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Loneliness
6 min read

Why do we feel so lonely?

Re-reading some classics of English literature leads Graham Tomlin to wonder what lies behind our epidemic of loneliness.

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

Individual underneath a galaxy of stars

These days I can’t seem to avoid the spectre of loneliness. Bob Geldof recently described Sinead O’Connor as ‘full of a terrible loneliness’ in the weeks before she died. Elon Musk, who owns Twitter, one of the world’s greatest social networks, was recently described as a cutting a lonely figure. Even more widely, over a quarter of all Londoners say they often or always feel lonely - and that in a city where you can’t get away from people – all 8 million of them.

Loneliness is an epidemic these days. In the UK we even have a Minister for Loneliness and a Department of Government offering ‘Loneliness Engagement Fund’ grants for groups coming up with good ideas to combat it. Loneliness, as Roger Bretherton writes, causes psychological and social damage and is one of the main threats to mental health in contemporary life. I would hazard a guess that if you’re reading this there are times you feel isolated, and would love to have a greater sense of community where you live, or richer friendships. If you don’t, then count yourself fortunate.

Underneath our immediate sense of isolation, our social unease, the ache in the soul that comes with feeling out of connection with others, lies a deeper sense of cosmic loneliness.

During the pandemic, looking around for books that would shed some light on that strange experience of isolation as so many did, I re-read two novels: Daniel Defoe's Robinson Crusoe published in 1719, and Joseph Conrad’s Nostromo, published in 1904. In both stories, people get stranded on deserted islands. Somehow lockdown didn’t seem that different.

Everyone knows the story of Robinson Crusoe. You might have thought that being the sole survivor of a shipwreck, alone on a remote island, would lead to a crisis of loneliness and self pity. Well, he does have moments when he reflects on the possibility that he might die in that desolate place, and remarks how ‘the tears would run plentifully down my face when I made these reflections.’ But the self pity doesn't last long. He goes on to ask himself the question of why he alone was saved out of all crew of the ship that foundered. He sees some kind of providential design in this - that he has been saved, not just by chance, but for some wider purpose, which gives him a sense of comfort. In fact, the novel is the tale of a kind of spiritual awakening, as he gradually sees in his story something of the hand of God mysteriously guiding and preserving him through his trials. Seeing this enigmatic hand directing his affairs, and discerning some kind of purpose in his isolation, Crusoe sets about the tasks of building a kind of small civilization on his island, constructing increasingly sophisticated shelters, planting crops, capturing and taming animals, mapping the island, until his final rescue. He is alone (until Man Friday appears of course) but strangely not alone.

In Conrad’s Nostromo, it turns out very different. This is a story of attempts to protect a hoard of silver from revolutionaries in the troubled (and fictional) South American republic of Costaguana. In the course of trying to hide the treasure, alongside Nostromo, the main figure in the story, the politically ambitious and romantic journalist Martin Decoud, also finds himself stranded on a deserted island, albeit with the load of valuable silver for company. His experience however is totally different. He has no such belief in providence and so for him, the isolation bears more heavily: “solitude appeared like a great void, and the silence of the gulf like a tense, thin cord to which he hung suspended by both hands, without fear, without surprise, without any sort of emotion whatsoever…” Unable to bear the isolation, the aimlessness of his life on the island, and the apparent failure of his plans and projects, he fills his pockets with silver ingots from the treasure, rows in a small dinghy a short way out from the shore, shoots himself with a revolver and falls overboard, sinking slowly to the bottom of the sea. And so, as Conrad describes it, in a cold, yet superb turn of phrase: “the brilliant Don Martin disappeared without a trace, swallowed up in the immense indifference of things.”

Even though they both faced isolation and loneliness, the fates of these two characters are very different. One is a story of spiritual growth, learning, meaningful activity and ultimate rescue. The other is a tragedy of lost hope and potential. It touches the heart, yet remains a tragedy.

Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts?

Of course, both are novels not historical episodes, yet the two books, separated by nearly 200 years, operate in very different frameworks. The first operates in a world which assumes a kind of providential ordering of things. The working of a divine hand of providence is, as Crusoe (and presumably Defoe) realises, hard to discern and difficult to distinguish in any one moment, and so leads many to doubt it is there at all. Belief in providence has always been a choice - an act of faith rather than a scientifically proved theory. And yet the story is framed within the overall belief that in the strange twists and turns of life there is a deeper divine order that leads towards a distinct purpose of good and which makes human activity directed towards that purpose meaningful.

The other story has lost that sense of divine order, and is left only with the “immense indifference of things.” This is a world in which there is nothing beyond what we can see and feel, no objective purpose, direction or goal other than that dreamed up by us. Human activity, in this case, the search for wealth and riches, seems strangely pointless. All that is left is human love and relationship and when that becomes impossible, due to enforced loneliness, there seems little point left to life.

Richard Dawkins famously wrote: ‘the universe we observe has precisely the properties we should expect if there is at bottom no design, no purpose, no evil, no good, nothing but blind pitiless indifference.’ For the moment I'll leave to one side the question of whether the universe does point in that direction, but either way, if we tell ourselves that story, as we have so often been doing for the last couple of centuries, is it surprising that often we feel dreadfully alone? Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts? It doesn’t take much imagination to see that the ‘immense indifference of things’ leaves a hollowness in the heart of life and the pit of the stomach.

Such a deeper cosmic loneliness might explain why we can still feel alone even in a city, even in a crowd or even sometimes among our friends. It helps us see our loneliness not just as a tragedy but as a pointer towards our need from greater sense of connection than any human being could give.

In Matthew’s gospel, the very last sentence depicts Jesus saying to his perplexed but bewildered disciples, scarcely daring to believe that he has actually risen from the dead: “Surely I am with you always, to the very end of the age.” This simple promise is one that has held and sustained Christians for generations, in prison cells, through dangerous voyages, through purges, in times of persecution, misunderstanding and sickness and, yes, times of loneliness in modern western societies. Of course, we need a sense of belonging, and the company of others, as we are made for that. But underneath it we need a deeper connection, a bond with something, or someone at the very heart of things. Such a promise doesn’t remove loneliness, but it makes it bearable, even meaningful.

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Assisted dying
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9 min read

Assisted dying's language points to all our futures

Translating ‘lethal injection’ from Dutch releases the strange power of words.
A vial and syringe lie on a blue backdrop.
Markus Spiske on Unsplash.

In the coming weeks and months, MPs at Westminster will debate a draft bill which proposes a change in the law with regards to assisted dying in the UK. They will scrutinise every word of that bill. Language matters. 

Reading the coverage, with a particular interest in how such changes to the law have been operationalised in other countries, I was struck to discover that the term in Dutch for dying by means of a fatal injection of drugs is “de verlossende injectie.” This, when put through the rather clunky hands of Google translate, comes out literally as either “the redeeming injection” or “the releasing injection.” Of course, in English the term in more common parlance is “lethal injection”, which at first glance seems to carry neither of the possible Dutch meanings. But read on, and you will find out (as I did) that sometimes our words mean much more than we realise.   

Writing for Seen & Unseen readers, I explained a quirk of the brain that tricked them into thinking that the word car meant bicycle. Such is the mysterious world of neuroplasticity, but such also is the mysterious world of spoken language, where certain combinations of orally produced ‘sounds’ are designated to be ‘words’ which are assumed to be indicators of ‘meaning’. Such meanings are slippery things.  

This slipperiness has long been a preoccupation for philosophers of language. How do words come to indicate or delineate particular things? How come words can change their meanings? How is it that, if a friend tells you that they got hammered on Friday night, you instinctively know it had nothing to do with street violence or DIY? Why is it that in the eighteenth century it was a compliment to be called ‘silly’, but now it is an insult?  

Some words are so pregnant with possible meaning, they almost cease to have a meaning. What does “God” mean when you hear someone shout “Oh my God!”? Probably nothing at all, or very little. It is just a sound, surely? And yet no other sound has ever succeeded in fully replacing it. We are using the term “God”, as theologian Rowan Williams points out in his book The Edge of Words, as a “one-word folk poem” to refer to whatever we feel is out of our control.     

Both of these first two interpretations look at death, in some sense, ‘from the other side’ – evaluating the end of someone’s life in terms of speculation over what will happen next. 

This idea of an injection being verlossende seems to me to be the opposite. I find myself hearing it in four different (and not mutually exclusive) ways, each to do with taking control of this very uncertain question of dying. The first, releasing, sounds to me like an echo of the neo-platonic ideas that still infuse public consciousness about what it means to be dead. As we slimily carve our pumpkins for Halloween and the children clamour to cut eyeholes into perfectly good bedsheets, we see a demonstration of society’s latent belief that humans are made up of body and soul, and that at death the soul somehow leaves the body and floats into some unknown realm (or else remains, disembodied yet haunting). If we translate verlossende as releasing then we capture that idea – that of the soul, which longs to be at peace, trapped inside suffering, mortal flesh. 

Google’s second suggestion for verlossende was redeeming. This could be heard theologically. Christians believe in eternal life, that the death of this earthly body is only the start of something new – a life where there will be no crying or pain, and people will live forever in the glorious presence of God. In the bible, the apostle Paul encourages those who follow Christ to trust that they have been marked with a ‘seal’, meaning that they are like goods which have been purchased for a price, and that God will ‘redeem’ this purchase at the appointed time. Death, therefore, is not a fearful entering into the unknown, but a faithful entering into God’s promises.  

Both of these first two interpretations look at death, in some sense, ‘from the other side’ – evaluating the end of someone’s life in terms of speculation over what will happen next. But there is the view from this ‘side’ also. We do not need to speculate about what death means for some of those who experience acute suffering due to terminal illness, and who wish to hasten the end of their lives because of it. They too might want to speak of a releasing injection or a redeeming injection – given that both terms hint at the metaphor of life as a prison sentence. To be in prison is to have one’s rights and freedoms severely limited or entirely taken away. It is not uncommon to hear a sufferer refer to incapacitating illness as being ‘like a prison sentence’, and one can empathise with the desire to have the release date set, back within the sufferer’s control.  

This is the strange power and pregnancy of words – verlossende is able to carry all these meanings or none of them. Until I began researching this article, I had always assumed that the English term, lethal injection, simply meant an injection of some substance that is deadly. This is how the term is commonly understood, therefore, in a sense, this is its meaning. Yet, when I came to consider the possible origins of the word, I realised its likely etymology is from the Greek word lēthē, meaning ‘to forget’. In the Middle Ages, if something was lethal it caused not just death, but spiritual death, placing one beyond the prospect of everlasting life. By contrast, something could be fatal, meaning only that it brought one to one’s destiny or fate.  

With this in mind, as we try to speak clearly in the assisted dying debate, the term fatal injection might be a more precise way to describe this pathway to death that is in want of a name. After all, whether you believe in an afterlife or not, dying is everybody’s fate, and I can see that choosing to take control of one’s fate is, for anyone, an act of faith with regards to what comes next.  

  

This article was part-inspired by Theo Boer’s original article Euthanasia of young psychiatric patients cannot be carried out carefully enough, in Dutch newspaper Nederlands Dagblad.  Theo is a professor of health ethics at the Protestant Theology University, Utrecht. 

Read the original article in Dutch or an English translation below. Reproduced by permission.

 

 

Euthanasia of young psychiatric patients cannot be carried out carefully enough 

Theo Boer 

How is it possible to determine that patients who have suffered from psychiatric disorders for five or ten years and who are between the ages of 17 and 30 have ‘completed their treatment options’, wonders Theo Boer. It also conflicts with perhaps the most important task of psychiatrists: ‘offering hope.’  

The patients we are talking about now are not physically ill and therefore do not have the ‘comfort’ of an impending natural death. 

A letter was recently leaked in which leading psychiatrists ask the Public Prosecution Service to investigate the course of events surrounding euthanasia of young psychiatric patients.  

One death mentioned by name concerns seventeen-year-old Milou Verhoof, who received the redeeming injection from psychiatrist Menno Oosterhoff at the end of 2023. It will not have escaped many people's attention how much publicity the topic has received in the past year or so. Together with a colleague and a patient (who later also received euthanasia), Oosterhoff wrote the book Let me go.  

The tenor was: it is good that euthanasia is possible for this group of patients, the taboo must be removed, their suffering is often terrible, they have already had to undergo countless 'therapies' without effect - can one time be enough?  

Or would we rather have these patients end their lives in a gruesome way? And who really thinks that psychiatrists make hasty decisions when they decide to comply with a euthanasia request?  

To be clear: we are talking about something completely different than what has been called 'traditional euthanasia' for years: euthanasia for physically ill patients with a life expectancy of weeks or months. Given the excellent palliative care that has become available, such euthanasia will actually be less and less necessary in 2024.  

Panic  

No, the patients we are talking about now are panicky, anxious, confused, depressed, lonely, often unemployed, poorly housed, without prospects. But they are not physically ill and therefore do not have the 'comfort' of an impending natural death.  

I have heard several of them say: if only I were terminal, then euthanasia would not be necessary. The fact that there is now attention for this group of patients, with whom we in our hurried and solution-oriented society know so little how to deal, is a gain. At the same time, I am happy with the leaked letter. You can criticize Oosterhoff's procedural approach ('why not an ethical discussion instead of a legal one?'), the lack of collegiality, this perhaps underhanded action ('why did you go straight to the Public Prosecution Service?'). But in my opinion, the letter writers are definitely hitting the mark with this crooked stick. Firstly: how is it possible to determine that patients who have suffered from psychiatric disorders for five or ten years and who are between the ages of 17 and 30 have ‘completed their treatment options’ (a criterion from the Euthanasia Act)?  

Review Committee  

Nobody disputes that their suffering is unbearable. At the same time, I know from my time on a Regional Euthanasia Review Committee that an illness becomes unbearable when all hope is gone.  

A psychiatrist who gives euthanasia to a young adult is also undeniably sending the signal that, like his patient, he has given up all hope of improvement. That is actually risky, because even patients who have suffered for years sometimes recover and, moreover, our brains are not fully developed until we are 25. But it also conflicts with perhaps the most important task of psychiatrists: offering hope. In their training, the risk of transference-counter-transference is consistently pointed out: a patient takes his therapist with him into despair, the psychiatrist transfers those feelings to this and other patients: ‘this kind of suffering is untreatable and cannot be lived with’.  

In the recent NPO television documentary A Good Death we see an embrace between a psychiatrist and her emotional patient. In doing so, this psychiatrist offers a unique form of involvement. But does she provide sufficient resistance to the cynicism, despair and negative vision of the future that is also widespread outside psychiatry?  

Sensible decisions?  

That brings me to a second objection: is it sufficiently recognised how much a psychiatric illness can affect someone’s ability to make sensible decisions? The hallmark of many psychiatric illnesses is a deep desire to die and an inability to think about it in a relative way. As a result, many are unable to think in terms of a ‘possibly successful therapy’.  

Boudewijn Chabot 

The main character in the book Zelf heeft by Boudewijn Chabot, Netty Boomsma, responds to Chabot's suggestion that there might be a life after depression: 'Yes, but then I won't be it anymore.' She wants to go down with her depression. I know differences. The people with a death wish who remark about a possible therapy: ‘I hope it is not effective, because then I will have to go through it again.’ 

 Another hurdle 

If a second psychiatrist is consulted and, for example, suggests trying one or two more therapies, many patients see this as yet another hurdle on the road to euthanasia. They do not see it as a serious opportunity to be able to cope with life again. There are no easy answers here. Nor are pillories appropriate. But let euthanasia remain complicated here, and let us continue to look for hope. 

 

Reproduced by kind permission