Recognizing and Responding to Trauma

רַבִּי חִיָּיא בַּר אַבָּא חֲלַשׁ. עָל לְגַבֵּיהּ רַבִּי יוֹחָנָן אֲמַר לֵיהּ: חֲבִיבִין עָלֶיךָ יִסּוּרִין? אֲמַר לֵיהּ: לֹא הֵן וְלֹא שְׂכָרָן. אֲמַר לֵיהּ: הַב לִי יְדָךְ. יְהַב לֵיהּ יְדֵיהּ, וְאוֹקְמֵיהּ. רַבִּי יוֹחָנָן חֲלַשׁ. עָל לְגַבֵּיהּ רַבִּי חֲנִינָא. אֲמַר לֵיהּ: חֲבִיבִין עָלֶיךָ יִסּוּרִין? אֲמַר לֵיהּ: לֹא הֵן וְלֹא שְׂכָרָן. אֲמַר לֵיהּ: הַב לִי יְדָךְ. יְהַב לֵיהּ יְדֵיהּ, וְאוֹקְמֵיהּ. אַמַּאי, לוֹקִים רַבִּי יוֹחָנָן לְנַפְשֵׁיהּ? אָמְרִי: אֵין חָבוּשׁ מַתִּיר עַצְמוֹ מִבֵּית הָאֲסוּרִים. רַבִּי אֶלְעָזָר חֲלַשׁ. עַל לְגַבֵּיהּ רַבִּי יוֹחָנָן. חֲזָא דַּהֲוָה קָא גָּנֵי בְּבֵית אָפֵל. גַּלְיֵיהּ לִדְרָעֵיהּ וּנְפַל נְהוֹרָא. חַזְיֵיהּ דַּהֲוָה קָא בָּכֵי רַבִּי אֶלְעָזָר. אֲמַר לֵיהּ: אַמַּאי קָא בָּכֵית? אִי מִשּׁוּם תּוֹרָה דְּלָא אַפֵּשְׁתְּ — שָׁנִינוּ: אֶחָד הַמַּרְבֶּה וְאֶחָד הַמַּמְעִיט, וּבִלְבַד שֶׁיְּכַוֵּין לִבּוֹ לַשָּׁמַיִם. וְאִי מִשּׁוּם מְזוֹנֵי — לֹא כׇּל אָדָם זוֹכֶה לִשְׁתֵּי שֻׁלְחָנוֹת. וְאִי מִשּׁוּם בְּנֵי — דֵּין גַּרְמָא דַּעֲשִׂירָאָה בִּיר. אֲמַר לֵיהּ: לְהַאי שׁוּפְרָא דְּבָלֵי בְּעַפְרָא קָא בָּכֵינָא. אֲמַר לֵיהּ: עַל דָּא וַדַּאי קָא בָּכֵית, וּבְכוֹ תַּרְוַיְיהוּ.

Berakhot 5b:10-15

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. 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.

What types of suffering are described in this passage?

Do any of them fit your concept of "trauma?" Which ones?

Discuss the positive and negative aspects of how the rabbis depicted as healers respond to the sufferers.

איכה א׳:א׳-י׳

(א) אֵיכָ֣ה ׀ יָשְׁבָ֣ה בָדָ֗ד הָעִיר֙ רַבָּ֣תִי עָ֔ם הָיְתָ֖ה כְּאַלְמָנָ֑ה רַּבָּ֣תִי בַגּוֹיִ֗ם שָׂרָ֙תִי֙ בַּמְּדִינ֔וֹת הָיְתָ֖ה לָמַֽס׃ (ס) (ב) בָּכ֨וֹ תִבְכֶּ֜ה בַּלַּ֗יְלָה וְדִמְעָתָהּ֙ עַ֣ל לֶֽחֱיָ֔הּ אֵֽין־לָ֥הּ מְנַחֵ֖ם מִכָּל־אֹהֲבֶ֑יהָ כָּל־רֵעֶ֙יהָ֙ בָּ֣גְדוּ בָ֔הּ הָ֥יוּ לָ֖הּ לְאֹיְבִֽים׃ (ס) (ג) גָּֽלְתָ֨ה יְהוּדָ֤ה מֵעֹ֙נִי֙ וּמֵרֹ֣ב עֲבֹדָ֔ה הִ֚יא יָשְׁבָ֣ה בַגּוֹיִ֔ם לֹ֥א מָצְאָ֖ה מָנ֑וֹחַ כָּל־רֹדְפֶ֥יהָ הִשִּׂיג֖וּהָ בֵּ֥ין הַמְּצָרִֽים׃ (ס) (ד) דַּרְכֵ֨י צִיּ֜וֹן אֲבֵל֗וֹת מִבְּלִי֙ בָּאֵ֣י מוֹעֵ֔ד כָּל־שְׁעָרֶ֙יהָ֙ שֽׁוֹמֵמִ֔ין כֹּהֲנֶ֖יהָ נֶאֱנָחִ֑ים בְּתוּלֹתֶ֥יהָ נּוּג֖וֹת וְהִ֥יא מַר־לָֽהּ׃ (ס) (ה) הָי֨וּ צָרֶ֤יהָ לְרֹאשׁ֙ אֹיְבֶ֣יהָ שָׁל֔וּ כִּֽי־יְהוָ֥ה הוֹגָ֖הּ עַ֣ל רֹב־פְּשָׁעֶ֑יהָ עוֹלָלֶ֛יהָ הָלְכ֥וּ שְׁבִ֖י לִפְנֵי־צָֽר׃ (ס) (ו) וַיֵּצֵ֥א מן־בת־[מִבַּת־] צִיּ֖וֹן כָּל־הֲדָרָ֑הּ הָי֣וּ שָׂרֶ֗יהָ כְּאַיָּלִים֙ לֹא־מָצְא֣וּ מִרְעֶ֔ה וַיֵּלְכ֥וּ בְלֹא־כֹ֖חַ לִפְנֵ֥י רוֹדֵֽף׃ (ס) (ז) זָֽכְרָ֣ה יְרוּשָׁלִַ֗ם יְמֵ֤י עָנְיָהּ֙ וּמְרוּדֶ֔יהָ כֹּ֚ל מַחֲמֻדֶ֔יהָ אֲשֶׁ֥ר הָי֖וּ מִ֣ימֵי קֶ֑דֶם בִּנְפֹ֧ל עַמָּ֣הּ בְּיַד־צָ֗ר וְאֵ֤ין עוֹזֵר֙ לָ֔הּ רָא֣וּהָ צָרִ֔ים שָׂחֲק֖וּ עַ֥ל מִשְׁבַּתֶּֽהָ׃ (ס) (ח) חֵ֤טְא חָֽטְאָה֙ יְר֣וּשָׁלִַ֔ם עַל־כֵּ֖ן לְנִידָ֣ה הָיָ֑תָה כָּֽל־מְכַבְּדֶ֤יהָ הִזִּיל֙וּהָ֙ כִּי־רָא֣וּ עֶרְוָתָ֔הּ גַּם־הִ֥יא נֶאֶנְחָ֖ה וַתָּ֥שָׁב אָחֽוֹר׃ (ס) (ט) טֻמְאָתָ֣הּ בְּשׁוּלֶ֗יהָ לֹ֤א זָֽכְרָה֙ אַחֲרִיתָ֔הּ וַתֵּ֣רֶד פְּלָאִ֔ים אֵ֥ין מְנַחֵ֖ם לָ֑הּ רְאֵ֤ה יְהוָה֙ אֶת־עָנְיִ֔י כִּ֥י הִגְדִּ֖יל אוֹיֵֽב׃ (ס) (י) יָדוֹ֙ פָּ֣רַשׂ צָ֔ר עַ֖ל כָּל־מַחֲמַדֶּ֑יהָ כִּֽי־רָאֲתָ֤ה גוֹיִם֙ בָּ֣אוּ מִקְדָּשָׁ֔הּ אֲשֶׁ֣ר צִוִּ֔יתָה לֹא־יָבֹ֥אוּ בַקָּהָ֖ל לָֽךְ׃ (ס)

Lamentations 1:1-10

(1) Alas! Lonely sits the city Once great with people! She that was great among nations Is become like a widow; The princess among states Is become a thrall. (2) Bitterly she weeps in the night, Her cheek wet with tears. There is none to comfort her Of all her friends. All her allies have betrayed her; They have become her foes. (3) Judah has gone into exile Because of misery and harsh oppression; When she settled among the nations, She found no rest; All her pursuers overtook her In the narrow places. (4) Zion’s roads are in mourning, Empty of festival pilgrims; All her gates are deserted. Her priests sigh, Her maidens are unhappy— She is utterly disconsolate! (5) Her enemies are now the masters, Her foes are at ease, Because the LORD has afflicted her For her many transgressions; Her infants have gone into captivity Before the enemy. (6) Gone from Fair Zion are all That were her glory; Her leaders were like stags That found no pasture; They could only walk feebly Before the pursuer. (7) All the precious things she had In the days of old Jerusalem recalled In her days of woe and sorrow, When her people fell by enemy hands With none to help her; When enemies looked on and gloated Over her downfall. (8) Jerusalem has greatly sinned, Therefore she is become a mockery. All who admired her despise her, For they have seen her disgraced; And she can only sigh And shrink back. (9) Her uncleanness clings to her skirts. She gave no thought to her future; She has sunk appallingly, With none to comfort her.— See, O LORD, my misery; How the enemy jeers! (10) The foe has laid hands On everything dear to her. She has seen her Sanctuary Invaded by nations Which You have denied admission Into Your community.

Kohrt BA and Hruschka DJ. Nepali Concepts of Psychological Trauma: The Role of Idioms of
Distress, Ethnopsychology, and Ethnophysiology in Alleviating
Suffering and Preventing Stigma. Cult Med Psychiatry. 2010 June ; 34(2): . doi:10.1007/s11013-010-9170-2.

"Four general themes dominated the categories of events described. (i) Counselors, program administrators, and other health professionals focused on events involving a threat to one’s life or a family member's life. (ii) Clients placed more attention on chronic, ongoing events that impair livelihood, specifically failure or lack of success in specific domains of life. (iii) Spiritual and supernatural events were considered major traumatic events. (iv) Lastly, conflict-related events featured prominently; clients of one NGO felt that trauma only resulted from political violence."

How do the themes of trauma in the passage from Kohrt and Hrsuchka correlate with those in Eicha (Lamentations)?

ibid.

"Previously, research on idioms of distress in Nepal has shown that jham-jham (numbness and tingling) and gyastrik (dyspepsia) are common complaints associated with psychological distress particularly depression (Kohrt, et al. 2005; 2007); however, the idioms are not interchangeable with a specific psychiatric disorder. Sharma and van Ommeren (1998) have catalogued idioms of distress among ethnic Nepali Bhutanese refugees in Nepal by drawing upon clinical experiences and case note surveys. Their list includes dukha laagyo (sadness), dar laagyo (fear), jharko laagyo (irritation), metaphors in relation to being uprooted from one’s homeland, and somatic complaints such as jiu sukera gayo (drying of the body) and kat kat khanchha (tingling and burning sensations). All of these idioms overlap with psychological trauma, but none exemplifies one-to-one synonymy with PTSD."

What "idioms of distress" are you familiar with from your own culture? How do American culture and Western medicine teach us to regard the idioms in the above passage? Describe the ways in which those interpretations can be helpful or harmful.