Delicious Deep-Dive Discussion: Mental Health

What is your impression of how Judaism and/or Jewish institutions approach mental health, either historically or today?

Over the history of Judaism, there have been many layers of approaches toward mental health, both inside and outside of Jewish institutions. We'll consider several texts, instructional and anecdotal, from different eras.

First, some instructional texts from the Torah.

(ט) רַ֡ק הִשָּׁ֣מֶר לְךָ֩ וּשְׁמֹ֨ר נַפְשְׁךָ֜ מְאֹ֗ד פֶּן־תִּשְׁכַּ֨ח אֶת־הַדְּבָרִ֜ים אֲשֶׁר־רָא֣וּ עֵינֶ֗יךָ וּפֶן־יָס֙וּרוּ֙ מִלְּבָ֣בְךָ֔ כֹּ֖ל יְמֵ֣י חַיֶּ֑יךָ וְהוֹדַעְתָּ֥ם לְבָנֶ֖יךָ וְלִבְנֵ֥י בָנֶֽיךָ׃

But take utmost care and watch yourselves scrupulously [lit. "But guard your self and guard your soul diligently"], 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.

(יח) לֹֽא־תִקֹּ֤ם וְלֹֽא־תִטֹּר֙ אֶת־בְּנֵ֣י עַמֶּ֔ךָ וְאָֽהַבְתָּ֥ לְרֵעֲךָ֖ כָּמ֑וֹךָ אֲנִ֖י יְהוָֽה׃

(18) You shall not take vengeance or bear a grudge against your countrymen. Love your fellow as yourself: I am the LORD.

We see many examples of biblical characters (mostly men), in the Torah and among the prophets, who struggled.

David was troubled and battled deep despair. In many of the Psalms, he writes of his anguish, loneliness, fear of the enemy, his heart-cry over sin, and the guilt he struggled with because of it. We also see his huge grief in the loss of his sons in 2 Samuel 12:15-23 and 18:33.

“My guilt has overwhelmed me like a burden too heavy to bear.” Ps. 38:4

“Why are you downcast, O my soul? Why so disturbed within me? Put your hope in God for I will yet praise him, my Savior and my God.” Ps. 42:11

Elijah was discouraged, weary, and afraid. After great spiritual victories over the prophets of Baal, he feared and ran for his life, far away from the threats of Jezebel. And there in the desert, he sat down and prayed, defeated and worn:

“I have had enough Lord, he said. Take my life, I am not better than my ancestors.” 1 Kings 19:4

But God heard his cry and advised him on how to proceed.

Jonah was angry and wanted to run away from prophecy:

“Now O Lord, take away my life, for it is better for me to die than to live.” Jonah 4:3

“…I am angry enough to die.” Jonah 4:9

God responded to Jonah, teaching him the value of human life.

Job suffered through great loss, devastation, and physical illness:

“Why did I not perish at birth, and die as I came from the womb?” Job 3:11

“I have no peace, no quietness, I have no rest, but only turmoil.” Job 3:26

“I loathe my very life, therefore I will give free rein to my complaint and speak out in the bitterness of my soul.” Job 10:1

“Terrors overwhelm me…my life ebbs away, days of suffering grip me. Night pierces my bones, my gnawing pains never rest.” Job 30:15-17

Jonah confronts God, and God humbles him.

Moses was grieved over the sin of his people. In his feelings of anger and betrayal from his own people, Moses, as a leader, was about ready to quit. He came down from his mountaintop experience with God, commandments in hand, only to find the Israelites in complete chaos and sin. His heart-cry to God on their behalf was desperate:

“But now, please forgive their sin – but if not, then blot me out of the book you have written.” Ex. 32:32

Throughout Moses' leadership he struggles with the people, but turns to God as his support.

Jeremiah wrestled with great loneliness, feelings of defeat, and insecurity. Jeremiah suffered from constant rejection by the people he loved and reached out to. God had called him to preach, yet forbidden him to marry and have children. He lived alone, he ministered alone, he was poor, ridiculed, and rejected by his people. In the midst of it, he displayed great spiritual faith and strength, and yet we also see his honesty as he wrestled with despair and a great sense of failure:

“Cursed be the day I was born…why did I ever come out of the womb to see trouble and sorrow and to end my days in shame?” Jer. 20:14,18

The above adapted from 7 Bible Figures Who Struggled with Depression: http://www.crosswalk.com/faith/spiritual-life/7-bible-figures-who-struggled-with-depression.html.

Jacob struggled throughout his life:

"Jacob was left alone. And a man wrestled with him until the break of dawn." Gen. 32:25

"The years of my sojourn [on earth] are one hundred and thirty. Few and hard have been the years of my life, nor do they come up to the life spans of my fathers during their sojourns." Gen. 47:9

Saul suffered from terrors:"Now the spirit of the LORD had departed from Saul, and an evil spirit from the LORD began to terrify him." I Sam. 16:4

He called upon David to soothe him:

"Whenever the [evil] spirit of God came upon Saul, David would take the lyre and play it; Saul would find relief and feel better, and the evil spirit would leave him." I Sam. 16:23

Hannah was infertile, and her sister-wife would taunt her. Her husband didn't understand why he wasn't enough for her, and when she prayed to God for a child, the priest accused her of bring drunk.

"...Her rival, to make her miserable, would taunt her that the LORD had closed her womb. This happened year after year: Every time she went up to the House of the LORD, the other would taunt her, so that she wept and would not eat." I Sam. 1:6-7

Some questions to consider:

  • In researching this topic, I found many Christian websites profiling the struggles of different biblical characters, but I had never seen such a presentation in a Jewish context. Has that been your experience? Why might there be that distinction?
  • The first six vignettes above are from a Christian website - in what ways do they differ from the following three vignettes?
  • How do the presentations of the struggles of female biblical characters differ from those of male characters?

The Gemara also provides examples of how to care for others.

רבי חייא בר אבא חלש על לגביה ר' יוחנן א"ל חביבין עליך יסורין א"ל לא הן ולא שכרן א"ל הב לי ידך יהב ליה ידיה ואוקמיה. ר' יוחנן חלש על לגביה ר' חנינא א"ל חביבין עליך יסורין א"ל לא הן ולא שכרן א"ל הב לי ידך יהב ליה ידיה ואוקמיה אמאי לוקים ר' יוחנן לנפשיה אמרי אין חבוש מתיר עצמו מבית האסורים
The Gemara continues to address the issue of suffering and affliction: Rabbi Yoḥanan’s student, Rabbi Ḥiyya bar Abba, fell ill. Rabbi Yoḥanan entered to visit him, and said to him: Is your suffering dear to you? Do you desire to be ill and afflicted? Rabbi Ḥiyya said to him: I welcome neither this suffering nor its reward, as one who welcomes this suffering with love is rewarded. Rabbi Yoḥanan said to him: Give me your hand. Rabbi Ḥiyya bar Abba gave him his hand, and Rabbi Yoḥanan stood him up and restored him to 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.
רבי אליעזר חלש על לגביה רבי יוחנן חזא דהוה קא גני בבית אפל גלייה לדרעיה ונפל נהורא חזייה דהוה קא בכי ר' אליעזר א"ל אמאי קא בכית אי משום תורה דלא אפשת שנינו אחד המרבה ואחד הממעיט ובלבד שיכוין לבו לשמים ואי משום מזוני לא כל אדם זוכה לשתי שלחנות ואי משום בני דין גרמא דעשיראה ביר א"ל להאי שופרא דבלי בעפרא קא בכינא א"ל על דא ודאי קא בכית ובכו תרוייהו אדהכי והכי א"ל חביבין עליך יסורין א"ל לא הן ולא שכרן א"ל הב לי ידך יהב ליה ידיה ואוקמיה.
The Gemara relates that Rabbi Elazar, another of Rabbi Yoḥanan’s students, fell ill. Rabbi Yoḥanan entered to visit him, and saw that he was lying in a dark room. Rabbi Yoḥanan exposed his arm, and light radiated from his flesh, filling the house. He saw that Rabbi Elazar was crying, and said to him: Why are you crying? Thinking that his crying was over the suffering that he endured throughout his life, Rabbi Yoḥanan attempted to comfort him: If you are weeping because you did not study as much Torah as you would have liked, we learned: One who brings a substantial sacrifice and one who brings a meager sacrifice have equal merit, as long as he directs his heart toward Heaven. If you are weeping because you lack sustenance and are unable to earn a livelihood, as Rabbi Elazar was, indeed, quite poor, not every person merits to eat off of two tables, one of wealth and one of Torah, so you need not bemoan the fact that you are not wealthy. If you are crying over children who have died, this is the bone of my tenth son, and suffering of that kind afflicts great people, and they are afflictions of love. Rabbi Elazar said to Rabbi Yoḥanan: I am not crying over my misfortune, but rather, over this beauty of yours that will decompose in the earth, as Rabbi Yoḥanan’s beauty caused him to consider human mortality. Rabbi Yoḥanan said to him: Over this, it is certainly appropriate to weep. Both cried over the fleeting nature of beauty in the world and death that eventually overcomes all. Meanwhile, Rabbi Yoḥanan said to him: Is your suffering dear to you? Rabbi Elazar said to him: I welcome neither this suffering nor its reward. Upon hearing this, Rabbi Yoḥanan said to him: Give me your hand. Rabbi Elazar gave him his hand, and Rabbi Yoḥanan stood him up and restored him to health.

What are the ways in which we embody these values expressed in the texts inside and outside of our communal spaces? Are they sufficient? Are there ways we could do this differently?

In the course of preparing for this discussion, I came upon many resources on Judaism and mental health.

Ritualwell: A website where you can craft and share Jewish rituals by submitting your own original content, browsing and commenting on existing rituals, connecting with others, and building personalized rituals for your life
No Shame on U: An organization dedicated to eliminating the stigma associated with mental health conditions and raising awareness.
Elijah's Journey: A Jewish response to the issues of suicide awareness and prevention

From ritualwell.org

A Prayer of Healing for Mental Illness

By Rabbi Elliot Kukla

May the One who blessed our ancestors bless all who live with mental illness, our care-givers, families, and friends. May we walk in the footsteps of Jacob, King Saul, Miriam, Hannah, and Naomi who struggled with dark moods, hopelessness, isolation, and terrors, but survived and led our people. Just as our father, Jacob, spent the night wrestling with an angel and prevailed, may all who live with mental illness be granted the endurance to wrestle with pain and prevail night upon night. Grace us with the faith to know that though, like Jacob, we may be wounded, shaped and renamed by this struggle, still we will live on to continue an ever unfolding, unpredictable path toward healing. May we not be alone on this path but accompanied by our families, friends, care-givers, ancestors, and the Divine presence. Surround us with loving-kindness, grace and companionship and spread over us a sukkat shalom, a shelter of peace and wholeness. And let us say: Amen.