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? 

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Creed
Death & life
Football
Trauma
5 min read

The derby, the downpour, and the death of a hero

At Anfield, grief and glory collide
A mural on a side of a pub shows a footballer making a heart sign.
Diogo Jota commemorated, near Anfield.
Liverpool FC.

My wife and I went to our first game of the season recently: Liverpool v Everton, in the pouring rain. The stuff of dreams.  

It’s a bit of a walk from the train station to Anfield and the whole way, I’d been so excited to get that first glimpse of the stadium, the fans, the atmosphere, the buzz. We turn a corner and suddenly you can see Anfield looming large between rows of houses. One more street and then we’re there and … flowers on the floor. Tributes to Diogo Jota. 

Oh yeah. Diogo Jota’s dead. 

We get a pie, a programme for Jo’s Mum and Dad (who lets us use their season tickets; thanks Jeff and Janet), find our seats. Kick off. Flags wave from the Kop as they normally do and … there’s one of Diogo Jota. 

Oh yeah. Diogo Jota’s dead. 

10 minutes in and Ryan Gravenberch scores a beautiful goal to make it 1-0 and Anfield is roaring. Then 20 minutes hits and everyone stands up to sing Diogo Jota’s song (“Oh, he wears the number 20 …”). 

Oh yeah. Diogo Jota’s dead. 

I hadn’t forgotten that Diogo Jota had died, but being at Anfield made me remember that Diogo Jota had died. 

Being at Anfield – seeing the flowers and the flags, singing his song – all of it hit me and my wife unusually hard. With each new reminder of Jota’s death, I was taken back to the moment a mate messaged me to ask if I’d seen the news of his car crash. There I was again, no longer at Anfield watching the footy, but stood in my house, staring at my phone in disbelief.  

For the last year or so, St. Mellitus College (where I’m lucky enough to teach) has been hosting a series of public events to celebrate 1700 years since the Council of Nicaea. The events have been fantastic and, one of the perks of the job is that I’ve had loads of chances to learn from some of the best theologians alive at these events.  

In March 2025, Professor Trevor Hart was giving one of the public lectures for this project. The next day, I and the rest of the staff team had a chance to speak with the professor about his paper. One of the things that struck me in the conversation was what he said about trauma. 

One of the key characteristics of trauma, he said, is that it interrupts our sense of time. I’m going about my day and – all of a sudden – something triggers my trauma response and the past (that thing or event that causes my trauma) is made very present again. I see it and feel it as if it I’m living it for the first time again; it is re-present-ed to me.  

And this is exactly what happened to me, 20 minutes into the Merseyside Derby.  

Look, I’m not saying I have PTSD about Jota’s death or anything like that. I didn’t know Jota; frankly he’s not mine to grieve and I don’t want to co-opt the loss that Jota’s friends and family will be feeling.  

But, our first trip to Anfield since Jota’s death gave us something of a taste of how trauma re-present-s itself. The past became all too present as I stood there, thinking about the moment I heard of Jota’s death.  

But, for a Christian theologian (like Hart), this aspect of trauma is very significant. Because this is exactly what happens in the sacraments.  

The sacraments are bits of Church life in which Jesus Christ is really and especially present. Different Churches will disagree on exactly which events or rituals constitute the sacraments but most would say that baptism and Holy Communion definitely do. 

Let’s take Holy Communion (sometimes called the Eucharist, or Lord’s Supper) as an example. Again, this will look different in different Churches, but in holy communion bread and wine is blessed and said to become Jesus’ body and blood. And here we see the rupture of past and present. The body and blood of Christ, broken and shed on the cross before being raised again, is re-present-ed here for me, now. It is made really present (both in the physical and temporal sense of that word).  

Time and space collapse in on themselves as Jesus Christ – who created time and space in the first place and so can do what He wants with them, thank you very much – bends them to His will just to be present here, and now, with me. 

I wonder whether something similar happens in trauma, too? If trauma, too, might function as a sacrament, of sorts? If the moment of the past rupturing the present when trauma responses are triggered is precisely where Jesus Christ seeks to meet and really be present with those people? 

It certainly felt like it in the roaring, red cathedral of Anfield Road. The moments of remembering Jota’s life and having his death re-present-ed to us felt genuinely … sacred.  

And look, it was the Merseyside Derby, our first in-person game of the season; I was obviously excited, so maybe I was just primed to be emotional when these memories of Jota appeared. Maybe. Who knows? But it would be entirely in keeping with what the Church knows of God’s character that he meets with us precisely at those points where time and space begin to fall apart: in the sacraments, and in trauma. 

There will be flowers and banners and songs for Jota for some time yet. Whenever we drive from our house into Liverpool city centre, we drive by a huge mural of Jota that’s been painted onto the side of a pub.  

It won’t be possible to forget Jota, and there will be lots of prompts to remember him. And in those moments of remembering, time and space may well continue to collapse in on itself. I may find myself once again in my house, staring aghast my phone. And I may well find that Jesus Christ is there with me too. 

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