The Lost Art of Dying: Reviving Forgotten Wisdom

The Lost Art of Dying: Reviving Forgotten Wisdom

by L.S. Dugdale

Narrated by Abby Craden

Unabridged — 5 hours, 36 minutes

The Lost Art of Dying: Reviving Forgotten Wisdom

The Lost Art of Dying: Reviving Forgotten Wisdom

by L.S. Dugdale

Narrated by Abby Craden

Unabridged — 5 hours, 36 minutes

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Overview

A Columbia University physician inspires us to rethink death and offers insights on how we can learn to embrace the art of dying well in this wise, clear-eyed book that is as compelling and soulful as Being Mortal, When Breath Becomes Air, and Smoke Gets in Your Eyes.

As a specialist in both medical ethics and the treatment of older patients, Dr. Lydia Dugdale knows a great deal about the end of life. Far too many of us die poorly, she argues. Our culture has overly medicalized death: dying is often institutional and sterile, prolonged by unnecessary resuscitations and other intrusive interventions. We are not going gently into that good night-our reliance on modern medicine can actually prolong suffering and strip us of our dignity. Yet our lives do not have to end this way.

Centuries ago, in the wake of the Black Plague, a text was published offering advice to help the living prepare for a good death. Written during the late Middle Ages, Ars moriendi-The Art of Dying-made clear that to die well, one first had to live well. When Dugdale discovered this Medieval book, it was a revelation. Inspired by its holistic approach to the final stage we must all one day face, she draws from this forgotten work, combining its wisdom with the knowledge she has gleaned from her long medical career. The Lost Art of Dying is filled with much-needed insight and thoughtful guidance that will change our perceptions. Dr. Dugdale offers a hopeful perspective on death and dying as she shows us how to adapt the wisdom from the past to our lives today.

Part of living well means preparing for the end, Dr. Dugdale reminds us. By recovering our sense of finitude, confronting our fears, accepting how our bodies age, developing meaningful rituals, and involving our communities in end-of-life care, we can discover what it means to both live and die well.

The Lost Art of Dying is a vital, affecting book that reconsiders death, death culture, and how we can transform how we live each day, including our last.

Supplemental enhancement PDF accompanies the audiobook.



Editorial Reviews

Publishers Weekly

★ 04/20/2020

In this probing analysis, Dugdale (Dying in the Twenty-First Century), director of Columbia University’s Center for Clinical Medical Ethics, considers how to change the current “death-denying” culture to help readers become more comfortable with death. She challenges the assumptions and habits that lead to a preponderance of medicalized hospital deaths, calling for a personal acceptance of mortality and a revival of community support for the dying, particularly support of those who would otherwise die alone. Sparing no details, Dugdale pulls readers into the ethical conundrums that doctors face with a gripping story of the night she resuscitated an elderly man three times before he died, following the wishes of his children to spare him more pain. Dugdale paints a picture of the medical “conveyor belt” that leads to one treatment after another, often without examining the wisdom or consequences of these actions. She also laments the lack of cultural practices that help people prepare for death, such as the Ars moriendi (Latin for the art of dying) literature of medieval Europe, which emphasized the importance of living well in order to die well. Dugdale discusses the wide variety of responses people have to near-death experiences (despite the expectation of it being a transformative event, many people report feeling or thinking nothing at all), and urges readers to think twice about hospitalization and resuscitation, especially for the frail. This illuminating and thought-provoking book will convince many readers to reexamine their assumptions about death and dying. (July)

From the Publisher

"Kudos to Dugdale’s The Lost Art of Dying for being honest, refreshing, and useful. As a physician who has experienced many deaths, she helps us think about the meaning of our lives and about how to have a good death. I recommend this book to all who are mortal."  — Mary Pipher, author of Women Rowing North

“In this profound and compassionate book about death and its nearness, Dugdale demystifies one of the essential mysteries of our time.” — Siddhartha Mukherjee, the Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene

“Like Atul Gawande and Paul Kalanithi, Dugdale writes fluently about dying from clinical experience. What sets her book apart is that she writes wise words everyone needs to hear as they live. When I lay dying, I hope I will have a doctor like Dr. Dugdale at the bedside.” — Abraham Nussbaum, MD, author of The Finest Traditions of My Calling

“I’m adding this book about dying to my collection of treasured guides to living well. Filling me with illuminating, compelling, and consoling hope, this book, more than any other I have read, reveals how to rediscover the lost art of dying. Read it. Then read it again and again.” — Raymond Barfield, MD, PhD, professor of pediatrics and Christian philosophy, Duke University

"One of the most avoided questions in life is also one of the most important: what is it like to die?  It's a question we will all encounter, no matter what our beliefs about the afterlife.  And you will find no more compassionate and knowledgeable guide than Dr. Dugdale, who has accompanied many people on this journey. Her new book is a great gift to all of us who will die or face death, which is to say, all of us." — James Martin, SJ, author of The Jesuit Guide and Jesus: A Pilgrimage

"This illuminating and thought-provoking book will convince many readers to reexamine their assumptions about death and dying."  — Publisher's Weekly (starred review)

“Want a better life? Then think about your death, starting with Lydia Dugdale’s The Lost Art of Dying. Dugdale shows that death should be courageously confronted. In so doing, we not only conquer our fear, but also understand the reason for our lives.” — Arthur C. Brooks, author of Love Your Enemies and professor at the Harvard Kennedy School

“Dugdale examines how we have surrendered to the medical machine while surfacing ways we can regain control of key decisions over our quality of life and death. Everyone must read this book, whether you are a health-care professional, a public-policy official, or just hoping to reach an advanced age.” — Jeffrey Sonnenfeld, Senior Associate Dean, Yale School of Management

“In this important new book, Dugdale asks why it is so difficult for patients and families to accept terminal diagnoses and for all of us to recognize our finitude. The solution, Dugdale proposes, is for us to learn about dying now, as part of our living. And she is right.” — Victoria Sweet, MD, PhD, author of God's Hotel and Slow Medicine

“Who would have thought that a book on dying could be so enlivening? But that is precisely Dugdale’s point: if we do not face our deaths, they destroy us before they have happened.  A lucid, learned, humane, and utterly necessary book.” — Christian Wiman, author of My Bright Abyss

Lydia Dugdale’s The Lost Art of Dying proves that there is often nothing more relevant to our present cultural moment than the wisdom of the past—in this instance, on the subject of how to face death. The book is based on a great deal of painstaking scholarship but is written in the most accessible style. It will not only be of enormous help to people facing their own death or the death of a loved one, but also to professionals in various fields who attend the dying.  — Timothy Keller, NYT Bestselling Author, Pastor Emeritus, Redeemer Presbyterian Church, New York City. 

“In this extraordinary book Dugdale applies both her clinical experience and her deep insights into a centuries-old approach to help dying patients live well and die well.  Although I was an early student of Elisabeth Kübler-Ross, Dugdale’s book has provided me with new insights that I will apply immediately.” — Dr. Mark Siegler, Lindy Bergman Distinguished Service Professor of Medicine and Surgery at the University of Chicago and coauthor of Clinical Ethics

“Sensitive, informed by clinical experience, rich in the wisdom of the past, L. S. Dugdale has written a riveting book about life’s hardest truth—death. A must read for all of us as we face our mortality.”   — R. R. Reno, editor of First Things 

“The Lost Art of Dying brilliantly combines medical experience and humanistic tradition to show not only how we should prepare for death and why we must, but also that it is an essential part of the art of living well.” — James Rhodes, PhD, professor emeritus of Medieval Studies at Southern Connecticut State University

Lydia Dugdale provides wise guidance, compelling stories, and fascinating historical background to help us rediscover the lost art of dying. She does so from the perspective of a caring physician, but also as a fellow pilgrim on the path of life. Everyone who lives will die someday, yet too few consider what it means to “die well.” This book can help to close that gap. It does so with style and grace. — Rita Ferrone, contributing writer and columnist, Commonweal magazine

“Dugdale patiently and respectfully unveils the reality that many in our world die poorly. Drawing on Medieval wisdom on dying well, she teases out lessons for today. Anyone who deals with the dying—sooner or later, don't we all?—will profit enormously from this insightful and compassionate book.” — D. A. Carson, author of Praying with Paul

"In this fascinating, timely, and important book Dugdale draws us into the transformative wisdom of the art of dying. In so doing she reimagines a world where death is not simply an oppressive shadow to be avoided but an important step on the road to life in all its fullness." — John Swinton, author of Dementia: Living In the Memories of God

A physician draws wisdom from a medieval text to transform our thoughts and fears about dying. Balancing her clinical experience with an openly holistic mindfulness, Dugdale thoughtfully expands on the relevant lessons of ars moriendi (“the art of dying”) . . . A wise and reassuring guide for confronting death. — Kirkus

“Dugdale guides readers toward taking a holistic approach to this final stage by accepting the finitude of life, developing meaningful rituals, and involving their communities in end-of-life care. The overarching theme is that to die well, one must live well. . . . A readable and inspiring manual.” — Library Journal

"At this fraught moment, Dugdale's work could not feel more uncanny and necessary." — Yale Divinity School News

”Read this book before you need it. Read it for yourself and to share with people in your community who can’t read it. This wisdom should never again be lost or forgotten.” — The Public Discourse

“This insightful book accurately describes the widespread dysfunction that occurs when we are distracted from the consideration of our own mortality.”
Mercatornet

“One day that last breath will occur. Are we prepared? Are you? Reading Dugdale’s book becomes therapeutic and nurturing as the readers are challenged by prying questions, followed by reasoned reflection. A beautiful book—one of the few I would purchase for a friend and read again.” — Pneuma

“In its exploration of dying and how it can go well or poorly, her book is a success and much-needed.” — Journal of Palliative Medicine

Arthur C. Brooks

Want a better life? Then think about your death, starting with Lydia Dugdale’s The Lost Art of Dying. Dugdale shows that death should be courageously confronted. In so doing, we not only conquer our fear, but also understand the reason for our lives.

Abraham Nussbaum

Like Atul Gawande and Paul Kalanithi, Dugdale writes fluently about dying from clinical experience. What sets her book apart is that she writes wise words everyone needs to hear as they live. When I lay dying, I hope I will have a doctor like Dr. Dugdale at the bedside.

Mary Pipher

"Kudos to Dugdale’s The Lost Art of Dying for being honest, refreshing, and useful. As a physician who has experienced many deaths, she helps us think about the meaning of our lives and about how to have a good death. I recommend this book to all who are mortal." 

Jeffrey Sonnenfeld

Dugdale examines how we have surrendered to the medical machine while surfacing ways we can regain control of key decisions over our quality of life and death. Everyone must read this book, whether you are a health-care professional, a public-policy official, or just hoping to reach an advanced age.

Raymond Barfield

I’m adding this book about dying to my collection of treasured guides to living well. Filling me with illuminating, compelling, and consoling hope, this book, more than any other I have read, reveals how to rediscover the lost art of dying. Read it. Then read it again and again.

Siddhartha Mukherjee

In this profound and compassionate book about death and its nearness, Dugdale demystifies one of the essential mysteries of our time.

Christian Wiman

Who would have thought that a book on dying could be so enlivening? But that is precisely Dugdale’s point: if we do not face our deaths, they destroy us before they have happened.  A lucid, learned, humane, and utterly necessary book.

James Martin

"One of the most avoided questions in life is also one of the most important: what is it like to die?  It's a question we will all encounter, no matter what our beliefs about the afterlife.  And you will find no more compassionate and knowledgeable guide than Dr. Dugdale, who has accompanied many people on this journey. Her new book is a great gift to all of us who will die or face death, which is to say, all of us."

Victoria Sweet

In this important new book, Dugdale asks why it is so difficult for patients and families to accept terminal diagnoses and for all of us to recognize our finitude. The solution, Dugdale proposes, is for us to learn about dying now, as part of our living. And she is right.

John Swinton

"In this fascinating, timely, and important book Dugdale draws us into the transformative wisdom of the art of dying. In so doing she reimagines a world where death is not simply an oppressive shadow to be avoided but an important step on the road to life in all its fullness."

James Rhodes

“The Lost Art of Dying brilliantly combines medical experience and humanistic tradition to show not only how we should prepare for death and why we must, but also that it is an essential part of the art of living well.

The Public Discourse

”Read this book before you need it. Read it for yourself and to share with people in your community who can’t read it. This wisdom should never again be lost or forgotten.

Mercatornet

This insightful book accurately describes the widespread dysfunction that occurs when we are distracted from the consideration of our own mortality.”

R. R. Reno

Sensitive, informed by clinical experience, rich in the wisdom of the past, L. S. Dugdale has written a riveting book about life’s hardest truth—death. A must read for all of us as we face our mortality.”  

Timothy Keller

Lydia Dugdale’s The Lost Art of Dying proves that there is often nothing more relevant to our present cultural moment than the wisdom of the past—in this instance, on the subject of how to face death. The book is based on a great deal of painstaking scholarship but is written in the most accessible style. It will not only be of enormous help to people facing their own death or the death of a loved one, but also to professionals in various fields who attend the dying. 

Rita Ferrone

Lydia Dugdale provides wise guidance, compelling stories, and fascinating historical background to help us rediscover the lost art of dying. She does so from the perspective of a caring physician, but also as a fellow pilgrim on the path of life. Everyone who lives will die someday, yet too few consider what it means to “die well.” This book can help to close that gap. It does so with style and grace.

Dr. Mark Siegler

In this extraordinary book Dugdale applies both her clinical experience and her deep insights into a centuries-old approach to help dying patients live well and die well.  Although I was an early student of Elisabeth Kübler-Ross, Dugdale’s book has provided me with new insights that I will apply immediately.

Yale Divinity School News

"At this fraught moment, Dugdale's work could not feel more uncanny and necessary."

D. A. Carson

Dugdale patiently and respectfully unveils the reality that many in our world die poorly. Drawing on Medieval wisdom on dying well, she teases out lessons for today. Anyone who deals with the dying—sooner or later, don't we all?—will profit enormously from this insightful and compassionate book.

Library Journal

05/01/2020

In her many years of practice, Columbia University physician Dugdale has seen a lot of death, and here she rails against the overly medicalized way of dying, which is prolonged by unnecessary resuscitations and other intrusive interventions. Instead, she guides readers toward taking a holistic approach to this final stage by accepting the finitude of life, developing meaningful rituals, and involving their communities in end-of-life care. The overarching theme of the book is that to die well, one must live well, and that living well entails determining what ultimately matters and going through each day with purpose. VERDICT A readable and inspiring manual for living one's days fully and dying well.—Deborah Bigelow, Director Emerita, Leonia P.L., NJ

Kirkus Reviews

2020-04-07
A physician draws wisdom from a late medieval text to transform our thoughts and fears about dying.

When a terminal patient’s life is prolonged with desperate medical procedures, that individual’s final moments may be sadly compromised. Yet reliance on modern medical interventions has become increasingly common in our culture. As Dugdale, the director of Columbia University’s Center for Clinical Medical Ethics, writes, “in failing to die well, we fail to live well.” Beginning with a case study example, the author relates how woeful such a failure can be. The patient was an elderly man approaching the end of a lengthy battle with cancer, and no one in his family was prepared to acknowledge his approaching death, insisting that every effort be made to keep him alive. In his final hours, he suffered through several unnecessary resuscitations, resulting in a long, painful death. Such examples led Dugdale to seek out a more compassionate alternative. In her studies, she was inspired by the holistically grounded approach to dying examined in ars moriendi (“the art of dying”), a 15th-century text that contains intriguing reflections on death as an essential aspect of living requiring careful preparation. “Although more than six hundred years have passed, I have been repeatedly struck by the need for a similar handbook today,” writes Dugdale. “That’s why I wrote this book. Although some of the original ars moriendi content is less relevant to the diverse and global twenty-first century, it nevertheless offers rich wisdom on how we might die well.” Throughout the book, Dugdale balances her clinical experience with an openly holistic mindfulness, and she thoughtfully expands on the relevant lessons of ars moriendi: acknowledging our human finitude, or what it means to be mortal; embracing a meaningful community; facing a fear of death; and giving consideration to the decision of whether to die at home or in a hospital or other setting.

A wise and reassuring guide for confronting death.

Product Details

BN ID: 2940173391834
Publisher: HarperCollins
Publication date: 07/07/2020
Edition description: Unabridged
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