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. 2022 Jun 24;13:790300. doi: 10.3389/fpsyg.2022.790300

TABLE 1.

Overview TEs instances’ main features: main reference discipline(s), domain(s), phenomenological correlates, elicitors, and aftereffects.

TE instance Main involved discipline(s) Domain Main reference(s) Description Epistemic expansion Emotional complexity Elicitors/
Facilitating conditions
Aftereffects
Religious conversion Psychology, philosophy, anthropology, sociology Religion, spirituality James, 1902; Ullman, 2013; Snook et al., 2019 A moment of enlightenment, self-surrendering, and union with a new religious awareness of superiority consisting in a process through which persons move from their previously held religious beliefs to the beliefs of a new religious tradition. Perception of new truths that were inaccessible before; time perceived as stopped, slowed down, or dilated; brief duration. Sudden loss of all concerns, relief, sense of peace, harmony, deep happiness, faith. High emotional intensity. Current theories: key active role of the convert, lower impact of external supernatural causes, more emphasis on converts’ need for meaning and purpose, despite also cultural factors play a role. Key personality changes (e.g., increase in honesty-humility, conscientiousness, and neuroticism after the conversion); key identity changes; new language; new beliefs.
Self-transcendent and emotionally complex experiences Psychology, neurobiology, nursing, psychiatry, design, human computer interaction Miscellaneous Garcia-Romeu, 2010; Yaden et al., 2016a,2017; Kitson et al., 2020 The transient mental state marked by the transcendence from the material and physical limitations, and by a deep connection with something greater than oneself. Perception of self-diminishment and decreased self-salience; time is perceived as unbounded. Self-transcendent positive emotions: elevation, compassion, gratitude, love, and awe. High emotional intensity. Meditation, peculiar social events hinging on connection with others, virtual reality paradoxical scenarios, nature; catalyzed with spiritual instruction, dance, prayer, and psychedelic substances. Decreased anxiety, increased energy, insight, social ability, and sustained positive affect, value re-orientation, increased concern for others, increased positive affect, and disidentification from old patterns of thinking or behavior; increased prosociality (toward other people and nature); increased generosity, enhanced creative thinking; decreased ruminative strategies. The negative counterpart of ST emotions emerged as associated to highly intense fear and powerlessness, loss of self-control, uncertainty, and lowed sense of situational control.
Peak experience Psychology, neurobiology Miscellaneous Maslow, 1962, 1964 A sudden and unexpected acceleration of personal development or self-actualization. The appraisal of the world as good, beautiful, desirable, sudden certainty that polarities and dichotomies have been resolved, strain in both time and space, rapid duration while perceived time is expanded. High inspiration, awe, wonder, gratitude, deep well-being, high emotional intensity. Exposure to nature, sport, music, spiritual and religious context, learning. Effects depends on the context in which the peak experience takes place; individuals recognized immediately this experience as a turning point, achieving peak performance; highest positive feelings (joy, happiness, and ecstasy).
Mystical experience Philosophy, psychology, neurobiology Religious, spiritual James, 1902; Stace, 1960; Newberg and d’Aquili, 2000, 2008; Hood, 2002 Particularly intense variety of self-transcendent experiences (Yaden et al., 2017). An experience that tends to occur suddenly, it is often transient, it appears as ineffable, joyful, it involves the perception of an ultimate unity, of oneness; transcendence of the ego; a full conviction of immortality; and it tends to be attributed supreme value. Some people interpret MEs as experiences of unity with God (Thalbourne, 2003). Perception of vanishment of the whole self, cognitively overwhelming, ineffable, noetic quality, sacredness; strain in space and mostly in time while it has a short duration. Mixed feelings raging from fear to intense positive affect. Psychedelics; hypnosis; meditation; sacred ritual, aesthetic experiences physical illness. Enhanced sense of connectedness, meaning in life, positive affect (e.g., more compassion toward self and the others) or a deeper sense of identity.
Kundalini awakening Psychology, anthropology, sociology Spirituality, self-transcendence Taylor, 2015; Kason, 2019; Woollacott et al., 2020 Exceptional physical experience consisting of a huge release of energy, accompanied by temporary corporeal symptoms. Conscious awareness of leaving the body, increased sensory sensitivity, deep interconnection with others; time is perceived as loosened, as the sense of linear time was lost (i.e., “out of time” experience). Deep ecstatic sensations, joy, enhanced sense of connectedness and unity, reduced fear of death, feelings of expansion, envelopment in love or light; possible dramatic negative emotions. Meditation, psychological turmoil, psychedelics. Change in beliefs and values, reduced tendency to aggression; possible negative cognitive outcomes that leave an indelible mark, as disruptions of psychological functioning and mental illness; new sense of identity.
Near-death experience Psychology, philosophy, neurobiology Miscellaneous Greyson, 2000, 2006, 2015; Simpson, 2001; Holden et al., 2009 Altered state of consciousness on the (real or perceived) threshold of death. Major focus on the peculiar feeling of leaving the physical body and encountering non-physical entities/
environments.
Accelerated thoughts; life review; perception of understanding everything, flash from the past, perception of leaving the body boundaries, and of traveling through a tunnel and of being in front of an irreversible threshold; absence of time and space. Sense of cosmic unity and sacredness, peace, positive mood, feelings of harmony, unity, joy, revelation, and connectedness. Meditation, psychological turmoil, psychedelics; alternations in oxygen levels; neurological alterations. New responses to life-threatening dangers, life review, sense of being controlled by an outside force, transformation of attitudes, shift to a new belief system, decreased death anxiety, heightened spiritual awareness.
Out-of-body experience Psychology, philosophy, neurobiology Miscellaneous De Foe et al., 2012; Smith and Messier, 2014; Sellers, 2019 States during which the self appears to occupy a position spatially apart from the experiencer’s body (elevated extracorporeal location) (Blanke et al., 2016). Disembodiment; the self appears occupy an elevated extracorporeal location; enhanced reality, hyper-real cognitive perception, extremely vivid stimuli, and settings, intensified sensory inputs that lead to transformative outcomes. Highly intensified emotions, hyper-real affectivity. Pathological conditions (e.g., depression, personality disorders), pharmacological substances assumption (e.g., LSD, marijuana, etc.); stimulation of specific brain areas (temporoparietal junction area, TPJ); general anesthesia, also by the simulation of multisensory conflicts between a visual stimulus and a tactile, vestibular, or cardiac stimulus induced in virtual reality (VR), by means of videos or robotic devices. Changes in bodily self-consciousness (self-identification and self-location); decreased fear of death; dissociation.
Trauma Psychology, philosophy, clinical medicine, neurobiology Clinical Calhoun and Tedeschi, 1995, 2006; Tedeschi, 1999; Grof, 2000 Radical changes given by the experiencing of a negative high-impacting event. If changes are negative, the TE leads to trauma. If changes are positive, the TE turns into posttraumatic growth. Expectancy, probability, and controllability evaluations associated to the events; sense of time distorted and bodily distortion as predictors of PTSD. Terror, perception of threat. Negatively overwhelming psychological stressors individuals could not cope with. Altered self-capacities, mood disturbance, enhanced avoidance responses, posttraumatic stress.
Posttraumatic growth Psychology, philosophy, clinical medicine, neurobiology Clinical Calhoun and Tedeschi, 1995, 2006; Tedeschi, 1999; Grof, 2000 Positive change experienced as a result of the struggle with traumatic events. Expectancy, probability, and controllability evaluations associated to the events; sense of time can be distorted. Terror, perception of threat; relief. Negatively overwhelming psychological stressors individuals could cope with; the perception of the triggering event depends also on individual differences, e.g., the degree of previous religiosity. Personal development, enhanced authenticity responsibility toward oneself and others, accepting attitude to death, increased self-confidence, new identity, values, and perspectives.
Post-ecstatic growth Psychology Miscellaneous Fredrickson, 2004; Roepke, 2013; Mangelsdorf and Eid, 2015 Radical positive changes given by the experience of highly impacting positive events. The relevance of time and space varies according to the ecstatic or peak experience, which generally involves a transcendence of these dimensions. High positive emotional valence, which can be associable to the peak experience’s one. Positive affective experiences, awe moments. Durable and positive changes regarding appreciation of life, relationships, enhanced spirituality, renewed life meaning, and personal strengths.
Psychedelic experience Psychology, psychopharmacology, neurobiology, anthropology Miscellaneous Barrett and Griffiths, 2017; Camlin et al., 2018; Griffiths et al., 2018; Brown et al., 2019; Brouwer and Carhart-Harris, 2020 Dynamic process lying on a perception–hallucination continuum, which is characterized by an increasing arousal and by the loosing of ego boundaries. Space and time transcendence; ineffability; overwhelming in nature; unity, ego-dissolution; perceptual illusions (alterations of the environment and of the body image; peculiar visual phenomena); deep insights into the nature and structure of the universe. Gratitude, forgiveness, unity, death transcendence sacredness, positive mood, but also regret, fear, anxiety, and upset. Typically elicited by psychedelic substances (e.g., psilocybin; Ibogaine; DMT; LSD). Positive changes in attitudes and behaviors, increased positive coping, prosociality, and empathy. Negative long-term changes at the neurological, personality, molecular, and psychological level (see Aday et al., 2020).
Transformative learning experience Education, psychology, philosophy Learning Mezirow, 1978, 1997; Kleiber et al., 2002; Stone, 2014 Process of changing accustomed assumptions, thus producing an effective shift of reference frameworks. Deep and structural shift in mental schemas, beliefs, and perspective, loss of old meaning perspectives to find new selves, heightened self-reflection. Emotional and social learning, hope, newness, intense emotions as drivers for self-reflection, but also guilt, shame, disorientation, dissonance. Disorienting dilemma. Both positive and negative outcomes, e.g., changes in worldview, schema and paradigm, changes concerning how learners conceptualize themselves, and how they related to others or to the world in general; increased empowerment/responsibility; new ways of knowing, which is more open, discriminating, extrarational. Development of new skills. Implementation of new social actions, which are consistent with epistemological changes; heightened spirituality.

Quantum change has not been included since it has been often considered as an overall experience encompassing mystical experiences and the phenomenon of insight. Liminality as well has been indicated as a broader anthropological framework for capturing transformative experiences, while PiMSs address mainly the neurobiological level of a transformative experience, thus, acting as an explanatory neurobiological model of a special phase of the transformative process.