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.

Explainer

Christmas culture

Creed

19 December 2023

4 min read

Why Christmas Day is Christmas Day

The seasons, festivals, historians and emperors have all influenced the date of Christmas.

Ryan Gilfeather

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

a had holds out a small wrapped Christmas present.

I came of age in the 2000s, a decade quite alien to us now. We saw ourselves as pioneers of technology, as the internet emerged in its prehistoric form. There was great optimism about the economy until it all went wrong in 2008. The New Atheism movement was roaring into public view, only to wane just as quickly the decade after. Growing up as a Christian, I remember spirited debates with my peers about whether science disproved Christianity and if God can be disproven. These questions have fallen out of view, just as many of its main proponents have too. Richard Dawkins rarely darkens the door of our TV screens anymore.

However, one such moment of conflict sticks out in my mind. A friend announced to me that he had disproved the origins of Christianity. The night before he had discovered that in the third century Roman Empire, before Christianity became legal and the official religion, there was already a festival celebrating a god on the 25th of December. Instead of the birth of the Son of God, the Romans celebrated the rebirth of the Unconquered Sun — Sol Invictus. Then, in 336 under the first Christian Emperor, Constantine, that date was first celebrated as the day of the birth of Christ. My friend considered the case to be closed; surely the birth of Christ was merely a repurposing of an existing festival?

Thankfully this shocking revelation did not pick away at the foundations of my faith. I continued, and still continue, to believe in and love the Christian God, as revealed in the Bible. Indeed, since that moment I have trained as a scholar in the history of the early Church, and have begun to see this question for what it is, a quirk of history.

We, therefore, celebrate Christ’s birth on the 25th December on account of a quirk of history, a result of the way that Romans mapped significant events on to the waxing and waning of the light.

The first claim that Christ was born on the 25th December appears in the third century. Sextus Julius Africanus, a Roman Christian historian, wrote an entire chronology of the world from creation to AD 221. He considered March 25th to be the date of creation, because it was the spring equinox in the Roman Calendar, a day which represents new life and new birth. For this reason, he likewise considered it to be the date of Christ’s conception in the womb. Crucially, nine months after that falls December 25th. Although I admire his logic, it is hardly a sound basis for establishing the date of our Lord’s birth. Indeed, other Christians didn’t accept this claim at the time either.

As already mentioned, December 25th was a significant date in the Roman calendar already. It was the winter solstice, the shortest day of the year, after which the days begin to lengthen. It also shortly followed the popular Roman festival of the Saturnalia. Already endowed with significance, it is unsurprising that the Romans began to celebrate the rebirth of Sol Invictus, and the birth of another god, Mithras, on that date.

At this time Christianity was an illegal religion, persecuted in some parts of the Roman Empire. However, in 312, the emperor Constantine converts to Christianity and in 313 makes it a legally tolerated religion. At this point he begins to invest the church and Christians with powers, wealth and privileges. Evidence from the Chronography of AD 354 suggests that Christmas was first celebrated on the 25th December in 336, during the reign of Constantine. Perhaps this was an attempt to dislodge existing pagan holidays, and replace it with a Christian one. Or, maybe the significance of the Winter solstice made that date most plausible. Indeed, it is easy to see how the commemoration of Christ coming into the world is particularly salient as the darkness begins to recede. The true answer is, of course, lost to history.

We, therefore, celebrate Christ’s birth on the 25th December on account of a quirk of history, a result of the way that Romans mapped significant events on to the waxing and waning of the light. The true lesson here though, is that it simply doesn’t matter what the actual date of Christ’s birth was. Our records, and those available in the early church were simply not good enough for us to ever know. What matters is that God loves us so much, that he became human to bring us back to his side in everlasting joy and peace. We have no idea on what date Christ was born. But, each year the 25th December presents a time for us to remember that God became man, so that we might have everlasting life.