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
Belief
Creed
6 min read

This pub chat brought us to tears

In the debris of the Enlightenment there’s a rising warmth to the mystical.
Four people sit round a pub table, some look animated, others pensive.
gaspar zaldo on Unsplash

I recently found myself sitting in an Oxford pub, crying with a man I barely know. And I wanted to tell you about it.  

How did we, two almost-strangers, find ourselves crying opposite each other?  

Well…  

Oh, gosh. How do I say this? We were crying because we were talking about Jesus. 

We’d both been spending the week at a gathering of academics in Oxford and one sunny afternoon, we, along with the other attendees, had wandered to one of Oxford’s effortlessly enchanting pubs. We ordered a couple of their finest IPAs and found ourselves perched next to each other. I quickly gauged that this guy doesn’t dabble in small talk, so, right there - sat in battered leather armchairs and surrounded by people - we spoke to each other about Jesus. Not in any kind of academic or philosophic manner; we just sort of shared what we think of him, what we feel about him, what we wonder about him.  

Ten minutes later, we had demonstrably leaky eyes.  

You see, my comrade in tears and I, we’re both Christians. Over the past two-thousand-ish years, that term has come to mean a number of things – it’s become a weighted word. But what I mean when I say that we’re both Christians, is that we love Jesus.  

That’s so weird to say, isn’t it? I’m resisting the urge to polish that definition up, to mop up the whimsy and make it more palatable for you. My instinct is to reach for an academic reasoning, a profound way to make what I just said sound less weird. But I’m going to resist. I’m just going to let that seemingly absurd truth blow in the wind.  

Can I let you in on something, though? Something a little vulnerable? I love Jesus, but I find him hard to talk to you about. One of two things tends to happen when I try, I get emotional, or I get embarrassed. Neither feels helpful. 

Let’s start with the embarrassment, because it’s easier to explain.  

We live in the debris of the Enlightenment. We’re materialists, rationalists, all that we see is all that there is-ists. We want certainty, we want prove-ability, we want to stand upon the solid ground of reason. We’ve spent the last century or two valuing cold, hard, facts – not warm, soft, inklings. We’ve repeatedly traded mystery for mastery.  And, because of all those things, we’ve ushered in secularism. That’s what we call ourselves, isn’t it? Secular? Those who have outgrown their need of a cosmic saviour, those who have finally burst free of the God delusion.  

This story, this event, it teaches me that everything can be mended, including me. 

This is my context as much as it is yours, and so, with all of that swirling around me – with secularism acting as the societal stage upon which I stand - my belief in Jesus is odd. I have spent my life feeling deeply unintelligent for believing that Jesus was all that he said he was, I can’t deny that. Secular culture has often had me feeling as though I’ve pulled up a chair, ready and excited to play the game of life, only to find that I hold an old set of instructions. Secularism screams at me, points at me, makes me feel as though I’m wearing an outfit that went out of fashion two seasons ago. And so, much to my shame, I get embarrassed. I play its game, a game I wasn’t designed to play, and I lose.  

And then there’s the specificity of Jesus, right? 

Even in the corners of culture where secularism is losing its grip and there’s a rising warmth to the transcendent, mystical, unexplainable things – there’s still a guard up when it comes to religion. In many cases, rightly so. People tend to feel more comfortable in the ‘spiritual, not religious’ camp. There’s something self-preserving about allusivity, isn’t there? Saying that I believe in Jesus strips me of that luxury – my association with him means that I’m also associated with two billion other people, and that can be disconcerting. It means I have little control over how I’m perceived by you, nor how I’m represented by them. It also means that my experiential spirituality is housed within a specific story, a framework, a tradition – I don’t get to pick and choose. It’s an all-in kind of thing.   

So, every time someone who doesn’t know Jesus wants to talk to me about him – someone like you, perhaps - all of the above does its best to shut me up. It mostly wins and I mostly fail you. If – on occasion – I am able to rip the tape of self-consciousness from my mouth, I get frustratingly emotional. And that reaction is slightly harder to explain.

I don’t interact with Jesus as a metaphor, an archetype, or a symbol. You may think me delusional, but I’ve decided to take him at his word, to live as if he was everything that he said he was – fully God, fully human, the whole she-bang. And I take the same approach to Easter – the festival that celebrates the thing I believe to be the truest – Jesus’ resurrection. His death and subsequent un-death, what T.S. Eliot calls: ‘the still point of the turning world’. What Dr Martin Shaw regards as ‘the most extraordinary act of love, so catastrophic in its beauty, we’re still in shock two thousand years later’. 

The realness of it all moves me. It, just as Martin has diagnosed, shocks me. This story, this event, it teaches me that everything can be mended, including me. It brushes against my deepest longings, it silences my loudest fears. And Jesus, the God-Man at the centre of it all? I feel the truth of him in my bones, his love courses through my veins, his friendship makes my eyes sting.  

I feel silly saying all of that – knowing how such sentiments have no home in the secular world we’ve built up around ourselves. And so, I feel paralysed by the need to boil it all down to ‘five facts that prove the resurrection happened’. But I just can’t seem to master it.  

Instead, I wonder if it’s alright that the truth of the event is found in two near strangers inexplicably crying in a pub. Two near strangers being unspeakably moved by the real-ness, the here-ness of a man who was executed two-thousand years ago. Two near-strangers who – despite it going against their (or, at least, my) self-aware sensibilities - were forced to accept that their tears picked up where their words had left off.  

Is that kind of proof acceptable to you? After-all, I’ve never known of someone to weep over a good metaphor, an intelligent myth, or a profound philosophy.  

I’m not opposed to placing the claims of Christianity under the microscope, indeed, I do it myself (when you’re not around, obviously). I’m simply opposed to it being the only means by which we can assess its truth. Afterall, I’m never more certain of its truth than when the only thing I have to show for it is an embarrassing display of tears.  

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