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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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The one thing the new Archbishop can offer the world

How an unlikely argument between the Pope and Madonna points the way for the new Archbishop of Canterbury

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

An archbishop crowns the king.
The archbishop crowns the king.

The Catholic News Agency is a news outlet whose Instagram account posts warm pictures of the Pope, Catholic saints and so on, with heart-warming, if a little anodyne, quotations. A week or so ago, it sparked one of the most unlikely social media spats in recent times - an argument between Madonna (no, not the Virgin Mary) and Pope Leo himself.

With the announcement of Sarah Mullally as the 106th Archbishop of Canterbury, this debate may have something to say to her as she moves from London (where I knew her well and worked with her as a fellow bishop) to Lambeth.

The CNA had posted a picture of a smiling, waving Pope Leo with the caption: “My priority is the Gospel, not solving the world’s problems.” It referred to an interview in which the Pope had said: “I don’t see my primary role as trying to be the solver of the world’s problems… although I think that the Church has a voice, a message that needs to continue to be preached, to be spoken and spoken loudly.”

The comments below were predictable, ranging from “This is a God-inspired pope!” to “The pope is irrelevant’ – and much worse. But among the 2000 or so comments was one by Madonna herself: “The whole point of teaching and learning the Gospel is to inspire people to love one another and make the world a better place. Not just with words but with actions, which is exactly what Jesus did. I am truly disappointed by this.”

Madonna has always had an odd relationship with the Catholic Church, and this was not the first time she has engaged with Pope Leo (or his predecessor Francis for that matter) online. But the story still went viral.

So - back to soon-to-be Archbishop Sarah.

She certainly faces a challenging inbox - divisions among Anglicans over sexuality that threaten to tear the Anglican Communion apart; safeguarding scandals; the ructions that being a female Archbishop will raise for traditionalists within the Church of England and with the Catholics and the Orthodox; the rise of Christian Nationalism, criticism of the Church’s commitment of £100m for reparations for slavery, not to mention the continue decline of Anglican congregations around the country.

So what should her priorities be as she starts her role?

I must confess I’m on Pope Leo’s side in this one. Unsurprisingly, the scholarly Augustinian Pope is a better theologian than the singer of ‘Like a Prayer’.

Pope Leo went on to say: “The values that the Church will promote in dealing with some of these world crises don’t come out of the blue, they come out of the Gospel. They come from a place that makes very clear how we understand the relationships between God and us, and between one another. Going back to the very basic things of respecting one another, respecting human dignity: where does that human dignity come from and how can we use that as a way of saying the world can be a better place, and we can treat one another better?”

It is the job of politicians – not the Church - to work out the precise policies and mechanisms that will deliver a better society. Yet of course that begs the question: what does ‘better’ mean? And that is where the church does have something to say.

Pope Leo’s point is that if the Church does make political interventions, they have to arise strictly from the very heart of its own faith. Christian leaders shouldn't get too involved in detailed policy recommendations, but they can outline their vision of what a good life together looks like, based on the story of the gospel itself.

The one thing that the church has to offer the world is Jesus - in other words, the remarkable, world-shattering belief that God the Creator entered human history, like an author stepping on to the stage of his own play. Yet he did it in the most unexpected way possible, without fanfare, simply showing a radical, determined, self-giving love, dying an excruciating death at human hands and rising from death as the first sign that death is nothing to be afraid of because it has been beaten once and for all.

To believe that is weird. It changes everything – life is not a search for wealth, friends and success but for holiness and wisdom. It is not a search for self-fulfilment but a radical turn away from self-centredness to a growing love for God our Maker. The poor not the wealthy are the ones who matter. We are held in the hands of a God whose love for us is endless. The universe is not impersonal and silent but pulses with love. Evil is a force trying to undo everything that God has created. Death is just the gateway to something far better for those who believe.

Tom Holland put it like this this: “If you're a Christian, you think that the heart of the entire fabric of the cosmos was ruptured by this strange singularity where someone who is a God and a man set everything on its head.”

And paradoxically, it is by focusing on that extraordinary message, that the Church can play its part in helping unravel some of the other problems, whether in the Church or the world.

Pope Leo was right. And maybe this is the advice for our new Archbishop: don’t start out by trying to change the world. Start with the gospel. It’s all we have to offer. Teach it, remind the church and the world of it. Use imagination, creativity, social media – whatever.

You may end up solving the world’s problems, you may not. The early Christians didn’t march on Rome, petitioning Caesar for new laws on migration across the empire or fairer treatment for slaves. They simply lived out their faith, creating communities that included everyone, worshipped Jesus and excluded idolatry. They taught, learned and lived the gospel. And eventually the world was changed.

So our new Archbishop will and must talk about immigration, assisted dying, poverty and other political issues, but she must make sure it’s always rooted in something Christian. Or as St Paul put it: “Proclaim the message, whether the time is favourable or unfavourable. Always be sober, endure suffering, do the work of an evangelist, carry out your ministry fully.”

And let the rest of us encourage her in doing that as well as she can.

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