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
Identity
Nationalism
4 min read

Born in Wales, made for more

Does where we are born matter?

Rachel is a reader and writer, a coach, and an educator. 

A boat rests on a mud bank of a river, hills are in the background.
River Loughor, near Llanelli, Wales.
Sean Alabaster on Unsplash.

I know someone who drove his labouring wife several hours, in the middle of the night, to cross the English border so that their child would be born in Wales.  

Though my passport states that I am British, people (especially my sister) tell me that I am unequivocally Welsh. I was indeed born and raised in Wales, a gentle but obvious accent remains as testament, but I have lived in Oxford for almost 30 years compared with only 18 lived in Llanelli.  

What does this mean? Is my identity staunchly based on where I was born? I’m not so sure. 

The same sister is angered by my disinterest in rugby as a Welsh mother of two English sons. One of her first gifts to my newborns was a pint-sized Welsh rugby jersey followed by larger unused versions as they have grown. Whilst watching a match she will unfailingly urge them to participate by sending photos of her two dogs in their Welsh rugby jerseys.  

My sons prefer rowing, climbing and swimming – I am an apparent disgrace!  

It’s not that I am not proud to be Welsh; I am entirely neutral on the matter. I love many things about Wales as well as I love many things about England. In all honesty, I love significantly more about Norway than either of these, even though I have no reason to live there or claim it as part of my identity. If a place were an accurate reflection of a person, Norway would be much closer to the mark for so many reasons.  

There are many things that are particularly special about my birthplace – the countryside is beautiful, without doubt. I cannot tell you how much I miss mountains and hillsides from where you can sit and enjoy all the twinkling lights of a town of an evening. Oxford has its beauty, but mountains are not part of it.  

Wales is truly a place of music and song. Everybody sings and the songs come from deep inside your bones. It’s a very pure and primal sound as mellifluous and unadulterated as honey straight from the comb.  

And then there is the language which is funny and complicated in equal measure. Where else will you find both golff and Llanfairpwllgwyngyllgogerychwyrndrobwllllantysiliogogogoch? 

This brings me to the inspiration for these particular ramblings, which is the word, ‘hiraeth’ (pronounced hee-rye-th).  

It is one of those special words almost impossible to translate. It expresses a particular longing or yearning for a time and place that can never be returned to fully. It includes, but is insufficient, to think about nostalgia. It is a soul word: transcendental.  

Though my childhood was far from easy, there are things for which I feel intense hiraeth – moments with important people; the encouragement of my music teacher; the shovel-sized hands of my grandfather and the belly rock of his silent chuckles; days out cycling with my friend, Paul, and picking out the millions of bones from my mouth as I ate countless impromptu dinners offered by his lovely, generous mother made from the trout that his father had invariably caught a few days earlier.  

Those days will forever be feelings fully alive in me but invisible to others until I share them like this. I wish I could replay them on old cinefilm for others to understand but, you just had to be there to know.  

I have the same hiraeth for so many days shared with my husband and sons, not least the precious days surrounding their births. They’re not tied to places; they’re all bound with love.  

Love has nothing whatsoever to do with my passport because there is no official stamp that says, ‘Child of God’ and yet, if it did how might we each identify? Would nationality matter? Would where we were born be of any consequence at all ? I hope not.  

Sometimes, perhaps often, my hiraeth is for a time gone - before the internet, smartphones and AI, a world without guns and nuclear weapons, where, like William Morris, we had nothing in our homes that were not either useful or beautiful, an era where we ate seasonally and lived in harmony with nature… 

I wish that my children could experience that existence but, despite my longings, I must accept they are made for a different time and place. 

In his writings, C.S. Lewis uses the German word ‘sehnsucht’ to express a similar sense of longing. As ever, I find that his words explain things to me in a way that provides great comfort and challenge as I ponder:  

“If I find in myself desires which nothing in this world can satisfy, the only logical explanation is that I was made for another world.”  

So, perhaps, the best I can say is that I was born in Wales, matured in England, but made for something more.  

How about you? 

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