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
Creed
Easter
5 min read

The compassion of Easter's tears

There’s complexity and beauty behind crying.
A stone statue's face depicts a falling tear.
Ohlsdorf Cemetery, Hamburg.
Marek Studzinski on Unsplash.

The great English metaphysical playboy poet, John Donne, became Dean of St. Paul’s Cathedral in 1621. During Lent a year later he preached a majestic sermon entitled ‘To speake of Tears’. I first read it 30 years ago and it has prodded and challenged me ever since. This hyper-bright poet and reformed Lothario brought to the pulpit all his astonishing rhetorical skill, and a deep learning, combined with an overriding sense of God’s mercy and the wonder of new beginnings. His sermons were as thick as treacle and as rich as chocolate mousse, but built on a profound religious sympathy and a pastor’s ear for the yearnings of his listeners. 

In his 1622 sermon, Donne highlights the different kinds of tears shed by Jesus in the last weeks of his life.  

He speaks of Jesus’ ‘humane tears’ - tears he shed alongside Mary and Martha at the grave of his dear friend Lazarus - so surprising, Donne suggests, that the scholars charged with the chapter and verse divisions of the New Testament stopped in wonder at the two words ‘Jesus wept’ and made it a complete (and the shortest) verse in the Bible. 

He speaks of Jesus’ ‘prophetic tears’ on Palm Sunday, as Jesus looks down over the city of Jerusalem, foreseeing the people’s rejection of God and the judgement that would come upon this city he loved. These tears are again surprising - Jesus had been borne into the city on the excited adulation of the crowds - so why does he weep? 

Donne speaks of Jesus’ ‘pontifical’ or ‘sacrificial tears’ on the Cross - forsaken, despairing tears, encapsulated in Jesus’ agonisingly seizing a line of dereliction from the Psalms and hurling it at the dark sky - ‘My God, my God, why have you forsaken me?’  

Donne was hardly the first theologian to wonder at these tears. But he is compelling in separating them out, wondering how different they are, and plotting the complexity of Jesus becoming a Man of Sorrows, for people who know so much sorrow. And he has the pastor’s touch as well as the preacher’s flourish to help us understand that we see ourselves most clearly through the tears of Jesus, or as C.S. Lewis would put it in the Problem of Pain, ‘the tears of God are the meaning of history.’ 

Tears, like snowflakes, are unique. Donne started to tease them apart 400 years ago, and we can see this even more clearly today, though it is always a challenge to do so because of the emotional intensity and maelstrom they spring from. 

We now know there are physically three kinds of tears; basal tears, which lubricate the eye, irritant tears, which flush out bugs or specks of dirt and emotional tears, agreed by most to be unique to humans (though newborn babies don’t normally cry tears for the first month or more). Rose-Lynn Fisher poignantly deepened this understanding of different kinds of tears in her ground-breaking work on The Topography of Tears. As an artist, she captured some of her own tears and placed them on a microscope slide. She then took close-up pictures of the tears with a digital microscopy camera mounted on a 1960’s Zeiss standard light microscope; 

‘The microscope provided the means to examine my tears and visually evoke the unseen realm of my emotions.’ 

She discovered that no two tears look the same, much as another hero of mine, Snowflake Bentley, had discovered, using a similar method in a frostier setting, the same is true for snowflakes. Tears of grief, even if shed at the same time, are all uniquely different; each one subtly changed by air temperature, and the proteins, minerals, hormones, antibodies and enzymes in an individual tear. 

This knowledge brings a new weight to Jesus’ searching question to Mary on Easter morning - ‘Woman, why are you crying?’ These tears that I’m shedding, today, what kind of tears are these? Angry, grieving, frustrated, fearful? Fisher gives astonishing names to her close-ups of tears - ‘Compassion’, ‘Tears of Change’, ‘Overwhelm’, ‘Redemption.’ And it opens up the question of what tears am I not shedding? If there are so many different kinds of tears, are there some I am avoiding, or closing my heart to? 

Richard Rohr has just published a long-awaited book on the Minor Prophets called The Tears of Things. I cannot possibly summarise it here, but Rohr includes an argument for the necessity of tears to soften our anger and outrage, the defining emotions of our age. He charts the prophet’s journey from outrage at the lawlessness of the world, through tears for the greed and cruelty of the world, to a settled but fiercer love and mercy. The prophetic tears of Jesus - tears of love, not for ourselves, but an expression of compassion for others - are the ultimate expression of this. This is a compelling vision - I would prefer the people who mould our world to be less shouty and angry, and more tearful and compassionate, people who live near enough to the pain of others to have cried with them and for them before making a plan. 

The Psalms offer us a second discipline for our tears. As well as knowing them, that is understanding them, naming them, placing them, we can sow them: 

‘Those who sow in tears 

Will reap with songs of joy.’ 

This is an ancient invitation to give weight to our tears. To take them to God, to share them with others, and not just to see them as a way to get things of our chest.  

Our human tears can deepen our sense of frailty and dependence on others and God. 

Our prophetic tears can invigorate our fight for justice and peace, without destroying our spirit or making us worse than the people we criticise. 

Our forsaken tears, the ones shed quietly, without hope, without even the hope that God sees them, can prepare the way for God’s new beginnings. 

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