At the end of this series on the cardinal virtues, presented during Lent, we come to what may seem the most Lenten of them all: to temperance, or restraint. In a certain sense temperance is Lenten. I’ve been drawing on Thomas Aquinas as we journey through the virtues, and Lent features in his discussion of temperance in a way that it doesn’t in his treatment of the others. He brings in Lenten fasting, for instance. In another sense, however, Lent cannot be said primarily to be the season of temperance, simply because Lent is supremely the season for virtue, and temperance, while a virtue, is a lesser virtue than either prudence (the capacity to make wise moral decisions) or justice (or fairness). Those are the virtues of the first rank. We need temperance, and courage, as the virtues in the second rank, only as aids in the prudent attainment of justice.

On love of life

Aquinas is a cheerful theologian, and an upbeat writer. We see that in his insistence that temperance is ultimately about love of life, not hatred of it. Indeed, temperance is about self-preservation. Indeed, that applies twice over: first, because the domain of temperance concerns things that make for life (for instance, food, drink, sleep, and sexual relations), but also, and all the more so, because temperance is about moderation in those areas precisely for the sake of self-preservation. Human nature being as it is, the very things that most make for life, and which we therefore desire strongly, can – because we desire them so much – be taken up immoderately, and then impede life. Eating again serves as an example, or the loss of the very great good of a life-long relationship because of a promiscuous moment. It is the greatest goods than need the most diligent preservation. Just as courage recognised the good of what it was prepared to lose for the sake of the doing the right thing (for, if they were not good, why would we need to show courage in losing them?), so does temperance.

Aquinas praises fasting, for instance, but exactly not because it stands against human life or the body. Rather, he praises fasting as a way to bodily and spiritual health. Indeed, he thought that the connection, especially with respect to spiritual wellbeing, was so strong and obvious that it would oblige everyone to fast sometimes, as a matter of universal common sense, even outside the strictures of any particular religious tradition.

The middle way again

His discussion of temperance is really all about moderation. We saw in the last article that virtues have the character of a ‘mean’ or middle way, such that hope lies between despair and presumption, and courage between cowardice and foolhardiness. In this way, temperance lies between harmful excess and harmful restraint. There is a vice of too much foregoing as well as one of too little.

I began by remarking that temperance, for Aquinas, is a secondary virtue, vital but needed only because of human weakness. Josef Pieper, among his most insightful twentieth century followers, offered an admirable summary. Temperance, or moderation, does not, in itself ‘realise the good’, but it remains an important part of that realisation. Pieper offers the image of a river and its banks. Without temperance

‘the stream of the innermost human will-to-be would overflow destructively beyond all bounds, it would lose its direction and never reach the sea of perfection. But it is the shore, the banks, from whose solidity the stream receives the gift of straight unhindered course, of force, descent, and velocity.’

The magnetic pole of virtue is the good. It is not defined by difficulty or hardship. Temperance, or the virtue of restraint, is not the goal of the river that is human life, but it does form the river banks that allow a human life to flow deep and true.

Article

Assisted dying

Care

Creed

Death & life

19 November 2024

5 min read

“Shortening death” sidesteps the real battle

We need to do more than protest bad deaths, we need to protest death itself, it's more than biological.

Tom Dove

Tom is a physician and completing a theology doctorate.

A hand drapes over the side of an object out of shot.

Michael Schaffler on Unsplash.

What is “death”? It’s surprising the term has received little attention in the assisted dying discussion so far, because more hangs on the answer than one might expect. At a press briefing, Kim Leadbeater MP stated that the assisted dying bill she is proposing is about “shortening death, not ending life.”

But what meaning does “death” have here?

The current bill defines neither “death” nor “dying.” Granted, it implies a biological definition. The bill speaks of administering approved substances to “cause that person’s death” and of capacity and decision-making around “ending life.” These fit the understanding of death with which the medical profession operates—death is the point in time when the combined functions required for human life cease. It is a one-time event, the end of physiology, and so is recognised by a combination of physical signs.

Death, then, is a diagnosis.

So, too, “dying”—though here the waters are murkier. Setting aside sudden deaths, medical talk of dying takes us out of binary territory. Dying speaks of a process, of the “terminal phase.” Within medicine a diagnosis of dying heralds the expectation that a person’s death will occur within hours or days. And so, the focus shifts. The task of care is no longer the coordinated work of investigation, preserving life, and treating symptoms. Now attention is on bringing relief to the process of dying.

The bill seems wise to much of this. Though definitions of death and dying are absent, the bill does define terminal illness—“an inevitably progressive condition which cannot be reversed by treatment” and from which the event of death “can reasonably be expected within 6 months.” And so, it clearly distinguishes terminal illness from biological death and, implicitly, from dying.

Of course, terminal illness and biological death are related. Terminal illness is irreversible, and where terminal illness leads is death. Or, you might say, it leads to the end of life. Apart from the timescale of six months, the same may be said of ageing: ageing is irreversible, and where ageing leads is death. This is why Kim Leadbeater’s comment was puzzling to me. I suspect what she really meant was “shortening terminal illness.” If so, this is confusing because, within the framework of the bill, “shortening terminal illness” and “ending life” are identical. It seems she was getting at something else.

“It seems odd that in the name of eliminating suffering, we eliminate the sufferer.”

Stanley Hauerwas

I suspect Kim Leadbeater was echoing a conviction at home in the Christian faith. That is, try as we might to keep death at a distance and restrict it to a faraway frontier, the life of human beings involves death. I don’t simply mean the biological death we witness—the deaths of friends, relatives, or even strangers. I mean death intrudes upon the way we experience life. Death is more than simply biological.

The fear of death belongs in this category. For some, the impending loss of relationships and joys casts a shadow over life, giving birth to apprehension. Death is not simply a factual matter but something that exerts power and influence. Or take disease and illness. Built into the notion of terminal illness is the idea that the sickness borne by a human body will ultimately bring about that body’s death. That body already speaks of its death. Death is making itself felt in advance.

And so, death is more than a biological event. Even living things can bear the marks of death.

This is no novel claim. The creation account recorded in the Bible says that in the beginning, there was good. But an intruder appears. In the wake of humanity’s choice to go its own way rather than the way of its Maker, death arrives on the scene. And death is an imposter—not simply a physiological fact at the end of the road, but a destructive and alien presence in God’s good world.

Understood in this way, death is not something that God intends humans simply submit to. Death is something to protest. This is why Kim Leadbeater’s comment gets at something important: this kind of death should be protested. The marks of death should not be accommodated, because they do not belong to the goodness of what God has made.

At the heart of the Christian faith is God’s own ultimate protest against the force of death. Christians celebrate that God himself came in the man Jesus to “destroy death.” This is plainly more than biological. Jesus came to free humanity from the entirety of death’s grip. Hence why, when Jesus speaks of “eternal life” he means more than endless biological existence. He means liberation from all the havoc that death brings to bear within God’s world. To the Christian imagination, the power of death must be protested because God protested it first.

The question is how to protest death. Within the framework of the bill, shortening death or terminal illness is identical with ending life. This is the only form protesting death can take.

But the Christian faith makes a far more radical claim: God alone overcame death by dying. This is the point: Jesus was the one—the only one—who emerged resurrected victor in the contest with the power of death. In seeing his death and resurrection, an unshakeable hope emerges. Death is not the victor. And this hope stands above our present experience of death—in whatever form—and, at the same time, calls us to join the protest.

Ethicist Stanley Hauerwas once wrote: “it seems odd that in the name of eliminating suffering, we eliminate the sufferer.” I have deliberately avoided discussing suffering, not least because it would take me too far afield. Yet Hauerwas has put his finger on what I’m getting at. Protesting death—in the big sense—belongs to the Christian faith. Protesting suffering and pain, economic and racial injustice, fractured relationships and broken societies, are all part of this protest. But can eliminating those who live within the shadow of death be part of this protest? I think not. The Christian faith believes there is only one who can overcome death in this way, and that is God himself—who has already done it.