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? 

Review
Belief
Books
Culture
4 min read

Could Lamorna Ash become a Christian in a year?

Moving, funny and beautifully written, this young writer’s quest for faith has lessons for all of us.
A woman stares away from the camera
Lamorna Ash.

When two of Lamorna Ash’s university friends decided to leave behind their lives as standup comedians and train to become priests, Ash was fascinated. She interviewed them and wrote an essay about it for the Guardian but, by the time her piece came out, knew she was “not finished with Christianity.” 

“Perhaps it was naive not to have anticipated how spending my days alongside two fresh converts… would have some cumulative effect on me,” she writes. “Through these encounters, it was as if the very corner of the sky had been pulled back. I couldn’t see what was going on behind it, but I understood it was there for them… they taught me how to believe in the belief of others… their stories became the starting point.”  

And so Ash bought a second hand Toyota Corolla, stocked the glove box with CDs and set off on a Christian road-trip around the country that started with a Christianity Explored course and ended with a series of meetings with people who were consciously ‘dechurching’, taking in Catholics, Orthodox Christians, Quakers, Anabaptists and a YWAM community along the way. She books in ‘desert times’ on Iona; in Walsingham; at a silent Jesuit retreat. She walks, and talks, and tries to pray and thinks. Throughout her travels, Ash carried a ‘jokey’ question in the back of her mind to frame her research: could she become a Christian in a year? 

The result of her quest is this book: tender, fascinating, moving, funny and beautifully written. Throughout my reading of Don’t Forget We’re Here Forever I kept thinking of people I would like to give it to, Christian and non-Christian alike. Ash has achieved a remarkable feat: to make faith and its pursuit a compelling subject regardless of whether you’re a believer or not.  

Primarily, this is because she has not - joke question aside - set out with an agenda, other than to more fully understand what makes believers tick (and, she admits, because it is something to write about). Though she is scathing about Rico Tice, whom she finds performative and evasive, and finds the dogma of the Christianity Explored course too rigid and inflexible for her liking, she is sympathetic towards and interested in her fellow Christianity Explored small group companions - and is self-aware enough to admit that during this time she “played the worst version of myself: hackles raised, on alert, unable to let a conversation pass without some interjection”. Though she finds the intensity of Youth With A Mission’s community - along with the fact that many of the staff are married to each other - a bit much, she is individually drawn to some of the people who work there, and reflective about what and why they’re doing. As someone who has grown up with faith, it is fascinating to see what we often take for granted held up to scrutiny by someone who is not there to be deliberately combative, but to try and understand.  

“I am still too close to it to tell you definitively all the ways the encounters… changed me,” Ash writes. “What it felt like at the time, though, was that each conversation was leading me to places in my own mind I had never visited before.”  

There are elements of Ash’s book I am intrigued by, but sceptical of: her suggestion, for example, that the Bible should not stop where it does, but might be continually added to, “like a divine Wikipedia, updated in perpetuity.” Her theological understanding is not, perhaps understandably, advanced. She is a self-confessed product of her era: young, progressive, queer, and her readings of and understandings of other people are framed through that lens.  

But despite its failings, Don’t Forget We’re Here Forever remains compelling because of its curiosity - a curiosity that Ash wonders might be the place “where God exists”; its attempts, however stumbling, to understand faith rather than just dismiss it. It is an atheist Quaker who teaches Ash “how I might approach Christianity: it was supposed to be a challenge.” You will have to read it to learn where Ash herself ends up, but her book extends the challenge to those of us who might benefit from a similar scrutiny of what we believe - not to fall out of faith, but also to understand it, and God, more.

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