![Jerusalem Syndrome](https://upload.wikimedia.org/wikipedia/commons/1/17/Jerusalem_Syndrome.jpg)
Jerusalem syndrome is a group of mental phenomena involving the presence of religiously themed
obsessive ideas,
delusion
A delusion is a false fixed belief that is not amenable to change in light of conflicting evidence. As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or som ...
s, or other
psychosis
Psychosis is a condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations, among other features. Additional symptoms are incoherent speech and behavior ...
-like experiences that are triggered by a visit to the city of
Jerusalem
Jerusalem (; he, יְרוּשָׁלַיִם ; ar, القُدس ) (combining the Biblical and common usage Arabic names); grc, Ἱερουσαλήμ/Ἰεροσόλυμα, Hierousalḗm/Hierosóluma; hy, Երուսաղեմ, Erusałēm. i ...
. It is not endemic to one single religion or denomination but has affected
Jews
Jews ( he, יְהוּדִים, , ) or Jewish people are an ethnoreligious group and nation originating from the Israelites Israelite origins and kingdom: "The first act in the long drama of Jewish history is the age of the Israelites""The ...
,
Christians
Christians () are people who follow or adhere to Christianity, a monotheistic Abrahamic religion based on the life and teachings of Jesus Christ. The words '' Christ'' and ''Christian'' derive from the Koine Greek title ''Christós'' (Χρ ...
, and
Muslims
Muslims ( ar, المسلمون, , ) are people who adhere to Islam, a monotheistic religion belonging to the Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God of Abrah ...
of many different backgrounds. It is not listed as a recognised condition in the ''
Diagnostic and Statistical Manual of Mental Disorders'' or the ''
International Classification of Diseases
The International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management and clinical purposes. The ICD is maintained by the World Health Organization (WHO), which is the directing and coordinating ...
''.
The best known, although not the most prevalent, manifestation of Jerusalem syndrome is the phenomenon whereby a person who seems previously balanced and devoid of any signs of
psychopathology becomes
psychotic
Psychosis is a condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations, among other features. Additional symptoms are incoherent speech and behavior t ...
after arriving in Jerusalem. The psychosis is characterised by an intense religious theme and typically resolves to full recovery after a few weeks or after being removed from the area. The religious focus of Jerusalem syndrome distinguishes it from other phenomena, such as
Stendhal syndrome
Stendhal syndrome, Stendhal's syndrome or Florence syndrome is a psychosomatic condition involving rapid heartbeat, fainting, confusion and even hallucinations, allegedly occurring when individuals become exposed to objects, artworks, or pheno ...
in
Florence
Florence ( ; it, Firenze ) is a city in Central Italy and the capital city of the Tuscany Regions of Italy, region. It is the most populated city in Tuscany, with 383,083 inhabitants in 2016, and over 1,520,000 in its metropolitan area.Bilan ...
or
Paris syndrome
Paris syndrome is a sense of extreme disappointment exhibited by some individuals when visiting Paris, who feel that the city was not what they had expected. The condition is commonly viewed as a severe form of culture shock.
The syndrome is c ...
in
Paris
Paris () is the Capital city, capital and List of communes in France with over 20,000 inhabitants, most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), ma ...
.
In a 2000 article in the ''British Journal of Psychiatry'', Bar-El et al. claim to have identified and described a specific syndrome which emerges in tourists with no previous
psychiatric
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry.
Initial psy ...
history.
[Bar-el Y, Durst R, Katz G, Zislin J, Strauss Z, Knobler HY. (2000) Jerusalem syndrome. '']British Journal of Psychiatry
The ''British Journal of Psychiatry'' is a peer-reviewed medical journal covering all branches of psychiatry with a particular emphasis on the clinical aspects of each topic.
The journal is owned by the Royal College of Psychiatrists and publ ...
'', 176, 86–90
Full text
However, this claim has been disputed by M. Kalian and E. Witztum.
[Kalian M, Witztum E. (2000) "Comments on Jerusalem syndrome". '']British Journal of Psychiatry
The ''British Journal of Psychiatry'' is a peer-reviewed medical journal covering all branches of psychiatry with a particular emphasis on the clinical aspects of each topic.
The journal is owned by the Royal College of Psychiatrists and publ ...
'', 176, 492
Full text
[Kalian M, Witztum E. (1999) "The Jerusalem syndrome—fantasy and reality a survey of accounts from the 19th and 20th centuries." ''Isr. J. Psychiatry Relat Sci.'', 36(4):260–71]
Abstract
Kalian and Witztum stressed that nearly all of the tourists who demonstrated the described behaviours were mentally ill prior to their arrival in Jerusalem. They further noted that, of the small proportion of tourists alleged to have exhibited spontaneous
psychosis
Psychosis is a condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations, among other features. Additional symptoms are incoherent speech and behavior ...
after arrival in Jerusalem, Bar-El et al. had presented no evidence that the tourists had been well prior to their arrival in the city.
History
![Jerusalem Dominus flevit BW 1](https://upload.wikimedia.org/wikipedia/commons/a/a9/Jerusalem_Dominus_flevit_BW_1.JPG)
Jerusalem syndrome has previously been regarded as a form of hysteria, referred to as "". It was first clinically described in the 1930s by Jerusalem
psychiatrist Heinz Herman, one of the founders of modern psychiatric research in Israel. Whether or not these behaviors specifically arise from visiting Jerusalem is debated, as similar behaviors have been noted at other places of religious and historical importance such as
Mecca
Mecca (; officially Makkah al-Mukarramah, commonly shortened to Makkah ()) is a city and administrative center of the Mecca Province of Saudi Arabia, and the holiest city in Islam. It is inland from Jeddah on the Red Sea, in a narrow ...
and
Rome
, established_title = Founded
, established_date = 753 BC
, founder = King Romulus (legendary)
, image_map = Map of comune of Rome (metropolitan city of Capital Rome, region Lazio, Italy).svg
, map_caption ...
(see
Stendhal syndrome
Stendhal syndrome, Stendhal's syndrome or Florence syndrome is a psychosomatic condition involving rapid heartbeat, fainting, confusion and even hallucinations, allegedly occurring when individuals become exposed to objects, artworks, or pheno ...
). It is known that cases of the syndrome had already been observed during the
Middle Ages
In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the post-classical period of global history. It began with the fall of the Western Roman Empire ...
, since it was described in the itinerary of
Felix Fabri
Felix Fabri (also spelt Faber; 1441 – 1502) was a Swiss Dominican theologian. He left vivid and detailed descriptions of his pilgrimages to Palestine and also in 1489 authored a book on the history of Swabia, entitled ''Historia Suevorum''.
...
and the biography of
Margery Kempe
'
Margery Kempe ( – after 1438) was an English Christian mystic, known for writing through dictation ''The Book of Margery Kempe'', a work considered by some to be the first autobiography in the English language. Her book chronicles Kempe's d ...
. Other cases were described in the vast literature of visitors to Jerusalem during the 19th century.
Bar-El et al. suggested that at the approach of the year 2000, large numbers of otherwise normal visitors might be affected by a combination of their presence in Jerusalem and the religious significance of the millennium, causing a massive increase in the numbers of Jerusalem syndrome admissions to hospital. Despite a slight increase in tourist hospitalisations with the rise in total tourism to Jerusalem during the year 2000, the feared epidemic of Jerusalem syndrome never materialised.
Types
The classic Jerusalem syndrome, where a visit to Jerusalem seems to trigger an intense
religious psychosis that resolves quickly after or on departure, has been a subject of debate in the medical literature.
[Fastovsky N, Teitelbaum A, Zislin J, Katz G, Durst R. (2000) Jerusalem syndrome or paranoid schizophrenia? ''Psychiatric Services'', 51 (11), 1454]
Full text
Most of the discussion has centered on whether this definition of the Jerusalem syndrome is a distinct form of psychosis, or simply a re-expression of a previously existing psychotic illness that was not picked up by the medical authorities in Israel.
In response to this, Bar-El et al. classified the syndrome
into three major types to reflect the different types of interactions between a visit to Jerusalem and unusual or psychosis-related thought processes. However Kalian and Witztum have objected, saying that Bar-El et al. presented no evidence to justify the detailed typology and
prognosis presented and that the types in fact seem to be unrelated rather than different aspects of a
syndrome
A syndrome is a set of medical signs and symptoms which are correlated with each other and often associated with a particular disease or disorder. The word derives from the Greek language, Greek σύνδρομον, meaning "concurrence". When a sy ...
.
Type I
''Jerusalem syndrome imposed on a previous psychotic illness.'' This refers to individuals already diagnosed as having a
psychotic
Psychosis is a condition of the mind that results in difficulties determining what is real and what is not real. Symptoms may include delusions and hallucinations, among other features. Additional symptoms are incoherent speech and behavior t ...
illness before their visit to Jerusalem. They have typically gone to the city because of the influence of religious ideas, often with a goal or mission in mind that they believe needs to be completed on arrival or during their stay. For example, an affected person may believe himself to be an important historical religious figure or may be influenced by important religious ideas or concepts (such as causing the coming of the
Messiah
In Abrahamic religions, a messiah or messias (; ,
; ,
; ) is a saviour or liberator of a group of people. The concepts of '' mashiach'', messianism, and of a Messianic Age originated in Judaism, and in the Hebrew Bible, in which a ''mashiach ...
or the
second coming of Christ).
Type II
''Jerusalem syndrome superimposed on and complicated by
idiosyncratic
An idiosyncrasy is an unusual feature of a person (though there are also other uses, see below). It can also mean an odd habit. The term is often used to express eccentricity or peculiarity. A synonym may be "quirk".
Etymology
The term "idiosyncr ...
ideas.'' This does not necessarily take the form of mental illness and may simply be a culturally anomalous obsession with the significance of Jerusalem, either as an individual, or as part of a small religious group with idiosyncratic spiritual beliefs.
Type III
''Jerusalem syndrome as a discrete form, uncompounded by previous mental illness.'' This describes the best-known type, whereby a previously mentally balanced person becomes psychotic after arriving in Jerusalem. It can include a paranoid belief that an agency is after the individual, causing their symptoms of psychosis through poisoning and medicating.
Bar-El et al. reported 42 such cases over a period of 13 years, but in no case were they able to actually confirm that the condition was temporary.
Prevalence
During a period of 13 years (1980–1993) for which admissions to the
Kfar Shaul Mental Health Center
Kfar Shaul Mental Health Center ( he, בית החולים כפר שאול), established in 1951, is an Israeli public psychiatric hospital located between Givat Shaul and Har Nof, Jerusalem. It is affiliated with the Hadassah Medical Center and t ...
in Jerusalem were analysed, it was reported
that 1,200 tourists with severe, Jerusalem-themed mental problems were referred to this clinic. Of these, 470 were admitted to hospital. On average, 100 such tourists have been seen annually, 40 of them requiring admission to hospital. About three and a half million tourists visit Jerusalem each year. Kalian and Witztum note that as a proportion of the total numbers of tourists visiting the city, this is not significantly different from any other city.
[Tannock C, Turner T. (1995) Psychiatric tourism is overloading London beds. ''BMJ'' 1995;311:80]
Full Text
In popular culture
* In
''The X-Files'' (Season 3 Episode 11 'Revelations") (release year 1995), the perpetrator is depicted as having "Jerusalem Syndrome" after a visit to Jerusalem. He returned to the US and went on to kill a child who had signs of
stigmata
Stigmata ( grc, στίγματα, plural of , 'mark, spot, brand'), in Roman Catholicism, are bodily wounds, scars and pain which appear in locations corresponding to the crucifixion wounds of Jesus Christ: the hands, wrists, and feet.
Sti ...
.
*In ''
The Simpsons
''The Simpsons'' is an American animated sitcom created by Matt Groening for the Fox Broadcasting Company. The series is a satirical depiction of American life, epitomized by the Simpson family, which consists of Homer Simpson, Homer, Marge ...
'' episode "
The Greatest Story Ever D'ohed",
Homer
Homer (; grc, Ὅμηρος , ''Hómēros'') (born ) was a Greek poet who is credited as the author of the ''Iliad'' and the ''Odyssey'', two epic poems that are foundational works of ancient Greek literature. Homer is considered one of the ...
develops Jerusalem syndrome while visiting
Israel
Israel (; he, יִשְׂרָאֵל, ; ar, إِسْرَائِيل, ), officially the State of Israel ( he, מְדִינַת יִשְׂרָאֵל, label=none, translit=Medīnat Yīsrāʾēl; ), is a country in Western Asia. It is situated ...
with his family and a tour group from Springfield. The illness and its effects on him become a central element of the episode's plot. Eventually, most members of the tour group are overcome with Jerusalem syndrome, each one proclaiming that he/she is the messiah.
* In the 2014
ABC series ''
Black Box
In science, computing, and engineering, a black box is a system which can be viewed in terms of its inputs and outputs (or transfer characteristics), without any knowledge of its internal workings. Its implementation is "opaque" (black). The te ...
'', the episode "Jerusalem" (Season 1, Episode 5) features a character diagnosed with Jerusalem syndrome after he becomes suddenly and compulsively religious during a trip to Israel.
* The 2015 ''
JeruZalem'' movie features a character that is suspected to have the Jerusalem syndrome.
* "Jerusalem", the twelfth story in
Neil Gaiman's 2015 collection, ''
Trigger Warning'', centres around a British woman who comes down with the syndrome on holiday. She believes God is speaking to her and eventually flees her home to return to Jerusalem.
* The catalog of the
Metropolitan Museum of Art
The Metropolitan Museum of Art of New York City, colloquially "the Met", is the largest art museum in the Americas. Its permanent collection contains over two million works, divided among 17 curatorial departments. The main building at 1000 ...
's 2016 show about an earlier era of the city's history used the syndrome as the "organizing
metaphor
A metaphor is a figure of speech that, for rhetorical effect, directly refers to one thing by mentioning another. It may provide (or obscure) clarity or identify hidden similarities between two different ideas. Metaphors are often compared wi ...
" for the first paragraph of the introduction, per a review.
[Namdar, Ruby]
"400 Years of Jerusalem Culture"
, ''New York Times
''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
'', December 2, 2016. The catalogue is titled ''Jerusalem: 1000-1400: Every People Under Heaven'', edited by Barbara Drake Boehm and Melanie Holcomb. Retrieved 2016-12-04.
See also
*
Culture shock
Culture shock is an experience a person may have when one moves to a cultural environment which is different from one's own; it is also the personal disorientation a person may feel when experiencing an unfamiliar way of life due to immigration ...
*
List of messiah claimants
This is a list of notable people who have been said to be a messiah, either by themselves or by their followers. The list is divided into categories, which are sorted according to date of birth (where known).
Jewish messiah claimants
In Judaism, ...
*
Messiah complex
A messiah complex (Christ complex or savior complex) is a state of mind in which an individual holds a belief that they are destined to become a savior today or in the near future. The term can also refer to a state of mind in which an individual ...
*
Paris syndrome
Paris syndrome is a sense of extreme disappointment exhibited by some individuals when visiting Paris, who feel that the city was not what they had expected. The condition is commonly viewed as a severe form of culture shock.
The syndrome is c ...
*
Religion and schizophrenia
The relationship between religion and schizophrenia is of particular interest to psychiatrists because of the similarities between religious experiences and psychotic episodes; religious experiences often involve auditory and/or visual phenomena ...
*
Religious delusion
A religious delusion is defined as a delusion, or fixed belief not amenable to change in light of conflicting evidence, involving religious themes or subject matter., cited in: Religious faith, meanwhile, is defined as a belief in God or a religi ...
*
Stendhal syndrome
Stendhal syndrome, Stendhal's syndrome or Florence syndrome is a psychosomatic condition involving rapid heartbeat, fainting, confusion and even hallucinations, allegedly occurring when individuals become exposed to objects, artworks, or pheno ...
References
Further reading
* Kalian, M.; Catinari, S.; Heresco-Levi, U.; Witztum, E. "Spiritual Starvation in a holy space – a form of Jerusalem Syndrome", ''
Mental Health, Religion & Culture
''Mental Health, Religion and Culture'' is an interdisciplinary peer-reviewed academic journal published by Routledge. It publishes original articles that deal with mental health in relation to religion and spirituality. The journal was established ...
'' 11(2): 161–172, 2008.
* Kalian, M.; Witztum, E. "Facing a Holy Space: Psychiatric hospitalization of tourists in Jerusalem". In: Kedar, Z.B.; Werblowsky, R.J., Eds.: ''Sacred Space: Shrine, City, Land''. MacMillan and The Israel Academy of Sciences and Humanities, 1998.
* Kalian, M.; Witztum. E. "Jerusalem Syndrome as reflected in the pilgrimage and biographies of four extraordinary women from the 14th century to the end of the 2nd Millennium". ''
Mental Health, Religion and Culture'' 5, 2002.
* Van der Haven, A. "The holy fool still speaks. The Jerusalem Syndrome as a religious subculture". In: Mayer, T.; Mourad, S.A., Eds.: ''Jerusalem. Idea and Reality''. Routledge, 2008, pp. 103–122.
* Witztum, E.; Kalian, M. "The Quest for redemption: Reality and Fantasy in the Mission to Jerusalem". In: Hare, P.A.; and Kressel, G.M., Eds.: ''Israel as Center Stage''. Bergin and Garvy, 2001.
*Witztum E., Kalian M., "Overwhelmed by spirituality in Jerusalem" in "Emotion in Motion" - Tourism, Affect and Transformation. Edited by David Picard and Mike Robinson. Ashgate, UK. 2012.
*Kalian M., Witztum E., "The Management of Pilgrims with Malevolent Behaviour in a Holy Space: A Study of Jerusalem Syndrome" in Lappkari M., Griffin K., Eds. "Pilgrimage and Tourism to Holy Cities, Ideological and Management Perspectives" CABI International, 2016, 100–113.
*Brian F., Allison F., "Me and My Wife Mary Magdalene", Living With Spousal Jerusalem Syndrome, Portland Publishing 2021, 93–98.
*Justin M, "Dreaming of Jerusalem" A Journey To The Past, Coast Publishing Group 2021, 109-115
External links
Article from ''Project X Magazine''* Ravitz, Jessica.
.
CNN
CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by ...
. March 29, 2010.
{{DEFAULTSORT:Jerusalem Syndrome
Culture-bound syndromes
Syndrome
A syndrome is a set of medical signs and symptoms which are correlated with each other and often associated with a particular disease or disorder. The word derives from the Greek language, Greek σύνδρομον, meaning "concurrence". When a sy ...
Syndrome
A syndrome is a set of medical signs and symptoms which are correlated with each other and often associated with a particular disease or disorder. The word derives from the Greek language, Greek σύνδρομον, meaning "concurrence". When a sy ...
Messianism
Psychosis
Religious practices
Psychopathological syndromes
Delusions