Who would have thought that Jason Pierce s Spiritualized would have had any life in them after the rather uninspiring Amazing Grace in 2003? In the intervening five years, Pierce nearly died from double pneumonia. Near death experiences by their very nature are life-changing events. The music on Songs in A&E were recorded in that aftermath, but most of the album was written two years before he got sick; with so much of it about near death and survival, it feels like life imitating art. From the first notes of "Sweet Talk," it is obvious that a very different Spiritualized is up and about; an acoustic guitar, a sparse drum kit, the voice quartet, a few horns, and a minimal bassline fuel it. Pierce sweetly croons to a loved one in waltz time; his words are simultaneously appeasing and accusatory. The gospel chorus is not as overblown as it was on Amazing Grace or Let It Come Down. They are in a support role, offering Pierce s reedy voice a fullness and authority it would not have otherwise. The arrangement is lilting but powerful. How strange, then, the sounds of a ventilator that usher in the next track "Death Take Your Fiddle": "I think I ll drink myself into a coma/And I ll take every way out I can find/But morphine, codeine, Whisky, they wont alter/The way I feel/Now death is not around..."Death take your fiddle"/And play a song for me." Minor-key acoustic guitar and ghostly bass frame Pierce singing a mutant folk-blues that evokes Gary Davis "Death Dont Have No Mercy." The backing vocals float wordlessly like death angels, hovering around the vocalist and giving the tune an otherworldly quality.But this is not a song about dying; it is a song about coming close and cheating it; it is eerie. The proof? The next two tracks: "I Gotta Fire," and "Soul on Fire." The former is a taut, "Gimme Shelter"-esque rocker, the latter, a lush, uptempo love song. "Sitting on Fire" is a beautifully orchestrated love song: it is an admission of weakness and codependency but celebrates both of them at the same time: "Baby, I m sitting on fire/but the flames put a hole in my heart/when we re together we stand so tall/But a part of me falls to the floor/Sets me free /I do believe it ll burn up in me for the rest of my life." Strings, vibes, marimbas, and drums crash in to the center of the mix carrying the protagonist into oblivion. "Yeah, Yeah" is a scorching rocker that feels like the Bad Seeds meeting the old Spacemen 3. "You Lie You Cheat," crashes in Velvets style with acoustic guitar and screeching feedback. The chorus sings atop a flailing drum kit, distorted strings, and wailing electric guitar. The marimbas and strings that power "Baby, I m Just a Fool," sweetly underscore a very dark pop song, complete with "da-do-da-do-dat det-det-do-s". It descends into beautifully textured chaos led by a loopy violin solo over seven minutes. Songs in A&E is the most consistent recording Spiritualized has issued since 1997s Ladies and Gentlemen We Are Floating in Space. It contains the best elements of the band s signature sound, and paradoxically hedonistic yet utterly spiritual lyric themes. That said, newly focused energy, willfully restrained arrangements, and taut compositions give the set a sheer emotional power that no Spiritualized recording has ever displayed before, making it, quite possibly, their finest outing yet.