Essay

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Culture

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Time

1 January 2025

5 min read

Symbols in culture – the interface between the Seen and the Unseen

Open your eyes.

Theodore Brun

Theodore is author of the historical fiction series The Wanderer Chronicles. He previously studied Dark Age archaeology at Cambridge, and afterwards worked in international law.

an all seeing eye hovers above a renaissance style picture of the supper at Emmaus.

Pontormo, via Wikimedia Commons.

As December gives way to January, we become conscious of time rolling on from one year into the next.

The moment is often marked by that most famous image of the New Year: the Roman god Janus standing sentinel at the threshold; two-faced, gazing back into the past, but also forwards into the future.

The double-faced god is a striking symbol to depict this interface of time. But we also often find symbols at another important interface: the place where the Seen meets the Unseen.

Symbols have always existed at this touch-point - between the spiritual and the material. We might even say between heaven and earth. Symbols possess a power which goes beyond the strictly rational. They are more than their constituent parts.

In the moment when Jesus effectively instituted the church, he tells his disciple Peter: “Behold, I give you the keys to the kingdom of heaven, and whatever you bind on earth shall be bound in heaven, and whatever you loose on earth shall be loosed in heaven.” Here, Jesus not only uses symbolic language with his image of the key, he also assigns Peter (and so the church) a divinely-appointed role: to stand there at this threshold between the seen and the unseen, and to have an effect.

The mission then, to occupy and influence this frontier between both realms, is significant. It’s worth considering – especially at this liminal time of year - what a culture’s symbols say about its direction of travel. What are the symbols that saturate our conscious and unconscious world? What effect are they intended to have by their creators? What influence do they actually have in the seen and unseen?

Our culture is saturated with symbols that were always meant to exert influence in the unseen. Some consciously; other maybe less so.

The notion that symbols act on reality is not a merely Christian concept. Far from it. In many cultures, the origins of written communication have often been interwoven with both mystery and magic. The futhark, for example – the basis of the Old Norse runic alphabet in Scandinavia – developed directly out of shamanistic practices. In a word: witchcraft. Certain symbols were graven into material objects in order to have a specific effect. A rune for protection carved into the haft of a warrior’s axe; a rune for fertility on a woman’s comb or belt. Symbols to curse; symbols to bless. All intended to manipulate the reality around them. Effectively they acted as a kind of spell.

Roll the wheel of history forward a bit and we see the cross itself became a powerful symbol across the developing civilizations of the world, especially in Europe. Making the sign of the cross became synonymous with an invocation of God’s blessing or else protection against some evil. An outcome all the more extraordinary when one considers the origin of its use – a shameful incident of execution, standing on a lonely hill.

Similarly, the Crescent represents one of the great symbols of history, often in antagonism with the Cross. Think of the symbolic reversals still visible in the architecture of some parts of Spain. When the Iberian peninsula fell to Moorish conquest in the early eight century, the cross was torn down, all symbols of Christian faith effaced, only to return eight centuries later with the Reconquista. Today, you can see still the Cross surmounted on clearly Moorish architecture, a visible sign of those historic conflicts.

Such warring symbols of unseen spiritual realities are hardly consigned to the history books. Witness perhaps the most live example playing out all across the cities of Europe. The Star of David opposed and disdained by those waving black, green, red and white flags.

Nor is the clash of symbols simply a matter between the great religions of the world. The rainbow flag represents a certain positioning within the realm of the unseen wherever it is planted. In other contexts, our culture is saturated with symbols that were always meant to exert influence in the unseen. Some consciously; other maybe less so.

Apple’s ‘apple’ is not just an apple. It is an apple with a bite taken out of it. Elsewhere, symbolic representations of devil horns proliferate – to be expected on heavy metal t-shirts and album covers; perhaps less so throughout myriad children’s TV shows and movies across our streaming channels. Yet they are there.

The ‘One-Eye’ symbol has been associated variously with freemasonry, Luciferanism, Satanism and the occult. It appears in anything from pop videos to movie posters to political protest logos (“Just Stop Oil” anyone?). Even a ubiquitous pose-for-camera for celebrity photo-shoots. Once you clock it, you’d amazed how prevalent this symbol is across our culture.

Does it signify anything? Or nothing at all?

You have to assume that the creators of such symbols don’t include them by accident. Some are hidden in plain sight; others are brazen and bold. Either way, they are meant to be there. But why?

Symbols have always been used in the casting of spells. These days, we give so much head space to the consumption of culture, myriad symbols flashing in and out of our consciousness as we scroll ever onward, have we any idea what spells we are subjecting ourselves to – irrespective of whether we believe they are effective or not?

Against such murkiness, perhaps this season of Christmas rolling into the New Year is a good time to consider what some might consider the ultimate symbol appearing in our reality of the Seen: the Incarnation.

In a way, Christ identified himself as the visible interface between the seen and the unseen when he said: Whoever has seen me has seen the Father.

And yet, the Incarnation also transcends the mere symbolic. Yes, Christ points to an unseen reality, but he is also the ‘thing’ itself. He is both Seen and Unseen in one. Not a symbol pointing to something else, but the thing to which all symbols ultimately point: the central reality in the universe where God and creation meet.

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Article

Assisted dying

Comment

Politics

25 November 2024

7 min read

Assisted dying hasn’t resolved Swiss end of life debates

Despite attempts to normalise it, new challenges still arise.

Markus Zimmerman

Markus is Professor of Moral Theology and Ethics at the University of Fribourg, Switzerland.

A single bed, wiith an unmade colourful duvet stands in the corner of a room. A hoist reaches over it from the corner.

The dying room, Dignitas Clinic, Zurich.

Dignitas.

While countries such as Germany, France or the UK are currently struggling to find a suitable regulation for assisted suicide, their peers in the Netherlands, Canada and Switzerland have years of experience with the controversial medical practice. Even if each state must explore its own ways of dealing with these ethically controversial issues, it is obvious that international experience should not be ignored as they try to find a way forward.

In Switzerland the discussions and challenges surrounding assisted suicide are increasing rather than decreasing. Contrary to the idea that a liberalisation of assisted suicide would lead to fewer debate, tensions and difficulties are increasing. My observation, and thesis, indicates that practices such as assisted suicide cannot be “normalised”, even in the medium and long term.

Developments

In recent years, one to two per cent of all deaths in Switzerland were due to assisted suicide. From an overall perspective, this practice is therefore still a marginal phenomenon. However, a look at the total number of assisted suicides per year gives a different impression, as this has increased more than fivefold in the years between 2008 and 2020, from an initial 253 to 1,251 deaths per year, a rising trend. The cause of death statistics for Switzerland only include those cases of assisted suicide in which persons resident in Switzerland were involved and the death was reported to the authorities. According to the Swiss Federal Statistical Office, in 2020, it was mainly people over the age of 64 who made use of assisted suicide. Detailed information on the underlying illnesses of the people affected in 2018 shows that about 40 per cent were affected by cancer, just under 12 per cent by diseases of the nervous system, a further 12 per cent by cardiovascular diseases and just over a third by other illnesses, including dementia and depression. There are currently seven right-to-die organisations in Switzerland which play a leading role in a typical assisted suicide procedure. They work closely with doctors who are prepared to prescribe a lethal drug, generally Pentobarbital. The data reflects an ambivalent picture: on the one hand, the proportion of assisted suicide cases is relatively low in relation to all deaths and, for example, in comparison to the large number of people who die in Switzerland in a state of deep sedation until death; on the other hand, the number of assisted suicides in Switzerland has risen sharply in recent years.

Perceptions and assessments

Since the 1990s, the public perception and assessment of assisted suicide in Swiss society has changed from an initially cautious and sceptical attitude towards broad acceptance. While the debates in other countries are characterised by relatively sharp controversies between those in favour and those against, public discourse in Switzerland has been less polarised. There are indications of a certain normalisation of the situation, the strongest sign is that Switzerland has so far refrained from regulating assisted suicide in a separate law. The results of a recently-published study on the opinions of Swiss people over the age of 55 regarding assisted suicide confirm these impressions.: The survey showed that over four-fifths of respondents support legal assisted suicide, almost two-thirds can imagine asking for assisted suicide themselves at some point, and that almost one-third are considering becoming members of an right-to-die organisation in the near future, with one-twentieth of respondents already being members at the time of the survey in 2015. Among people with a higher level of education and older people aged between 65 and 74, approval of assisted suicide and corresponding practices was higher than among less educated, younger and very old people; approval was also significantly lower among religious practitioners.

Sensitive topics

The fact that assisted suicide enjoys broad support in Swiss society as a whole does not mean that there are not difficult and controversial aspects relating to its practice. Relevant topics include, in particular, places of death, authorisation criteria and procedures.

Places of death: Assisted suicide is permitted also for mentally ill persons in psychiatric clinics, but the federal court recommends great caution here and requires two psychiatric expert opinions to ensure that the person willing to die is capable of judgement with regard to the desire to commit suicide. Although assisted suicide for children and adolescents has hardly been an issue in Switzerland to date, the corresponding debates are currently being held in Canada and elsewhere. The question of whether people in prison also have a right to make use of assisted suicide, has been the subject of intense debate in Switzerland for years, with a generally positive response. The question of whether right-to-die organisations should be given access to acute hospitals and nursing homes is still the subject of controversial debate, with regulations varying from hospital to hospital, nursing home to nursing home

Authorisation criteria: With regard to the admission criteria for persons willing to die, the capacity for judgement is at the centre of attention: while the importance of the criterion is undisputed in itself, there is a struggle for reliable standards and procedures to reliably test this criterion. Since the publication of the SAMS ethical guidelines Management of Dying and Death in 2018, the criterion for end of life and, depending on this, that of unbearable suffering have received new attention due to an objection by the Swiss Medical AssociationFMH. While the guidelines are based on the criterion of unbearable suffering, the FMH wants to stick to the near end of life. It is certainly difficult to diagnose the existence of unbearable suffering, as the international debate on the significance and assessment of existential (neither physical nor psychological) suffering shows. This difficulty is illustrated by the debate that has been going on for several years in Switzerland about so-called old-age suicide and the inherent criterion of tiredness of life. At the centre of the dispute is the legally difficult question of whether a doctor is also allowed to prescribe a lethal drug to a healthy person.

Procedures: Here the role of the medical profession and right to die organisations is by far the most important issue. In contrast to the physician-centred models in Belgium, Canada and the Netherlands, the Swiss model of assisted suicide is based on the idea that every person has the right to end their life and may call on the help of any other person to do so. Although the medical profession is usually involved in the process, the management of the procedure is normally the responsibility of a right-to-die organisation. This division of responsibilities is always up for debate when legal regulations are being considered, in which doctors should tend to take the lead in the process due to their professional background. There is also a debate about how and by whom compliance with the authorisation criteria should or could be monitored, whereby it remains to be decided whether this should be carried out before or after the death. At present, a certain amount of monitoring takes place following a suicide, insofar as the authorities investigate the cases afterwards. There is also debate as to whether Pentobarbital is a suitable means of suicide, especially if this barbiturate is not administered intravenously but taken orally; there is no knowledge of how many cases are currently administered intravenously and by whom an infusion is then set up. Last but not least, consideration has already been given to the use of lethal drugs, such as helium gas, which can be obtained over the counter.

Attempts at regulation

Political efforts to regulate assisted suicide in Switzerland in a more nuanced way than today have been made since the 1990s but have remain largely without consequences to date. In relevant judgements by the Federal Supreme Court or in statements by the Federal Department of Justice and Police, reference is regularly made to the ethical guidelines of the SAMS. These are classified as soft law and are therefore not legally binding, even though their content has become the subject of dispute. The National Advisory Commission on Biomedical Ethics (NCE) had already recommended more far-reaching legal regulation in 2005 as part of a detailed opinion on the subject; in the opinion of the NCE at the time, the review of authorisation criteria, a justifiable regulation of assisted suicide for the mentally ill, children and adolescents and state supervision of right-to-die organisations, should be ensured by law. The question is what form a legal regulation can take that grants the medical profession far-reaching powers but at the same time prevents medical paternalism (in favour of or against assisted suicide). From the perspective of Swiss experience, this is “a square circle”: either the doctors retain the final decision on who receives the barbiturate, or official access rules are established, the review of which does not generally require medical expertise.

The outlook

In the short and medium term, it can be assumed that the number of assisted suicides in Switzerland will continue to rise. The coronavirus pandemic and the particular difficulties faced by nursing homes during this time are likely to exacerbate this increase. In view of these expectations and the legislative processes in other European countries, pressure is likely to increase in Switzerland to create a legal regulation. Overall, I think politically it will be important to create a legal regulation, in order to ensure legal equality and legal certainty on the one hand and prevention of abuse and expansion on the other. At the centre of social-ethical reflection is the challenge of learning to deal with the pluralism of different ideas of a good death and to develop and establish alternative models to medically assisted dying. The thesis I mentioned at the beginning is confirmed today: assisted suicide in Switzerland can hardly be normalised; new problems, challenges and demands are constantly arising. Suicide, whether with or without the help of another person, always means an existential transgression that defies normalisation.