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
Advent
Christmas culture
Joy
Poetry
6 min read

The Advent poets who can’t wait until the world is sane

Tennyson to Eliot, Rossetti to L’Engle, find despair doesn’t preclude joy.

Beatrice writes on literature, religion, the arts, and the family. Her published work can be found here

Beyond a misty and raindrop streaked window, a colourful triangle shape emerges.
Ricardo Gomez Angel on Unsplash.

After his conversion to Anglo-Catholicism in 1927, critics began to notice a change in T. S. Eliot’s poetry. Some thought this was for the worse, that Eliot’s newfound faith dimmed his literary powers, making his usually impenetrable style more conventional. But there is a less cynical view. I think, instead, that his conversion brought a sense of clarity and purpose to his poetry. I think what really happened is that, like many Christian converts before and after him, he found a sense of joy.  

Nowhere better can we find that distinctly Christian sense of joy than in Eliot’s ‘The Journey of the Magi’, an Advent poem recounting Jesus’s birth from the point of view of the magi travelling to meet him. Like many of my favourite Advent poems, ‘Journey of the Magi’ is not straightforwardly cheerful, instead dwelling on the idea of alienation. The last stanza of the poem in particular is devoted to the magi’s confusion at returning to their old life after witnessing the miracle of Christ’s birth: 

All this was a long time ago, I remember, 
And I would do it again, but set down 
This set down 
This: were we led all that way for 
Birth or Death? There was a birth, certainly, 
We had evidence and no doubt. I had seen birth and death, 
But had thought they were different; this Birth was 
Hard and bitter agony for us, like Death, our death. 
We returned to our places, these Kingdoms, 
But no longer at ease here, in the old dispensation, 
With an alien people clutching their gods. 
I should be glad of another death. 

It’s hard not to read these lines and imagine that Eliot himself might have experienced a feeling of alienation, as a new convert, when looking back on his old life. And yet, the magi’s sense of being ‘no longer at ease’ in their old home, of being among ‘an alien people’, is not something that only converts experience. All of us, whether we are converts or reverts, whether we were brought up in the Christian faith or are still contemplating it with uncertainty, have a moment when we realise that believing in Christ’s birth, death, and resurrection radically changes the way we look at the world. 

And conversion isn’t something that just happens once. Every year, during Advent, we are asked to meet despair with joy. For those of us living in the northern hemisphere, we’re specifically asked to do this in the darkest and coldest time of the year, when nature looks so gloomy and unwelcoming. As Christina Rossetti puts it in one of our country’s most beloved Christmas hymns, Jesus comes not at a time of flourishing nature, but rather ‘in the bleak midwinter’, when the earth is ‘hard as iron’ and water frozen ‘like a stone’. Just as we persevere in our yearly hope that spring will come again, so too we are called to renew our conversion of heart each Advent, waiting in hope for Christ’s birth.  

But hope doesn’t have to mean blind optimism. The older I’ve become, the more I’ve come to think that rejoicing during Advent doesn’t have to involve unadulterated cheerfulness. Grief has its place within joy, as counterintuitive as that may seem. In fact, Advent is an opportunity to cultivate the virtue of hope in spite of grief, and in spite of the evils that we see in the world. ‘Were we led all that way for / Birth or Death?’, ask the magi. The answer is both. Each year Christ’s birth reminds us that faith requires us to die to our old selves. For some, this means having uncomfortable conversations with family or friends who don’t understand their conversion to the faith. For others, it means facing illness or death of a loved one or other kinds of trauma without giving in to despair.  

None of this is easy, of course. Clinging to hope in dark times can truly feel like ‘bitter agony’, as Eliot writes. And yet, as one of the magi says in the final line of Eliot’s poem, ‘I should be glad of another death’. When we die to our selves, we also experience a new birth in Christ. Even as we celebrate his birth, we are reminded of his death on the cross for us, of the fact that he so loved us that he was willing to bear unbearable pain for our sake.  

That kind of love, although it doesn’t remove all the sources of suffering in our daily life, does call for rejoicing. Another wonderful Advent poem, Madeleine L’Engle’s ‘First Coming’, emphasises the necessity of joyfulness in the face of a corrupted world. L’Engle begins by reminding us, stanza after stanza, that Jesus didn’t wait for humanity to become perfect before coming to us: ‘He did not wait till the world was ready’, she begins, before adding, ‘He did not wait for the perfect time’, ‘He did not wait till hearts were pure’. Rather, Christ came ‘in joy’, to ‘a tarnished world of sin and doubt’, right ‘when the need was deep and great’.  

L’Engle ends ‘First Coming’ by encouraging us to imitate Christ not just in his patience, but also in accepting joy now, not when we world finally stops being rife with sin and pain: 

We cannot wait till the world is sane 
to raise our songs with joyful voice, 
for to share our grief, to touch our pain, 
He came with Love: Rejoice! Rejoice! 

We can’t wait until ‘the world is sane’ to be joyful. Joy is remembering that Christ really did come ‘to share our grief’, no matter how seemingly unbearable it may be. Lord Tennyson expresses a similar sentiment in his poem In Memoriam, an elegy written after the loss of his dear friend Arthur Hallam. He admits that the pain at his friend’s death is so intense that, as Christmas is drawing near, he almost wishes ‘no more to wake’, and for his ‘hold on life’ to ‘break’. Then, he hears the sounds of bells: 

But they my troubled spirit rule, 
For they controll'd me when a boy; 
They bring me sorrow touch’d with joy, 
The merry merry bells of Yule. 

Happy memories of Christmas bells from childhood are mixed with pain for Tennyson, bringing him ‘sorrow touch’d with joy’. That’s what all the best Advent poems, from Tennyson to Eliot, From Rossetti to L’Engle, show us: that sorrow doesn’t preclude joy. In the weeks leading up to Christ’s birth, it’s normal to dwell on both birth and death; Advent can be a season for both somberness and merrymaking. Most of all, Advent is a time for prayer, that our hearts may be filled with the knowledge that Christ loves us even in our sorrow, and that the very knowledge of Christ’s love may in turn fill our hearts with joy.  

Join with us - Behind the Seen

Seen & Unseen is free for everyone and is made possible through the generosity of our amazing community of supporters.

If you’re enjoying Seen & Unseen, would you consider making a gift towards our work?

Alongside other benefits (book discounts etc.), you’ll receive an extra fortnightly email from me sharing what I’m reading and my reflections on the ideas that are shaping our times.

Graham Tomlin

Editor-in-Chief