Article

Belief

Care

Creed

4 December 2024

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.

Explainer

Creed

Gaza

Israel

Middle East

Old Testament

War & peace

18 October 2023

12 min read

A history of Israel and Palestine – 4,000 years of history in 2,500 words

The land at the heart of the Middle Eastern crisis is at the centre of world attention again. For those whose grasp on the history behind the situation is hazy, Graham Tomlin offers a brief survey.

Graham Tomlin

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

A blue and gold domed mosque sits surrounded by old stone buildings of a city.

Dome of the Rock, over the skyline of the Old City of Jerusalem.

Levi Meir Clancy on Unsplash.

The story begins around 1800 BC, in the middle/late Bronze Age. According to the Bible, a nomadic tribal chief called Abraham received a mysterious call from God – known by the name of YHWH – not another tribal god among many, but the Creator God above all the gods. He was to move from his home in Ur in Mesopotamia, in modern day Iraq, to travel to Canaan in the west - a fertile strip of land bordering the Mediterranean Sea, a land inhabited at the time by various tribes known as Canaanites and ruled by the Egyptian Pharaohs.

Biblical texts report that somewhere around 1400 BC, the small tribe which understood itself to be the descendants of Abraham migrated further to Egypt. There, they experienced severe hardship, and sought to escape back into the land of the Canaanites, through a miraculous event known as the Exodus in around 1250 BC.

Over the coming centuries they began to settle in the land. The biblical stories depict this as a largely violent conquest, although the archaeological evidence suggests gradual assimilation into the land. It may have been a mixture of the two.

The growing kingdom

Around 1000 BC, the people now known as Israel, after one of Abraham's descendants, chose a king for the first time, called Saul, but it was his successor David who expanded the Israelite kingdom, capturing the ancient Jebusite stronghold of Jerusalem, making it the capital of the new nation. His son Solomon later built a Temple in the city, dedicated to YHWH, the God of the Israelites.

Infighting within the nation resulted in a division into two kingdoms, the northern kingdom of Israel and the southern kingdom of Judah. In 722 BC, Israel was overrun by the Assyrians to the north, and in 587, Judah fell to the Babylonian king, Nebuchadnezzar, who destroyed Solomon’s Temple.

Most of the Israelites were taken into exile, some scattered into Syria, many taken away to the dominant empire of Babylon. In 538 BC, by which time the Persians had taken over as the dominant empire in the region, Cyrus, the Persian king, gave permission to the descendants of the exiles to return to their ancestral land. In around 520 BC the Temple was rebuilt, even though it was a mere shadow of the former building. Around 445 BC, Nehemiah, against much opposition, tried to rebuild the walls of Jerusalem, to make it a fortified city.

In 333 BC, the remarkable young Greek warrior, Alexander the Great, conquered the land. When he died in 323, two empires emerged from the territories that he ruled – the Ptolemaic and the Seleucid empires. These empires took it in turns to rule over the land until the Maccabees, a radical Jewish group, revolted against the Seleucids and formed a Jewish kingdom for the first time since the exile. This was the Hasmonean kingdom which lasted from 142 BC until it was overrun by the expanding Roman Emperor, with Pompey conquering Jerusalem in 63 BC.

The Roman and Byzantine empires

In 37 BC, Herod the Great, a half Jewish-half Idumean, ambitious yet paranoid man became king of Judaea with the permission of the Romans. He built several remarkable buildings, including a new, grand Temple in Jerusalem, the one present at the time of Jesus. In or around 6 BC, Jesus of Nazareth was born. He lived, taught, and performed miracles around Galilee and eventually journeyed to Jerusalem, where he was crucified by the Romans, after which his followers have always claimed that he rose from the dead, and appeared to many witnesses. The Christian community's presence in the land has shaped it in many ways until recent times as we shall see.

During this time, Judaea remained part of the Roman Empire. In the 60s AD, Jewish rebels revolted against Roman rule, a rebellion which was crushed by the Romans, who proceeded to flatten Herod’s temple. There has never been a Jewish temple on that site since that date.

70 years later, the Jews revolted against the Romans again, an uprising known as the Second Jewish Revolt, under Bar Kokhba. Yet again, the rebellion was put down – more severely this time. Much of Jerusalem was destroyed by the emperor Hadrian, who rebuilt it as an entirely new Roman city called Aelia Capitolina, trying to erase Jewish presence to put an end to the successive revolts, and renamed the land Palestina, after the Philistines, a seafaring tribe who had arrived in the land before the time of King David.

In 312, after an internal political and military struggle, Constantine became the first Christian emperor. This was the beginning of the Byzantine empire, named after the city of Byzantium, a new capital, chosen to rival Rome. In 326 Constantine authorised the building of Christian churches in the land, including the church of the Holy Sepulchre in Jerusalem, over the site of the crucifixion and resurrection of Christ and the Church of the Nativity in Bethlehem.

The rise of Islam

In the 7th century, Christian Byzantine rule over Jerusalem came to an end. The new faith preached by Muhammad (570-632) inspired determined armies to spread northwards from the Arabian desert. The second Caliph, Omar, accepted the surrender of Jerusalem bringing it under Arab, Muslim rule for the first time, although people of Arab descent had been in the land for a long time before – they are mentioned in the New Testament in the second chapter of the Book of Acts.

Since the Roman destruction of the temple in AD70, during the Byzantine period the site of the old Jewish temple had been kept as a dump for rubbish. In around 690, a Muslim ruler, Abd-al-Malik built the Dome of the Rock as a shrine on the site, to mark Muhammad’s reported night journey to heaven, followed soon by the Al Aqsa mosque nearby on the same site. Jerusalem now became a site of Muslim Pilgrimage.

In the early 11th century, tensions between Muslims and Christians led Caliph Hakim to demolish much of the Church of the Holy Sepulchre, which was rebuilt shortly afterwards, but in a much less impressive format. In 1099 western Christians, hearing of attacks by Muslims on their holy places, and inspired by the idea of re-taking the Holy Land for Christendom, arrived in Jerusalem as part of the First Crusade. The Second Crusade arrived sometime later, but the Crusader armies were finally beaten by the Muslim leader Salah-ud-din (Saladin) in the battle of Hattin in Galilee in 1187. A third crusade tried to win the land back but was unsuccessful and the last Crusaders were banished back to Europe in 1291.

From the 13th to the 16th century, the land was ruled by the Mamluks, an Egyptian military class of former slaves. Meanwhile, the Byzantine empire came to an end in the mid-C15th when Constantinople fell to the Ottomans, or Turks. This was the beginning of the Ottoman Empire, which ruled over the land of Palestine for 400 years, from 1517 to 1917. In the C16th the Ottoman emperor Suleiman the Magnificent built the famous walls of Jerusalem that are still standing today.

Throughout this long period, most inhabitants of the land were Arabs, descendants of the early settlers, and remnants of the Arab conquest. They were a mix of Christians and Muslims, while there were a number of Jews who lived in the land.

The rise of Zionism

In the 19th century, the long story of European anti-semitism began to gather pace, manifested for example in the famous Dreyfus affair which took place at the end of the century. The idea grew that Jews needed a homeland, with the first Zionist conference to advance the idea taking place in Basle, Switzerland in 1897. The obvious candidate, for historic reasons, was Palestine. The problem was there was already an Arab population long established in the land.

Towards the end of the first world war, the Ottoman empire began to break up. The Middle East was divided up into zones ruled by different European powers, with the British taking control of Palestine. The British recognised the gathering momentum for a Jewish homeland in Palestine and declared support for the idea in the Balfour declaration of 1917, while claiming at the same time to acknowledge the rights of the Arab peoples of the land. Before long, Jewish immigration to Palestine began to increase in volume, leading to increasing tension with the existing, predominantly Arab population.

In Europe, the extermination of six million Jews in the Holocaust gave a radical urgency to the need for a homeland where Jewish people could feel safe. Many European Jews fled to Palestine, hoping to find a home and safety there. The British found themselves increasingly caught in the middle of violent and deadly clashes between Arab and Jewish groups. Underground Jewish militia sometimes targeted the British, such as in the 1946 bombing of the King David Hotel, the British headquarters in Palestine, by the Irgun, a Jewish militant group, which killed 91 people, most of them British soldiers.

Recognising their position was untenable, the British decided to withdraw from Palestine. In November 1947 the United Nations adopted Resolution 181, a proposal to partition the land into Jewish and Arab states of roughly equal size, although the Jewish territory was larger than the Arab one. The Arabs refused to accept the plan, as they felt they were the rightful owners of the land, and the Jews were newcomers.

When the British Mandate over Palestine came to an end in 1948, almost immediately, the Jews declared the creation of the State of Israel. Surrounding Arab countries immediately attacked the new state, but Jewish forces resisted successfully, and, under the leadership of David Ben Gurion, Jewish groups started to occupy Arab towns and cities, removing much of the Arab population, who for the most part were forced to leave. When this Arab-Israeli war finished, the new Jewish state held about 75 per cent of the land of Palestine, though with a significant Arab population still present within Israel. Around 700,000 Palestinian former residents became refugees, either in camps within Israel, or in surrounding countries such as Jordan, Syria or Lebanon. This period is known by the Israelis as the War of Independence, but by the Arabs as the Nakba – the catastrophe.

Israel as a nation grew and prospered. After a period of increasing tension between Israel and the surrounding Arab states of Egypt, Syria and Jordan, in 1967, to establish a buffer between themselves and their Arab neighbours, Israel issued a series of successful pre-emptive strikes, and after just six days, had occupied the Sinai Peninsula, formerly Egyptian territory, the Golan Heights belonging to Syria, and the West Bank of the river Jordan, including East Jerusalem, which had been under Jordanian rule.

UN Resolution 242 urged Israel to surrender the land that had been occupied. Instead, Israel began to build Jewish settlements in the West Bank and Gaza, enclaves where Jewish people lived within the territories, although these were regarded as illegal under international law. Settlement building has increased in recent years under more recent Israeli governments and remains one of the points of tension - Jewish settlements built on land that could in future become part of a Palestinian state, if one ever came into being.

In 1973, the boot was on the other foot as Egypt launched a strike on Israel on the festival of Yom Kippur, which, although ultimately beaten back by the Israelis, dented Israel’s sense of invulnerability to attack from their neighbours.

International pressure to resolve the long-running tension began to mount, and in 1978, under the mediation of US President Jimmy Carter, the Camp David accords were signed by Anwar Sadat, President of Egypt and Menachem Begin, Prime Minister of Israel, establishing peace between the two nations. This was seen by militant Muslims as treachery and Sadat was assassinated by Egyptian Islamic Jihad in 1981.

Nonetheless, Israel withdrew from Sinai as promised, in 1982. Even though peace was established with Egypt, this did not bring an equivalent sense of harmony within the other occupied territories, particularly the West Bank. In the 1960s and 70s, Palestinian groups had carried out a campaign of attacks on Israel and Israeli targets abroad including the notorious attack on Israeli athletes at the Munich Olympics in 1972, yet these had largely ceased by the late 70s. From 1987 to 1993, a Palestinian uprising against what they saw as Israeli occupation of their land, known as the first intifada increased tension across the region. As a result, secret talks between Israeli and Palestinian officials led to the Oslo Accords of 1993, signed by Yitzhak Rabin and Yasser Arafat, in which Arafat’s Palestinian Liberation Organisation recognised the state of Israel and Israel gave up land in Gaza and the West Bank to the limited control of a Palestinian Authority, although with still some element of Israeli influence and control. Just as Sadat had been assassinated for what was seen as surrender on the Arab side in 1981, Rabin was assassinated by a Jewish extremist in 1995 for what was seen as a betrayal of the Israeli cause.

The 21st century

What was meant to be a peace process rolled on. The Camp David meeting in 2000, which was expected to bring about further progress for the Palestinian cause failed to do so and triggered the second intifada which lasted until 2005, much more violent and deadly than the first, with Palestinian suicide bombings in Israel and Israeli retaliation in the West Bank and Gaza. To stop incursions from Arabs into Israeli territory, the Israelis proposed building what they called a Security Wall, but as the Wall of Separation by the Palestinians, who felt that the wall was effectively a land grab, as at points, it stretched into land which hitherto had been traditionally part of the West Bank.

In 2005, Israeli Prime Minister Ariel Sharon decided to withdraw troops and settlements from Gaza, yet in 2007, the Islamic militant organisation Hamas took over control of Gaza in a brief war with Fatah, the Palestinian party who had held control until this point. Hamas, unlike the PLO or Fatah, remained dedicated to the elimination of Israel and thus became a dangerous neighbour to Israel. In 2014, in a period of rising tension, Hamas rocket attacks into Israel provoked Israeli air strikes and a ground invasion. In this war, around 67 Israelis and around 2000 Palestinians died.

In 2017, President Donald Trump recognised Jerusalem as the capital of Israel, something which had not happened before as Jerusalem had always been a divided city and claimed by both sides as their capital city.

In recent years Israel has sought to normalise relationships with Arab states, signing the Abrahamic Accords in 2020 with Bahrain, the UAE, and Morocco, with a possible deal with Saudi Arabia tentatively on the way.

The Hamas attacks on southern Israel in 2023 and the Israeli response in Gaza will have set back any progress in resolving this long-running tragedy for many years, in what is a familiar pattern of attack and retaliation.

The history is tangled, much more complex than outlined in a brief survey like this. Any attempt to understand the present needs to engage with the history of this fertile, fought-over and precious land, home to two great peoples with contested, but deep roots in the land, who we pray will one day be able to live together in peace – the peace brought and taught by the Prince of Peace.