This research is an extensive survey and the first explorative empirical study of awareness in comatose states and the possibility of contact and communication with comatose patients in a neurological intensive care unit setting using Process-oriented Coma Work methods developed by Arnold Mindell. Practical and ethical consequences will be discussed. "In 'Reaching out to People in Comatose States' Peter Ammann creates a balanced and many sided approach to working with people in reduced states of consciousness. He demonstrates empirical results of Process-oriented Coma Work with comatose people in the ICU, making this work important both for medical and psychological communities." Amy and Arnold Mindell, authors of “Coma, a Healing Journey”, and “Coma, Key to Awakening”