Article
Belief
Care
Creed
4 min read

Understand what we thirst for

Whether for water or meaning, it’s a primal force.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A child wearing a wool hat holds a glass and drink water from it.
Johnny McClung on Unsplash

Quenching thirst is a global problem. It can also be profoundly personal, impaired by illness. For nurses, it can be ethically and emotionally difficult, when treating dying patients. But is there ultimate relief? 

Thirst is the subjective sensation of a desire to drink something that cannot be ignored. The world is thirsty; globally, 703 million people lack access to clean water. That’s 1 in 10 people on the planet. 

Thirst is a life-saving warning system that tells your body to seek satisfaction through swallowing fluid. It works in partnership with other body processes - such as changes in blood pressure, heart rate and kidney function - to restore fluid, and salt, levels back to where they belong. Failure of any part of this beautifully balanced system leads to dehydration (or water intoxication), and perhaps to seizures, swelling of the brain, kidney failure, shock, coma and even death. 

Sometimes it’s difficult to quench thirst, because of problems with supply. According to the World Health Organization, at least 1.7 billion people used a drinking water source contaminated with faeces in 2022. Sometimes in war, water is weaponised, with systematic destruction of water sources and pipes. Water laced with rat fur, arsenic and copper has meanwhile been reported in prisons across the USA.  

At other times, there may be “water everywhere, but not a drop to drink” because of individual problems with swallowing. As a nurse, some of my most heartbreaking moments have been when I have been unable to fulfil a need as basic as a patient’s thirst; when even thickened fluids have led to intense coughing and distress, and a realisation that I can only moisten mouths and give so-called “taste for pleasure”: very small amounts of a favourite liquid or taste using a soft toothbrush, or a circular brush gently sweeping around the mouth and lips to release some of the liquid - even, and especially, at the end of life when the patient is unconscious. 

Difficulties in drinking are common in dementia when fluid can seem foreign and swallowing a surprise to the system. It’s thought that over 50 per cent of people in care homes have an impaired ability to eat or drink safely; 30 to 60 per cent  of people who have had a stroke and 50 per cent of those living with Parkinson’s may struggle to swallow. 

Other conditions that may affect swallowing include multiple sclerosis, cerebral palsy, and head and neck cancers. Diabetes is characterised by a raging thirst owing to problems with insulin (diabetes mellitus) or an imbalance in antidiuretic hormone levels (diabetes insipidus). In intensive care, patients are predisposed to thirst through mechanical ventilation, receiving nothing by mouth, and as a side effect of some medications. But thirst is a “neglected area” in healthcare, writes palliative care researcher Dr Maria Friedrichsen.  

“Knowledge of thirst and thirst relief are not expressed, seldom discussed, there are no policy documents nor is thirst documented in the patient’s record. There is a need for nurses to take the lead in changing nursing practice regarding thirst.” 

Is there another thirst that is also being missed in nursing, and in life in general – a spiritual thirst, beyond the physical desire to drink? In his book, Living in Wonder, writer Rod Dreher argues that humans are made to be spiritual, and that a critical sixth sense has been lost in a “society so hooked on science and reason”. We humans crave love in our deepest selves; we have an insatiable thirst for everything which lies within – and beyond – ourselves. Auschwitz survivor Viktor Frankl, who was later appointed professor of psychiatry at the University of Vienna, became convinced that human beings have a basic “will for meaning.” “The striving to find a meaning in one’s life,” he wrote, “is the primary motivational force in man.”  

In the harsh sun of a Middle East day, an ancient story of a man and a woman encountering each other at a water well illustrates this dual thirst for water and meaning. The man, Jesus, thankful for a drink of water given to him at the well by an outcast Samaritan woman, said that “Everyone who drinks this water will be thirsty again, but whoever drinks the water I give them will never thirst. Indeed, the water I give them will become in them a spring of water welling up to eternal life.” In that midday sun, such imagery made a powerful statement.  

Being mindful of spiritual thirst when drinking water is something also captured in a Ghanaian proverb and pictured perfectly in the many birds that drink by gravity, so tipping their heads back when they swallow.  

“Even the chicken, when it drinks, 

Lifts its head to heaven to thank God for the water”. 

Unsatisfied thirst is part of the human condition, we long for something more; it’s living proof of our immortality, says French poet Charles Baudelaire. Despite his Olympic success, athlete Adam Peaty said that society didn’t have the answers he was seeking, and that a gold medal was the coldest thing to wear. He “discovered something that was missing” when attending church for the first time, and now has a cross with the words “Into the Light” tattooed across his abdomen, symbolizing his spiritual awakening. We are more than mechanical machines with physical needs. We are rather gardens to tend in a dry and thirsty land, with souls in need of intensive care.   

Explainer
Creed
Virtues
6 min read

Temperance: neurotic vice or self-control for future benefit?

We’re better at bravery than temperance, just when we need that self-control more than ever.

Barnabas Aspray is Assistant Professor of Systematic Theology at St Mary’s Seminary and University.

A casually dressed man perches on railing balancing, clasping his hands and looking around.
Jed Villejo on Unsplash.

The 21st century is witnessing a crisis of temperance, self-discipline, and self-control. Lent is one way to combat this.  

According to the international Leader Character framework, there are eleven “character strengths” important for human wellbeing and good leadership. These include virtues like justice, accountability, courage, and good judgment. Researchers have used this framework to perform thousands of studies on teams and groups of people around the world. These studies show that, almost without exception, temperance is the weakest virtue in every team everywhere. (Not quite every person – each team has one or two members with strong temperance, but temperance is still weakest on average for a group). 

The modern world is not only intemperate: it actively encourages the opposite: immediate gratification of desires. Every day we are bombarded with online ads, posters, and TV commercials that tell us to ‘Indulge yourself’; ‘treat yourself’, ‘look after yourself’, along with images of sensually pleasing people and objects. It is a rare advert that appeals to your calm rationality and long-term thinking. The advertising industry knows that it can make much more money from people who lack self-control. If it targets your basic animal impulses, then you are more likely to buy things you don’t need and wouldn’t have thought of without ad’s enticing promise. 

Temperance is the power to choose what you won’t regret choosing later on. 

Worse still, there are elements of Western thought that praise intemperance as a virtue and pathologize restraint as a psychological disorder. Elements of Freudian psychoanalysis, popularised in the media, suggest that you do damage to your mental health if you suppress your desires or try to hide them. It is far healthier to give free rein – to sexual desire first of all, but to all desires in the end. Temperance is no longer a virtue to be admired, but a neurotic vice that fills your subconscious with envy, bitterness, and psychological problems. 

What is temperance anyway and why is it a problem if we lack it? 

Temperance is self-control. It is acquired by self-discipline. Its purpose is to organise and order your many desires, giving priority to the ones that matter most to you. Let’s say you want to lose weight, and you also want to eat that doughnut you can see in the shop window. Or you want to save money to buy a house, but you also want that new and larger TV screen. Those are competing desires. Temperance is the power to choose what you won’t regret choosing later on. It doesn’t tell you what you ought to choose: it simply gives you control over your desires so you rule over them instead of them ruling you.   

What does lack of temperance look like? Whenever you keep doing something you wish you didn’t keep doing, you are being intemperate. I don’t mean one-time actions that you later regret. I mean things you know you’ll regret even before you do them, yet you still do them. Things like: smoking (for most people), eating too much, browsing Instagram or TikTok instead of working, failing to show up for gym class. It can also mean any kind of procrastination: avoiding doing a task you know you have to do but don’t want to do ‘now’. In sum, it reveals a disorganisation in your priorities and goals, so a lesser priority subverts a higher priority because it’s more immediately available and enjoyable. 

We need temperance if we’re going to be happy with where our lives are going

The problem with lacking temperance is that it undermines your own goals for your life and makes your future self a helpless victim of your present self. It leads to a downward spiral of the heart of intemperance is that some desire, some pleasure, some indulgence, has gained so much power over our life that we no longer have control over it. It is in the driving seat, not us. Intemperance is also a cause of self-hatred and low self-esteem. One of the best ways to feel better about yourself is to set long term goals and stick to them. It makes you feel like you’re heading somewhere good.  

By contrast, the heart of temperance is to subordinate everything we think, feel, and enjoy to our will, our clear-headed decisions about the kind of person we want to be in the long-term. We need temperance if we’re going to be happy with where our lives are going. Temperance is even needed for worldly success. Warren Buffett once said, “Investing is not a game where the guy with the 160 IQ beats the guy with the 130 IQ. Once you have ordinary intelligence, what you need is the temperament to control the urges that get other people into trouble.” 

Why is temperance so lacking in our own time? I can think of at least two reasons.  

First, we are one of the wealthiest societies ever to exist. Wealth may have benefits, but it also enables us to get what we want, when we want it. Wealthy people are less used to having their desires unsatisfied than poor people. Unfulfilled longing is a less common occurrence for the rich, so there is little natural opportunity to exercise the muscle of self-denial. 

Secondly, we are one of the least religious societies ever to have existed. In contrast to secularism, religion has always had practical tools to cultivate temperance. All major world religions have ritual practices of fasting and feasting designed to exercise and strengthen self-discipline. Every year Muslims endure the gruelling discipline of Ramadan. Orthodox Christians restrict themselves to a vegan diet during the forty days of lent, and many other Christians give up some indulgence. Both rich and poor share alike in this voluntary self-denial. Now that these practices are eroding away, they are being replaced not by other self-discipline practices, but by the worship of I-want-it-here-and-now. This is shown most poignantly in the 2000 movie Chocolat, which explicitly puts up sensual indulgence in competition to traditional religion and abstinence – and indulgence wins.  

But the decline of religion has done more than this: it has also undermined the sense of transcendent purpose in many people’s lives – which was what motivated them to look beyond their physical desires. Without hope and without a larger sense of meaning to life, people have less reason to sacrifice short-term pleasures for the sake of longer-term goals. 

Nor are sensual desires the only way we can be intemperate. An outburst of rage on social media is a sign of intemperance. 

I don’t mean that short-term pleasures are always bad, or that sensual desire is evil in itself. The whole point of temperance is that it involves the right amount, and not too much, of something good. That is what makes it so tricky. If eating a doughnut was like stealing or violence, we would have a stronger voice telling us not to do it. But because it’s not bad in itself, we find it harder to resist. We need temperance to say no to something good when we’ve already taken enough of it, so we don’t take too much.  

Nor are sensual desires the only way we can be intemperate. An outburst of rage on social media is a sign of intemperance. A father who spends too long in the office and not enough time with his children is being intemperate. He is sacrificing the long-term goal of healthy family relationships for the short-term goal of career success. We lack the self-control to express our anger in the right place at the right time.  

Temperance is needed for so many of the other virtues to function. If you’re not temperate, then you will be late for meetings, fail to deliver work on time, or makes too many commitments that you can’t keep. You’ll be a liability to your friends and colleagues.  

Temperance doesn’t tell you what you should aim for in life. But no matter what you aim for, you won’t get it without temperance. So, what are you giving up for lent?