Saturday, April 25, 2020

Healing of body and soul (mental health) at the Time of Coronavirus


There’s a disease mentioned in this week’s double parasha , Tazria – Metzorah.  The illness is one that we will read about again when Miriam speaks out against her brother, Moses, for marrying a Cushite woman.  The disease is called tza-raat and when we see it again in the book of Numbers, it is inflicted upon Miriam as a form of punishment by G-d.

If you look at the Torah’s perspective, Tzaraat is an illness that manifests itself on the skin of an infected individual as well as on their clothing and on the walls of their house.  Commentators have often stated  that tzaraat is an illness that punishes an individual for a character flaw.  The individual suffering from the disease is temporarily ostracized by being kept separate from the camp.  In a sense, they are shamed before the entire community as they wait to be healed for having a spiritual flaw that manifests itself as a physical affliction.

This outlook found in the Torah and commented upon by Rabbis over the centuries, should not be understood as Judaism’s only outlook on illness.  Let’s take a look at the misheberach we say at the end of a Torah service for all those who are ill.  This prayer stems back to the middle ages.  The words state, “Hu yivarech virapay et a holeh, hakadosh baruch hu yimaley rachamim alav, lahachaziko, ul’rapoto, v’hishlach lo m’hayrah r’fuah shlaimah l’chol aveirav v’gidav b’toch sh’ar cholay yisrael , r’fuat ha nefesh u’r’fuat ha guf, hastah ba’agalah, uvizman kariv v’nomar ameyn.

The exact translation:  may He who blesses our fathers Abraham, Isaac, and Jacob, Sarah Rebecca, Rachel, and Leah   bless and heal the sick , may the holy one overflow with compassion upon him, to strengthen him, to heal him, and to bring him speedily complete recovery to all his body parts and veins among the other sick people of Israel, healing of soul and healing of body, soon, speedily and without delay. 

This prayer acknowledges the physical and spiritual components to illness but does not equate illness with a spiritual or character flaw. It does acknowledge, however, that spiritual and physical well-being are needed for a full life.   

Just as we pray for an individual’s well-being on shabbat during the Torah service, we also have inserts in the weekday Amidah for adding in prayers of healing for individuals.  We state, veehee ratzon milfanecha Adonai elohaynu vaylohay avoteinu, shetishlach m’hayrah r’fuah shleimah min hashamayim, r’fuat ha nefesh u r’fuat ha guf l’ ______________ b’toch sh’ar cholay yisrael.  Ki ayl Melech rofey neeman v’ rachaman atah.  Baruch atah Adonai rofay cholay amo yisrael.   Let it be your will Lord our god and god of our ancestors, that you will quickly send complete healing from the heavens, healing of soul and healing of the body to ____________along with all the others of Israel who are sick.  Because you are a faithful healer and merciful.  Blessed are you Lord, healer of the sick of His people Israel. Notice once again the mention of healing body and soul.

 We are also instructed to fulfill the mitzvah of bikkur cholim, visiting the sick and while doing so to be mindful of the length and timing of our visits.  We are also to be mindful of the dignity of the individual who is ill.  Our participation in this mitzvah allows us to see ourselves as being help mates to a loving, caring G-d who brings healing to the sick.

When we read about tzaraat and the removal of an individual from the community, or perhaps the shunning of an ill-individual, we might think about how barbaric this kind of treatment sounds.  I would like to suggest that shunning an ill person is still most apparent in our society when we think about how we treat individuals with various forms of mental illness.  I have had the opportunity to participate in two incredible sessions about mental health put on by our region 5 systems over the past year.  The first was about mental health and threat assessments and the second was mental health first aid for adults assisting young people. We often judge individuals who have a form of mental illness as being responsible for their conditions.  We generalize by saying that they lack will, they are not trying hard enough, they are dangerous, they must be ostracized.  We don’t always remember the bio-chemical component involved in mental health conditions nor the need for community support in the process of recovery and re-building one’s life.  The current best practice for treatment of mental health conditions involves providing medication, counseling or psychological therapy, and support for families.  Shaming an individual can be a barrier to that individual or their family seeking help. 


As we deal with this pandemic, this form of a plague that is affecting so many individuals in our world, it is important to realize that just as physical health is being affected, mental health is also being affected as well.  Depression, anxiety, and ptsd are reactions many individuals are experiencing as they deal with our new stresses and our new reality. 
As the Dean of the Boston University School of Public Health, Dr. Sandro Galea, wrote, “ we need to realize that we are all in this together, that no one should ever have to feel alone. As we continue to use social distancing in the coming months, we should also reach out in whatever safe ways we can, letting the ones in our lives know that, though perhaps physically isolated, they remain embedded in a web of care and concern. Our health, both physical and mental, is linked. When trauma strikes a society, it does not just strike a group of individuals who happen to live in the same place. It exposes how connected we are, and support health—physical and mental—in the days to come.”

So now let’s get back to a final word about Tzaraat. When an individual was living outside the camp, it was the Kohen, the priest, who would make contact with that individual, putting his hands on them and checking on them regularly.  The visits happened every seven days to see if there had been a change in the individual’s condition.  In essence, he was also making it known to the individual that he wanted to help him find a way back into the community and would help the ill individual find a way to regain his health.  Maybe the lesson for us, in reading about this is that we need to be the ones, just like the Kohen, who will reach out to those who are not physically or emotionally well.  We need to let others know we will work to help them find a way back to health.  This is not any different than the message of modern day health professionals who understand the connection between physical and emotional well-being and the place that community plays in healing.

National Suicide Prevention Lifeline
1-800-273-8255




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