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
Belief
Creed
Generosity
Spiritual formation
4 min read

Love Island: 'thanking the universe’ makes no sense

The universe doesn’t even know you exist, so don't waste time thanking it.

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

A Composite image of Love Island contestants stand together in a group under a fiery heart.
ITV.

I don't watch Love Island, but maybe I should. A friend noticed something odd happening on it recently. Contestants often seem to credit 'the universe' with something happening. The universe has been thanked; it’s been used to bring solace to those unlucky in love (i.e. ‘the universe has your perfect woman lined up to enter the villa’ ); it’s been ‘prayed’ to, even.

I read a moving article about a mother some while ago, reflecting back on the difficult birth of her now teenage son, filled with a sense of gratefulness for the sheer gift of his life. Her words were simple: “As my son turns 16, I thank the universe his fraught birth is only a memory.”

‘Thanking the universe’ has become a common trope these days, maybe because people feel they can no longer thank God. Being thankful, of course, is a good thing, and gratitude is the subject of significant scientific research. Numerous studies have shown the beneficial effects of a grateful approach to life. It helps people live longer, sleep better, reduces toxic emotions like regret or resentment, and builds self-respect. By consciously being grateful for ordinary things – a roof over their heads, clean air to breathe, or a kind word from a friend, people who were previously dogged by resentment and grievance about the way life had treated them have found it possible to express appreciation of others, let minor insults pass and negotiate successfully with tricky neighbours.  

Gratitude is the ability to recognise good things in our lives that we didn’t create. It reminds us that we are not the makers of our own good fortune.  Saying a simple ‘thank you’ turns us outwards, away from a sense that we deserve the good things that come our way.  It contradicts any idea that we are somehow self-sufficient, helping us recognise that we are thoroughly dependent on factors beyond ourselves for most of what makes our lives enjoyable and fruitful.  

All the same, there is something odd about being grateful to an impersonal object - like a tree for standing, a river for flowing, or, for that matter, to the universe itself, especially when we usually think of that universe as blind and indifferent. Bob Emmons, a Professor of Psychology in California points out an important distinction between gratitude and thankfulness. We tend to be grateful for something, but thankful to someone. We often talk about life or a particular talent as a ‘gift’, but for something to be a gift, it really needs to be given by a giver. Something that is not deliberately offered can’t easily be seen as a gift.  

Imagine finding a bunch of flowers in the street outside your home, dropped by an absent-minded shopper. Then imagine a similar bunch of flowers given to you by a friend who knew you needed cheering up. Which would mean more? Which is really a gift? You might be grateful that the lost flowers exist and are sitting in a vase on your kitchen table, but they would mean so much more if they were a gift from a friend. Gifts which come from a giver, deliberately chosen, and personally given, mean so much more than things which would just happen to be there. 

While a sense of gratitude can be psychologically beneficial, something even better happens if we learn to see everything we have as a gift from a giver, rather than a fortunate accident, or mere chance. 

A gift we receive is never ultimately about the gift – it’s about the relationship established between us and the one who gave it. 

The practice of giving thanks in Christian prayer is rooted in the idea of Creation - that the world around us is not here by chance but is a gift from a God who made it. It therefore changes the way we look at that world. The simple discipline of saying grace before a meal transforms the food from a random plate of meat and veg into a sign of love and provision for our needs. Thanksgiving reminds me that the tree outside my window doesn’t just happen to be there, but is a gift from a heavenly Father who made it and gave it, at least in this moment, to me as the person observing it right now. As G.K. Chesterton once put it: “If my children wake up on Christmas morning and have someone to thank for putting candy in their stockings, have I no-one to thank for putting two feet in mine?”  

We often say it’s the thought that counts. If that’s true, then if there is no thought behind the thing we receive, then somehow, however good it is, it means little. A gift we receive is never ultimately about the gift – it’s about the relationship established between us and the one who gave it. Gratitude is better than greed, but if there is no-one behind the things we enjoy, then what we have is not really a gift. To put it bluntly, the universe doesn’t care about you. It doesn’t even know you exist. So, thanking it makes no sense whatsoever.  

If, however, behind the gift, there is a Giver who gave us what we needed, or even more than we needed, whether or not we deserved it, that gift becomes something much more significant. That gift – friendship, food, forgiveness and much more, becomes a token of love – a sign that despite everything, there is a God who made us, thinks of us, and even beyond that, gives himself for us at great cost, an even deeper reality than the gift itself. 

 

A version of this article originally appeared in the Times 

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