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
Politics
5 min read

In praise of nuance

Life is complicated. The early Christians had a much better way than a dramatic headline

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A typewriter holds a piece or paper reading 'truth'
Markus Winkler on Unsplash.

Seventeen hundred years ago this year, the early Christians inched their way towards a landmark statement. The Nicene Creed was the result of 300 years of wrestling with a question at the heart of this new movement: if the Jesus they worshipped was in some sense the ‘Son of God’, what did that mean? Was he a human prophet, better than most, but fundamentally just like the rest of us? Was he God in human disguise? Or a kind of half-breed, like a centaur - half human and half divine? Bishops and theologians spilt blood, sweat and tears (literally) over these questions. Simplistic answers were put forward and found wanting. Treatises were written, synods met, opponents were castigated and excommunicated. Even riots broke out as the debates waxed fiercely across the Roman world. 

Eventually, in 325 AD, the Council of Nicaea issued a carefully worded and hard-won statement. It said that Jesus was ‘God from God, light from light, true God from true God, begotten not made, of one being with the Father.' Every word was carefully chosen and the fruit of long debate, deep prayer and thought. It didn’t solve all the problems, but it has stood the test of time, and is still recited in churches across the world today.  

I have been pondering all this during the summer as our political debates have raged.  

Take the issue of immigration. On one side, there are the ‘refugees welcome’ banners, the suspicion that fixing a flag of St George on a lamp post is a sign of incipient fascism, and that claiming we have a problem with immigration is inherently racist.  

On the other side, it is ‘stop the boats’, calls for mass deportations, protests outside hostels for frightened immigrants, the implication that all immigrants are scroungers, destroying the soul of Britain (or the USA) and the need to rapidly close our borders.  

But it’s complicated. There are significant differences between the claims of legal migrants, asylum seekers and illegal immigrants. Most would probably agree that offering welcome to people escaping warfare, persecution and famine in their homelands is right, proper, and in line with a long tradition of wealthy countries offering a refuge for others in need. People will always be on the move, and to close all borders is unrealistic and unjust. The moderate, fertile British climate, our historic economic and political stability, our well-regulated legal system, the Christian faith which shaped our culture, even the relative tidiness of our streets and countryside, are gifts we inherit from the past and should be generous with them.  

Yet these are blessings that can’t be taken for granted. They need protecting, not just for our sakes but for those with a legitimate claim to make a home here.

So, most would also agree that illegal immigration is a scourge, with the ruthless villains enticing desperate migrants to climb on their flimsy boats across the channel deserving little else but criminal sentences. Yet even mass ‘legal’ migration will change the character of the nation. In 1990, net migration was around 20,000 a year. In 2024 it was 430,000. When 40% of primary age children have at least one foreign-born parent, and for one in five, English is not their first language, that can't fail to have an impact on the character of the nation, especially in areas where housing is cheaper and newcomers to the country find it easier to find accommodation. 

But this complexity gets lost in the need for a punchy headline. Neither ‘send them home’ or ‘all migrants welcome’ capture the dilemma. It needs nuance. It needs careful, patient working towards the right balance between differing claims – compassion towards the stranger and the preservation of the very things that draw the refugees and the restless here. 

The same is true of Israel and Gaza. For the pro-Israel lobby, just to draw attention to the suffering in Gaza is to be anti-Semitic. To urge restraint on Israel’s determination to destroy Hamas, even if it means destroying Gaza and much of its population in the meantime is to echo the death camps and to bring down Zionist wrath. Yet for Palestine Action and its supporters, Israel’s legitimate need to live in peace without a neighbouring state dedicated to its destruction seems to count for nothing. How can it be expected to live alongside a regime that brutally murdered 1,400 of its citizens in one day?  

Even assisted dying – on which I and others on Seen & Unseen take the strong view that it is a bad idea – is not simple. The cries of those facing a long and painful death need hearing and people like me, who argue against assisted dying, need to promote solutions that will alleviate such suffering without crossing the red line of encouraging a culture of death.  

The truth and the resolution of our dilemmas – on immigration, or Gaza, or even assisted dying, are seldom simple. They require nuance. They need forbearance.

It’s complicated. Most important things are. Anyone who has tried to lead a large organisation will know that it’s often a delicate matter of trying to chart a path forward while keeping competing interests and perspectives on board. You lose some people along the way, but you can’t afford to lose everyone, especially if both sides of the argument have some legitimacy.  

The early church’s long struggle to define orthodoxy took time, patience, careful thought and restraint – even though at times it wasn’t very good at doing it. The result was a nuanced statement that steered between one pole – that Jesus was simply a very good human being – and the other – that he was God dressed up in human clothes. The truth eventually glimpsed and embraced was not at one extreme or the other, nor even a limp compromise, but the carefully crafted, unlikely and counter-intuitive idea that held together the best insights of both sides - that he was not ‘only human’ or ‘only divine’, or 50% of each, like semi-skimmed milk, but 100% human and 100% divine, and that this (for reasons too involved to go into here) was not a contradiction in terms.  

The truth and the resolution of our dilemmas – on immigration, or Gaza, or even assisted dying, are seldom simple. They require nuance. They need forbearance. They need careful attention and listening to the people you instinctively disagree with to arrive at the truth. Yet our longing for a dramatic headline, our hunger for simple solutions, our algorithms that promote the most extreme opinions, all militate against this kind of patient, watchful political and social culture that would help us arrive at better solutions.  

Life is complicated. People are complicated. Solutions to vexed questions are rarely simple. We need nuance.

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