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? 

Article
Creed
Politics
Suffering
Trauma
6 min read

Dear Kemi, about that lost faith

Who stands with us when we suffer?

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

Kemi Badenoch sits and talks.
Kemi Badenoch.
ARC.

Dear Kemi (if I may)

Lost faith is usually a sad tale. And you have told us how you lost yours. I hear your grandfather was a Methodist minister, and so as a young girl, you would pray, seeing answers from time to time for longer hair, good grades and the like. But when you heard the story of Elizabeth Fritzl, whose father Josef kept her captive underground for 24 years, repeatedly raping her, you began to ask why God did not answer Elizabeth’s prayers for release. And so you gave up on God.

Now I have real sympathy for you. I have struggled with this too. The Josef Fritzl story and the suffering he inflicted on his daughter is truly horrific. None of us find the problem of evil easy. In fact, I have never yet met a Christian who thinks they have solved it. Yet the remarkable fact is that many of us believe in God anyway. And it’s not because we haven’t thought deeply about it. Many people start with a simple faith in a God who answers prayers, and yet one day, they come across what seems like an anomaly – that some prayers don’t seem to find an answer.

Of course, you’re not the first to have stumbled upon the problem of unanswered prayer. For centuries, Christians have pondered deeply the strange persistence of evil in the world, from St Irenaeus to St Augustine, to Thomas Aquinas, to any number of modern theologians.

They all knew that not all prayers get answered – yet even more, they knew that this is not a marginal thing for Christians, it actually lies at the very heart of our faith.

On the top of every spire, on every altar of a church, around many Christian necks, is a cross. It recalls the excruciating death of an executed innocent man. It is the universally recognised symbol of Christianity, as recognisable as the Islamic crescent or the Jewish Star of David.

Christianity centres on this remarkable claim: that God allowed his Son Jesus to die a cruel and tortured death, and did not respond to his agonised prayer: “My God, my God why have you forsaken me?” All he got was silence. Nothing.

So unanswered prayer is not something that lurks at the margins of Christian faith as a guilty secret. It lies at the very heart of it.

And yet I still believe. Why?

Why does God not intervene to stop the suffering of the world? Why did not God not stop the holocaust? Why does he not stop the suffering of the people of Gaza? Or the Israeli hostages? Or people who suffer from debilitating depression? Or long-term mental illness?

The answer is I don’t know. And why should I? For all I know, God might stop all kinds of things from happening – by definition I don’t know about thing that don’t come to pass. Yet I have to assume that God does not intervene to stop the vast majority of the suffering we inflict on each other. The best I can say is that he seems to allow us to have our own way, giving us the courtesy of accountability for our own actions. As a conservative politician, keen to stress personal responsibility, you should know that more than anyone.  

Josef Fritzl was the cause of his daughter’s suffering, not God. Fritzl was himself the child of an alcoholic father who abandoned him when he was four-year-old and a manipulative and abusive mother who brought him up thereafter. Not that this excuses his crimes for a moment, but he was part of a chain of sin and suffering handed on from one generation to another that stretched back through his parents, their parents, back to the very beginning of human history and beyond. Evil and suffering are part of our world. Christianity knows about evil all too well.

All this might hint at an answer, yet it still doesn’t satisfy. It still doesn’t reduce the suffering. Trying to explain it doesn’t make it any easier to endure it. In fact, if what we Christians say about evil is true, we cannot explain it because evil literally makes no sense. It is the absence of sense, the absence of meaning. It has no point, because it is literally pointless.

The real reason we Christians continue to believe is not that we have a neat answer to it, nor because we haven’t thought about it, but because we know that, paradoxical as it may sound, God himself, in the person of Jesus Christ, knows what it is to pray for something and not get an answer. He has been there too. Somehow, mysteriously, he stands with Elizabeth Fritzl, with Israeli hostages, with Palestinians hungry for peace and food, and with us when we cry out and apparently get no answer. In those moments, we are not, in the end, alone.

And yet, there is more. Despite that fact that we cannot explain the tangled, dark mysteries of evil in the human heart, we have been captivated by a story that tells us it has been overcome. Yes, Jesus died. Yes, he felt abandoned by God his Father. Yet the way the story turned out, the evil done to him was not the last word. God overturned the worst that the human race could do, when the most remarkable thing happened - his cold, abused, bloodied and battered body stirred once more into life. Yet this was not a return to this weary life all over again, back into the maelstrom of suffering and pain that we know it to be, but through the other side into a form of life beyond the grave that cannot be destroyed. Jesus was not ultimately abandoned, even if he, like us, like Elizabeth Fritzl, felt like it at the time.

This is what we get – not a neat answer – for that we will have to wait – but the gift of hope that it will not always be like this, that the Resurrection of Jesus is a foretaste of the Resurrection of all things one day.

And what about what you called your ‘stupid’ little prayers about hair and boyfriends? Why did they get answered and others didn’t? Again, I have no idea. It does seem that from time to time, God does something weird, brings some unexpected healing, things turning out miraculously better than expected, an unforeseen delight. Yet these are just hints, small signs of the great miracle, the Resurrection and the defeat of death. They are hints that even though God will not unravel the moral fabric of the world by intervening every time we do something wrong, occasionally we are given a small sign that he has not given up on the world and will one day flood it with his presence. They are signs to remind you, me, that all the good things we receive each day - food, sunshine, rain, air to breathe – are not accidents but come from a God who gave them to us out of love, and that evil is the anomaly, not goodness. We are left with a question – would we rather a world where that kind of surprising & delightful event never happened? Or one where it occasionally did?

The Resurrection is the ultimate reason we believe. Not because we can explain evil. But because it tells us we are not alone in our suffering. Because it tells us that evil is real, but in the end, will be banished to the pit from which it came. And because the alternative, when we think about that deeply enough – a world where monsters like Josef Fritzl get the last word – where hope is whistling in the dark and evil wins - is intolerable.

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