Explainer
Creed
Death & life
5 min read

The lost art of dying well and what we can learn from it today

Living well in order to die well doesn’t simply happen. It takes work. It takes preparation. For All Souls Day, Lydia Dugdale asks if we are prepared for death.

Lydia Dugdale is the author of The Lost Art of Dying. She is Professor of Medicine at Columbia University and Director of the Center for Clinical Medical Ethics. She is a specialist in both medical ethics and the treatment of older patients. 

A medieval book illustration of a person dying in bed.
A 15th Century ars moriendi, or ‘art of dying’ image.
Basel University, via WikiCommons.

The first of November marks All Saints Day on many church calendars—a day when we Christians remember our martyrs together with all the faithful, both living and departed. On that day, we celebrate that our communion is not simply with one another on earth but is also with all saints of all time, including those who have died.  

For some people, the notion of fellowship with departed saints might be quite exciting. They may have pondered questions about the saints since school assemblies or RE lessons. What was racing through Abraham’s mind when he attempted to sacrifice his son Isaac? What would Mary say a sinless Jesus was like as a toddler? Did Jonah float around inside the great fish, or did he find something on which to perch himself?  

But others among us might wish to skip All Saints Day altogether. Talk of dead saints feels positively medieval, even a bit morbid. Some of us might wonder about our own saintliness—or lack thereof. Could we really experience ineffable joy in an afterlife? Moreover, the very suggestion of an afterlife implies that we ourselves must die—an uncomfortable prospect for most of us.   

Such divergent reactions to the day are revealing. On the one hand, the idea of having saints to remember is to inspire us to live well. They invite us to examine their lives and to grow ourselves in response. On the other hand, they remind us that our days are numbered. And because our days are numbered, we should attend carefully to what it means to live wisely. Saints teach us that if we want to die well, we must live well. 

But living well in order to die well doesn’t simply happen. It takes work. It takes preparation. Which is why this year on All Saints Day it’s worth asking the question: Am I prepared for death? 

Death exists as a paradox for Christians—as something at once lurking and vanquished. 

In the late Middle Ages, the ars moriendi, or ‘art of dying’ genre of literature developed in response to mass loss of life from a fourteenth-century outbreak of bubonic plague. The genre consisted of a number of handbooks on how to prepare for death. Although the earliest text was anonymous, historians believe that its authorship had a connection to the Western Church. After the Reformation, Protestant versions began to circulate, and later handbooks omitted religious particularity altogether. The handbooks grew in popularity throughout the West for more than 500 years. 

This notion of living well to die well lay at the core of the various iterations of the ars moriendi. Early texts warned readers that five temptations lead to dying poorly—temptations to doubt, despair, impatience, greed, and pride. If you don’t want to die a doubting, despairing, impatient, greedy, and proud person, you must cultivate the virtues of faith, hope, patience, generosity, and humility now. But the ars moriendi texts were very clear that virtue did not happen to a person all at once at the end of life. Rather, it required habituation. Cultivating virtues was the work of a lifetime. If you want to be remembered as a person of sound character, a generous person of hope and good will toward others, you cannot delay making such attributes a regular practice. If you are willing to be martyred for your faith—as some of those early saints were—you have got to be sure it is a faith worth dying for. 

I once met a man who had converted from the religion of radical self-centeredness to Christianity. When I asked him why, he told me that of all the world’s religions, Christianity had the best story. As with the martyred saints, it was for him a story worth dying for. And All Saints Day reminds us that in Christianity, death is stranger than you might think. 

Death exists as a paradox for Christians—as something at once lurking and vanquished. Death is the enemy that at long last will be destroyed, and death has already been swallowed up in victory. But you might ask: if death has already been defeated, what remains to be destroyed? And if death will be destroyed, how has it then been defeated? This enigma might partially explain why many regular church attenders are neither physically nor spiritually prepared for death. Researchers at Harvard University have shown that people who describe themselves as most supported by their religious communities are also most likely to reject hospice care and instead to elect aggressive life-extending technology. 

The story goes as follows. Death is an enemy because it suggests rejection of God. From the beginning, God tells our forebearer Adam that he can freely eat of any tree in the garden but one. If he eats from the tree of the knowledge of good and evil, he will die.  Thus, from the beginning, God equates the possibility of human disobedience with the actuality of death.  

Of course, Adam and Eve eat the proverbial apple. And when they do, they don’t immediately die, but they experience a sort of death. For the first time, they become filled with shame and fear. They hide themselves from God. They cast blame. God tells them that moving forward their life will be filled with great suffering. God says to Adam, ‘By the sweat of your face you shall eat bread until you return to the ground, for out of it you were taken. You are dust, and to dust you shall return.’ Disobedience is what Christians call ‘sin’—and it brings death. Sin severs that once harmonious relationship between God and people—a fact that also grieves God, which is why God does not let death have the final word. 

The story gets better. Since we humans cannot possibly undo the drastic results of our disobedience, God becomes fully human in Jesus Christ, so liable to death, while also retaining full, divinity which cannot die. Then, as a human on a cross, he dies as the ultimate sacrifice on behalf of humankind. But this God-Man does not stay dead. After three days in the tomb, Christ is resurrected, defeating death, on what has come to be known as Easter Sunday. Christ’s resurrection functions as a sort of guarantee that all God’s people will one day be resurrected and receive new bodies, that day on which the great enemy of death will be destroyed once and for all. If Adam and Eve brought death into the world, the resurrection hope is that death will be no more.  

This year on All Saints Day we have the opportunity to consider what it means to commune with ‘all saints’ extending back to Adam and forward to future generations. We have the opportunity to study the saints and then examine ourselves. What sort of people are we becoming? Are we living well to die well, as the ars moriendi handbooks teach? And of all the stories out there, which provides the greatest hope in life and in death? 

Article
Attention
Creed
Education
Psychology
6 min read

We miss so much when we only see what we are looking for

Explaining why we don't see the unseen - with the help of a gorilla.
A blurred image of a blindfolded man.
Manuel Bonadeo on Unsplash.

In a thriving Pentecostal Church on an English city street, a room full of worshippers are singing, clapping, dancing and throwing their hands in the air. The preacher cries “Come, Holy Spirit!” and there are cries of “Amen!” and “Yes Lord!” One person has tears on their cheeks.  

A few doors down, a few dozen Anglicans also gather. Heads bent over their liturgy books, there is a hum of responses and an air of reverence. “Give us the joy of your saving help: and sustain us with your life-giving Spirit.” The altar candles flicker as the community settles itself into pews. The Holy Spirit is no less present to these worshippers, although they respond in a completely different way.  

Both churches share one creed, in which they commit to their belief in God as the source of all things, seen and unseen. Whilst Pentecostal theologies tend to focus on the observable and unpredictable signs of the Spirit at work, many Anglicans would describe the Spirit in terms of an inner experience, perhaps one that is cognitive rather than physical. But either way, Christians share one belief – that God is present in the world, and we call that the Holy Spirit.  

However, there are also hundreds of people who walk past both of these churches, week by week, who would never dream of setting foot inside. Many of them will think that anyone who believes in God is deluded or deceived. Such rationalist thinkers often have a strongly monist view of the world, in which everything, even mysterious things such as human consciousness and perception of non-physical entities, must have a physical or biological basis. As Ebenezer Scrooge says to the apparent ghost of Marley in Charles Dickens’ book, A Christmas Carol, “You may be an undigested bit of beef, a blot of mustard, a crumb of cheese, a fragment of an underdone potato. There's more gravy than of grave about you, whatever you are!” 

It is almost impossible to convince someone who hasn’t had a first first-hand experience of God that anything like the Holy Spirit exists. Many nay-sayers, I suspect, quietly (or maybe not so quietly) believe that their unbelief is because they are more rational and maybe even more intelligent than those who get excited by such things. But there is another possible explanation for why some people apparently cannot, or will not, see the unseen.  

The British education system is heavily orientated towards STEM. Even when more creative subjects such as literature find their way into the syllabus, they are often studied in a rather dry and analytical way. Notwithstanding the efforts of the occasional maverick teacher, I recall much time spent learning how to identify the iambic pentameter of Shakespeare, and little (if any) time learning to articulate how his sonnets made me feel. Such a system turns out good scientists, but it may be that in doing so it trains our young people out of being able to perceive a whole raft of things which are arguably just as important to human flourishing.  

The world around us contains significantly more sensory input than our minds can process, so we simply don’t pay attention to most of it. 

A “selective attention test” can quickly prove this point. I did one recently with a room full of psychology undergraduates, almost all of whom had identified as monists. “Since you guys are the brightest and the best,” I simpered “let’s do a little intelligence test. Apparently only five per cent of the general population get the answer right to this puzzle, but in this room, I expect the success rate will be a little higher…”  

Having primed them by flattering their egos, I proceeded to show them a video called “The Monkey Business Illusion”, designed in 2009 by scientists Christopher Chabris and Daniel Simons. During the short film, a group of people pass basket balls to each other, and viewers are asked to count how many times the players wearing white shirts pass the ball. It seems simple enough, and when the film ended, I asked the students how many counted the right number of passes. Almost every hand in the room went up. No surprises there.  

Then I asked the more important question – who saw the gorilla? There was a smattering of laughter, and this time only about half of the hands went up. Meanwhile, the other half of my students were looking around at their peers, utterly confused… 

But it was true. In “The Monkey Business Illusion”, a person in a 6ft gorilla costume walks right across the middle of the scene, weaving through the players in the game. However, because most viewers are intently focussed on watching the players in white, they simply don’t perceive it. You can try this for yourself - the video I’m talking about can be found easily on YouTube, and if you follow the search term “selective attention test” there are many others like it.  

The material point is that the world around us contains significantly more sensory input than our minds can process, so we simply don’t pay attention to most of it. If you pause for a moment right now, you might notice that there is the hum of a heater in your room, or the noise of traffic outside, or the smell of an air freshener, or that a piece of your clothing that is too tight – things you were simply not aware of until I pointed them out. It’s common that we don’t perceive things until something else makes us think that they are important. If someone tells you that your house might have structural damage, you will suddenly start to notice every creak that comes from your walls and ceilings, even though those creaks have probably been happening for years.  

As social beings, we can be easily conditioned into paying attention to certain things and ignoring others. If I tell a group of students that intelligent people are highly attentive to the players in white shirts, I increase the likelihood that they simply will not notice a gorilla.  

There is good research to show that children, even in our modern and secular society, are inherently spiritual – most young kids believe in God, or gods, fairies and the existence of many things unseen. But this is not celebrated in our STEM focussed education system, wherein young minds are highly conditioned to let go of such “irrational” beliefs and trust in the full explanatory power of science. It is so effective that, by the time they get to my classroom at university, I’ve got little hope of persuading any of my monists that there was a 6ft gorilla without showing the video again and letting them see it for themselves.  

But there are always some people who are willing to challenge the idea that Marley was just an undigested bit of beef. There are always some people who attend churches of one type or another, or practice other forms of spirituality and religion. Some pray, some meditate, and many take part in rituals. This trains them in what anthropologist Tanya Luhrmann calls “micro-processes of attending”, leaving them more ready to perceive spiritual things instead of screening them out of their conscious awareness. How they respond might depend on preferred tradition – dancing, liturgy, or a little bit of both. But all agree that there is something going on that is unseen and important.  

Many STEM educated, highly rational and fully committed monists no doubt think that those who attend churches are deluded and deceived into perceiving unseen things are simply just not there. These nay-sayers have been taught, implicitly and explicitly, that it is more intelligent to believe in the all-explanatory power of science. But perhaps it is they who have been deluded and deceived? As the Monkey Business Illusion demonstrates, if you flatter someone’s intelligence enough, it becomes entirely possible to hide a 6ft gorilla in plain sight.  

Watch the Monkey Business Illusion

Celebrate our 2nd birthday!

Since March 2023, our readers have enjoyed over 1,000 articles. All for free. This is made possible through the generosity of our amazing community of supporters.
If you enjoy Seen & Unseen, would you consider making a gift towards our work?
Do so by joining Behind The Seen. Alongside other benefits, you’ll receive an extra fortnightly email from me sharing my reading and reflections on the ideas that are shaping our times.
Graham Tomlin
Editor-in-Chief