Review
Culture
Faith
Music
5 min read

Faith in Beethoven

Why did Beethoven, the hero of humanism, write music for a mass? Musicologist Daniel Chua explores the maestro’s faith.

Daniel KL Chua is a musicologist and Professor and Chair of music at the University of Hong Kong. He writes on music, particularly Beethoven, and the intersection between music, philosophy and theology. 

Agrand statue of Beethoven as a classical hero seats him on a throne on a dias.
Max Klinger’s Beethoven monument.

Bach’s theological credentials are impeccable, as Jeremy Begbie wrote about previously for Seen & Unseen. But Beethoven’s? Not really. In fact, not at all. Most scholars on Beethoven see him as a secularizing force. If Bach represent the summit of theological expression in western music history, then Beethoven is the poster boy of the Enlightenment progress. He spells the end of sacred music. In the narrative of music history, Beethoven is the catalyst for a new secular epoch. After Beethoven, music is no longer about God but humanity; sacred music drops out from the historical narrative as something irrelevant or even regressive to the progress of modernity.  

But it is not just any Beethoven who wields this secularising power. It is a very particular Beethoven, more myth than man. This is Beethoven as Promethean hero. He overcomes his deafness by defiance, grabbing fate by the throat as it knocks loudly in the opening bars of the Fifth symphony - da-da-da-daaaa! - and triumphing over its C-minor threat in a glorious blaze of C major in the finale.  The symphony is a musical model of human self-determination. It projects Beethoven as a revolutionary artist living in revolutionary times, channelling the anticlerical and antimonarchist fervour of the French Revolution in musical form. His story is one of freedom and autonomy; and his music is made in his image, free from servitude to church and court, and free to be itself.  

This Promethean image precludes Beethoven from being a sacred composer. It is not that he isn’t a sacred composer; rather, he can’t be one in this historical narrative. In fact, Beethoven stands as a rival to the sacred, because by the beginning of the 20th Century, artists such as Max Klinger were building shrines to the composer: Beethoven is the high priest of an art religion. 

The Beethoven monument

A statue of a seat hero, Beethoven, sits on a raised dais in a purpsoe built rom
Max Klinger’s Beethoven monument.

The Vienna Secession’s fourteenth exhibition in 1902 was a shrine dedicated to Beethoven with Max Klinger ‘s monument as the altar. 

But there is a problem. Beethoven wrote sacred music. Not much, admittedly, but enough, including what he declared to be his ‘greatest work’ – the Missa Solemnis. So in order to uphold a more secular Beethoven, scholars have had to explain away his sacred music as inconsequential and his religious beliefs as unorthodox or non-existent. They tie themselves up in knots trying to solve the problem, especially with regard to Beethoven’s magnum opus. Although there is nothing theologically unorthodox in the Missa Solemnis, somehow the mass has to be theologically unorthodox for these commentators: at best it is a mass for deist, but it is mostly a mass about humanity. The liturgical bits can be dismissed, they claim, as something that stifles what is truly Beethovenian; instead, to grasp its meaning, you have to listen to the mass as if it where a symphony resonant with tones of human freedom and autonomy. It is almost as if Beethoven wrote the mass against his will. In one recent biography, the chapter on the Missa Solemnis opens with the incredulous question: “Why did Beethoven write a mass?” 

Why not? The problem is not Beethoven’s (obviously) but the biographer’s belief in a history that sits uncomfortably with the composer. Yes, Beethoven was a revolutionary in the times of revolution. Yes, he was born in the Age of Enlightenment, and even declared ‘freedom and progress’ as the main purpose of art. But that does not make him French; he did not step foot in France, and despite the Napoleonic aftermath of the French Revolution, what Enlightenment meant in Bonn where Beethoven was born and in Vienna where he died, could not be anticlerical or antimonarchist because these cities were under the rule of Enlightened despots who by definition had both kingly and ecclesiastic functions.  In other words, Beethoven was a child of a religious Enlightenment. This means that his innovative and radical works were not composed against the sacred but were inspired by it. This is not to say that there is no truth in a Promethean view of Beethoven or that there is no conflict in his music during this tumultuous period in Europe, but it does imply that Beethoven upheld sacred music. In fact, he leads it in a new direction. And, if we have ears to hear, then the Missa Solemnis can open up a new sound world full of theological resonance. 

While working on the Missa,  Beethoven wrote out the Latin text of the mass on a piece of paper and added a German translation next to each line. As a teenager, Beethoven regularly played the organ for mass in the court at Bonn; he knew the Catholic liturgy from memory. So why would he write out the text and its translation? Because he wanted to explore the meaning of each word more fully, looking up a German dictionary for definitions and synonyms that would enlarge his understanding of the text. And if the expression mark in the score of the Missa (‘with devotion’) and his collection of devotional literature in his library is anything to go by, this process was an act of meditation for the composer. This was no routine setting of the mass. In fact, if you listen carefully, not only did Beethoven look up individual words to amplify their meaning, it seems that he also looked up the biblical reference to set their meaning in context. 

Listen to the Sanctus: you will hear echoes of the biblical book of Isaiah, chapter six. Beethoven conjures up a temple trembling at its foundations as the angels sing ‘Holy, holy, holy’. Similarly, in the Benedictus, you will hear echoes of the Palm Sunday procession from the gospels. The music is a match in the form of a pastoral; it depicts Jesus arriving as a king but in the form a humble shepherd riding a donkey, as the crowds chant “Blessed is he who comes in the name of the Lord.” There is no sense of Promethean triumph here, but the sound of meekness and majesty. 

We don’t need to tie ourselves up in knots to understand Beethoven or the Missa solemnis as secular. May be, to use the composer’s own words, Beethoven was just an ordinary Catholic writing extraordinary music to ‘instil religious affections’ in the congregants. This view would be a more faithful account of the composer’s life, but it would also radically change the way we understand Beethoven and the subsequent ‘progress’ of music history in our textbooks.  And this, perhaps, points to the most critical function of sacred music: to reveal the hearts of its hearers. The Missa solemnis, as Beethoven's greatest work, is a capstone which many have rejected as the cornerstone of his oeuvre. Try not to trip up on it. 

Listen to Beethoven's mass

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.