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

2024 - the year Christianity bounced back?

From the opinion sites to the churchyard, we’re seeking a better way to live.

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A man sits in a church pew below a colourful stained glass window, looking pensive.
Karl Fredrickson on Unsplash.

Was 2024 the year Christianity turned a corner? Throughout the year, on substacks, websites, YouTube videos, and Instagram posts, the signs kept cropping up of what Re-Enchanting co-host Justin Brierley has called the Surprising Rebirth of Faith in God.  

Over recent years, and throughout 2024, we have seen a stream of public figures declaring various degrees of interest in Christianity, or even full-on faith. Rowan Williams described the usual suspects well, imagining a scene in an English Churchyard: “Some… have been professed believers (Francis Spufford, Nick Cave, Paul Kingsnorth), some have lingered in the church porch (Tom Holland, Philip Goff), some are still on a bench in the grounds (Alain de Botton).” And there is Ayaan Hirsi Ali (singing along from the pews), Russell Brand (posting Instagram reels from the font?), Louise Perry (on the bench, next to de Botton?), Jordan Peterson (sometimes in the pulpit, sometimes in the porch), and even Richard Dawkins (smiling at the choir’s rendition of Silent Night as he wanders past). 

In the USA, it’s similar. Yet more complicated. The alliance of Evangelicalism with Donald Trump is problematic, to say the least. J.D. Vance is a serious Christian, having made the journey from an evangelical church upbringing, through student atheism into Roman Catholicism. Shia LeBoeuf and Candace Owens are among other US celebrities finding faith recently, while academic Rod Dreher’s public journey into Eastern Orthodoxy has been watched by many. On our Re-Enchanting podcast, Molly Worthen is a good example of why, despite everything, sceptics like her can still find faith in the USA. 

In the UK’s Assisted Dying debate, the place of religion was a hot topic. The case made against the bill by Christians gained a strong hearing, so much so that secular voices started crying foul, arguing that religious voices should not be heard, or at least, such people should declare their hand (though the number of people starting their case with ‘I’m a secular person, and that may colour my beliefs on this, but…” were hard to find). 

In public life, explicitly Christian writers such as Rowan Williams, Elizabeth Oldfield, Nicholas Spencer, Madeline Davies, Giles Fraser and Marcus Walker command an audience, and maybe this website - Seen & Unseen - in its own small way is helping to provide a stronger, more intelligent Christian voice in culture.  

Nonetheless, let’s not get carried away. The Assisted Dying bill passed. Despite the celebrity names, numbers going to church continue to fall, and the public assumptions of the culture remain firmly secular.  

Recent articles in the Spectator express the dilemma well. A. N. Wilson pens a gloomy assessment of the prospects of Christianity in the west, entitled Is the End of Christendom Nigh?, looking out from his pew on a dwindling local congregation of elderly people, watching the lights go out on Christian culture in the west. Yet at the same time Ayaan Hirsi Ali writes a piece about her second Christmas as a Christian, called A Christian Revival is Under Way. Which is it? Maybe to adjudicate, an editorial, presumably written by its new editor, Michael Gove, entitled In Defence of Faith makes a strong case for Christian faith and its place in national life. 

Anecdotally, at the local level, stories abound of people stepping into churches, seeking some kind of meaning in life and re-engaging with faith. Sometimes it’s the powerful emotion of charismatic or Pentecostal worship, sometimes the majesty of cathedrals or the mystery of Orthodox liturgy. Our local church in Oxford has a regular stream of stories of students exploring and finding faith and I keep hearing the same story in churches across the country.  

“People need meaning, and the secular world didn’t come up with the goods.” 

Nick Cave

My take on this, for what it’s worth, is that western culture has run out of steam, either temporarily or for good. In the twentieth century, both Fascism and Communism rose and fell. Francis Fukuyama declared the ‘end of history’ in the triumph of secular, liberal, consumer capitalism. Yet this too has run out of steam, increasingly felt to be spiritually hollow and politically suspect. ‘Woke culture’ was an attempt to restore a set of moral values to restrain the unpleasant and unjust effects of the unbridled market, yet its stridency and aggressiveness, its Canute-like attempt to resist aspects of natural order, not to mention its adoption of a destructive fixation on a reductive identity politics has generated a backlash of its own.  

The elections of 2024 were instructive. Keir Starmer won not because he offered a compelling vision but because he said so little. There was no ‘Yes We Can’ Obama slogan, no Blairite ‘New Labour, New Britain’ moment. No-one knew what he stood for, but we were so fed up with the Conservatives that we just wanted them out. Even with Trump in the USA, unlike last time, people knew what they were getting, yet they voted for him anyway, mainly because they felt he would fix the economy and immigration better than the Democrats who had failed on both. 

Nick Cave put it well in a recent interview in the Times: “people need meaning, and the secular world didn’t come up with the goods.” The perennial human search for purpose and significance hasn’t gone away, and there is not much on offer in secular culture. So, people are suddenly open to exploring more ancient stores of wisdom. 

Perhaps the greatest irony of all is that just at the time when we might be seeing the stirring of an openness to the spiritual, the numinous and the religious, the Church (at least in the UK - other places may be doing better) seems in no state to capitalise. The Church of England has been absorbed in a lengthy and acrimonious debate over human sexuality and same-sex marriage over the past five years, the Archbishop of Canterbury has had to resign over the Church’s failure to enact a properly functioning safeguarding culture, and the free churches are in free fall.  

So, what are the prospects for 2025? Maybe the Church of England can find a settlement in its civil war on sexuality, finding a way for the warring parties to live together, even if it has to be at some distance within the same church for a while. Then we might see which side (or perhaps both in their different ways?) might be better placed to appeal to jaded, secular people who are waking up to the lack of meaning in their lives and the potential of Christian faith to offer a satisfying vision of reality and a new way of living. 

Perhaps a new Archbishop of Canterbury might come in, untainted by past safeguarding failures, and, despite the impossibilities of the job, able to steadily steer the church towards its spiritual heart. At the end of his monumental and increasingly influential The Master and his Emissary, neuroscientist Iain McGilchrist (not a Christian himself) makes a telling point: “The Western Church has in my view been active in undermining itself. It no longer has the confidence to stick to its values but instead joins the chorus of voices attributing material answers to spiritual problems.” 

Back in 1930, an Anglican lay mystic from Notting Hill, Evelyn Underhill wrote to the Archbishop of Canterbury at the time, Cosmo Lang with words that put their finger on what the Church might need now: 

“God”, she wrote “is the interesting thing about religion, and people are hungry for God.” She went on: “We look to the Church to give us an experience of God, mystery, holiness and prayer which, though it may not solve the antinomies of the natural world, shall lift us to contact with the supernatural world and minister eternal life.”  

A church that is seen as ‘a dull echo of the liberal consensus’ as the former Bishop of London, Richard Chartres used to say, is hardly worth the candle. If the message of the church is a vaguely religious version of what you can already find in the Guardian (or the Telegraph for that matter) then why bother with it? 

As Rod Dreher put it recently: “only the return of strong religion - one that makes demands, offers compelling explanations to the problems of death and suffering, and gives worshippers a visceral sense of connecting to the living God - has any hope of competing in the post Christian marketplace.” 

In 2024, religion in general and Christianity in particular has never been far from the front pages, for better or worse. God has not gone away. Dreher may well be right. And the Church, if it is to make the most of a season where troubled people are beginning to look its way again may need to take notice.