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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Creed
Holidays/vacations
Psychology
6 min read

The case for taking a holiday

The reasons we need to rest and re-boot.

Natalie produces and narrates The Seen & Unseen Aloud podcast. She's an Anglican minister and a trained actor.

On a beach lounger someone holds a book aloft to read.

Well, here we are, either literally or metaphorically breaking up for the summer. School’s out and the long evenings demand al-fresco dining – even in the UK where it’s far more likely than not to rain. And of course, it is time to Live Our Best Life as we chase the fantasy and book an eye-wateringly expensive holiday – to “get away from it all”.  

In my early adulthood, holidays were unquestionably lying on a sun-drenched beach with a very large pile of novels. It was escapism pure and simple. And sun worshipping. Then I went on a skiing holiday for the first time in my 30s and was amazed how refreshing it was. When you’re concentrating on not dying, hurtling at high speed down a slippery mountain, the regular patterns of thought are left behind; there is simply no headspace to worry about the things that normally occupy the mind. I came back from a week on the snow with my body feeling completely trashed but my mind fresher than ever before.  

But whatever our holiday preference, be it active, sedentary or a cocktail of both, it is short-lived. A fortnight is the average length of a holiday, maybe it’s just a cheeky long weekend. If you’re really pushing the boat out (literally if going on a cruise as many people do these days a) – a luxurious three or even four weeks. But however long it is, it is – by definition – not lifelong. We build up to it – “can’t wait to get away” and there can be huge expectation for all the things we’ve been struggling with to be magically less stressful “when I get back”. We think all the exhaustion we carry, all the frustration or disappointment, the overworking we live with on a daily basis, will disappear. We binge on relaxation and put huge pressure on ourselves to HAVE FUN and – that which has become the sly new marketing strategy – “making great memories”. Which can all turn out to be even harder work than what we’re trying to get away from. 

Last summer, we went to the Lake District. And it rained. A lot. I mean coming in under the doors/through the windows sort of a lot. So we played Monopoly. And watched the Mission Impossible films. We went for walks in the rain and ate picnics quickly between showers. It was rather like we were living through a low budget British 1980s adaptation of an Enid Blyton novel, instead of the big budget Caribbean fantasia of one’s dreams. By any official descriptor, it was a holiday – but I’m not sure it felt like one.  

There is a call for some time to be kept holy, time set apart when we’re not busy being busy, when we remember that we are human and limited and need rest.

So, as I’m keenly interested in the etymology of words, I looked up holiday* to find out whether I had achieved the objective. Holiday = a period of time when you are not at work or school – check; holiday = a period of time spent travelling or resting away from home – hmm, not sure about the resting but we were away; holiday = holy day – hang on, what? 

Most world religions or philosophies have some sort of rhythm or pattern for life which includes times of rest. These often (though not always) coincide with some sort of worship or festival. These are times set apart from the day-to-day occupation of “normal life”. Interestingly, in the Judeo-Christian tradition, rest is baked in right from the beginning. After a six “day” working week, so the beginning of the Creation story tells us, God rested. And just to underline the point, sometime later, that same God gave his people the 10 Commandments, one of which is – take a day off.  

The word “holy” means set apart, sacred and right at the heart of the Jewish and Christian lifestyle there is a call for some time to be kept holy, time set apart when we’re not busy being busy, when we remember that we are human and limited and need rest. When we can get some objectivity on our productivity; when we can see (as God did all those years ago) that what we have done is good and we can enjoy it. 

In our 24/7, I-achieve-therefore-I-am culture, we almost certainly don’t do nothing for a day a week. We are always doing something. Even on our day(s) off, we’re reading or scrolling or running or “making memories”. Where is the rest? Where is the holy?  

We don’t function properly – by which I mean we don’t flourish – if we never switch off. That’s how we were made. 

There is an ironically busy industry that has flourished in recent years around mindfulness and retreats; an industry which highlights the ultimately human need for rest. There are apps which help us breathe, there are gurus who massage us in body and mind. Cynically, some say capitalism has caught on to the ancient necessity of acknowledging and attending to our humanity, our need to stop doing and simply be. I think God would say, hooray! Or as Jesus put it, “Come with me to a quiet place and find some rest.” 

How can we put rest back on the agenda of our own lives? It’s different for each of us. One person’s rest is another person’s nightmare. Whatever it looks like, we need to learn how to have “a period of time not working” (whatever work may occupy us, paid or unpaid, seen or unseen). It’s a well-recognised fact that if your electronic device stops functioning properly, if you turn it off for a bit, it’ll restart happily and we are encouraged to restart our devices regularly. We all know that we’re a bit like that and yet... We don’t function properly – by which I mean we don’t flourish – if we never switch off. That’s how we were made.  

We need those moments when we put a spiritual umbrella in the glass of our life, kick back and look at what has been. We can give space for gratitude; for reconnection with ourselves, with our life and even with the omnipotent God who role models rest. 

So, this summer, we’re going to the South of France. I’m absolutely exhausted already. I’ve been organising a rota of (very kind) people to look after our dog; preparing work so I’m ready for the day after we get back; buying gallons of sun cream (just in case France runs out); booking trips and Googling where the nearest boulangerie is so we can have idyllic, spontaneous visits for life-changingly delicious croissants… Going on holiday is really hard work and I haven’t even gone yet. But this year, as I put on my sunglasses and factor 30, I am determined to make time to put the holy in my holiday. And holy days in my life. 

* (of course, if you’re not British, you might be interested in the etymology of the word vacation = "formal suspension of activity, time in which there is an intermission of usual employment"/state of being unoccupied. Which to my mind is summed up by the old adage, a change is as good as a rest, with which I have always taken issue….)