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.

Article

Creed

Redemption

Trauma

5 July 2023

4 min read

The healing power of forgiveness

From Parliamentary Prayer Breakfasts to post-apartheid South Africa and fourth-century desert monks, Julie Canlis explores the benefits of relentlessly pursuing forgiveness.

Julie Canlis

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

Eastern Orthodox icon depict the Prodigal Son displayed on Forgiveness Sunday

Last week, the National Parliamentary Prayer Breakfast convened with a focus on the power of the F-word in public life. In our cultural moment, we prefer score settling and retribution to what was once a cherished value: Forgiveness. Can the Christian story offer anything to an era which is caught in endless cycles of violence, conflict, injustice, and vengeance?

In our lifetime, we have seen the experiment of what happens when a whole country dedicates itself to forgiveness. In South Africa, overcoming the trauma of apartheid did not mean forgetting but choosing to remember collectively. Evil was named. But could this kind of truth set one free? There were no shortcuts to forgiveness. There was no quick wiping the slate clean that avoided the truth. Instead, perpetrators were faced with real people and stories of what they had done. Victims recounted their trauma, but in a new way that enabled them to stop being the victim of what had happened to them. In South Africa, forgiveness was not religiously sanctioned denial. It offered the victims agency, and release from the cycle of vengeance.

From South Africa, we learned the power in sharing trauma stories. We discovered the importance of looking for underlying causes and ideologies that are contributing factors. But that was not the end. We also watched the power of restorative narratives, testifying to the beautiful fragility and hope of reconciliation. Without forgiveness, no relationship on a personal or national scale can be sustained. What would it look like to begin to create a forgiveness culture amid a culture of hate?

In the fourth century, there were communities of Christians who fled the Roman empire and set up shop in the desert. They gave their life to prayer and forgiveness because they found that despite fleeing from the “sins” of Rome, they could not escape themselves. They were in the desert with a handful of other people, and yet their hearts still contained hatred. They did not have muscle memory oriented toward forgiveness.

For others, hearing that they are forgiven forty times finally cracks through a self-defeating wall.

And so, they relentlessly practiced forgiveness. They practiced it by stopping the incessant outward glance at other peoples’ faults. They asked forgiveness constantly, in a bold attempt to own their own culpability and blindness. And they ritualized this practice in a once-yearly “Forgiveness Sunday” which makes many of us squirm just to think of it. The Sunday before Lent, everyone in the community would extend a word of forgiveness to each person, and beg their forgiveness in turn.

Forgiveness Sunday is still practiced annually in Eastern Christian churches (often Greek or Russian) where you can still wander in on the Sunday before Lent, and work on your F-word muscle memory. In case you find yourself in one of these churches, the script goes something like this:

Person 1: Forgive me, sister.

Person 2: God forgives you. And so do I. Forgive me brother.

Person 1: God forgives you. And I forgive you.

Of course, this exchange can be rote. But for some for whom there has been anything amiss, eyes well up with tears. Perhaps it is the letting go of an exhausting grudge. For others, hearing that they are forgiven forty times finally cracks through a self-defeating wall. And for everyone, it is a commitment to not constantly ruminate on the wrongs of others, reliving incidents to keep the anger going. If done rightly, it allows for the recognition of wrong, while not allowing it to perpetuate itself in you. In essence, it is the cheapest mental health shortcut, available at a church near you.

Back in the fourth century, Forgiveness Sunday arose as a circumstantial necessity because these desert dwellers would retreat even further into the desert for Lent. Call it a detox camp. Call it a therapeutic immersion. Call it a technology fast. Regardless, due to the dangers of the desert (wild animals and a hostile environment), these Christians wanted to receive the forgiveness of their brothers and sisters (and offer it) in case they did not return to the community to celebrate Easter. For us, a modern equivalent might be simply to enter the liturgical time of confession and forgiveness on a regular Sunday. And to lean more deeply into the well-worn phrase to “forgive us our trespasses, as we forgive those who have trespassed against us.” Would it be possible to treat these words with a whole new level of personal responsibility and vulnerability?

Forgiveness Sunday is the humble declaration that we are both victims and perpetrators.

Forgiveness, when taken seriously, is a process that takes time. Forgiveness involves great courage, but also the great humble realisation that we could have just as easily done the very act that needed forgiving, under different circumstances. Forgiveness involves neither appeasement nor grovelling. For the church, the ritualised understanding of Forgiveness Sunday is the humble declaration that we are both victims and perpetrators. And that, somehow, Christ accompanies us in the grief of both.

In the Christian tradition, Jesus founded his new order upon forgiveness. Jesus knew that the unforgiving heart is closed to not just giving forgiveness but to receiving it – it is sealed up like a tomb. That those who are least forgiving also live daily with the fiercest critic – themselves. In other sayings, Jesus highlights that forgiveness is not merely an interior disposition, but also one honours the integrity of the process of working through an injury. And finally, Christians believe that Jesus practiced what he preached: he forgave his enemies (and died for them) to secure divine forgiveness for everyone. For his followers, they had no choice but to forgive – and many of them ended up founding communities of forgiveness.