The Knot at the Root

The Knot at the Root

"The Same Root" argued that yichud, da'at, eros and God form a chain that holds only if each link is a cleaving rather than an identity, and it suggested that God may be the attraction itself. It ended with a test for any longing: whether it can hear an answer it did not write, accept a boundary, and bless what it cannot keep. This sequel takes up the question that the test leaves open, put by a congregant: if God is a connection rather than an object, what does one love? The essay argues that the question assumes love must take a direct object, and that the tradition never supplied one. Maimonides' negative theology denies God the status of an object; the Sifrei asks outright, "I do not know how one loves God," and answers by routing love through words, ways and people. The real danger the objection senses is love of love, which Augustine confessed and Dovber Schneuri diagnosed as ecstasy that watches itself. Against it the essay proposes that a connection is loved as a medium, a bond and an addressee. Three images carry the argument: "with all your heart" read as with both inclinations; "in Your light we see light" (Psalm 36:10), read beside Polanyi's from-to structure of knowing, the neurological body schema and sympathetic resonance in a string; and the Talmud's teaching that what Moses saw of God was the knot of the tefillin (Berakhot 7a). The midrash (Sifrei, Mekhilta, Shir HaShirim Rabbah) and the Hasidic masters (Me'or Einayim, Degel Machaneh Ephraim, Tanya, Rebbe Nachman) supply the textual ground. The liturgy, read with the Nefesh HaChaim, answers "whom do we pray to?" and corrects the thesis: God is addressed in the bond, while the essence remains hidden. Three practices follow, attending through, keeping faith and repair, and are carried into the therapeutic alliance. Love of God, on this account, has a vocative, an instrumental, a comitative and a facing, but no accusative.

The String That Is Not Struck

The String That Is Not Struck

This morning, after our daf yomi daily study, I found myself listening to Schumann’s Piano Quartet in E-flat Major. The transition seemed entirely natural, although I could not immediately explain why.

Perhaps I had been searching for precisely what we had been discussing: the possibility that music discloses a dimension of divine relationship that neither theological propositions nor halakhic categories can fully contain.

Our earlier discussion had led me to understand surrender not as self-negation but as a relinquishment of the illusion of separateness. Yichud was no longer simply the mystical union of opposites but the attraction that makes relationship possible in the first place. Devekut was not absorption into an undifferentiated divine totality but the experience of remaining oneself while becoming bound to something infinitely greater.

The Same Root

The Same Root

This essay tests a chain of four equations: yichud is connection, connection is da'at, da'at is eros, and eros is God. It argues that the chain holds only if each "is" is read as a cleaving rather than an identity, so that every union preserves the two it joins. Drawing on Genesis 1–3, the Me'or Einayim and the Degel Machaneh Ephraim, it shows that Hasidic sources already join knowledge and erotic union (da'at leshon chibbur; the joining of smallness to greater mind as zivug). The Hebrew root ch-m-d names both the trees God made desirable and the coveting the Decalogue forbids. Desire and possession share one root and diverge in what the hand does next. The most daring claim, that God is the attraction itself, is defended through tzimtzum, the union within the divine life, and the God whom no thought can grasp. It is set against Scholem, Idel, Green, Magid and Fishbane, and against the rabbinic myth of a God who is drawn as well as drawing (Berakhot 6a; Yoma 54a). The argument is then carried into clinical practice. It sets the physician's own longing between detached concern and over-identification (Halpern), reads the interrupted first sentence as the smallest act of possession, and marks where it departs from Charon's narrative medicine and Ofri's account of physicians' emotions and institutional exploitation. It follows the same structure through Freud's abstinence and Jung's coniunctio to Winnicott, Bion, Buber and Benjamin, and to the bond of tzaddik and hasid. It closes with a practical test: a longing is holy in the measure that it makes room for what it cannot own.

Returning Without Erasure

Returning Without Erasure

Religious return is frequently represented as a movement from spiritual alienation toward religious authenticity, in which the returning individual is expected to repudiate the secular intellectual and cultural formation that preceded observance. This essay challenges the theological necessity of such discontinuity and proposes an understanding of teshuvah as the transformation, and not the erasure, of the past. It reads four bodies of work together: Elliot R. Wolfson's apophatic critique of theological representation, including his reading of Rav Kook's “atheistic faith”; Rav Abraham Isaac Kook's Orot HaTeshuvah, which names as counterfeit any repentance that fails to gather the scattered self; the Lubavitcher Rebbe's theology of transforming darkness into light, read alongside Wolfson's own study of that theology; and Rav Shagar's account of a repentance that begins with the person exactly as he is and a faith that lives in several worlds without harmonizing them. From these the essay develops the concept of anamnetic teshuvah: religious return through transformed remembrance. Three supports are offered that the tradition itself supplies. Maimonides' Hilkhot Teshuvah holds together the penitent's “I am another” with the requirement that his sin remain always before him, and assigns the memory of the past to the penitent while forbidding it to the community. The clinical anamnesis supplies a working model of a history that is reread by what is later found and is never discarded. And sociological studies of baalei teshuvah show that observance and cultural assimilation come apart in practice. The proposed theology preserves the necessity of halakhic and ethical transformation while rejecting the assumption that religious authenticity requires autobiographical repudiation. It concludes that the deepest religious return may consist not in exchanging secular certainty for religious certainty, but in fidelity to a covenant whose divine ground remains beyond conceptual possession.

When Surrender Fails

When Surrender Fails

Surrender holds a privileged place in recovery, in palliative care, and in religious counsel. I have defended it in earlier work as the relinquishment of omnipotence that restores responsible agency. This article asks the question those papers left open: what is owed to the person in whom surrender does not happen?

Four such persons organize the argument: the dying patient who understands her prognosis and will not consent to it, the man in recovery who cannot believe, the survivor who cannot forgive, and the believer who keeps praying and withholds one blessing. The first claim is that surrender is not performable on demand. That finding is not a critic's imposition. It was reached independently by Harry Tiebout within the psychiatry of Alcoholics Anonymous, by the Śrī Vaiṣṇava schools in their dispute over prapatti, by Shinran in his analysis of self-power and Other Power, by the early Daoist “paradox of wu wei,” and by the Talmud's “a prisoner cannot free himself from prison.” The second claim follows: what cannot be performed cannot be prescribed. A prescribed surrender yields compliance, shame, or exit. The third claim is that Jewish covenantal protest supplies what the traditions of surrender mostly lack, a standing place for the one who does not surrender. Berakhot 5b gives that place a formula, “neither they nor their reward,” and a clinical gesture, “give me your hand.”

From these I define faithful nonsurrender: omnipotence is relinquished, assent is withheld, and the address is kept. I distinguish it from surrender, compliance, omnipotent refusal, and exit. I test it against the empirical literature on religious struggle, protest toward God, and end-of-life care, and I derive rules for the bedside, the recovery room, and the survivor's therapy. Surrender can be conjugated in the first person. It has no legitimate imperative.

The Disguised Husband, the Compelled Wife, and the Ethics of Hearing in the Clinical Encounter

The Disguised Husband, the Compelled Wife, and the Ethics of Hearing in the Clinical Encounter

A parable transmitted in the name of the Baal Shem Tov by Rabbi Jacob Joseph of Polonne, and reprinted as Keter Shem Tov §297, tells of a faithful wife slandered by means of a stolen ring, expelled by her husband, starved at sea into submitting to a sailor, and vindicated only when she returns and complains. The text's own interpretation identifies the wife as the Shekhinah and the husband as the Holy One. It then makes two claims that have few parallels in Hasidic literature. The sailor who extorted her was the husband himself in disguise, and "the secret of confession" is the Shekhinah's complaint to God about how she was compelled.

This essay argues that the mashal (parable) is the only instrument able to carry such a theology. It permits a split within divinity to be narrated as an estrangement between spouses, and it permits responsibility for that estrangement to be distributed across a slanderer, a bribed servant, a credulous husband and a hungry wife without any single figure absorbing the whole. Human agency is not abolished in this drama. It is relocated from the bearing of guilt to the giving of voice: the one who confesses lends speech to a presence that was compelled.

The second half of the essay draws the clinical consequences. Evidence without history misdiagnoses; the patient's self-accusation often contains an unheard complaint; shame must be distinguished from guilt; vindication must precede forgiveness; and the clinician must reckon with the possibility of being, institutionally, the sailor who holds the bread. The essay then states the limits of the analogy, including the parable's gendered violence and its own drift toward theodicy, and closes by measuring its method against two scholarly gauges: the Boyarin–Stern exchange on mashal and nimshal, and a recent classification of Hasidic hermeneutics. The measurement shows a movement in the author's work from the patient as text to be read toward the patient as a speaker whose account can correct its reader.

A Place That Is Not

A Place That Is Not

The opening sentence of the Zohar’s Sifra de-Tzeni’uta names a balance (matkela) without which “face did not behold face” and “the primordial kings died.” R. Menaḥem Naḥum of Chernobyl, in the Me’or Einayim on Aḥarei Mot, identifies that balance with Jacob, with Da’at, and with the two goats of Yom Kippur, one “for the LORD” and one “for Azazel.” This essay traces the chain from the Zohar through its rabbinic substrate (Genesis 36:31, Bereshit Rabbah 65:15, Vayikra Rabbah 21:11), Sefer Yetzirah’s “tongue of decree,” and the Hasidic homily. It then asks what the chain offers the clinical encounter. My first instinct was to say that the physician stands on the fulcrum, like Jacob. I argue that the sources refuse this. The High Priest does not choose the goats’ destinies; the lot does. The balance “hangs in a place that is not.” And the tongue of a scale does not rule the pans; it is the part most moved by them. The clinician is therefore not the fulcrum but its host: one who wears Esau’s hands without losing Jacob’s voice, sends the unbearable to its boundary without making anyone a scapegoat, and whose authority is the authority of sensitivity. The essay closes with the claim that matkela completes the tzimtzum model: contraction makes otherness possible; measure makes relation among the differentiated possible.

The Unsounded Summons

The Unsounded Summons

Three Torah-level commandments — shofar, lulav and megillah — are suspended when their day falls on Shabbat, not because the acts themselves are forbidden but because of a rabbinic fear: that a person might carry the object four cubits through the public domain to seek instruction from an expert.

This paper takes that decree seriously as a theology of space. It traces a trajectory from the halachic unit of Shabbat violation (four cubits in reshut ha-rabbim, given not derived, and attached to the one labour that changes nothing but place) through the four cubits that constitute a human being’s portable domain, to the Talmud’s statement that after the destruction of the Temple God retains only four cubits of halachah, and on to the Zoharic and Hasidic transposition of the two domains into the domain of the One and the domain of separation.

The halachic fear and the mystical reading are shown to converge: the shofar is not sounded on Shabbat because within the private domain the summons is already present and must not be carried out into multiplicity. The final movement applies this trajectory to the clinical encounter.

The consulting room is a reshut ha-yachid; the patient brings a portable enclosure of four cubits into it; the contemporary health system — the record, the referral, the expert, the protocol — is a reshut ha-rabbim into which the contents of that enclosure are constantly carried out. The physician’s discipline, on this reading, is a Shabbat discipline: to enter the patient’s four cubits, to refrain from carrying, and to trust that what needs to be heard is already sounding within the domain.

Before Torah: Yosher, Derekh Eretz, and the Moral Order of Creation in Maharal and the Netziv

Before Torah: Yosher, Derekh Eretz, and the Moral Order of Creation in Maharal and the Netziv

This article develops a comparative account of Yosher (uprightness or straightness) in the writings of Rabbi Judah Loew of Prague (Maharal, c. 1525-1609) and Rabbi Naftali Zvi Yehuda Berlin (Netziv, 1816-1893) and then asks what this account can contribute to contemporary medical ethics. The argument is not one of demonstrated literary dependence. Rather, it identifies a structural affinity.

In Maharal, derekh eretz names the ordered conduct of the human being precisely as human and therefore stands, in a logical and pedagogical sense, prior to Torah. His commentary on Pirkei Avot 2:12 is especially important: perfection toward another person, perfection of the self through Torah, and perfection toward God through action leshem shamayim are distinct dimensions and cannot simply substitute for one another.

In Netziv's introduction to Genesis, the category becomes historically and ethically radical. A community may be righteous, pious, and learned in Torah and yet fail to be yesharim; religious intention does not transmute crookedness into straightness. The patriarchs are called yesharim because their conduct sustains creation, including in their relations with outsiders.

The article argues that, for both thinkers, Yosher belongs to a creational and anthropological moral order that Torah presupposes and perfects rather than abolishes. It is therefore misleading to describe their position either as secular autonomous morality or as mere etiquette.

A clinical addendum proposes Yosher as a useful virtue-language for medicine: technical competence, benevolent intention, compliance, and conscience remain ethically insufficient when detached from truthfulness, non-manipulative consent, epistemic humility, fidelity to trust, humane disagreement, and stewardship of the clinical commons. The resulting framework complements principlism and contemporary professionalism by insisting that the moral quality of the physician precedes, accompanies, and judges the application of rules.

Teshuvah and Heresy in Rav Kook and Rav Shagar

Teshuvah and Heresy in Rav Kook and Rav Shagar

The argument of this essay is that Rav Kook and Rav Shagar both treat religious rupture as potentially internal to the drama of return, although they do so in different registers. Rav Kook places heresy within a cosmic and historical dialectic whose horizon is a more comprehensive holiness. Rav Shagar internalizes that rupture within the believing subject and refuses to make psychological or theological wholeness a precondition for standing before God. Read alongside Hegel and Slavoj Žižek, their work suggests that teshuvah after heresy cannot mean restoration of an untouched past. It is a return transformed by negation: a faith that has lost the fantasy of mastery and may therefore become freer, humbler, and more honest.

The Migrating Wound

The Migrating Wound

The Migrating Wound

The Jewish tradition has never doubted that the divine presence suffers. What it has never settled is where. This article tracks a single question across three millennia of texts: at each stage of the tradition, where is the suffering Shekhinah located, and what does that location say about the metaphysics of suffering itself? I follow the wound as it migrates: from the grammatical ambiguity of Isaiah 63:9, through the rabbinic Shekhinah who stands in the street with the exiles and above the head of the sick; into the Bahir, where she becomes a daughter sent away; to the Zohar, where she is fixed at the margin of holiness with the serpent at her rock; to Luria and Ibn Tabul, where she is scattered into the shells and her root of judgment pushed back before the contraction; to Nathan of Gaza, for whom she lies in the abyss of a light that has no thought; and finally to Jonathan Eibeschütz, in whose Va-Avo ha-Yom el ha-‘Ayin the wound migrates all the way into infinity itself, so that there is no longer any outside in which to locate it. I then follow the countermovement: the Hasidic relocation of the Shekhinah into the human interior, the post-Holocaust relocation into the victim and into the God who cannot intervene, and the clinical relocation into the bedside. The argument is that these are not merely successive images but successive answers to a single problem, and that the most radical of them, Eibeschütz’s refusal to grant catastrophe an outside, is also the one with the sharpest consequence for the clinician. A medicine that has learned where the Shekhinah suffers cannot locate disease in a demonic elsewhere.

The Dying of Moses, the Bargaining Patient, and an Apophatic Clinical Theology

The Dying of Moses, the Bargaining Patient, and an Apophatic Clinical Theology

The rabbinic traditions on the death of Moses, gathered principally in Devarim Rabbah 9 and 11 and the associated Midrash Petirat Moshe, constitute the most detailed protocol of a resisting dying subject in the Western religious archive. Moses is told his death is near; he argues, litigates, fasts, draws a circle in the dust and refuses to move, offers a descending series of substitute lives — let me enter the land as a beast, as a bird, as Joshua's disciple — assaults the angel of death, and only then, after his teaching function has visibly failed him, says that his soul is given. This paper reads that sequence against Kübler-Ross's five stages and the fifty years of correction that followed: awareness contexts, middle knowledge, task-based models, oscillation, meaning reconstruction, dignity and demoralization, continuing bonds, and the empirical work that has largely dissolved stage sequence as a description of anything.

The midrash anticipates the stages and refutes them usefully: acceptance arrives through the collapse of function and role rather than through insight, the bargain is never conceded as mistaken, and no reason is ever supplied. God's answer throughout is rav lakh — enough, speak to me no further of this matter — and the gates of prayer are shut so the petition cannot ascend. This is not cruelty and not theodicy but the refusal of predication, read here through the apophatic framework of my earlier work: tzimtzum as the withdrawal that makes room for protest rather than the explanation that dissolves it, the divine name used deictically rather than predicatively, and presence without answer as the only permissible bedside theology.

The narrative ends with a kiss and an unlocatable grave — maximal proximity, zero explanation, and, as Gersonides saw, a burial place hidden precisely to prevent a shrine. Two addenda supply the primary material: the Hebrew and English of the principal Devarim Rabbah passages, and a witness of another genre, the rahit of Pinḥas ha-Kohen of eighth-century Tiberias, in which the dying man proposes his own sins and God dismisses each, and the refusal of explanation becomes a metrical device — a refrain built from the bare demonstrative zot, "this," whose referent is withheld and never wholly supplied.

That poem was liturgy and suggests a communal practice of voiced protest for which medicine has no equivalent. Six clinical rules follow, and an argument that moving patients along the stages toward acceptance is theodicy performed at the bedside in a secular register.

From Desert to the Point of the Letter

From Desert to the Point of the Letter

Medicine has developed a sophisticated apparatus for the management of pain and almost none for the interpretation of suffering. Cassell's distinction between pain as a condition of bodies and suffering as a condition of persons remains incompletely absorbed into clinical practice, and narrative medicine, while supplying a vocabulary for how patients construct meaning from illness, offers the clinician no position on whether suffering admits of meaning at all. This paper addresses that gap by tracing a two-millennium trajectory through midrashic and kabbalistic sources, arguing that the shape of the tradition's movement is more clinically useful than any of its individual positions.

The trajectory is presented not as a history of belief about suffering but as a history of its location relative to the divine. Five successive relocations are identified: suffering as external punishment in the Deuteronomic inheritance, together with the canon's own dissent preserved in Job, Psalm 44, and the unresolved orthographic variants at Isaiah 63:9 and Job 13:15; suffering as accompanied rather than explained in the tannaitic sources, culminating in the Mishnah's identification of divine somatic distress with the body of an executed criminal, which establishes the guilty sufferer rather than the innocent one as the paradigm case; suffering as interior to the Godhead in early kabbalistic thought; suffering as antecedent to fault in the Lurianic doctrine of the shattered vessels, which converts illness from desert into displacement; and finally suffering as constitutively unanswerable in Rabbi Naḥman's teaching on the vacated space, which converges independently with the divine imperative to silence in the Talmudic narrative of Rabbi Akiva's death.

Attention is given to the Tikkunei Zohar's identification of the crown, the crownlet, and the thorn-point of the letter as a single symbolic locus dependent upon the indwelling divine presence. This yields the paper's central formulation: the mark that is a crown seen from above is a thorn felt from below, and no one standing below is under any obligation to see it from above. The Talmudic bedside exchange in which a doctrine of redemptive suffering is offered, refused by the patient, left undefended, and replaced by physical touch is proposed as a compressed description of clinical method.

The paper identifies one countermove that recurs at every station and must be refused at each: the conversion of unanswerability back into mission, exemplified in its most developed form by Sabbatian theology and its Hasidic derivatives. Four clinical propositions are derived. The paradigmatic sufferer in this tradition is the culpable one, which disarms the moralism latent in the management of self-implicated chronic disease. The physician's position in the Akiva narrative is that of the protesting Moses rather than the silencing deity, so that a clinician without an explanation has not thereby failed. Presence precedes and outlasts interpretation rather than substituting for it when treatment fails. And the thorn is never converted into a crown on the patient's behalf: the furthest defensible clinical statement is not that suffering happened for a reason, which is both theologically indefensible and clinically dangerous, but that suffering has not deprived this person of the possibility of meaning. The distinction between accompaniment and conscription is argued to be the practical yield of the entire trajectory.

The Migration of the Image

The Migration of the Image

This essay traces a single theological trajectory across nineteen centuries: the migration of the divine image (zelem) from a location to a dimension, from a dimension to a psyche, from a psyche to a linguistic veil, and finally to a marginal disturbance in an infinity that does not know it happened. The rabbis, on Alon Goshen Gottstein's reading, meant by zelem the body — a luminous body, but a body, occupying a place and susceptible to injury. The first kabbalists, on Sandra Valabregue-Perry's reading, dissolved that location into an infinite vertical axis by two conceptual moves: the deification of the sefirot and the collapse of Sefer Yetsirah's multidirectional expansion into a single ascending line. Erich Neumann interiorized the axis, mapping Eyn-sof onto the creative unconscious and tzimtzum onto the contraction of the ego. Elliot R. Wolfson stripped the image of ontological standing altogether, reading the anthropomorphic configuration as an imaginal veil woven of letters and demanding its iconoclastic erasure. The treatise Va-Avo ha-Yom el ha-Ayin, transmitted under the name of Jonathan Eybeschütz, terminates the sequence by positing an infinity without thought — a Godhead in which the cosmos figures as an involuntary ripple at the periphery of an unminding abyss. I argue that this is not a story of refinement but a sequence of four relocations, each purchasing explanatory power at the same price: the loss of an addressee. I then argue, from my own published work, that the trajectory can be answered only by a return to where it began — not to rabbinic corporeal realism, which is unrecoverable, but to an embodied theology in which the image is again something that can be wounded, and therefore again something that can be addressed. The last word of the essay is the first: the heel that outshone the sun.

Psalms: Prayer, Praise, and Tikkun II

Psalms: Prayer, Praise, and Tikkun II

A single half-verse in Isaiah's account of the Assyrian advance — tzahali kolekh bat gallim, "cry aloud, daughter of Gallim" (Isa 10:30) — travels an extraordinary interpretive distance. It begins as a shriek of terror from a doomed village on the northern approach to Jerusalem, a place-name in an itinerary of panic. The Talmud lifts it out of the map entirely and hears it as prophetic address to the congregation of Israel — and does so, crucially, because the clause will not fit into the count of ten journeys attributed to the invader. The Zohar re-reads gallim as waves of descending light that fill the Bride. The Tikkunim complete the reversal: the shriek becomes a command to sing, instrumented as five strings, ten wheels, ten melodies. This essay traces that trajectory, sets it against Rabbi Nachman's ten-psalm remedy and its underlying doctrine of ten songs answering ten woundings, and argues that the whole arc is a theology of the divided divine: a King who commands his exiled Bride to sing because he cannot otherwise reach her. The essay closes with the clinical implication, which is not decorative. The physician stands where the Zoharic King stands — before a cry he did not cause, cannot silence, and must not prematurely convert into meaning.