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Belief
Care
Creed
4 min read

Understand what we thirst for

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

Helen Cowan

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.   

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Article
Creed
Eating
Seven Deadly Sins
Sin
7 min read

Gluttony’s unconscious self-image of emptiness

In the seventh of a series on the Seven Deadly Sins, Graham Tomlin digests gluttony’s distorting obsession with food.

Graham Tomlin

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

Ramen

A recent report highlighted the problem of obesity in our society. The percentage of British adults who are overweight has risen by 11 per cent since 1993 to a whopping 64 per cent of the population, with almost one in four British adults classified as obese. In the USA it is even worse with 36 per cent of people classified as obese. And that has a knock-on effect on an already creaking NHS and healthcare systems elsewhere in the western world. The bill for the taxpayer for obesity is rising to unsustainable levels.  

There are many causes of obesity, some of them physiological, some genetic, some economic, with poverty often linked to poor diet. Eating healthily costs. Yet Christianity has always seen a spiritual side to the problem, relating to our relationship with food. As part of this diagnosis, Christian moralists have typically called out the sin of gluttony. 

Strange though it may seem, in the earliest lists of the deadly sins, gluttony used to head the list as the worst of them all. Pope Gregory in the sixth century wrote: “unless we first tame the enemy dwelling within us, namely our gluttonous appetite, we have not even stood up to engage in the spiritual combat.”  

Later assessment of the rank of gluttony in the list of deadly sins has taken a kinder view. Thomas Aquinas was easier on gluttons, because, for him, like lust, overeating mainly concerns the body rather than the soul, and as we have to feed ourselves anyway, it is understandable and less serious than the other sins. When Dante’s pilgrim arrives in hell, he finds the gluttons in the third circle of upper hell, not far from the top, tantalisingly within sight of the most succulent tree whose “crop of tempting fruit ambrosial odours spread”, but unable to climb to taste them. For him, gluttons are certainly better than the prideful, the envious, wrathful, slothful or covetous. The only sin that seems less harmful to him is lust.   

Obsessive dieting can be just as much a sign of gluttony as overeating. 

Our image-conscious society tends to look down on people who are overweight. Yet gluttony denies a simple rule that the fat are sinful and the thin are virtuous. When we think of gluttony, we maybe think of stuffing food into our mouths with no thought of tomorrow, over-indulgence to a huge degree. Yet the sin of gluttony has always been seen as wider than that, including that fastidiousness about food that obsesses over what you can and cannot eat. C.S. Lewis writes about the kind of old lady who simply asks for ‘a cup of tea, weak but not too weak, the teeniest, weeniest bit of really crisp toast’, adding, ‘Because what she wants is smaller and less costly than what has been set before her, she never recognises as gluttony her determination to get what she wants, however troublesome it is to others.’ Obsessive dieting can be just as much a sign of gluttony as overeating.  

Gluttony then is an inordinate obsession with food, drink or plain consumption. It is allowing food to take up a distorted place in our lives, just as lust is allowing sex to become an unhealthy obsession. 

We have a fascination with food. A TV advert lingers slowly over a picture of a chocolate sponge, soaked in brandy, with rich cream being poured over it, all with a soft, seductive voiceover describing the scene – a culinary striptease. The cookbook section of my local bookshop is far larger than the religious section – who had ever heard of celebrity chefs thirty years ago? Now they are everywhere. The politics of food is also an area of tricky choices and legislation. Fine food and wine costs both time and money, and poorer families tend to eat less healthily. Should they be banned from doing so for their own good? Should we replace chips and hamburgers with healthy salads in school canteens despite what the kids and their parents want? Where does the health of the nation override personal freedom to eat what you feel like?  

There is one story in the Bible that sheds some light on gluttony. It is the one where Jesus was tempted by the devil. During the temptations, Jesus deliberately goes without food. One of the enticements of the devil is to persuade Jesus to feed himself by the magic trick of turning the desert stones around him into bread. After all, that should be no problem to the Son of God, and it would of course demonstrate his true identity by a display of miraculous power. Jesus replies with some words from the Old Testament:  

“It is written: ‘Man does not live on bread alone, but on every word that comes from the mouth of God.’”  

The point is that when food becomes a god it becomes dangerous. Food, like sex, has the ability to skew things, and so it must be kept in its proper place, and the evidence of that is all around. The irony of our western problem with obesity is that it occurs at a time when still half the world, three billion people can't afford a healthy diet. one in ten people worldwide go to bed hungry at night and nearly half the deaths of children across the world under 5 are related to undernutrition. In 2006, for the first time, the number of overweight people in the world (1 billion) overtook the number of malnourished people (800 million). First world gluttony is anomalous when related to third world poverty and hunger. 

Gluttony is trying to fill a spiritual vacuum with a physical remedy. It is like taking penicillin for a broken heart. 

But overeating is not the only way of abusing food. Obsessing about quantities is also a sign of bad soul health. Bulimia and Anorexia are not as common as obesity, but they still blight the lives of around 10 per cent of college-age girls in the USA, and in the UK, more young people than ever before are receiving treatment for eating disorders. Suffering from Anorexia, Bulimia or a Compulsive Eating Disorder are not sins, but they are an indicator of something that has gone wrong. Food is not a neutral thing, and in a complex way, our attitudes to food are all bound up with our spiritual and emotional health.  

This begins to point us to the reasons why Christianity has found gluttony a sin. Why do people overeat, or starve themselves? Many studies suggest that these disorders often emerge from a sense of lack of worth. We all know the pattern of comfort eating. When you feel a bit low, a slice of chocolate cake or apple pie can make you feel a whole lot better. Ten pints of lager or a couple of stiff whiskies can help you forget why you felt bad in the first place. Similarly, anorexia or bulimia often emerge out of patterns of unhappiness or self-dislike. The Eating Disorder Association says that such patterns of self-abuse are usually caused by such things as “low self-esteem, family relationships, problems with friends, the death of someone special, problems at work, college or at university, lack of confidence, sexual or emotional abuse. Many people talk about simply feeling ‘too fat’ or ‘not good enough’”. 

Now these of course are extreme cases. Yet they point to the ease with which we use food and drink to fill something missing in our lives, to comfort us when we feel lonely, to satisfy us when we are not just physically, but also spiritually hungry.  

The Ethicist Peter Kreeft puts it well:  

“The motivation for gluttony is the unconscious self-image of emptiness: I must fill myself because I am empty, ghostlike, worthless.”  

Gluttony is trying to fill a spiritual vacuum with a physical remedy. It is like taking penicillin for a broken heart – there’s nothing wrong with penicillin, but it doesn’t do much good for a restless soul, and too much of it can lead to all kinds of problems.  

Gluttony strikes when the connection between food and its proper purpose is broken. Food is given to sustain the body, to enrich our communal life and to give pleasure to the taste. It is not there to comfort the isolated and lonely, to bolster a fragile self-image or to substitute for mediation or prayer. If you begin to recognise that you are regularly eating alone for spurious reasons, for reasons that seem different from the purpose of food itself, that may be when you need to watch out for the place of food in your life, or to get some help.  

Gluttony rears its head when we begin to get food out of proportion. They key issue here is control. The overeater loses control over how much she eats. She is unable to stop herself taking the extra large Coke, the extra cream on the pudding, to finish off the packet of biscuits rather than stop at one. She believes the lie that it is impossible for her to control his eating. For the anorexic or bulimic, the issue is the other way round. For many sufferers from such diseases, or those who might have a tendency in that direction, the problem is too tight a control over what they eat, and their very identity becomes bound up with their illness. So here, the remedy is to learn to give up control, to re-form their identity around something other than eating habits, so that food can take its normal place as something to be enjoyed.  

If the abuse of food often comes from a deep sense of dis-ease, a loss of self-worth, then the Christian answer to finding a true sense of being worth something can come only from the source of life himself, the one described in the Bible as the ‘bread of life’ - the one who gives food for the soul. Speaking of the emptiness that gluttony tries to fill with food, Peter Kreeft goes on to give the Christian answer to that emptiness:  

“Only a knowledge of God’s love for me can fill that emptiness, make me a solid self, give me ultimate worth.”  

When our desperate search for love is met by the deepest and most satisfying love of all, the love of a God who is Love, these deepest hurts can begin to be healed.

  

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