Book cover of Strangers Drowning by Larissa MacFarquhar

Larissa MacFarquhar

Strangers Drowning

Reading time icon11 min readRating icon3.9 (2,777 ratings)

What makes someone risk their own well-being to help a stranger? Strangers Drowning explores what it means to live a selfless life.

1. The Definition of True Altruism

Altruism is more than lending a helping hand; it involves selflessly aiding others even at personal risk. It’s not limited to fleeting gestures but extends to enduring commitment, often towards strangers or those who might pose a threat. True altruists harbor an innate sense of duty to assist unconditionally.

One of the examples in the book is Dorothy Granada, who ran a clinic in Nicaragua during political unrest. Despite ties to the governing Sandinistas, Granada treated rebels who were technically "enemies." Even when treating someone who had likely inflicted harm on others, she stood firm in her belief that all lives deserved care.

Granada’s dedication paid off when the same rebel she helped prevented an attack on her clinic. This act of altruism exemplifies how helping others—even perceived enemies—can have unexpected benefits that go beyond individual survival.

Examples

  • Dorothy Granada treating Contra rebels in Nicaragua despite their political differences.
  • Risking danger to build trust among hostile groups during humanitarian crises.
  • Seeing kindness reciprocated in unpredictable ways, as Granada’s clinic was spared an attack.

2. The Utilitarian Perspective on Helping Others

Utilitarianism promotes the well-being of everyone equally, even when it creates moral conflicts. According to philosopher Peter Singer, spending on luxuries rather than lifesaving resources elsewhere makes someone morally negligent. Utilitarian ethics push people to put the greater good above individual desires or familial ties.

Imagine choosing to save two strangers instead of a loved one. This unsettling idea exemplifies utilitarianism’s focus on maximizing overall life preservation. It sees altruism not just as personal goodwill but a duty bound by logic.

While this philosophy demands sacrifices, it raises awareness about resource allocation. Altruists adopting this view often reevaluate their habits, such as donating surplus income to global causes instead of unnecessary material goods.

Examples

  • Singer’s analogy of buying clothes versus saving children with the same funds.
  • Strict utilitarianism suggesting saving strangers over a spouse when lives are at stake.
  • Altruists dedicating life savings to humanitarian organizations.

3. Altruistic Work and the Search for Fulfillment

Many people find happiness in meaningful jobs over lucrative careers. However, altruistic work often requires giving up wealth, social status, or personal goals. For those like Baba, a lawyer turned leper caretaker, this tradeoff leads to genuine contentment.

Baba left his legal career, finding purpose in treating impoverished leprosy patients. Despite the emotionally and physically grueling tasks like cleaning wounds and handling corpses, Baba felt a spiritual reward surpassing any material perks from his past.

Even in hardship, altruistic efforts create satisfaction. Yet, this path often demands sacrifices from family members, as Baba’s wife experienced firsthand during her illness. She, too, demonstrated altruism, understanding her husband’s devotion to their patients.

Examples

  • Baba abandoning a wealthy legal career to work in a leper clinic.
  • Choosing patients’ welfare over personal and family comfort.
  • Enduring unattractive but fulfilling work like wound cleaning.

4. Altruists and the Risk to Their Own Well-Being

Altruists can be so focused on helping others that they disregard their health. For example, Paul donated a kidney to a stranger despite his family’s protest, showing that true altruists prioritize others’ needs over their well-being, even in situations of emotional or physical strain.

This selflessness can lead to negative consequences, such as depression or burnout. Paul, after the kidney donation, struggled with his sense of purpose, showing that even good deeds carry emotional challenges.

Nonetheless, altruism often grants long-term rewards, such as the unlikely friendship Paul later formed with Gail, the kidney recipient. His example illustrates the dual-sided nature of altruism: potential personal costs balanced by profound emotional connections.

Examples

  • Paul’s selfless kidney donation to Gail, despite opposition from loved ones.
  • Emotional struggles after achieving altruistic goals.
  • Developing meaningful connections through acts of generosity.

5. Choosing a Fitting Cause

While altruistic intentions are pure, the cause matters significantly in determining effectiveness. Japanese monk Nemoto found his calling in helping suicidal individuals but learned he had to manage his energy to preserve his own health.

Nemoto’s digital counseling platform initially overwhelmed him with demand. His nonstop support led to physical and emotional exhaustion. Realizing this, he set boundaries by focusing on in-person sessions and limiting outreach.

This highlights the importance of focusing efforts where one’s skills are most impactful while avoiding burnout. Altruists can be more effective by truly prioritizing their mental and physical energy.

Examples

  • Nemoto counseling suicidal individuals online until overwhelmed.
  • Transitioning to face-to-face interactions for sustainable efforts.
  • Adapting altruism practices to protect personal well-being.

6. The Dark Side of Altruism

Altruism becomes unhealthy when it intersects with dysfunction, such as co-dependent relationships. Lois Wilson, co-founder of Al-Anon, illustrated this dynamic when supporting her alcoholic husband. Her desire to help Bill eclipsed her own needs, becoming a form of dependence.

Lois eventually recognized that her sense of purpose was tied to Bill’s struggles. This realization helped her transform and channel her energy into starting Al-Anon, helping those facing similar dilemmas.

Unhealthy altruism often stems from unresolved childhood trauma, where helping others becomes a way to avoid self-reflection. Breaking this cycle requires understanding one’s motivations and boundaries.

Examples

  • Lois Wilson enabling her husband’s alcoholism to feel needed.
  • Founding Al-Anon to assist others like herself.
  • Therapist Robin Norwood’s study on co-dependency in alcoholic households.

7. The Public’s Misunderstanding of Altruism

Pop culture often dismisses altruists as naive or laughable. Characters like Don Quixote are portrayed as ridiculous, while others like Dr. Rieux in The Plague see altruism reduced to duty. Such depictions obscure the significance of altruism.

These fictional portrayals reveal societal discomfort with pure generosity. Altruists may disrupt social norms by showing what people are reluctant to confront: the moral implications of selfishness or complacency.

Public misunderstanding often compels altruists to downplay their actions. By normalizing altruism in stories, society could shift these negative perceptions.

Examples

  • Don Quixote’s well-meaning but ineffective attempts at chivalry.
  • Dr. Rieux’s rejection of the “hero” label despite saving lives.
  • Walter in Freedom sacrificing personal goals for family support but facing critique.

8. Historical Views of Altruism and Selfishness

For much of history, altruism was interpreted as self-interest in disguise. Evolutionary theories framed it as mutual benefits rather than self-sacrifice. Even Charles Darwin attributed collaboration to survival instincts rather than genuine care.

It wasn’t until modern sociologists like Samuel Oliner investigated cases like Holocaust rescuers that explanations beyond selfish motives emerged. Their selflessness often had no personal gain involved.

This shift has helped reframe altruism as a distinct phenomenon, rather than just adaptive behavior.

Examples

  • Darwin’s mutual benefit theory.
  • Holocaust rescuers risking everything without reciprocation.
  • Oliner’s analysis of altruism as unselfish bravery.

9. Altruism as an Inspirational Practice

True altruists inspire change, not just through grand acts but small gestures that ripple outward. Everyday kindness can encourage others to nurture empathy and compassion. This philosophy shows how important it is to live with intent.

Simple altruistic actions create a cycle of generosity. They encourage those who benefit to "pay it forward," spreading goodness through communities. Ultimately, altruism is about building a culture of care in ways large and small.

Examples

  • Everyday kindness, like holding doors for someone struggling.
  • Encouraging others to balance personal responsibility with global awareness.
  • Grassroots actions fostering larger movements for change.

Takeaways

  1. Start small by regularly performing simple acts of kindness, like holding doors open or offering directions.
  2. Assess your own strengths to choose causes where you can have the greatest impact while maintaining balance.
  3. Reflect on whether personal motivations for helping align with genuine altruism or stem from unresolved psychological factors.

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