Saturday, January 4, 2025

Fw: [-aneinu] Rabbi Daniel Travis - Art Therapy Revisited




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Subject: [chicago-aneinu] Rabbi Daniel Travis - Art Therapy Revisited



Q&A Update

January 3 2025 / 3 Teves 5785

By Rabbi Daniel Travis
Rabbi Daniel Travis is Rosh Kollel of Kollel Toras Chaim in Yerushalayim and the author of a number of seforim, including Shailos Uteshuvos Toras Chaim and Praying With Joy 1-5, practical daily guides to improving one's prayers, available from Feldheim Publishers. 
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Questions & Answers

Based on divrei halachah heard from Rav Azriel Auerbach and Rav Shlomo Zafrani. The answers given here are the general rule, but each case is unique and must be referred to a posek.
Rav Azriel Auerbach
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Art Therapy Revisited

Question:

Rav Ezriel Auerbach, in last week's halacha column, paskened that the dispensation to perform an action that is twice removed from a melacha de'Oraysa (e.g., writing with ink that disappears and doing so with a shinui) for the sake of refuah only applies if the refuah actually heals the illness. However, if it only alleviates the symptoms, the dispensation does not apply.

I am quite surprised by this ruling. After all, the choleh suffers from the symptoms, and treating them will make him feel better. Why should it matter that the treatment only provides temporary relief while the illness itself remains?

I have consulted several talmidei chachomim here in Gateshead, and they are equally surprised. May I kindly ask Rav Auerbach to provide a source for this somewhat surprising ruling, specifically that the heter of makom choli is limited to the treatment of the actual illness and not its symptoms? After all, treating the symptoms of Parkinson's disease (the case discussed) is also beneficial for the patient.

With thanks in advance,

(R.) Maurice Frankfurter

 

Rav Auerbach:

First of all, I would like to thank you for taking the time to write a letter. I would like to present this issue in more depth to clarify this ruling.

The topic of helping people with Parkinson's disease is extremely important, and whatever can be done to help them should certainly be pursued. The point that must be determined is whether the therapy has an immediate effect, in which case it may be permitted, or if it only has a long-term effect, in which case it should be done on Motzoei Shabbos.

A choleh kol haguf is someone whose whole body is affected by the sickness. Under such circumstances, the Shulchan Aruch (328:17) permits performing an issur derabbonon with a shinui.

It goes without saying that Parkinson's disease is considered choleh kol haguf. If the art therapy would in fact cure Parkinson's disease on Shabbos, there is no question that it would be permitted to do this therapy on Shabbos.

While everyone agrees that art therapy does not cure Parkinson's disease, you are suggesting that if it cures the symptoms, it should also be permitted on Shabbos. While this is a valid argument, we must determine if the art therapy cures the symptoms on Shabbos, or if there is no immediate effect, and only after many months of treatment can the results be seen.

One of the primary symptoms of Parkinson's disease is that one's hands shake. From the numerous articles that Rabbi Travis has read, and from what I understand, this therapy does not cure this symptom. Rather, over the course of time, when one does this therapy day after day, it may have a beneficial effect on the patient, which could eventually help stabilize their hands.

Assuming that this evaluation is correct, each individual treatment is not producing any significant relief. Therefore, there is no heter to permit doing this on Shabbos, especially when it can be done just as easily on Motzoei Shabbos.

In summation, even though you are correct that this particular question involves two issurei derabbonon, nevertheless, since the art therapy does not produce any immediate effect, I do not believe that this situation justifies violating these issurim. If the therapists want to direct their patients to make meaningless squiggles and this would be effective art therapy, I would not protest this, as this is not koseiv, as I have discussed in previous articles. However, the best refuah is to be scrupulous about Shabbos observance and wait until Motzoei Shabbos to perform this procedure.

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