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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Wisdom
6 min read

The wisdom of living with the question not googling the quick answer

Are we trading wisdom for apparent certainty?

Elizabeth Wainwright is a writer, coach and walking guide. She's a former district councillor and has a background in international development.

A person sits on a window sill with one raise knee.

In much of the work I’ve been involved in, whether writing, coaching, hillwalking, local politics, or international development, I’ve learned to ask questions I don’t have answers to, and sometimes neither do the people I’m with. We sit with the question, decide whether it’s the right one, try to discern what else emerges in our peripheral vision as we focus on it. It takes effort to come to something like an answer, and in doing so, we peel off layers of unknowing. It has taken practice, and it can be slow work. But in searching for good questions, I see they can be an entry point into not just information but wisdom too. And there are many places that are hungry for wisdom.  

I longed for better questions and more curiosity when I was a district councillor. Curiosity that made space for residents to share their stories and opinions, curiosity about different political positions and what might happen if we work across divides, about what might be possible if we could get past the way things had always been and imagine what they could become.  But the desire to save face, to be seen to be in control, was strong, and I felt it often got in the way of real conversation. To be committed to the process more than the product takes courage, I think. The courage of uncertainty, of saying, “I don’t know”, of putting humility and honesty before status. Sitting with questions can be difficult, perhaps even feeling like a luxury, but they show us ourselves and the world a bit more clearly, offering a pathway to relationship, to collaboration, to humanity, to wisdom.  

I have been thinking about the temptation to trade the wisdom of questions for the apparent certainty of instant answers, even wrong answers. It is a temptation that, in our age of one-click everything and the importance of image, is only quickening. It is a temptation that I have been thinking about, wondering if it started with that old temptation in the Garden of Eden. Staring at a painting of Adam and Eve in the Prado gallery a while back, I wondered whether that original temptation set us on a path of instant information but also of depleted wisdom.  

As I peered into the painting, a thought sparked: what if God told Adam and Eve they could eat fruit from any tree except the tree of the knowledge of good and evil not because he wanted us to stay ignorant or innocent (something that Philip Pullman explores in his Northern Lights books) but because he knew it was too easy for us to eat from that tree. He wanted us to live, and to search for knowing and wisdom ourselves. Eating the fruit would bypass experience, there’d be no need to develop muscles of thinking and discernment. And he wanted us to be wise, to keep creating and tending the world with him. When those first pulled-from-the-earth humans ate the fruit, it was like us still-dependent-on-the-earth humans asking Artificial Intelligence to write us an essay: we might get what we want, but we’ve bypassed the experience of thinking, creating, discerning what’s ours to say.  

This analogy creaks when pulled too far, but it lingers all the same. There’s a quote I’ve long appreciated, from the biologist E.O.Wilson:  

“We are drowning in information, while starving for wisdom. The world henceforth will be run by synthesisers, people able to put together the right information at the right time, think critically about it, and make important choices wisely.”  

Picking the fruit, becoming reliant on AI, gives us information but perhaps not the ability to think, and not the wisdom to make good choices. God wants us to be wise. The Bible’s Book of James says we can ask for wisdom. It is not withheld from us; it is not hidden. It’s everywhere, waiting to be called on.  

There are no digital shortcuts to the difficult work of community, no AI-shortcut to loving well, just as there was never a shortcut to complete knowledge of good and evil. 

It’s so easy to find answers now — Google solves problems and democratises access to information, unless of course you’re in a part of the world that has no digital access. In rural mid Devon and in rural Zambia, both places I’ve worked deeply with communities, you can’t simply access an online meeting or find the answer to a question you might have. Sometimes this feels a life-giving challenge: it increases the need for relationship, for trust, for community conversation. Other times is hinders progress: it means people can’t access jobs, or basic health knowledge, or government decisions that affect them. Google has changed who can access the world, how we interact with it, how we think and learn. Historically, people memorised poetry and scripture and news. The printing press changed that; words were pulled from minds and printed on paper. Our online existence has accelerated that: I don’t need to stretch my memory if I don’t want — I can find and store what I need digitally. We’ve outsourced our memory, and I wonder whether we’re also outsourcing our capacity to think and discern. 

In doing so, we risk disconnecting from ourselves, our relationships, our communities, our places. No longer do we need to rely on each other for knowing and wisdom — we can trust faceless digital forces that profit from us doing so. We risk too our unique ability to think creatively, to discern good sources, to think deeply and with nuance about a topic. If AI learns from everything that has been, it can synthesise and perhaps even extrapolate from that and project forward, but it can’t creatively imagine. It can’t reflect and speak wisdom.  

There is an ease and convenience to Google, to AI. There was an ease and convenience to picking the fruit to gain knowledge. But we are not called to ease and convenience. I think we are called to love, to care for our neighbours, and these things are necessarily inconvenient. Digital access to information is a tool, a resource, a gift that benefits many of us in many ways. But it could easily blunt our humanity, becoming a temptation that bypasses the work of truly living.  There are no digital shortcuts to the difficult work of community, no AI-shortcut to loving well, just as there was never a shortcut to complete knowledge of good and evil. With information available at the tug of a fruit — a click, a download, a request to an artificial intelligence — I am curious how our ability to sit with questions will change, whether we’ll feel beauty or fear in not having all the answers, whether we’ll lose our ability to discern, and to “have faith in what we do not see.”  

Sitting with questions, with curiosity, is I think an entry point to faith and to mystery. 

Jesus calls us to questions, to relationship, to love, not to answers that might be easily won but little interrogated. He knew that questions, not answers, were often the best response to questions. Questions to sit with, to hold up as a mirror, to walk as a path to wisdom. He asked a lot of them. Who do you say I am? How many loaves do you have? Do you love me? What do you want? Why are you afraid?  The Bible records Jesus asking questions, and sometimes offering answers too. But the point often seems to be the question itself, giving endless chances for people to question their assumptions, and their judgements, and to deepen their faith and make it personal. In doing so, Jesus offered a path to deeper and more meaningful knowledge of God, the world, others, and ourselves. And by asking questions he gave dignity to people, listening deeply to them, loving them, calling them into themselves. 

Sitting with questions, with curiosity, is I think an entry point to faith and to mystery. And we have companions as we do this: Jesus, early Christian mystics, prayer, the Psalms, each other – these are all places I turn to dig deeper into the knowing that comes through unknowing. To live with questions and within mystery, to listen deeply to each other, to speak the language of soul rather than certainty, might be difficult and countercultural. But in an age where the future is becoming less certain despite the whole world seemingly at our fingertips, I think it is where our hope is. After all, “what good is it for a man to gain the whole world but forfeit his soul?”