Explainer
Creed
Life & Death
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
Character
Creed
6 min read

‘Marriage is martyrdom', seriously?

Arguing relationship requires sacrifice ignites a sleepy tutorial.
Quizzical-looking students look across a tutorial to others.
Nick Jones/Midjourney.ai.

It is late afternoon on a rainy Monday. My students mooch through the door, filling up the seats in our overheated, clinically modern tutorial room. They are a particularly young class this term – nearly all teenagers still. The setting feels entirely the wrong for poring over texts that are thousands of years old, texts written by some of the earliest Christians, now displayed on flashy laptops and smartphones.  

The first excerpt is short – part of a hand scribbled note by Ignatius of Antioch. He wrote it even as he was marched to his execution at the hands of the Romans.  

Suffer me, my brethren; hinder me not from living, do not wish me to die… Suffer me to receive the pure light; when I ­ shall have arrived ­ there, I ­ shall be a ­ human being.  

Ignatius shows no fear despite facing his impending martyrdom, I explain, because he goes to his death as one who was utterly convinced by the hope of resurrection. To him, death was life, and life was death.  

From the mixture of expressions on the faces around the room, I can easily tell which members of the class have attended Professor Behr’s lectures on this week’s material, and which members of the class have attended only to their mattresses and duvets. (‘Twas ever thus with undergraduates.) “Let’s look at Professor Behr’s own chapter on the subject,” I suggest, adding with a certain emphasis, “It was your required reading for this tutorial.”  

Reading Ignatius, along with some other texts from this period, Behr summarises the argument as follows: earthly life is a transitory thing, and driven by the fear of death, it becomes all too easy to focus on and hang on to this fleeting life. However, the Christian hope is that the self-sacrificing death of Christ, who gave up his life in the service of others, has transformed the reality of death. Death is no longer just the end of this life but the beginning of another one – a better, eternal life. And this, for each Christian, becomes the impetus to pursue one’s own journey towards self-sacrifice, towards laying down one’s earthly life for another, following in the example of Christ, just as Ignatius wished to do. Behr writes: 

“Through Christ’s having ‘changed the use of death’ we are able to change the ground of our existence from necessity and mortality to freedom and self-sacrificial love…”

I glance around the room. A few students seem mildly interested, some others are gazing at their screens, scrolling. Perhaps their curiosity has been piqued by the chapter that they are meant to have already read? More likely they have zoned out and are flicking through TikTok. One guy at the back stares glumly out of the window, mouth half open, the one next to him is dismantling a ballpoint pen.  

“Any thoughts?” I ask the room. Every pair of eyes is on me, and I know that there are thoughts – the silence is thick with them. 

A few moments later, however, and all their eyes are on me. Why? Because in the second part of his chapter, Behr takes this argument of self-sacrifice, of death to life, and uses it as a lens through which to examine the specific human phenomenon of marriage. I read out a few well-chosen excerpts – juicy ones that include the words “eros”, “sexuality” and even “ecstasy” – and it is no surprise that a room full of drowsy teenagers becomes somewhat more alert.  

It is through the natural human desire to be united with another person, argues Behr, that we are truly drawn out of ourselves, and by doing so we learn to give out of our own lives for the sake of the life of another. To commit one’s life and one’s body to another in marriage is the epitome of dying to self, even a kind of martyrdom. And, if marriage leads to parenthood, then the opportunity to live a life of self-sacrifice only increases. However hard it might be, those who are married, parenting, or both are driven by love to place the lives of their spouses and children before their own.  

  “Any thoughts?” I ask the room. Every pair of eyes is on me, and I know that there are thoughts – the silence is thick with them. But who will be brave? Patiently I stare them down. Eventually someone cracks, and a hand creeps up into the air.  

“Yes, go ahead…” I encourage.  

“Well… I think you should never be in a relationship where you have to do that!”  

“OK.” We’re off. “Never have to do what, exactly?”  

“Like, be expected to give up your life for someone else. Like, it’s your life. No one else has a right to ask for you to sacrifice yourself.” 

The conversation went on from there, the class getting more and more animated, a polemic against the idea that marriage, or just long-term relationships in general, should involve the sacrifice of one’s ‘self’. A spouse, they insisted, should be someone who affirms and celebrates everything that you are, and who supports you in whatever dreams or ambitions that you want chase. And children? Well, they should only be brought into the equation to fulfil your dreams, not to limit them. Marriage is many things, but it should not be a sacrifice, less still a martyrdom. 

Well, let us not be too hard on the optimism of youth. The optimism that imagines marriage and family life will be something that gives, and gives, and will never take anything away. How can they know – those who have never been awake at 3am with a projectile-vomiting toddler, and those who have never had to calmly negotiate over where all the money goes? It is the optimism of those who have never had to pass up on a job or an opportunity because it doesn’t fit in with the spouses’ promotion or the kids’ schooling. These, and a thousand other moments of self-sacrifice: the gritty realities of a daily choice to stick in a marriage (or any kind of long term relationship) and make it work.  

This is a much slower kind of martyrdom, a decision made not once but daily, in a society where such decisions are frequently undone. 

But is this gritty reality a giving up of life, or an embracing of it? Perhaps, like Ignatius, in this kind of death to self we actually find life. In a committed union, we carefully place our lives in the service of another, not because they expect us to, but because out of love we choose to. This is done, of course, in trust that the other person will do the same in return. There is no suggestion, either here or in Behr’s chapter, that someone should stay in a union where that placing of oneself is being merely used and abused. But where two people find a true mutuality in that laying down of self, well, love has funny way of making limits feel like a kind of freedom after all.   

“Hinder me not from living…” writes Ignatius, as he is marched to his certain death. His eyes were filled with the image of new self, a better self, that would come to him all at once and suddenly through the laying down of his life for what he believed in.  With a faith so strong, this may have been an easy kind of martyrdom – a decision made once, which could not, by him, be undone. But let us also hinder not those who choose to unite their lives to another. This is a much slower kind of martyrdom, a decision made not once but daily, in a society where such decisions are frequently undone. One day some of these young people will feel the call to this kind of death, and that in this death there is life. Hinder them not to die.