Review
Culture
4 min read

Most popular 2024: Graham Tomlin

From princes to politicians, Graham's top takes of the year.

Nick is the senior editor of Seen & Unseen.

A young man wearing a dark suit talks to a minister wearing regalia.
Prince William talks with the Dean of Westminster Abbey, 2019.
LPhot Belinda Alker, OGL 3, via Wikimedia Commons.

We’re wrapping up the year reviewing what articles were most popular with Seen & Unseen readers. Our first analysis is of Bishop Graham Tomlin’s takes on the year’s events. What did our editor-in-chief write about?

2024 was billed as the year of elections, so it’s no surprise to see two takes on the US presidential election. And back in the United Kingdom, Graham also commented on the age old tension between politicians and clerics.  Public scandals also caught his eye, from the  injustice meted out by the Post Office, to the pure evil of abuse.

Away from the politics of the public realm, Graham explored the perennial themes of the sacred and secular views of the world. However, this year, he also wrote on paganism. If your first image that comes to mind is of ancient cultures, think again. And in the very personal realm of belief, Graham’s take on Prince William’s doubts

Finally, could a 2024 review not mention podcasts? As a scholar of theologian Martin Luther, Graham, of course had views on The Rest is History’s episode about Luther – The Rest is Luther...

In reverse order...

10 - Did God tell Joe Biden to stand down?

His story teaches us to listen a little more intently to what comes our way.

Explore more articles on themes in this article: Ageing, Politics, Providence.

9 - The Church and the State need to disagree on asylum seekers

Politicians don’t always get how church and state relate, but both have a vital and different role to play when it comes to immigration.

The Church and the State need to disagree on asylum seekers | Seen & Unseen

Explore more articles on themes in this article:  Church and state, Politics.

8 - Are we Secular, Christian or Pagan?

After the Paris Olympics, Graham Tomlin wonders whether a full-on secularism could veer back towards a modern paganism. 

Explore more articles on themes in this article: BeliefPaganism.

7 - After the fall: the Post Office scandal and the search for justice

Falls from grace, like that of the Post Office’s CEO, prompt Graham Tomlin to dissect the problems of justice and mercy.

Explore more articles on themes in this article: Creed, Ethics, Justice.

6 - John Smyth: how evil masks itself as goodness

Be alert to the cloaked and warped wherever it occurs.

Explore more articles on themes in this article: Creed.

5 - Did God save Donald Trump?

In the aftermath of the assassination attempt, Graham Tomlin asks whether or not we can see the hand of God in it.

Did God save Donald Trump? | Seen & Unseen

Explore more articles on themes in this article: BeliefDeath & Life, Politics, Providence.

4 - The difference between Richard Dawkins and Ayaan Hirsi Ali

How we decide what is true rests on where we start from.

Explore more articles on themes in this article: Atheism, Belief, Epistemology.

3  - God in the garbage: Egypt's unlikely megachurch

Cairo's Church of the Zabballeen is the largest Church, and one of the most unusual in the Middle East. Graham Tomlin tells its story and that of the remarkable priest who inspired it.

Explore more articles on themes in this article: Coptic Church, Identity, Middle East.

2 - The Rest is Luther

Did 'The Rest is History' get Luther right? Graham Tomlin gives his verdict

Explore more articles on themes in this article: Creed, Faith, Justification.

1  - Prince William's doubt is normal - it's impossible to be certain whether there is a God

Our limited human understanding means we will never fully understand God in this life, writes Graham Tomlin.

Prince William's doubt is normal - it's impossible to be certain whether there is a God | Seen & Unseen

Explore more articles on themes in this article: BeliefDoubt, Faith, Royalty.

0  - A history of Israel and Palestine – 4,000 years of history in 2,500 words

First published in late 2023, this analysis remains the most popular Seen & Unseen article to date.

The land at the heart of the Middle Eastern crisis is at the centre of world attention again. For those whose grasp on the history behind the situation is hazy, Graham Tomlin offers a brief survey.

Explore more articles on themes in this article: Gaza, Israel, Middle East, Old Testament, War & Peace.

Browse all Graham's articles

Explore more than 80 articles.

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Graham Tomlin

Editor-in-Chief

Interview
Culture
Death & life
S&U interviews
8 min read

Rediscovering 'ordinary dying'

On the eve of her Theos annual lecture on 'Death for Beginners', Robert Wright speaks to former palliative care consultant Kathryn Mannix about the need for everyone to re-engage with the process of dying. Part of the Seen & Unseen How to Die Well series.

Robert is a journalist at the Financial Times.

 

A woman stands in an autumnal-looking park, with her hands in her pockets
Katherine Mannix.

Shortly after the late Queen Elizabeth died, in September last year, Kathryn Mannix, a former palliative care doctor, decided to point out something that had been going unremarked. Mannix, who spent 30 years in various palliative care roles in the North of England until retiring in 2016, wrote on the social media platform then called Twitter that the world had watched the late monarch live through a process that she called “ordinary” dying. But, she added, the dying had gone “unspoken, un-named”. 

Mannix’s 12-post thread pointing out what the world had been watching was to prove one of the most successful steps yet in her long-running campaign to refamiliarise the world with how people die, the signs that someone is dying and how the process works. The thread has been viewed several million times. Among the replies to her post, according to Mannix, were several from people saying they recognised from it that relatives were going through the process and they should prepare. 

Mannix hopes that her efforts will ensure people learn to cope better with their own and others’ inevitable deaths in ways that work better both medically and emotionally. 

“The queen’s death was no surprise to those of us who have been watching that process that we recognise as ordinary dying,” Mannix says, in an interview over lunch in Newcastle, near her Northumbria home. 

“The person got into hospital to have treatment to stop them from dying. When they died, that was a medical failure. That was an embarrassment.” 

Mannix will take another substantial step in her campaign on November 1 when she delivers the annual lecture for the religious think-tank Theos on Dying for Beginners. The lecture will revisit the lessons of her thread about the queen and two successful books about dying: With the End in Mind, recounting the lessons of her career in palliative care, and Listen, about finding the words for end-of-life conversations. All of her work has stressed the unhelpful aspects of medical practitioners’ increasing involvement in deaths. Doctors’ increasing power to prevent death in many circumstances and delay it in others has made it, in her view, damagingly unfamiliar. 

However, Mannix insists that, while the November 1 lecture has been organised by a faith-based think-tank, her principles are applicable whether people understand their lives through a spiritual prism or via something else like family, politics or art. 

“There are a number of constructs that give people meaning,” Mannix says. 

At the heart of Mannix’s message is the idea that death was once a familiar process that people knew how to manage. She argues that the last century’s medical advances changed that. 

“I think we’ve forgotten because over the course of the twentieth century life expectancies nearly doubled,” Mannix says. 

She points to a range of factors behind the shift, from improved sanitation and vaccination programmes to the founding in the UK of the National Health Service and the introduction of antibiotics. 

She dates the shift of dying from home to hospital to the second half of the twentieth century. 

“It was almost like dying was kidnapped inside hospitals then,” she says. “The process itself got slightly distorted by the medical interventions like intensive care units, so the process became less recognisable.” 

The key change, according to Mannix, was that death became “the enemy”. 

“The person got into hospital to have treatment to stop them from dying,” she says. “When they died, that was a medical failure. That was an embarrassment.” 

“It’s hard to have a conversation with a person who has no pegs to hang that conversation on. The current population has no idea about dying.”

Doctors started to keep in hospital people who would prefer to be at home with their grandchildren, in case there was one more thing they might try that would save their lives, Mannix says. 

“We need to celebrate that medicine can do so much more than it used to be able to do,” Mannix says. “But we need to remember that those achievements are only postponing dying. We’ve not cured death.” 

Clinicians need to recognise the point in illnesses where death becomes inevitable and speak to patients about their priorities for their remaining time, she adds. 

“Survival at all costs might not be what is most important to them,” Mannix says. “There may be things that they wish to fulfil.” 

Mannix is clear that the UK at least remains a long way from learning the lessons that she is trying to teach. She was prompted to write her thread about Queen Elizabeth’s death partly by the ending to a news bulletin announcing that the monarch’s family were rushing to her bedside at Balmoral. Mannix says the newsreader finished the segment, hours before the death was announced, by saying “Get well soon, ma’am.” She describes it as “a dreadful example of our death-denying”. 

She is giving the annual Theos lecture as the group is in the midst of releasing a suite of resources designed to provoke greater debate around death and dying. They include a video where Mannix explains the dying process. The group’s research paper Ashes to Ashes, published in March, showed that many British people had similar priorities for their own deaths and those of loved ones as set out in Mannix’s work. They wanted to be free of pain or suffering, surrounded by family, probably at home, to be reconciled to people and to be prepared. 

According to Mannix, however, even her fellow medical professionals feel poorly equipped to begin conversations with patients or their families about impending death. Many people had contacted her after reading With the End in Mind saying that they were convinced of the need for frank conversations about death but had no idea how to start them. 

“The feedback from doctors and nurses was the same as from the general public – ‘I don’t know how to talk about this bit’,” Mannix says. “’Nobody taught us about this in training’.” 

It is also a challenge for medical professionals that patients and their families are typically resistant to conversations about death, she adds. 

“The doctor doesn’t want to be the bad guy or girl and constraints in the NHS are such they can’t find time for the length of conversation that’s likely,” Mannix says, adding that many doctors are also unfamiliar with exactly how the dying process tends to unfold. 

“They’re not taught about dying,” Mannix says of trainee clinicians. “They’re not taught to see good dying as a good medical outcome and it could be.” 

Those conversations are all the harder, she adds, because society as a whole has so little conception of the process of death. 

“It’s hard to have a conversation with a person who has no pegs to hang that conversation on,” Mannix says. “The current population has no idea about dying.” 

In wider society, meanwhile, she would like to see far more communities taking the opportunity to support the dying. 

The questions fundamentally end up being spiritual or philosophical ones, Mannix says. She declines to be drawn on her own spiritual practices but describes herself as “spiritually curious”. She similarly declines to outline her position on the debate about assisted dying, saying that expressing a view on that would be a distraction from her primary purpose of promoting discussion of the ordinary dying process. 

But she says questions about how to manage death, whether to prolong life and the balance between quality and length of life inevitably raise “societal questions”. 

“We all want to think about our life being worth something and about the purpose that we think is the purpose of being alive,” Mannix says. 

Mannix hopes her campaign will prompt religious leaders to think more carefully about how they support families and dying people. In particular, she would like priests to acknowledge to those they are supporting that faith will not always banish fear and that the faithful will sometimes feel abandoned by God in the face of death. She would like to see far more thorough training for clergy throughout their careers in how to have such conversations. 

She would also like to see more clergy learn more about the process of death, so that they can reassure families about what they are witnessing – for example, that apparent gasping from the dying person does not indicate pain. She expresses optimism about the growth of civil society organisations – some based around religious organisations – seeking to encourage a more open discussion of death and dying. She speaks particularly warmly of the Death Cafe movement – where people meet for cake and coffee to discuss death issues – and the End of Life doula movement. End of Life doulas seek to shepherd people through death the same way that birth doulas assist women in labour. 

Both of those movements have a key role to play in bringing about the revolution that Mannix would like to see in society’s understanding of death and its role in life. 

Asked what a balanced approach to the issue would look like, Mannix says it would be “very helpful” if people were told at the outset when they were diagnosed with a long term, potentially life-limiting condition that it could be so. 

“Currently, people understand that cancer can kill you,” Mannix says. “But there are many people walking around the country who have long-term lung diseases, kidney diseases, who just wonder why they never feel as well as they used to do.” 

In wider society, meanwhile, she would like to see far more communities taking the opportunity to support the dying. 

“A decision for the public would be to think of an organisation or society or a community that they belong to and how could they be agents of change in that community to explore the concept or ordinary dying,” Mannix says. 

Such communities can decide how best to prepare and make available support for other community members when they are dying. 

“Their dying will come one by one,” Mannix says. “We’ll all take our own turn.” 

 

While most tickets for Kathryn Mannix’s talk on November 1 have been taken, some more may become available at theosthinktank.co.uk. For those unable to attend, the lecture will be filmed and posted afterwards on the Theos website.