Mental health

Similarly, Rabbi Yoḥanan fell ill. Rabbi Ḥanina entered to visit him, and said to him: Is your suffering dear to you? Rabbi Yoḥanan said to him: I welcome neither this suffering nor its reward. Rabbi Ḥanina said to him: Give me your hand. He gave him his hand, and Rabbi Ḥanina stood him up and restored him to health. The Gemara asks: Why did Rabbi Yoḥanan wait for Rabbi Ḥanina to restore him to health? If he was able to heal his student, let Rabbi Yoḥanan stand himself up. The Gemara answers, they say: A prisoner cannot generally free himself from prison, but depends on others to release him from his shackles.

The Gemara asks: Who is the tanna that you heard that says: It is not permitted for a person to injure himself? If we say that it is this tanna, as it is taught in a baraita: The verse states: “And surely your blood of your souls will I require” (Genesis 9:5), and Rabbi Elazar says: From the hand of your souls, i.e., from yourself, will I require your blood, meaning one is liable even for taking his own life, that is not a correct inference.

But take utmost care and watch yourselves scrupulously, so that you do not forget the things that you saw with your own eyes and so that they do not fade from your mind as long as you live. And make them known to your children and to your children’s children: The day you stood before the LORD your God at Horeb, when the LORD said to Me, “Gather the people to Me that I may let them hear My words, in order that they may learn to revere Me as long as they live on earth, and may so teach their children.” You came forward and stood at the foot of the mountain. The mountain was ablaze with flames to the very skies, dark with densest clouds. The LORD spoke to you out of the fire; you heard the sound of words but perceived no shape—nothing but a voice. He declared to you the covenant that He commanded you to observe, the Ten Commandments; and He inscribed them on two tablets of stone. At the same time the LORD commanded me to impart to you laws and rules for you to observe in the land that you are about to cross into and occupy. For your own sake, therefore, be most careful—since you saw no shape when the LORD your God spoke to you at Horeb out of the fire—

§ The Sages taught: Who is considered an imbecile? One who goes out alone at night, and one who sleeps in a cemetery, and one who rends his garment. It was stated that Rav Huna said: One does not have the halakhic status of an imbecile until there are all of these signs present in him at the same time. Rabbi Yoḥanan said: He is considered an imbecile even due to the appearance of one of these signs. The Gemara asks: What are the circumstances of the case under discussion? If he performs them in a deranged manner, then even the appearance of one sign should be enough to classify him as an imbecile. If he does not perform these actions in a deranged manner, but has a reason to act this way, then even if he performs all of them he should not be deemed an imbecile. The Gemara answers: Actually, the baraita is referring to one who performs these actions in a deranged manner, but each action on its own could be explained rationally. With regard to one who sleeps in the cemetery, one could say that he is doing so in order that an impure spirit should settle upon him. Although it is inappropriate to do this, as there is a reason for this behavior it is not a sign of madness. And with regard to one who goes out alone at night, one could say that perhaps a fever took hold of him and he is trying to cool himself down. And as for one who tears his garments, one could say that he is a man engaged in thought, and out of anxiety he tears his clothing unintentionally. Despite these possible explanations, since one performed all of these together they are considered like the actions of a forewarned ox that gored an ox, a donkey, and a camel. Since this ox gored three different animals on three separate occasions, it is considered predisposed to gore and becomes forewarned for every type of animal. Likewise, if someone performs three different deranged actions, it is assumed that there is no logical reason for his behavior and he is classified as an imbecile. Rav Pappa said: If Rav Huna had heard that which is taught in a baraita: Who is an imbecile? This is one who destroys whatever is given to him, he would have retracted his statement that one is an imbecile only if he performs three deranged actions.

The Gemara continues to discuss Job’s statements: “Although You know that I am not wicked, and there is none that can deliver out of Your hand” (Job 10:7). Rava says: Job sought to exempt the whole world from judgment, claiming that all of a person’s actions are directed by God, and therefore one cannot be held culpable for his misdeeds. Job said before God: Master of the Universe, You created the ox with split hooves, making it kosher, and You created the donkey with closed hooves, making it forbidden; You created the Garden of Eden, and You created Gehenna; and similarly, You created righteous people and You created wicked people; who can restrain You? Seeing that You created people as either righteous or wicked, You cannot later complain about their actions. And how did Job’s friends answer him? “You do away with fear, and impair devotion before God” (Job 15:4) with such statements. True, the Holy One, Blessed be He, created the evil inclination, but He also created the Torah as an antidote to counter its effects and prevent it from gaining control of a person.

he himself went a day’s journey into the wilderness. He came to a broom bush and sat down under it, and prayed that he might die. “Enough!” he cried. “Now, O LORD, take my life, for I am no better than my fathers.”

Please, LORD, take my life, for I would rather die than live.”

...Do not introduce anxiety [davya] into your heart, as anxiety has killed mighty men (Ben Sira 14:1; 30:29)

If there is anxiety in a person's mind let them quash [yashḥena] it, And turn it into joy with a good word.

A kindly man benefits himself;
A cruel man makes trouble for himself.

It may be that when he begins examining himself, he sees that he possesses no good whatsoever and is filled with sin, and that as a result the Evil One wants to push him into depression and sadness, God forbid. Even so, it is forbidden to fall on account of this. Rather, he must search until he finds in himself some little bit of good. For how is it possible that throughout his life he never once did some mitzvah or good deed? And even if when he begins examining this good thing he sees that it, too, is filled with flaws and contains no purity—i.e., he sees that the mitzvah or holy deed that he merited doing is itself comprised of impure motives, external thoughts and numerous faults—nevertheless, how is it possible that this mitzvah or holy deed contains not even a little bit of good? For in any case, despite this there must have been some good point in the mitzvah or good deed that he did.

Thus, a person has to search and seek to find in himself some little bit of good in order to revive himself and to attain joy, as explained above. By searching until he finds a remaining little bit of good in himself, he genuinely moves from the scale of guilt to the scale of merit and can return [to God] in repentance. This, in the aspect of “In yet a little bit the wicked man is not; you will reflect upon his place and he will not be there,” as explained above.

That is, just as has been explained above, that we must judge others favorably, even the wicked, and find in them some good point, and by doing so move them from the scale of guilt to the scale of merit, in the aspect of “in yet a little bit… you will reflect…”—the same applies with regard to oneself. A person has to judge himself favorably and find in himself some remaining good point, in order to give himself the strength to avoid falling completely, God forbid. On the contrary, he will revive himself and bring joy to his soul with the little bit of good he finds in himself—i.e., that once in his life he merited doing a mitzvah or good deed.

Likewise, he must go on searching until he finds in himself yet another good thing. And although this good thing too is mixed with much impurity, still, he must extract some good point from there as well. Indeed, he must go on searching and gathering further good points.

And it is through this that melodies are made. As explained elsewhere, the aspect of playing a musical instrument is the aspect of gathering the good ruach from the ruach of gloom, depression; see there. {The principle is that music of holiness is extremely lofty, as is known. In essence, music is made through the separation of good from evil; by selecting and gathering the good points from the bad, melodies and songs are created. Study there well.}

{[Rebbe Nachman], of blessed memory, cautioned us to live by this teaching, for it is a major foundation for anyone who wishes to draw closer to God and not lose his eternal reward completely, God forbid. In most cases where people are far from God, the main reason for this is sadness and depression. They fall into depression because they see for themselves the great harm they have caused through their actions, each person commensurate with what he himself knows of his heart’s affliction and his anguish. Due to this they become depressed, and most of them despair [of] themselves completely. As a result they pray without any concentration, and do not even do what they are still capable of.

§ The Sages taught in the Tosefta: With regard to transgressions that one confessed on this Yom Kippur, he should not confess them on another Yom Kippur, since he has already been forgiven. But if he repeated those same transgressions during the year, he must confess them again on another Yom Kippur. And if he did not repeat them but did confess them again, about him the verse states: “As a dog that returns to its vomit, so is a fool who repeats his folly” (Proverbs 26:11), since it is inappropriate to go back and mention one’s earlier sins.

The Gemara quotes additional statements from the book of Ben Sira: Do not suffer from tomorrow’s trouble, that is, do not worry about problems that might arise in the future, as you do not know what a day will bring. Perhaps when tomorrow comes, the individual who was so worried will not be among the living, and he was consequently upset over a world that is not his. Prevent a crowd from inside your house, do not let many people enter, and do not even bring all your friends into your house. Make sure, however, that a crowd seeks your welfare, and that you have many allies. Reveal a secret to only one in a thousand, since most people are unable to keep a secret.