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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Water from the well: a moment with Rowan Williams on Nicaea

A chance encounter with the former Archbishop led to a profound reflection

Hal is a theologian and writer based in London.

Students sit on the grass in front of a fountain.
Pontifical University garden.
Pontifical University.

The gardens of the Pontifical University of Saint Thomas Aquinas near to the Vatican are a place of quiet reason, where the mind is trained to seek the fundamental truths of existence. But on a sweltering day approaching summer, the temperature was 31 degrees, and reason had given way to a more immediate need: a glass of water. 

It was by the water-cooler, tucked behind a shade-giving tree, that I found him: Lord Rowan Williams of Oystermouth, the former Archbishop of Canterbury, a man whose theological depth is matched only by a palpable, gentle presence. Perhaps it was the heat, or a moment of recklessness, but I asked him for an interview. To my delight, he agreed. 

The following day, we met. His recent keynote address, ‘Nicaea, the New Creation, and the Body of Christ,’ had laid the groundwork. What followed was not a simple Q&A, but a deep, meandering conversation—a drawing from the well of a tradition that is both ancient and startlingly immediate. 

The grammar of divinity 

How do you prepare to speak on a Council with 1,700 years of commentary? For Williams, the entry point is not the what, but the why. 

“I started by asking - what was the question Nicaea was trying to answer?” he began. “This is the question Nicaea was trying to resolve: How do we say, at the same time, that Jesus really is the embodiment of the eternalism of God… and that he genuinely opens up for us a new relationship with the Father?” 

This is what Williams calls the “deep grammar” of the Council—a phrase he embraces with enthusiasm. The Creed, he suggests, sketches a grammar for divinity itself. It asserts a belief in one God, “but the kind of oneness that God is, is a oneness that's always fertile or productive.” 

This productive, self-giving life—kenosis—is not just who God is, but the kind of life we are called to participate in. “God is always reflecting itself in word and spirit… boiling over into creation - that's what God is!... a life that is both self-giving (kenotic) and productive… a life that brings others alive.” 

The saints, in their radical openness to this “kenotic presence,” become conduits of this new creation. “Rather mysterious things happen,” Williams notes, “when you allow the act of God to go through you.” 

The magnetic quiver 

But how do we, in our everyday lives, tune into this deep grammar? Williams points not to the esoteric, but to the ordinary acts of faith that structure our existence. 

“We’re called on, first of all, to wake up to the fact that in our ordinary lives we're in fact all the time making acts of faith - the faith that what I say to you and what you say to me can be more or less understood... the faith that human commitment and love are significant and worth investing in.” 

This trust, this “connectedness,” is a slow “peeling open of human identity to its depths.” It is a universal experience, a “magnetic needle” in creation that “quivers northwards... quivers Godwards. We can't quite keep it quiet.” 

He offers a wry, characteristically British illustration: “one of the great mysteries in British society is that British people are much nicer than the Daily Mail thinks they are!” 

This inherent pull, this quiver, is what the doctrines of the Creed are meant to protect and describe. The dense, pub-unfriendly language of “consubstantial with the Father” is not an abstract puzzle but a map of a reality we are already, however faintly, experiencing. “The Holy Spirit draws us into the flow of life,” Williams says. “The Creed keeps us aware of it… it's the shape and form we’re growing into.” 

The breath of the Spirit 

This brings us to the ancient rift of the filioque clause—the Western addition to the Creed stating the Spirit proceeds from the Father “and the Son.” Is it a fatal block to unity or a matter of semantics? 

For Williams, the scriptural reality is paramount. “Jesus says to his disciples I will send you the Holy Spirit who proceeds from the Father. Jesus is saying - you will be receiving a gift from me, which is given me by the Father, to give to you.” 

The key, he suggests, is in the tangible action: in John’s Gospel, the resurrected Jesus breathes on his disciples. “Jesus brings the Spirit into action, into full tangible action in human history.” The Spirit proceeds through the Son into the world. At this point, theology reaches its limit. “I’m quite happy to grin feebly and shrug my shoulders...I dunno!” he laughs. “What matters is that the energy of new life and vision is given.” 

And this energy, he insists, “goes with the grain of our humanity.” One can almost imagine a divine sigh: “For Heaven’s sake... just wake up to what you are.” 

He finds the perfect image in the parable of the Prodigal Son, who, in the depths of his exile, “came to himself.” It is a “paradigm moment” of das Ereignis—a Heideggerian concept for an event of appropriating, of “coming into one’s own.” “There is a self to come to,” Williams affirms, “and a home to go to.” 

A unity already given 

Will the divided churches ever find structural unity? At times, he admits, we seem to be drifting further apart. But Williams’ focus is on a deeper, prior reality. 

“It helps to be aware that there's a unity given already. We're not quite sure how to embody it. We're not quite sure how to organise it. But there's something there.” 

Finally, reflecting on the Council itself, he dismisses any notion of Nicaea as a merely political project for a fractious empire, though Constantine’s desire for harmony was a factor. He paints a visceral picture of the attending bishops, as described by Eusebius: men with missing hands, gouged eyes, and the scars of persecution. When Constantine greeted them, “he kneels down and kisses their wounds.” 

“They're not just purple cassocked prelates sitting in armchairs! Their faith has been through the fire!” 

This is the well from which this Creed was drawn. It is a creed of the persecuted, a truth forged in fire. A truth, as Williams learned from Pakistani Christians this year who heard the story of Nicaea and simply said, “we know about that,” that is known in the bones before it is understood in the mind. It is the water that waits, cool and deep, for any who come thirsty. 

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