Article
Comment
Loneliness
6 min read

Why do we feel so lonely?

Re-reading some classics of English literature leads Graham Tomlin to wonder what lies behind our epidemic of loneliness.

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

Individual underneath a galaxy of stars

These days I can’t seem to avoid the spectre of loneliness. Bob Geldof recently described Sinead O’Connor as ‘full of a terrible loneliness’ in the weeks before she died. Elon Musk, who owns Twitter, one of the world’s greatest social networks, was recently described as a cutting a lonely figure. Even more widely, over a quarter of all Londoners say they often or always feel lonely - and that in a city where you can’t get away from people – all 8 million of them.

Loneliness is an epidemic these days. In the UK we even have a Minister for Loneliness and a Department of Government offering ‘Loneliness Engagement Fund’ grants for groups coming up with good ideas to combat it. Loneliness, as Roger Bretherton writes, causes psychological and social damage and is one of the main threats to mental health in contemporary life. I would hazard a guess that if you’re reading this there are times you feel isolated, and would love to have a greater sense of community where you live, or richer friendships. If you don’t, then count yourself fortunate.

Underneath our immediate sense of isolation, our social unease, the ache in the soul that comes with feeling out of connection with others, lies a deeper sense of cosmic loneliness.

During the pandemic, looking around for books that would shed some light on that strange experience of isolation as so many did, I re-read two novels: Daniel Defoe's Robinson Crusoe published in 1719, and Joseph Conrad’s Nostromo, published in 1904. In both stories, people get stranded on deserted islands. Somehow lockdown didn’t seem that different.

Everyone knows the story of Robinson Crusoe. You might have thought that being the sole survivor of a shipwreck, alone on a remote island, would lead to a crisis of loneliness and self pity. Well, he does have moments when he reflects on the possibility that he might die in that desolate place, and remarks how ‘the tears would run plentifully down my face when I made these reflections.’ But the self pity doesn't last long. He goes on to ask himself the question of why he alone was saved out of all crew of the ship that foundered. He sees some kind of providential design in this - that he has been saved, not just by chance, but for some wider purpose, which gives him a sense of comfort. In fact, the novel is the tale of a kind of spiritual awakening, as he gradually sees in his story something of the hand of God mysteriously guiding and preserving him through his trials. Seeing this enigmatic hand directing his affairs, and discerning some kind of purpose in his isolation, Crusoe sets about the tasks of building a kind of small civilization on his island, constructing increasingly sophisticated shelters, planting crops, capturing and taming animals, mapping the island, until his final rescue. He is alone (until Man Friday appears of course) but strangely not alone.

In Conrad’s Nostromo, it turns out very different. This is a story of attempts to protect a hoard of silver from revolutionaries in the troubled (and fictional) South American republic of Costaguana. In the course of trying to hide the treasure, alongside Nostromo, the main figure in the story, the politically ambitious and romantic journalist Martin Decoud, also finds himself stranded on a deserted island, albeit with the load of valuable silver for company. His experience however is totally different. He has no such belief in providence and so for him, the isolation bears more heavily: “solitude appeared like a great void, and the silence of the gulf like a tense, thin cord to which he hung suspended by both hands, without fear, without surprise, without any sort of emotion whatsoever…” Unable to bear the isolation, the aimlessness of his life on the island, and the apparent failure of his plans and projects, he fills his pockets with silver ingots from the treasure, rows in a small dinghy a short way out from the shore, shoots himself with a revolver and falls overboard, sinking slowly to the bottom of the sea. And so, as Conrad describes it, in a cold, yet superb turn of phrase: “the brilliant Don Martin disappeared without a trace, swallowed up in the immense indifference of things.”

Even though they both faced isolation and loneliness, the fates of these two characters are very different. One is a story of spiritual growth, learning, meaningful activity and ultimate rescue. The other is a tragedy of lost hope and potential. It touches the heart, yet remains a tragedy.

Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts?

Of course, both are novels not historical episodes, yet the two books, separated by nearly 200 years, operate in very different frameworks. The first operates in a world which assumes a kind of providential ordering of things. The working of a divine hand of providence is, as Crusoe (and presumably Defoe) realises, hard to discern and difficult to distinguish in any one moment, and so leads many to doubt it is there at all. Belief in providence has always been a choice - an act of faith rather than a scientifically proved theory. And yet the story is framed within the overall belief that in the strange twists and turns of life there is a deeper divine order that leads towards a distinct purpose of good and which makes human activity directed towards that purpose meaningful.

The other story has lost that sense of divine order, and is left only with the “immense indifference of things.” This is a world in which there is nothing beyond what we can see and feel, no objective purpose, direction or goal other than that dreamed up by us. Human activity, in this case, the search for wealth and riches, seems strangely pointless. All that is left is human love and relationship and when that becomes impossible, due to enforced loneliness, there seems little point left to life.

Richard Dawkins famously wrote: ‘the universe we observe has precisely the properties we should expect if there is at bottom no design, no purpose, no evil, no good, nothing but blind pitiless indifference.’ For the moment I'll leave to one side the question of whether the universe does point in that direction, but either way, if we tell ourselves that story, as we have so often been doing for the last couple of centuries, is it surprising that often we feel dreadfully alone? Is it surprising that when we tell ourselves that we are alone in the cosmos, that there is no-one there to hear our cries or heartfelt longings, that the aching hole in the universe finds its way into our own hearts? It doesn’t take much imagination to see that the ‘immense indifference of things’ leaves a hollowness in the heart of life and the pit of the stomach.

Such a deeper cosmic loneliness might explain why we can still feel alone even in a city, even in a crowd or even sometimes among our friends. It helps us see our loneliness not just as a tragedy but as a pointer towards our need from greater sense of connection than any human being could give.

In Matthew’s gospel, the very last sentence depicts Jesus saying to his perplexed but bewildered disciples, scarcely daring to believe that he has actually risen from the dead: “Surely I am with you always, to the very end of the age.” This simple promise is one that has held and sustained Christians for generations, in prison cells, through dangerous voyages, through purges, in times of persecution, misunderstanding and sickness and, yes, times of loneliness in modern western societies. Of course, we need a sense of belonging, and the company of others, as we are made for that. But underneath it we need a deeper connection, a bond with something, or someone at the very heart of things. Such a promise doesn’t remove loneliness, but it makes it bearable, even meaningful.

Article
Assisted dying
Care
Comment
Politics
6 min read

Assisted dying’s problems are unsolvable

There’s hollow rhetoric on keeping people safe from coercion.

Jamie Gillies is a commentator on politics and culture.

Members of a parliamentary committee sit at a curving table, in front of which a video screen shows other participants.
A parliamentary committee scrutinises the bill.
Parliament TV.

One in five people given six months to live by an NHS doctor are still alive three years later, data from the Department of Work and Pensions shows. This is good news for these individuals, and bad news for ‘assisted dying’ campaigners. Two ‘assisted dying’ Bills are being considered by UK Parliamentarians at present, one at Westminster and the other at the Scottish Parliament. And both rely on accurate prognosis as a ‘safeguard’ - they seek to cover people with terminal illnesses who are not expected to recover. 

An obvious problem with this approach is the fact, evidenced above, that doctors cannot be sure how a patient’s condition is going to develop. Doctors try their best to gauge how much time a person has left, but they often get prognosis wrong. People can go on to live months and even years longer than estimated. They can even make a complete recovery. This happened to a man I knew who was diagnosed with terminal cancer and told he had six months left but went on to live a further twelve years. Prognosis is far from an exact science. 

All of this raises the disturbing thought that if the UK ‘assisted dying’ Bills become law, people will inevitably end their lives due to well-meaning but incorrect advice from doctors. Patients who believe their condition is going to deteriorate rapidly — that they may soon face very difficult experiences — will choose suicide with the help of a doctor, when in fact they would have gone on to a very different season of life. Perhaps years of invaluable time with loved ones, new births and marriages in their families, and restored relationships. 

Accurate prognosis is far from the only problem inherent to ‘assisted dying’, however, as critics of this practice made clear at the – now concluded – oral evidence sessions held by committees scrutinising UK Bills. Proponents of Kim Leadbeater’s Terminally Ill Adults (End of Life) Bill and Liam McArthur’s Assisted Dying for Terminally Ill Adults (Scotland) Bill have claimed that their proposals will usher in ‘safe’ laws, but statements by experts show this rhetoric to be hollow. These Bills, like others before them, are beset by unsolvable problems. 

Coercion 

Take, for example, the issue of coercion. People who understand coercive control know that it is an insidious crime that’s hard to detect. Consequently, there are few prosecutions. Doctors are not trained to identify foul play and even if they were, these busy professionals with dozens if not hundreds of patients could hardly be counted on to spot every case. People would fall through the cracks. The CEO of Hourglass, a charity that works to prevent the abuse of older people, told MPs on the committee overseeing Kim Leadbeater’s Bill that "coercion is underplayed significantly" in cases, and stressed that it takes place behind closed doors. 

There is also nothing in either UK Bill that would rule out people acting on internal pressure to opt for assisted death. In evidence to the Scottish Parliament’s Health, Social Care and Sport Committee last month, Dr Gordon MacDonald, CEO of Care Not Killing, said: “You also have to consider the autonomy of other people who might feel pressured into assisted dying or feel burdensome. Having the option available would add to that burden and pressure.” 

What legal clause could possibly remove this threat? Some people would feel an obligation to ‘make way’ in order to avoid inheritance money being spent on personal care. Some would die due to the emotional strain they feel they are putting on their loved ones. Should our society really legislate for this situation? As campaigners have noted, it is likely that a ‘right to die’ will be seen as a ‘duty to die’ by some. Paving the way for this would surely be a moral failure. 

Inequality 

Even parliamentarians who support assisted suicide in principle ought to recognise that people will not approach the option of an ‘assisted death’ on an equal footing. This is another unsolvable problem. A middle-class citizen who has a strong family support network and enough savings to pay for care may view assisted death as needless, or a ‘last resort’. A person grappling with poverty, social isolation, and insufficient healthcare or disability support would approach it very differently. This person’s ‘choice’ would be by a dearth of support. 

As Disability Studies Scholar Dr Miro Griffiths told the Scottish Parliament committee last month, “many communities facing injustice will be presented with this as a choice, but it will seem like a path they have to go down due to the inequalities they face”. Assisted suicide will compound existing disparities in the worst way: people will remove themselves from society after losing hope that society will remove the inequalities they face. 

Politicians should also assess the claim that assisted deaths are “compassionate”. The rhetoric of campaigners vying for a change in the law have led many to believe that it is a “good death” — a “gentle goodnight”, compared to the agony of a prolonged natural death from terminal illness. However, senior palliative medics underline the fact that assisted deaths are accompanied by distressing complications. They can also take wildly different amounts of time: one hour; several hours; even days. Many people would not consider a prolonged death by drug overdose as anguished family members watch on to be compassionate. 

Suicide prevention 

 It is very important to consider the moral danger involved with changing our societal approach to suicide. Assisted suicide violates the fundamental principle behind suicide prevention — that every life is inherently valuable, equal in value, and deserving of protection. It creates a two-tier society where some lives are seen as not worth living, and the value of human life is seen as merely extrinsic and conditional. This approach offers a much lower view of human dignity than the one we have ascribed to historically, which has benefited our society so much.  

Professor Allan House, a psychiatrist who appeared before the Westminster Committee that’s considering Kim Leadbeater’s Bill, described the danger of taking this step well: “We’d have to change our national suicide prevention strategy, because at the moment it includes identifying suicidal thoughts in people with severe physical illness as something that merits intervention – and that intervention is not an intervention to help people proceed to suicide.” 

 Professor House expressed concern that this would “change both the medical and societal approach to suicide prevention in general”, adding: “There is no evidence that introducing this sort of legislation reduces what we might call ‘unassisted suicide’.” He also noted that in the last ten years in the State of Oregon – a jurisdiction often held up as a model by ‘assisted dying’ campaigners – “the number of people going through the assisted dying programme has gone up five hundred percent, and the number of suicides have gone up twenty per cent”. 

The evidence of various experts demonstrates that problems associated with assisted suicide are unsolvable. And this practice does not provide a true recognition of human dignity. Instead of changing the law, UK politicians must double down on existing, life-affirming responses to the suffering that accompanies serious illness. The progress we have made in areas like palliative medicine, and the talent and technology available to us in 2025, makes another path forwards available to leaders if they choose to take it. I pray they will. 

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