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           the money. But the soul of the child who will be alarmed, and will be            #
           harmed in the future, cannot be repaired. This is something which
           cannot be undone.
              Moreover, our Sages teach that fear borders on danger to life. In
           the Mechilta (Shemos 15:22) there is a story told of a man who was
 PSYCHOLOGIST’S PATIENT   called “Plucked.” Once he went up the mountain to gather wood and
 REVEALS THE SINS OF HIS   saw a snake sleeping, but the snake did not see him. Immediately, the
 68  WIFE’S PRINCIPAL  hair on his head began falling out, as a result of his fear, and he had no
           hair on his head until the day he died, and they called him “Plucked.”
              It says in maseches Sanhedrin (75a): “A man once had a passion for
           a certain woman and his heart was consumed by his burning desire,
           to the point of illness. The physicians consulted said the only cure
 1   Question   was to have relations with her, whereupon the Sages said: rather let
           him die than have relations with her. So the physicians said, let her
 During a psychotherapy session, my patient told me about someone   stand nude before him. Rather let him die, replied the Sages. Then let
 who is part of the administration of an institution for girls who   her converse with him from behind a partition, said the physicians.
 sinned in a disgraceful way with my patient’s wife before they were   Let him rather die, responded the Sages. Now Rav Yaakov ben Idi   20818_efi-ab - 20818_efi-ab | 13 - B | 18-08-20 | 13:29:05 | SR:-- | Magenta  #20818_efi-ab - 20818_efi-ab | 13 - B | 18-08-20 | 13:29:05 | SR:-- | Yellow  20818_efi-ab - 20818_efi-ab | 13 - B |
 married. This person boasts about doing the same acts with other   and Rav Shmuel ben Nachman differ in their opinions. One says she
 girls and women as well.   was a married woman and one says she was single. This Gemara is
           understandable according to the view that she was a married woman,
 As the therapist I am not obligated to believe my patient, and it   but according to the view that she was single, why did the Sages react
 might even be appropriate for me not to believe him in order to steer   so severely? Rav Pappa said: Because of the disgrace to her family. Rav
 clear of lashon hara. On the other hand, if there is truth to his words   Acha, son of Rabbi Ika, said: So that the daughters of Israel may not
 it may be my duty to remove this person from his position working   be morally dissolute. (Rashi: to stand before men who gaze at them).
 with girls, in order to avoid potential damage.   The Even Ha’azel explains (Hilchos Yesodei Hatorah 5:9) that the

 My question is: What am I supposed to do? Am I obligated to   severe reaction was aimed at the man, who had aroused his own
 write to this man’s superiors, despite the fact that the exposure of   desires and brought himself to illness. He could have overcome his
 his as-yet-unproven misdeeds may expose my patient and his family   lusts. Therefore, he should rather die and not carry out the immoral
 and cause them great harm? Perhaps my obligation as a therapist to   act, even just by talking to her behind a fence, because he would be
 protect my patient comes before the obligation to protect the girls   considered a sinner.
 who may to be hurt?   We, too, can say that the patient under discussion is responsible
           for his situation and could certainly heal himself from his illness or
 In addition, I am liable to suffer personal harm and a lawsuit for
 slander.  choose to move far away from his young female relatives.
              Therefore, one has to deal with him strictly and threaten to publi-
           cize his misdeeds. He does not have the status of an anuss (one who is




 392   1  Medical-HalacHic Responsa of Rav ZilbeRstein  Publicizing the sins of a psychiatric patient  2   389
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