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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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Sport
Trust
7 min read

Thrill and trust in an unpredictable world

When Saturday comes, Graham Tomlin is enthralled by sport's unpredictability. Yet in an uncontrollable world, he finds a need for trust.

Graham Tomlin

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

Two footballers run in step as one tries to tackle the other
Spain and England: finalists in the 2023 Women's World Cup.
FIFA

Sport was once something you did for fun. Now it has become one of the world's great industries. 'Sportswashing' is a thing now - nations buy up clubs, franchises or invest in sporting ventures from LIV golf to football clubs to Formula One, to make their regimes look good. 

But why is it that sport engages us so? Why do we bite our nails as the ninetieth minute draws near, we are only 1-0 up and the opposition threatens to score an equaliser any minute? Surely it is because this is one area of life where the outcome remains stubbornly out of our control.  

You can never quite predict the result of any match. And the best games always exist on that knife edge. This summer, after five Ashes Tests, with five days for each Test, 3 sessions a day, so 75 sessions of cricket in total, when the players went into the very last session with the result of the whole series still in the balance, it was the best of sporting enjoyment, precisely because no-one could predict what would happen. 

And the exceptions to that statement prove the rule. When the result is almost certain - if Manchester City were to play Forest Green Rovers for example - then it takes the fun out of it. In fact, much of the disillusionment that creeps into modern sport comes when money appears to skew the unpredictability of it all. When clubs are backed with the resources of an entire Gulf State in an attempt to control the outcome of a league by the use of something not intrinsic to sport itself, then something seems wrong. 

A couple of years ago, the German sociologist Hartmut Rosa wrote an intriguing book called The Uncontrollability of Life. Modern life, he argued, is marked by a drive to master and control as much of the world as possible. We manage the economy to try to ensure constant growth; we corral all the information we can, so it sits in our pockets available at any moment; we minimise risk by actuarial calculations; we develop algorithms that deliver exactly the content that the consumer wants. When we see a mountain, we want to climb it; when we get on the scales we want to lose weight; when we have a headache want to get rid of it. Life has become an endless to-do list. We try to control life from birth through to death, through contraception and abortion, managing our children’s education to ensure success in life, even trying to control death by ‘assisted dying’ that enables us to choose the time and manner of our own demise. 

We try to manage and control everything, but life, and joy, remain elusive and tantalisingly out of our control. 

And yet, he argues, it is the very unpredictability and uncontrollability of life that makes it interesting. It’s when we are surprised – by a sudden fall of snow, or by the smell of freshly cut grass, or a joke that makes us laugh – that we feel the delight and joy of life. If we were able to make it snow whenever we chose – as when a machine pumps out fake snow in a ski resort going through a warm spell – there is no great enchantment in that. If we knew the result of every football match before it started, there would be little point in playing at all. 

We try to manage and control everything, but life, and joy, remain elusive and tantalisingly out of our control. You can pay for tickets to a concert but never quite know whether the music will stir your soul or leave you cold. You can pay for a holiday but can’t ensure it doesn’t rain, that there isn’t a ten-mile traffic jam on the way, or that the neighbours in the next apartment aren’t noisy. 

Yet it is exactly the moments that we don’t control that make life worth living – chancing on an unexpectedly stunning sunset, meeting a friend by surprise, falling in love, hearing a new song that touches your heart. And the point is you can’t control these things. If you could, they would lose the magic.  

And that, Rosa says, is the problem and tension at the heart of modern life. On the one hand we try to control everything, to make the world safer, more fair, more predictable. And that’s not a bad thing. We want to make the world more just, to eliminate random accidents or stupid mistakes. Yet the more we control, the more we evacuate the world of what makes it enchanting and enthralling.  

Yet it’s more than just unpredictability. We need, he suggests, to feel that the world out there responds to us, ‘calls us’, talks back to us in some way - so that we feel what he calls ‘resonance’ with it. We need to establish a relationship with the world, or events that happen to us, that lies somewhere between us controlling everything, or us being totally at the whim of what is out of our control. 

Wisdom, it seems, comes from getting the boundary right between the controllable and the uncontrollable. 

Perhaps in the infancy of the human race, we were totally at the mercy of climate, wild animals, infertile soil, struggling to survive against the odds. Now we are in danger of going to the other extreme of trying to manage everything, so the world becomes an inert, controlled, docile thing. Wisdom, it seems, comes from getting the boundary right between the controllable and the uncontrollable.  

It's a fascinating and persuasive analysis of modern life. But let me take his thought a little further. 

If we need the world to be responsive to us, for it to surprise us by ‘talking back’ as it were, it is hard to imagine such a thing happening if the world is simply an inert substance with nothing behind it. However much we may want a responsive relationship with the world, it is difficult to conceive of this on a purely materialist understanding of things.  

For all the new age talk of ‘mother earth’ or the ‘Gaia hypothesis’ which attributes some kind of will and intention to the earth, surely we can only have a relationship with the world if there is someone (not just something) there to have a relationship with, some mind, heart or intelligence behind it all. After all, even the Greeks thought Gaia was not just another word for planet earth, as modern ecological secularists have it, but a god who shaped the universe to her liking. If it’s true that we flourish best when there is a resonant, reciprocal relationship between us and the world outside, then does it not make more sense to believe there is someone, not just something out there, calling to us, responding to us?  

Even more, what if the world is a cold, heartless, meaningless place? What is there is no order or structure behind it? What if it is coldly indifferent to us and our plight? If we are to establish a relationship with what is out there, rather than being at the mercy of it, or seeking to control it, then we need to be able to trust that what we are reaching out to is at least friendly to us. Rosa’s optimistic outlook, beckoning us to resonance, a relationship of mutual discovery, able to be touched or moved by the world, seems to assume that what we will discover out there is fundamentally to be trusted rather than feared. 

Christians have always held that behind the appearance of things, there is someone out there to ‘talk back’ to us, with whom we can resonate, and that that ‘someone’ is fundamentally good, because, despite the confusion of the world, the mixed messages it sends us due to its brokenness, we have seen the clue to what lies behind the mystery in the face of Jesus Christ.   

Living in this unpredictable world, one where we cannot control everything (nor should we try to) means, as Rosa points out, learning to accept it, not getting frustrated when we can’t control everything; learning the ability to take the vagaries and vicissitudes of life as they come, without getting angry or annoyed. Yet we can only do that with a degree of confidence when we can trust that what is out of our control is ultimately under the hand of a God who has our best interests at heart.

I may not be able to predict the result when Bristol City play on Saturday afternoon. Much as I'd like to, I’m actually glad I can’t as it would hardly be worth watching. But it makes a difference when I can trust that behind the changes and chances of what happens to us (and this, thankfully, stretches far beyond football) there is a mind and a heart that knows me and cares what happens to me – and not just me, but my neighbour and the future of the entire universe. 

  

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