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NATIONAL JEWISH INSTITUTE
FOR   CONTINUING PROFESSIONAL EDUCATION
                    AND
 INSTITUTE FOR CONTINUING
PROFESSIONAL DEVELOPMENT
            AT   TOURO COLLEGE
MEDICINE, CULTURE AND
       ETHICS
  MENTAL HEALTH
WITH YOU IN MIND
INTELLECT




You graciously
bestow knowledge
upon humans.
Daily Amidah
You graciously bestow knowledge upon humans
and teach mortals understanding. Graciously
bestow upon us from Your wisdom,
understanding, and knowledge. Blessed are You,
G-d, who graciously bestows knowledge.

            Amidah prayer, Sidur Tehilat Hashem
LOSS OF COGNITIVE FUNCTIONS
THE “OTHER”
ALL KINDS OF MINDS
COMMON ATTITUDES


“Pull yourself together”
 “Expecting too much
      from life”
    “A lack of will-
        power”
      Alternate
      Schooling
         NIMBY
CONSTRUCTION OF FEAR
KING DAVID’S QUESTION

G-d, everything that You have
made in Your universe is
beautiful—and wisdom the most
beautiful of all—except for
madness.
What benefit can there be in a
person being mad?
A mad person walks in the
marketplace and tears his clothes
while children mock him and
chase him and people jeer at him;
is this beautiful before You?
         Midrash, Yalkut Shimoni,
                  I Samuel 21, 131
YOU SHALL FEAR YOUR GOD


         “You shall not curse a
         deaf person.
         You shall not place a
         stumbling block before
         a blind person, and you
         shall fear your G-d.
         I am the Lord.”
                  Leviticus 19:14
OPPRESSING THE VULNERABLE


        The verse tells us that the hearing
        person should not curse the deaf
        person, and the seeing person should
        not cause the blind person to trip on
        his path.

        This is a metaphor instructing any
        powerful person not to oppress those
        who are weaker, for this is an
        indication of poor character.

           Rabbi Isaac ben Yehudah Abarbanel
                             (1437-1508), ibid.
COURT-APPOINTED GUARDIAN


      “The Jewish courts should appoint a
      guardian for the mentally ill just as they
      do for [orphaned] minors, so that others
      do not loot their belongings. “

      Rabbi Mordechai Jaffe (1530-1612), Levush,
                       Choshen Mishpat 235:20
COMPETENCE & JUDGMENTS


 “One who wounds another person is obligated [to pay monetary
compensation] on five counts: damage, pain, medical expenses, loss
of income (due to being unable to work), and embarrassment. . . .

[Regarding people suffering from insanity:] One who harms them
is obligated to pay compensation, whereas they are exempt for the
damage they cause to others.”

                                         Mishanh, Bava Kama 8:1–4
COMPETENCE & JUDGMENTS



         1.   Damage
         2.   Pain
         3.   Medical Expenses
         4.   Loss of Income
         5.   Embarrassment
COMPETENCE & JUDGMENTS

   Exempt from damage to others
ADVANTAGES AND DISADVANTAGES
              OF STEWARDSHIP

Pros                    Cons

Helps avoid bad         Loss of Freedom and
decisions               independent choice


Prevents exploitation   Limit interaction with
                        others

Absolves them of        Emotional and social
responsibility          repercussions

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Mental health

  • 1. NATIONAL JEWISH INSTITUTE FOR CONTINUING PROFESSIONAL EDUCATION AND INSTITUTE FOR CONTINUING PROFESSIONAL DEVELOPMENT AT TOURO COLLEGE
  • 2. MEDICINE, CULTURE AND ETHICS MENTAL HEALTH
  • 3. WITH YOU IN MIND
  • 5. You graciously bestow knowledge upon humans and teach mortals understanding. Graciously bestow upon us from Your wisdom, understanding, and knowledge. Blessed are You, G-d, who graciously bestows knowledge. Amidah prayer, Sidur Tehilat Hashem
  • 6. LOSS OF COGNITIVE FUNCTIONS
  • 8. ALL KINDS OF MINDS
  • 9. COMMON ATTITUDES “Pull yourself together” “Expecting too much from life” “A lack of will- power” Alternate Schooling NIMBY
  • 11. KING DAVID’S QUESTION G-d, everything that You have made in Your universe is beautiful—and wisdom the most beautiful of all—except for madness. What benefit can there be in a person being mad? A mad person walks in the marketplace and tears his clothes while children mock him and chase him and people jeer at him; is this beautiful before You? Midrash, Yalkut Shimoni, I Samuel 21, 131
  • 12. YOU SHALL FEAR YOUR GOD “You shall not curse a deaf person. You shall not place a stumbling block before a blind person, and you shall fear your G-d. I am the Lord.” Leviticus 19:14
  • 13. OPPRESSING THE VULNERABLE The verse tells us that the hearing person should not curse the deaf person, and the seeing person should not cause the blind person to trip on his path. This is a metaphor instructing any powerful person not to oppress those who are weaker, for this is an indication of poor character. Rabbi Isaac ben Yehudah Abarbanel (1437-1508), ibid.
  • 14. COURT-APPOINTED GUARDIAN “The Jewish courts should appoint a guardian for the mentally ill just as they do for [orphaned] minors, so that others do not loot their belongings. “ Rabbi Mordechai Jaffe (1530-1612), Levush, Choshen Mishpat 235:20
  • 15. COMPETENCE & JUDGMENTS “One who wounds another person is obligated [to pay monetary compensation] on five counts: damage, pain, medical expenses, loss of income (due to being unable to work), and embarrassment. . . . [Regarding people suffering from insanity:] One who harms them is obligated to pay compensation, whereas they are exempt for the damage they cause to others.” Mishanh, Bava Kama 8:1–4
  • 16. COMPETENCE & JUDGMENTS 1. Damage 2. Pain 3. Medical Expenses 4. Loss of Income 5. Embarrassment
  • 17. COMPETENCE & JUDGMENTS Exempt from damage to others
  • 18. ADVANTAGES AND DISADVANTAGES OF STEWARDSHIP Pros Cons Helps avoid bad Loss of Freedom and decisions independent choice Prevents exploitation Limit interaction with others Absolves them of Emotional and social responsibility repercussions