A new book to help the dying, their loved ones and their health care workers better understand the dying process and to come to terms with death itself.The Art of Dying is a contemporary version of the medieval Ars Moriendi--a manual on how to achieve a good death. Peter Fenwick is an eminent neuropsychiatrist, academic and expert on disorders of the brain. His most compelling and provocative research has been into the end of life phenomena, including near-death experiences and deathbed visions of the dying person, as well as the experiences of hospice and palliative care workers and relatives of dying people. Dr. Fenwick believes that consciousness may be independent of the brain and so able to survive the death of the brain, a theory which has divided the scientific community. The "problem with death" is deeply rooted in our culture and the social organization of death rituals. Fenwick believes that with serious engagement and through further investigation of these phenomena, he can help change attitudes so that we in the West can face up to death, and embrace it as a significant and sacred part of life. We have become used to believing that we have to shield each other from the idea of death. Fear of death means we view it as something to be fought every step of the way. Aimed at a broad popular readership, The Art of Dying looks at how other cultures have dealt with death and the dying process (The Tibetan "death system," Swedenborg, etc.) and compares this with phenomena reported through recent scientific research. It describes too the experiences of health care workers who are involved with end of life issues who feel that they need a better understanding of the dying process, and more training in how to help their patients die well by overcoming the common barriers to a good death, such as unfinished business and unresolved emotions of guilt or hate. From descriptions of the phenomena encountered by the dying and those around them, to mapping out ways in which we can die a "good death," this book is an excellent basis for helping people come to terms with death.>

Most of us at the very least wonder about our own immortality and many people are convinced that there is something beyond death, beyond the blackness of the grave. In Western Judaeo-Christian culture we absorb from an early age the idea that virtue now has its own reward - later. We are taught that the universe is essentially moral and that there are absolute human values. But increasingly, science presents us with a picture of a much more mechanical universe in which there is no absolute morality and man has no purpose and no personal responsibility except to his culture and his biology. We no longer live in an age when faith is sufficient; we demand data, and we are driven by data. And it is data - data that apparently throws some light on our current concepts of Heaven and Hell - that the near-death experience seems to offer. The near-death experience (NDE) is intriguing for two major reasons. First, it is very common and secondly, it is cross-cultural. The results of one NOP survey in America suggest that over 1 million Americans have 'seen the light'. Any experience that is so common must have had some influence on the way we think about life and death. Indeed, it could be the very engine that drives our ideas of an afterlife. Many people believe that in the NDE we are given glimpses of Heaven (or Hell). But it is just as reasonable to assume that it is the NDE itself which may have shaped our very ideas about Heaven and Hell. The experiences described in this book are all first-hand accounts from people who wrote to me or to David Lorimer, chairman of the International Association of Near Death Studies (UK), after a television programme, radio broadcast or magazine or newspaper article made them aware of our interest in near-death experiences. We asked 500 of those who wrote to answer a detailed questionnaire about their experiences. Our aim was to gather in a standardised format as much detail as we could about the NDE, the people who have experienced it and the effect that the experience has had on their lives. It is from this database that the statistics quoted in this book have been drawn, and the accounts given to me by these people and by others who have written to me since then form the basis of the book. But their accounts provided much more than mere statistics. Each one was special in its own way, and provided a personal testimony which I found both moving and utterly sincere. It is very seldom that an author can so truthfully say that without others a book could not have been written - in this case, without these people there would, indeed, have been no book. I feel privileged to have been allowed to read their accounts, and I am grateful to everyone who, by being willing to share their experience with me, has helped in this search to find the truth in the light. Peter Fenwick London December 1994