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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Freedom of Belief
Trauma
6 min read

Nigeria’s terror survivors share their stories

This violence is not gruesome fiction, it’s reality.

Belle is the staff writer at Seen & Unseen and co-host of its Re-enchanting podcast.

A Nigerian man looks up towards the camera, behind him is dusty ground
Manga survived an attempted beheading.
Open Doors.

This article contains distressing content.  

Something is happening. And nobody is talking about it.  

Nigeria, the big and beautiful ‘Giant of Africa’, is becoming a place of increasing terror for the hundred million Christians who call it home. Since 2000, 62,000 people have been killed for having a Christian faith. Eight-thousand people were killed in 2023 alone. These staggering numbers mean that more Christians are being killed in Nigeria than in every other country combined.  

The violence is as extreme as it gets. And yet, very few of us know that it’s happening.  

When it comes to the Nigerian government and media, the relentlessly brutal attacks are seemingly hidden in plain sight; undeniable and yet somehow unstoppable. While, in the UK, we appear to be entirely unaware. This violence is out of sight, and therefore largely out of mind. The reasons why are admittedly complex, as outlined by Chris Wadibia. Nevertheless, the violence being carried out toward the Nigerian people, particularly those living in the Northern states, surely deserves our attention.  

Earlier this year, I took a trip to Northern Nigeria. While I was there, I got to know a group of people who had endured unimaginable trauma, largely because of their Christian faith. Every day, they would bravely tell their stories – who they were and what they had experienced. Every day, I looked into the faces of children who had lost parents, parents who had lost children, husbands who had lost wives, and wives who had lost husbands. All of a sudden, the bewildering statistics were people before me – people who were having to live with the images of their loved ones being ‘butchered’ before their very eyes. Their villages being burnt down. Their lives being turned upside down by militants with assault rifles and machetes.  

The only reference I had for stories such as the ones I was hearing were apocalyptic movies. But these things happened. They happened to the people sitting across from me. This violence is not the stuff of gruesome fiction, it’s the stuff of reality.  

As she was running, she came across a woman who has hiding herself because she was giving birth to twins. This mother handed the babies to her and begged her to get them to safety... 

I met one woman, she was incredibly gentle and kind, and told her story with a composure that’s hard to fathom. She was working on her land along with her husband and mother-in-law, a totally run-of-the-mill day. They were so engrossed with the task at hand, they didn’t notice that their village was being attacked by armed ‘Fulani’ militants (the majority of the violence being carried out in Northern Nigeria is at the hands of Islamic extremist groups such as Fulani militants, Boko Haram and ISWAP - Islamic State in West African Province). She looked up to find herself face-to-face with two attackers and despite their command for her to surrender to them, she ran, as did her husband and mother-in-law. While she was running, she could hear bullets flying past her head and the screams of her mother-in-law. Making it to a neighbouring village, she gathered help and eventually went back to find her husband and mother-in-law. Both of whom were stabbed and killed that day.  

The Fulani militants now have control over her village, and she told us how she’s been praying that she would be able to forgive these men for what they’d done, as she is now forced to live alongside them. And so, she felt proud because she had recently been able to respond to one of the men as they greeted her.    

There was another woman, she was strong and defiantly compassionate. Her story is laced with horror. She studied at a university – the discrimination she experienced there meant that a course that was supposed to be four years long, took her eight years to complete. In 2014, Boko Haram attacked the university – while she was trying to escape, her friend was shot and ‘hacked at’ while he refused to deny his Christian faith. She recalls how his last words were ‘I’m happy. I’ve saved lives today. And I have Jesus’.  

He died and she continued to run. As she was running, she came across a woman who has hiding herself because she was giving birth to twins. This mother handed the babies to her and begged her to get them to safety, as she did so, she heard the mother being shot behind her.  

She ran those twins to Cameroon, leaving them in safety, and now lives in a rural Nigerian village where she teaches the local children. Her Christian identity is no secret, and so faces continual danger. Her crops were burnt to the ground and destroyed, twice. And the villagers have tried, repeatedly, to get her to leave. One night, she came face to face with young men with bats and machetes who threatened her life – she told them – ‘you can’t scare me. I have seen the Lord’.  

And they left. Remarkably, that village is still her home.  

One heart-wrenchingly-young girl told us how, while she sleeping – she was awoken by her father who told her that they needed to run, they were under attack. She ran, hand in hand with her father, while her mother carried her younger brother. While they were fleeing, her dad was shot and killed. Her mother pried her hand out of her father’s and buried both her and her brother in sand, instructing them to stay hidden. The next day, they found that their house, their crops, their entire village had been burnt down.  

This is what is happening. This is what we are not seeing.  

While we are not seeing this violence, they are not seeing an end to it.   

Since my return, I have met with a man who bears the physical scars of his trauma. He thought his house was being pillaged by armed robbers - it was only when they led him, his brother and his father outside, made them kneel with their hands tied behind their backs, and demanded that they denounce their Christian faith that he realised he was being attacked by Boko Haram. It was a regular evening, he was putting together a lesson plan for his class the following day, and now he was kneeling before an executioner. His father refused their demand, and they beheaded him. His brother also refused, and they took a blade to him, too. Then it was his turn, and while his mind was filled with thoughts of death and how much this was about to hurt, he also prayed that these men would be forgiven for what they were doing. Taking after Jesus, who forgave his executioners mid-execution, this man continued to pray as he felt the blade in his neck.  

Left to bleed to death, miraculously, both him and his brother survived. Now, his scar tells an astonishing story.  

This epidemic of violence seems to reside under our radar. It’s not quite catching our eye, is it? And, as a result, is not quite receiving the force of our outrage nor benefiting from the depths of our compassion. So many of the people that I met expressed a feeling of being neglected – like they’re suffering in deafening silence. While we are not seeing this violence, they are not seeing an end to it.   

What’s happening in Nigeria is a crisis, one that we must acknowledge.