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Buddhist insights into end-of-life care & death: Impersonality process of five khandhas perception to remove the origin of trauma, stress anxiety, and chronic pain From the womb (Jāti’pi dukkhā) before death

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Doctor of Philosophy in Religious Studies


Demyan, Amy
Shakya, Miroj
Gabriel, Victor


Pañcakkhandhā Non-Self (anattā) Realization of (Jāti’pi dukkhā)

This dissertation seeks non-dogmatic Buddhist corpus wisdom practical application of five methodologies of participatory practice to uproot individual birth condition (Jāti’pi dukkhā) maternal trauma psychic woundedness chronic stress. Needless to say, end-stage patients suffering from chronic stress are not understood by his/her maternal trauma-binding automatic stress reaction. ‘Non-self’ anattā consciousness education is necessary for individual self-perceived memory association reactivity and volitional reinterpretation stress reaction. Buddhist five moral conduct coping skills are essential to reprogram his/her maternal trauma five indivisible ákhandhas character, habits, and behaviors. The ill-will, cruel thoughts, doubts, and discontentment of memories automatic hypothalamus pituitary adrenal (HPA) axis triggering undermines individual mental and metabolic health. Furthermore, in Buddhism, one needs to understand that the biology of beliefs controls the human biology of stress, aging, sickness, and death. Therefore, belief in personality view, permanent self, or soul or existence of creator God is an invisible HPA stress response four-class myth culture of bureaucratic convenient control. They were dismissed by the Buddha for their dangerous deceitful impact on human biology of stress, sorrows, and suffering. Women are held second or personal property to men in all global four-class (capitalist, socialist, and communist) bureaucratic social systems. Thus, a cross-generational woman's psychic trauma (tension, worries, anxieties, fear, etc.), defiled diet, and neglected prenatal healthcare cause adverse fetal programming psychiatric and neurological stress disorders across the lifespan.

Modern medicine has reckoned with prenatal psychological trauma during pregnancy's dire consequences for the next generation. The pregnant woman's prima facia fear, anxiety, and malnutrition have been recorded by the Holodomor holocaust (1932-1933), the Dutch royal society during the 1944-1945 German Nazi-occupied Dutch famine, and the Jewish holocaust. The pregnant women's psychological crisis during gestation is also significant to understand how Jāti’pi dukkhā sustained elevated cortisol, glucocorticoid, and cytokine unbalanced hormone levels of distress impacts on offspring’s later life trauma transfer. Maternal trauma biology of belief (Saṅkhāra) fetal programming is the basis for the HPA axis triggering chronic adult hyperarousal sympathetic nervous system. My approach to ending individual chronic stress was prompted by the Buddha’s first Noble Truth Jāti’pi dukkhā (maternal) trauma stress and the second Noble Truth three volitional reactions taṇhā is the avijjā (ignorant) chronic stress suffering (dukkha) in human life.


Degree Granter

University of the West



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