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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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2 min read

Graham Tomlin's summer reading list

Seen & Unseen Editor-In-Chief shares his recommendations for a much-needed moment of pause

Nick is the senior editor of Seen & Unseen.

Niall Williams', John as picked by Graham Tomlin
Take a much-needed moment of pause this summer

I'm so glad that my Summer Reading List caught your eye. Whether you've got time now to dig into a new recommendation or want to bookmark this for an upcoming holiday, I hope at least one of these picks offers you some respite.

📖 Paul Bradbury, Why We Should Mourn The Death of the Semicolon 

Ordained pioneer minister, Paul Bradbury

I studied English at university, so I have always been interested in the way language works. I love how Paul Bradbury takes this tiny thing - a semicolon, and the evidence of its demise in English, and uses it as a sign of our need for pause, space, and reflection in our daily lives.

📖 Graham Tomlin, Blaise Pascal - The Man Who Made the Modern World

Bishop Graham Tomlin

I have been fascinated by Blaise Pascal ever since I read him as a teenager. I always wanted one day to write a biography of him, explaining his extraordinary life and piercing insights into human life and Christian faith. Maybe this might be a good book to take away on holiday; read on the beach, in the campsite or wherever you are!

📖Niall Williams, John

Author and playwright, Niall Willaims

From the author of History of the Rain and This Is Happiness, John is a wonderful novel depicting the elderly apostle as a man steeped in the simple yet extraordinarily revolutionary message that God is Love and that therefore we should not just tolerate, but love one another.

📖Hartmut Rosa, Uncontrollability of the World 

Sociologist and political scientist, Hartmut Rosa

The sequel to Rosa’s path-breaking work on social acceleration and resonance, this short book is a penetrating exposé of our cultural project to control everything and how it kills beauty and even ourselves in the end.

📖 Alan Kreider, The Patient Ferment of the Early Church

American Mennonite historian, Alan Kreider

If you're interested in history and what gave birth to the extraordinary Christian movement that transformed the world, then this is a great guide to those early years.

📖Paul Kingsnorth, Against Christian Civilisation

Former deputy editor of The Ecologist and author, Paul Kingsnorth

I read this lecture earlier in the year. It's a fascinating argument about the future of cultural Christianity. You might or might not agree with it, but it will make you think. 

📖Iain McGilchrist, Re-Enchanting Season 4, Ep 10

British psychiatrist, philosopher and neuroscientist Ian McGilchrist

Iain McGilchrist is such an interesting thinker whose work spans such a large area – neuroscientist, philosopher, historian, and much more, all expressed with a humility and sense of wonder. I loved his conversation with Belle and Justin. This would be a great one to listen to on the journey to your summer holiday this year.

📖Benjamin & Jenna Silber Storey, Why We Are Restless: On the Modern Quest for Contentment

University of Texas Research Fellows, Benjamin & Jenna Silber Storey

A brilliant, insightful and beautifully written account of modern discontentment through the lens of four crucial French thinkers - Montaigne, Pascal, Rousseau and de Tocqueville.