidity, severely demented patients sometimes regain full clarity, recognize family, and speak coherently in the hours before death. Their brains are no better than they were the week before. Something else must account for the return of the person. As William James and others have pointed out, the data fit a brain that filters consciousness just as well as a brain that generates it—and only the filter model can account for the cases (Pam Reynolds, the Dentures Man, terminal lucidity, NDEs in the blind) where the music is clearer when the instrument is failing.30
What we have, then, is this. Marsh’s anthropology dismisses the soul by relabeling it. Christian substance dualism, properly defined, faces no quick refutation. Three philosophical arguments commend it. Veridical NDEs corroborate it. Scripture (Chapter 26) confirms it. The book’s next chapter turns to the deeper question Marsh has invited: is the physicalist worldview that drives most NDE skepticism really as neutral and as scientific as it claims to be?
↑ 1. The opening describes Pam Reynolds’s 1991 surgery for a basilar-artery aneurysm at the Barrow Neurological Institute. For the medical detail, see Michael Sabom, Light and Death: One Doctor’s Fascinating Account of Near-Death Experiences (Grand Rapids, MI: Zondervan, 1998), ch. 3; cf. Titus Rivas, Anny Dirven, and Rudolf H. Smit, The Self Does Not Die: Verified Paranormal Phenomena from Near-Death Experiences, 2nd ed. (Durham, NC: IANDS Publications, 2023), Case 3.29.
↑ 2. The full case for the Pam Reynolds NDE is developed in Chapter 5; the timing question is addressed in Chapter 17. This chapter draws on those treatments without restating them.
↑ 3. Michael N. Marsh, Out-of-Body and Near-Death Experiences: Brain-State Phenomena or Glimpses of Immortality? (Oxford: Oxford University Press, 2010), p. 211. Emphasis Marsh’s.
↑ 4. Marsh, p. 212.
↑ 5. Marsh, pp. 204–205, citing Richard Swinburne, The Evolution of the Soul (Oxford: Oxford University Press, 1997), and Keith Ward, In Defence of the Soul (Oxford: Oneworld, 1998).
↑ 6. Marsh, p. 204: Badham, Swinburne, and Ward each “defer” on whether the biological soul can survive the death of its brain.
↑ 7. Marsh, p. xxiv.
↑ 8. Marsh, pp. 211–213. The conflation of substance dualism with Platonic/Cartesian dualism runs through the chapter.
↑ 9. John Martin Fischer and Benjamin Mitchell-Yellin, Near-Death Experiences: Understanding Visions of the Afterlife (Oxford: Oxford University Press, 2016), ch. 9 (the “promissory” physicalist argument). The deeper critique of the physicalist assumption is taken up in Chapter 25.
↑ 10. J. P. Moreland, The Soul: How We Know It’s Real and Why It Matters (Chicago: Moody, 2014), chs. 1–3; Brandon Rickabaugh and J. P. Moreland, The Substance of Consciousness (Hoboken: Wiley-Blackwell, 2024), ch. 1; Stewart Goetz and Charles Taliaferro, A Brief History of the Soul (Chichester: Wiley-Blackwell, 2011), chs. 1, 6.
↑ 11. B. Alan Wallace, quoted in Chris Carter, Science and the Near-Death Experience: How Consciousness Survives Death (Rochester, VT: Inner Traditions, 2010), ch. 9 (“Concluding Remarks”).
↑ 12. Wallace, in Carter, ch. 9 (emphasis original).
↑ 13. The full critique of unstated physicalist assumptions in NDE skepticism is owned by Chapter 25.
↑ 14. Moreland, The Soul, ch. 2; Goetz and Taliaferro, A Brief History of the Soul, ch. 6. The terms “soul,” “mind,” “self,” and “psyche” are used somewhat differently in different traditions, but for the purposes of substance dualism they pick out the same immaterial subject of experience.
↑ 15. Matt. 10:28; cf. John W. Cooper, Body, Soul, and Life Everlasting: Biblical Anthropology and the Monism-Dualism Debate, rev. ed. (Grand Rapids, MI: Eerdmans, 2000), chs. 4–5. The biblical case is developed at length in Chapter 26.
↑ 16. The integration of substance dualism with bodily resurrection—and the response to Marsh’s “soul-escape vs. resurrection” objection—is the work of Chapter 27.
↑ 17. See Chapter 23, which owns the full treatment of the hard problem of consciousness and the filter/transmission model.
↑ 18. Marsh, p. 99; cf. p. 100.
↑ 19. The binding problem and its difficulties for physicalist theories are discussed in Edward F. Kelly et al., Irreducible Mind: Toward a Psychology for the 21st Century (Lanham, MD: Rowman & Littlefield, 2007), Introduction; cited in Rivas, Dirven, and Smit, ch. 5.
↑ 20. Richard Swinburne, Mind, Brain, and Free Will (Oxford: Oxford University Press, 2013), ch. 6; Moreland, The Soul, ch. 4.
↑ 21. Thomas Nagel’s classic statement is “What Is It Like to Be a Bat?” Philosophical Review 83, no. 4 (1974): 435–50. Cf. Rickabaugh and Moreland, The Substance of Consciousness, chs. 3–4, on the indispensability of the first-person perspective.
↑ 22. Sabom, Light and Death, ch. 3; Rivas, Dirven, and Smit, Case 3.29; Carter, ch. 14. Full treatment in Chapter 5.
↑ 23. Rivas, Dirven, and Smit, Case 3.7; Pim van Lommel et al., “Near-Death Experience in Survivors of Cardiac Arrest: A Prospective Study in the Netherlands,” The Lancet 358 (2001): 2039–45. Full treatment in Chapter 4.
↑ 24. Rivas, Dirven, and Smit, Case 2.3; Kimberly Clark Sharp, in Kenneth Ring and Evelyn Elsaesser Valarino, Lessons from the Light (New York: Insight Books, 1998).
↑ 25. Janice Miner Holden, “Veridical Perception in Near-Death Experiences,” in The Handbook of Near-Death Experiences: Thirty Years of Investigation, ed. Janice Miner Holden, Bruce Greyson, and Debbie James (Santa Barbara, CA: Praeger, 2009), 185–211.
↑ 26. Rivas, Dirven, and Smit, Introduction (the corpus of more than one hundred independently verified cases).
↑ 27. See Chapter 26, which owns the biblical anthropology treatment.
↑ 28. Gary R. Habermas, “Evidential Near-Death Experiences,” in The Blackwell Companion to Substance Dualism, ed. Jonathan J. Loose, Angus J. L. Menuge, and J. P. Moreland (Hoboken: Wiley-Blackwell, 2018). Habermas’s “minimal facts” method, developed in his work on the resurrection, is methodologically the same approach: assemble independently attested data points and build the cumulative case.
↑ 29. Bruce Rosenblum and Fred Kuttner, quoted in Carter, Science and the Near-Death Experience, ch. 9.
↑ 30. William James, Human Immortality: Two Supposed Objections to the Doctrine (Boston: Houghton Mifflin, 1898); cf. Chapter 23 on the filter/transmission model. On terminal lucidity in dementia patients, see Michael Nahm and Bruce Greyson, “Terminal Lucidity in Patients with Chronic Schizophrenia and Dementia: A Survey of the Literature,” Journal of Nervous and Mental Disease 197, no. 12 (2009): 942–44; treated in Chapter 9.