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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Belief
Creed
4 min read

Why news of the ‘Quiet Revival’ needs taking with a pinch of salt

When Christianity becomes cool, it has a tendency to lose its soul.

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

An ancient salt shaker sits next to a pile of crushed rock salt.
Out of the salt shaker.
Jonathan Tame on Unsplash.

Mark Twain, that purveyor of slanted wisdom, was wary of data. "Figures often beguile me," he wrote, "particularly when I have the arranging of them myself; in which case the remark attributed to Disraeli would often apply with justice and force: 'There are three kinds of lies: lies, damned lies, and statistics.'" 

Now whether Disraeli ever said this is a moot point. The quotation has been attributed to figures as various as Walther Bagehot, Arthur Balfour and the Duke of Wellington. Either way it has gone down in history as expressing a certain strand of suspicion when it comes to statistical analysis of the future. 

This phrase came to mind this past week when reading The Quiet Revival, a study conducted by the Bible Society that suggests that the long story of church decline in England and Wales is over. It claims that church attendance has risen by 50 per cent over the last six years and particularly young adult men are increasingly turning to the Church, especially to the Roman Catholic and Pentecostal versions of it. 

The report been hailed and celebrated by Christian commentators, perhaps in a spirit of relief, thankful for some good news against the background of months of dreary and gloomy news of resigning Archbishops, looming splits in the church over sexuality and the ongoing seemingly inevitable process of decline. 

Now I don't for a moment mean to doubt the results of the survey. Or to get all Scrooge-like at the findings. For those of us who have been part of the church for years it is indeed welcome news and a cause for some cautious optimism. It always lifts the spirits a little to feel that others see what you see, and you're not whistling in the dark when it comes to continuing to believe. ‘Revival’ is perhaps too ambitious a word to use right now. It would need a lot more hard evidence from bigger surveys and more observable results to deserve such a designation. But there do seem to be straws blowing in the wind, perhaps the first signs of a refreshing breeze which might yet sweep away some of the shadows of sceptical unbelief. 

The appeal of Christian faith is precisely the fact that it's not based on how many people believe it. 

Yet forgive me if I take all this with a pinch of salt. The popularity of Christianity has always waxed and waned throughout the last two thousand years. There are times when it has been the flavour of the month - or the century - such as when it started to become the official religion of the Roman Empire 300 years or so after the time of Jesus. Yet popularity brings its dangers. When Christianity becomes cool, it has a tendency to lose its soul, its radical nature diluted by the flocks of people drawn to the cross as a kind of fashion accessory. At other times it has dwindled to a few hardy souls braving it out, like the eleven fearful disciples huddling together in Jerusalem, looking for an escape route after the execution of Jesus, or the tough, rugged Christians who carried on praying during years of persecution, often paying for their faith with their lives.  

Christianity’s claims to truth are not dependent on a referendum. For us Christians, our faith remains true whether or not people believe it. The fact that more people may be going to church now than a few years ago doesn't make the Christian faith any more or less true. I've never taken the predictions of the church's demise too seriously. Which is why I'm not one for putting out the bunting when the predictions go the other way.  

This why it seems to me that, like Mark Twain, believers in Jesus ought also to be a little sceptical of statistics. Numerical projections and probability theory have their uses in trying to spot social trends, but they don't have much bearing on questions of truth. After all, statistical analysis of what tends to happen to dead people would never have predicted the Resurrection. 

The appeal of Christian faith is precisely the fact that it's not based on how many people believe it. It centres on an event where the eternal became temporal, where God entered into human history in the shape of a Galilean rabbi. It therefore transcends time and space, opinion polls and surveys. It gives a confidence rooted not in the swinging mood of public opinion, up one minute and down the next, but instead something lasting, permanent and reliable.  

So be glad, if you want, at the prospect of a coming renewed wave of faith. But don’t be fooled into thinking this proves anything. As Jesus once said: “Do not rejoice at this, that the spirits submit to you, but rejoice that your names are written in heaven.” 

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