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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Monsters
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Which dragon does St Michael need to slay today?

Explore the cultural impact of the dragon killer.

James is a writer of sit coms for TV and radio.

A patch depicting a angel in armour, wielding a sword, on camoflague uniform.
Thomas Tucker on Unsplash.

St Michael is everywhere. But only if you have eyes to see him. He’s probably somewhere in your town. He may even be hiding in your wardrobe in one of your jumpers. Retailer Marks and Spencer trademarked the ‘St Michael’ brand in 1928. It was inspired by their best-selling hosiery brand – St Margaret. The name Michael came from the founder of M& S, Michael Marks. But the logo they used, a winged angel holding aloft a sword, was a reference to the archangel St Michael mentioned in the Bible. 

Even in the pages of that book, however, St Michael is a little elusive, being named only a handful of times. Perhaps that was his mystique. Less is more. But whatever St Michael was doing worked really well in the Middle Ages. A tradition arose around him, culminating in a feast day known as Michaelmas on 29th September. This feast day had extra significance as it become a ‘Quarter Day’. 

 In days gone by, the year was divided into four, bookended by quarter days. Michaelmas was one, at least in England. The next is Christmas Day, followed by Lady Day (March 25), and Midsummer (June 24).  Rents were traditionally due on quarters days. Legal and financial contracts were to be settled. Michaelmas was particularly associated with the domestic servants moving around. You will hear it referred to Michaelmas along those lines in Chapter One of Pride and Prejudice

Dragon sightings may have declined sharply since the seventeenth century, but they have come roaring back in the last few decades. 

Many schools called their autumn term ‘Michaelmas’. Mine did, although no-one ever explained what it meant. As schools began to dominate British life, the calendar year ceased to be broken into four but three. Now our lives are regulated by school holidays, ‘back to school’ days and half term, when it is traditional to double the cost of your holiday rental. Christmas remains. Lady Day morphed into the end of the tax year. (I’m sure the Virgin Mary would be thrilled). And Midsummer Day has vanished almost completely. 

St Michael had a good run. He had been a wildly popular figure from Anglo-Saxon times and Michaelmas a firm fixture in the calendar. Many churches founded in that period were named after him. Over 800 of those churches dedicated to St Michael remain in England, scattered across the counties. (I walked around one on Sunday afternoon in East Coker, Somerset where the ashes of TS Eliot have been interred.) Only the Virgin Mary, St Peter and All Saints are more popular in the church dedication charts. 

In short, St Michael was a big deal. Why? Because he was a dragon killer. 

In fact, Michael was not just ‘a killer of dragons’ but ‘the killer of the dragon’. That dragon is the silver-tongued serpent, Satan himself. The final reference to Michael in the Bible reads thus – and yes, it sounds better in the King James Version: 

And there was war in heaven: Michael and his angels fought against the dragon; and the dragon fought and his angels, and prevailed not; neither was their place found any more in heaven. And the great dragon was cast out, that old serpent, called the Devil, and Satan, which deceiveth the whole world: he was cast out into the earth, and his angels were cast out with him.  

 St Michael is the defeater of evil itself. This is a comforting figure when boatloads of Vikings could appear in your shire at any minute in order to destroy, steal, rape and pillage. The fact that these longboats had a dragonhead on the prow served only to reinforce this image that the enemy were representatives of Satan himself.  

Dragon-slaying was a staple of heroic tales. Beowulf naturally fights a dragon. Merlin is mixed up with a dragon called Kilgharrah. There are also dozens of accounts in which dragons are slain, often presented in a prosaic and serious way, like a report of pest control. Not far from me in the woods near Wells, the Bishop Jocelyn killed a dragon in 1320s. The latest account like this is in 1614 , reporting a “strange and monstrous serpent” living in St Leonard’s Forest near Horsham in Sussex “to the great annoyance and diverse slaughters both of men and cattle, by his strong and violent poison”. 

Dragon sightings may have declined sharply since the seventeenth century, but they have come roaring back in the last few decades. Dragons are everywhere. Our TV screens are constantly invaded by insatiable fire-breathing serpents. Bookshops bulge with titles about dragons. 

When you see those efficient, bloodthirsty killers jumping off their dragon-headed longboats, good and evil don’t seem like relative concepts. 

Has the time come for St Michael to return? Surprisingly not. 

St Michael has not been summoned because he is a dragon killer, and we don’t want to kill dragons. Not anymore. We want to tame them. We want to understand them. We want to harness their power. 

That’s what happens in Game of Thrones. Daenerys Targaryen wishes to assert her claim to the throne of the Seven Kingdoms of Westeros using the dragons that she has hatched. But can she use those dragons to bring about justice or ‘the greater good’ without being consumed by them or becoming dragon-like herself? It is an eternal question, played out in the Cold War with nuclear weapons and in Middle Earth with a powerful ring. 

We are seduced by the allure of the dragon all too easily. It’s there at the very beginning of Western Culture in the Bible: Eve is approached by a persuasive snake who tempts her to eat from the Tree of the Knowledge of Good and Evil. She falls for it. But throughout the Bible, the one blamed for the sin is not Eve, but Adam. 

But how is it Adam’s fault? Adam failed to give the serpent the Archangel Michael treatment. Adam should have killed the serpent or chased it out of the garden. He didn’t because, well, things were just starting to get interesting. And the rest is theology. 

St Michael is the extinguisher of evil. But we don’t want to destroy evil. We just want to see it diminished. A bit. In fact, the talk of Good and Evil is rather embarrassing. We don’t do Good and Evil. We do ‘values’. We don’t condemn sins. We seek to re-educate those with ‘anti-social behaviours’. 

We have the dubious luxury of speaking this way because we aren’t about to be attacked by Vikings any times soon. When you see those efficient, bloodthirsty killers jumping of their dragon-headed longboats, good and evil don’t seem like relative concepts. Evil is very real. That’s when you might need some clean pairs of Marks and Spencer’s famously excellent underwear. 

Scroll the news and you will find that millions around the world live with the reality of Viking-like terror right now. For them the virtues of St Michael might be more apparent.