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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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3 min read

When christenings happened in secret

Modern day christenings might appear fairly benign on the surface, says Julie Canlis, but they still bear vestiges of an older, more perilous, rite of baptism.

Julie Canlis

Julie connects Christian spirituality with ordinary life in Wenatchee, Washington State, where she teaches and writes.

A father wearing a suit carries his child who is dressed for a christening in white.
A Mexican father carries his son to a christening.
Photo by Marco Antonio Casique Reyes on Unsplash.

Christians today are baptized – often christened as babies – as part of an ancient entry rite into the church. Some of you reading this were probably christened, or have attended christenings, as a conventional rite of passage. But eighteen centuries ago, joining a church was not for the faint of heart. Baptisms happened at Easter, often in secret, and only after a semi-Olympic training of three years in order to be allowed into its secret membership. Every aspect of preparation was vital – almost brutal – aimed at the spiritual survival (certainly not bodily survival) of the church and its members. This was no pinky handshake. Why would people want to join at all? This was an ordeal which, if one passed, meant public shame at best and lions if the wrong emperor reigned.  

First there was the obstacle of finding one. Churches were secret, often hidden in remote underground catacombs, and undetected by officials. Those who risked their lives to bring ‘candidates’ for membership into their secret fellowship had to vouch for character because betrayal could mean death for all gathered. (Enter the first 'godparents' into the rites of the church).  

Second, one’s profession could mean disqualification: if a gladiator, prostitute, or actor was seeking admission, they would be given three years to stop their vocation – and begin caring for the poor, the orphans, and the widows of the city. Within these years, they were only allowed to hover on the outer threshold of the church, increasing desire for the more classified rite of the eucharist. Stock items such as the Lord’s Prayer and the Creed were kept strictly confidential until the week prior to baptism (never written – only memorized), lest they be handed out too early to those who would later fall away. 

All this was leading up to the clandestine rite of initiation – baptism – which occurred in the middle of the night, Easter eve. After fasting until sunset for 40 days (enter the modern practice of Lent), these candidates would undergo final questions during Holy Week. They took part in daily exorcisms, rejecting all darkness in their life, and culminating in the final renunciation: “I renounce you Satan, and all your works and all your empty promises.” An ancient description of bling. 

They were also examined by the local bishop for whether their lives were characterized by social justice: were they caring for the sick? were they living according to an obsolescent class system or into their new reality as equals? were they treating their bodies as temples of God? As one fourth-century bishop exhorted in the middle of Easter night, “why do you stand there, different in race, age, sex, and rank, who will soon be one?” Baptism was the great leveler, like death.  

And die they did. Earliest baptisms were held in secret, but as Christianity was sporadically tolerated, people were baptized in mausoleums – Roman funerary buildings, to communicate very loudly: you are coming here to die. These primitive structures continue to be unearthed all over Europe, every time a new underground route is being laid, or a skyscraper is being dug. And the foundations tell all: large fonts to walk down into, shaped like crosses, octagons, or even wombs. Here you go down to die, and be reborn. Archaeology reveals hooks on walls for cast off clothing, for the candidates were to become like newborn infants again. Plunged into the waters three times, they emerged naked and were clothed in white – a symbol of overcoming suffering and of primal innocence. In this upside-down society, one went into the water having been classes as a Competent One (competentes) but was upgraded after baptism to the nickname of Infant (infantes) – even higher praise. And the reward? Finally, being admitted past the gate (origination of the church ‘narthex’) into the sanctuary itself, to take part in its contraband banquet: the bread and wine.  

Modern day christenings might appear fairly benign on the surface, but they still bear vestiges of this older, more perilous rite. We have godparents, white garments, and a triple splash of water. The Book of Common Prayer still requires parents and godparents to renounce Satan on behalf of the baby, that supposed figment of our imagination. And although we have lost much of the symbolism of death and rebirth, one thing hasn’t changed: this adorable baby will still die. For the ancients, one’s death was merely the completion of baptism, in which one had already begun the art and process of learning to die. Baptism didn’t keep one from death, but baptism “baptized” death and allowed one to get on with living. 

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