Article
Christmas culture
Culture
4 min read

De-coding the hidden messages in Christmas carols

Beyond the festive imagery, some carols hint at rebellion and even revolution.

Ian Bradley is Emeritus Professor of Cultural and Spiritual History at the University of St Andrews.

Dressed in Victorian clothes, a group of carol singers stand and sing amid Christmas foliage.
Mario Mendez on Unsplash.

Carols are one of the best loved features of Christmas celebrations and one of the most effective means of spreading the good news of the birth of Jesus, the Saviour of the world. In addition to their clear proclamation of the doctrine of incarnation, that God has taken on human form and come to dwell among us, some of our most popular carols may also have been written to convey further hidden messages. 

Take ‘O come, all ye faithful’, for instance. On the surface it seems a straightforward hymn of adoration to the newborn Christ but in fact historians suggest that it may well have been written in its original Latin form, ‘Adeste, fideles,’ as a coded message to rally Jacobites to the cause of Bonnie Prince Charlie on the eve of his rebellion against the British crown in 1745. The man generally reckoned to have been its author, John Francis Wade, was a fervent supporter of the Jacobite cause who seems to have written it while he was plain-chant scribe at the English Catholic college in Douai, France where a weekly Mass was celebrated for the return of the Stuarts to the British throne. 

Half hidden Jacobite images, including Scotch thistles and the Stuart cypher, appear in the earliest manuscripts of the carol. Its call to ‘the faithful’ may have had a double meaning and been intended to alert the supporters of the ‘King over the water’ to Charles James Stuart’s imminent arrival in Britain from the  continent. Similarly, its reference to ‘Rex angelorum’, translated as the King of the Angels, could also be taken to mean the true king of the English in contrast to the Hanoverian incumbent, George II. In its original Latin form, the carol seems initially to have been sung only in Roman Catholic places of worship, notably in the chapel of the Portuguese Embassy in London and its tune was long known as the Portuguese Hymn. 

Another well-known Christmas song may contain similarly coded messages. It has been suggested on the basis of letters from Jesuit priests attached to the English college in Douai, France, that that ‘The Twelve Days of Christmas’ was written to teach the elements of the Roman Catholic faith to children during the period following the Reformation in which it was officially proscribed and suppressed in the United Kingdom. In this reading, the twelve drummers drumming are the articles of the Apostle’s Creed; the eleven pipers piping the faithful apostles; the ten lords a-leaping the ten commandments; the nine ladies dancing the fruits of the Holy Spirit; the eight maids a-milking the beatitudes; the seven swans a-swimming the seven sacraments of the Catholic church; and the ‘five gold rings’ the five wounds of the crucified Christ.  

A hidden message of a rather different kind may be lurking in another popular carol, ‘Angels from the Realms of Glory’, which first appeared in a radical Sheffield newspaper entitled The Iris on Christmas Eve 1816. Its author, James Montgomery, the paper’s editor, was twice imprisoned for his support of the French Revolution and reform riots in Britain. The original last verse, which described Justice repealing the sentences of those sentenced to imprisonment and Mercy breaking their chains, was regarded by the authorities as too polemical and subversive did not find its way into any hymn book when the carol was taken up and sung in churches.  

A carol with a more overtly contemporary message is ‘It came upon the midnight clear’. Its author, Edmund Sears, who claimed descent from one of the original Pilgrim Fathers, was a Unitarian minister in Massachusetts with a deep commitment to social reform and the promotion of peace. He wrote it in 1849, following the violent revolutions in Europe and the bloody and costly war between the United States of America and Mexico in the previous year. These conflicts were undoubtedly in his mind when he wrote ‘O hush the noise, ye men of strife, and here the angels sing’ and expressed his heartfelt longing for a future age of gold ‘when peace shall over all the earth its ancient splendours fling’, sentiments which we can certainly echo this Christmas. 

The German carol Stille Nacht (Silent Night), which regularly tops the list of the world’s favourite Christmas song, underwent several adaptations through the twentieth century expressing the changing political mood in Germany. A Socialist version entitled ‘The Workers’ Silent Night’ which circulated widely around 1900 highlighted the prevailing poverty, misery and distress and ended with an appeal to wake up to social action rather than sleep in heavenly peace. It was considered subversive and banned by the German Government before the First World War. During that war, German soldiers on the front adapted Stille Nacht to express a sense of homesickness and in the period of rampant inflation that followed in the 1920s Weimar Republic a social democratic version asked plaintively: ‘in poverty, one starves silently,/When does the saviour come?’. A 1940 Nazi adaptation turned the song into a celebration of the fatherland and traditional German family values. More recent parodies of the English version have tended to focus on the commercial aspects of the festive season, like the American author Chris Fabry’s send-up of last minute Christmas shopping:  ‘Silent Night, Solstice Night, All is calm, all half price’. 

The tradition of adapting traditional Christmas carols to contemporary events has a long pedigree in Britain. ‘Hark, the herald angels sing’ has proved particularly appealing to parodists. During the abdication crisis of 1937 a version circulated which began ‘Hark the herald angels sing, Mrs. Simpson’s pinched our king’ and a group of journalists (of which I was one) heralded the birth of the SDP in 1981 with ‘Hark The Times and Guardian roar, Glory to the Gang of Four’. It is rarer to hear parodies of carols nowadays. Perhaps in our troubled times we just want and need to focus on their message of the coming of the Christchild and of God’s kingdom with its promise of a more peaceful and joyful world.  

Article
Assisted dying
Care
Culture
Death & life
8 min read

The deceptive appeal of assisted dying changes medical practice

In Canada the moral ethos of medicine has shifted dramatically.

Ewan is a physician practising in Toronto, Canada. 

a doctor consults a tablet against the backdrop of a Canadian flag.

Once again, the UK parliament is set to debate the question of legalizing euthanasia (a traditional term for physician-assisted death). Political conditions appear to be conducive to the legalization of this technological approach to managing death. The case for assisted death appears deceptively simple—it’s about compassion, respect, empowerment, freedom from suffering. Who can oppose such positive goals? Yet, writing from Canada, I can only warn of the ways in which the embrace of physician-assisted death will fundamentally change the practice of medicine. Reflecting on the last 10 years of our experience, two themes stick out to me—pressure, and self-deception. 

I still remember quite distinctly the day that it dawned on me that the moral ethos of medicine in Canada was shifting dramatically. Traditionally, respect for the sacredness of the patient’s life and a corresponding absolute prohibition on deliberately causing the death of a patient were widely seen as essential hallmarks of a virtuous physician. Suddenly, in a 180 degree ethical turn, a willingness to intentionally cause the death of a patient was now seen as the hallmark of patient-centered doctor. A willingness to cause the patient’s death was a sign of compassion and even purported self-sacrifice in that one would put the patient’s desires and values ahead of their own. Those of us who continued to insist on the wrongness of deliberately causing death would now be seen as moral outliers, barriers to the well-being and dignity of our patients. We were tolerated to some extent, and mainly out of a sense of collegiality. But we were also a source of slight embarrassment. Nobody really wanted to debate the question with us; the question was settled without debate. 

Yet there was no denying the way that pressure was brought to bear, in ways subtle and overt, to participate in the new assisted death regime. We humans are unavoidably moral creatures, and when we come to believe that something is good, we see ourselves and others as having an obligation to support it. We have a hard time accepting those who refuse to join us. Such was the case with assisted death. With the loudest and most strident voices in the Canadian medical profession embracing assisted death as a high and unquestioned moral good, refusal to participate in assisted death could not be fully tolerated.  

We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

Regulators in Ontario and Nova Scotia (two Canadian provinces) stipulated that physicians who were unwilling to perform the death procedure must make an effective referral to a willing “provider”. Although the Supreme Court decision made it clear in their decision to strike down the criminal prohibition against physician-assisted death that no particular physician was under any obligation to provide the procedure, the regulators chose to enforce participation by way of this effective referral requirement. After all, this was the only way to normalize this new practice. Doctors don't ordinarily refuse to refer their patients for medically necessary procedures; if assisted death was understood to be a medically necessary good, then an unwillingness to make such referral could not be tolerated.  

And this form of pressure brings us to the pattern of deception. First, it is deceptive to suggest that an effective referral to a willing provider confers no moral culpability on the referring physician for the death of the patient. Those of us who objected to referring the patient were told that like Pilate, we could wash our hands of the patient’s death by passing them along to someone else who had the courage to do the deed. Yet the same regulators clearly prohibited referral for female genital mutilation. They therefore seemed to understand the moral responsibility attached to an effective referral. Such glaring inconsistencies about the moral significance of a referral suggests that when they claimed that a referral avoided culpability for death by euthanasia, they were deceiving themselves and us. 

The very need for a referral system signifies another self-deception. Doctors normally make referrals only when an assessment or procedure lies outside their technical expertise. In the case of assisted death, every physician has the requisite technical expertise to cause death. There is nothing at all complicated or difficult or specialized about assessing euthanasia eligibility criteria or the sequential administration of toxic doses of midazolam, propofol, rocuronium, and lidocaine. The fact that the vast majority of physicians are unwilling to perform this procedure entails that moral objection to participation in assisted death remains widespread in the medical profession. The referral mechanism is for physicians who are “uncomfortable” in performing the procedure; they can send the patient to someone else more comfortable. But to be comfortable in this case is to be “morally comfortable”, not “technically comfortable”. We deceive ourselves if we think that doctors have fully accepted that euthanasia is ethical when only very few are actually willing to administer it. 

We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem.

There is also self-deception with respect to the cause of death. In Canada, when a patient dies by doctor-assisted death, the person completing the death certificate is required to record the cause of death as the reason that the patient requested euthanasia, not the act of euthanasia per se. This must lead to all sorts of moments of absurdity for physicians completing death certificates—do patients really die from advanced osteoarthritis? (one of the many reasons patients have sought and obtained euthanasia). I suspect that this practice is intended to shield those who perform euthanasia from any long-term legal liability should the law be reversed. But if medicine, medical progress, and medical safety are predicated on an honest acknowledgment about causes of death, then this form of self-deception should not be countenanced. We need to be honest with ourselves about why our patients die. 

There has also been self-deception about whether physician-assisted death is a form of suicide. Some proponents of assisted death contend that assisted death is not an act of deliberate self-killing, but rather merely a choice over the manner and timing of one's death. It's not clear why one would try to distort language this way and deny that “physician-assisted suicide” is suicide, except perhaps to assuage conscience and minimize stigma. Perhaps we all know that suicide is never really a form of self-respect. To sustain our moral and social affirmation of physician-assisted death, we have to deny what this practice actually represents. 

There has been self-deception about the possibility of putting limits around the practice of assisted death. Early on, advocates insisted that euthanasia would be available only to those for whom death was reasonably foreseeable (to use the Canadian legal parlance). But once death comes to be viewed as a therapeutic option, the therapeutic possibilities become nearly limitless. Death was soon viewed as a therapy for severe disability or for health-related consequences of poverty and loneliness (though often poverty and loneliness are the consequence of the health issues). Soon we were talking about death as a therapy for mental illness. If beauty is in the eye of the beholder, then so is grievous and irremediable suffering. Death inevitably becomes therapeutic option for any form of suffering. Efforts to limit the practice to certain populations (e.g. those with disabilities) are inevitably seen as paternalistic and discriminatory. 

There has been self-deception about the reasons justifying legalization of assisted death. Before legalization, advocates decry the uncontrolled physical suffering associated with the dying process and claim that prohibiting assisted death dehumanizes patients and leaves them in agony. Once legalized, it rapidly becomes clear that this therapy is not for physical suffering but rather for existential suffering: the loss of autonomy, the sense of being a burden, the despair of seeing any point in going on with life. The desire for death reflects a crisis of meaning. We deceived ourselves into thinking that assisted death is a medical therapy for a medical problem, when in fact it is an existential therapy for a spiritual problem. 

We have also deceived ourselves by claiming to know whether some patients are better off dead, when in fact we have no idea what it's like to be dead. The utilitarian calculus underpinning the logic of assisted death relies on the presumption that we know what it is like before we die in comparison to what it is like after we die. In general, the unstated assumption is that there is nothing after death. This is perhaps why the practice is generally promoted by atheists and opposed by theists. But in my experience, it is very rare for people to address this question explicitly. They prefer to let the question of existence beyond death lie dormant, untouched. To think that physicians qua physicians have any expertise on or authority on the question of what it’s like to be dead, or that such medicine can at all comport with a scientific evidence-based approach to medical decision-making, is a profound self-deception. 

Finally, we deceive ourselves when we pretend that ending people’s lives at their voluntary request is all about respecting personal autonomy. People seek death when they can see no other way forward with life—they are subject to the constraints of their circumstances, finances, support networks, and even internal spiritual resources. We are not nearly so autonomous as we wish to think. And in the end, the patient does not choose whether to die; the doctor chooses whether the patient should die. The patient requests, the doctor decides. Recent new stories have made clear the challenges for practitioners of euthanasia to pick and choose who should die among their patients. In Canada, you can have death, but only if your doctor agrees that your life is not worth living. However much these doctors might purport to act from compassion, one cannot help see a connection to Nazi physicians labelling the unwanted as “Lebensunwortes leben”—life unworthy of life. In adopting assisted death, we cannot avoid dehumanizing ourselves. Death with dignity is a deception. 

These many acts of self-deception in relation to physician-assisted death should not surprise us, for the practice is intrinsically self-deceptive. It claims to be motivated by the value of the patient; it claims to promote the dignity of the patient; it claims to respect the autonomy of the patient. In fact, it directly contravenes all three of those goods. 

It degrades the value of the patient by accepting that it doesn't matter whether or not the patient exists.  

It denies the dignity of the patient by treating the patient as a mere means to an end—the sufferer is ended in order to end the suffering. 

 It destroys the autonomy of the patient because it takes away autonomy. The patient might autonomously express a desire for death, but the act of rendering someone dead does not enhance their autonomy; it obliterates it. 

Yet the need for self-deception represents the fatal weakness of this practice. In time, truth will win over falsehood, light over darkness, wisdom over folly. So let us ever cling to the truth, and faithfully continue to speak the truth in love to the dying and the living. Truth overcomes pressure. The truth will set us free.