Sermon and Worship Resources (2024)

Generally made of grain, this staple of foods has been known to be in existence since prehistoric days, being mentioned in the oldest literatures of humanity. Though usually made of wheat, it can be made of any grain and also some kinds of beans or lentils.

To make bread, grain must be ground into flour, mixed with salt and water, kneaded into a dough, and baked. Most breads included a leaven to add substance. As a food staple, it became a symbol of hospitality (Neh. 13:12; Matt. 14:15–21) and community as people ate together (Acts 2:42). Bread was considered a gift from God, so it was treated with special deference. Unleavened bread was required during Passover feasts and in most occasions related to the worship of God. The “bread of the Presence” (KJV: “shewbread”), representing the twelve tribes of Israel in the temple, was made of unleavened bread (Exod. 25:30) with special flour and was carefully eaten by the priests.

Jesus used bread in the Lord’s Prayer to represent asking God to meet our basic needs (Matt. 5:11), and he called himself the “bread of life” to show that he is the one who “gives life to the world,” our ultimate sustenance (John 6:33–35). During this exchange with the Jews about the bread of life, Jesus foreshadows what takes place at the Last Supper with his disciples, suggesting that believers must “eat [his] flesh” (represented by bread) and “drink [his] blood” (represented by wine) (John 6:53–59; cf. Luke 22:19). Additionally, bread was used symbolically to represent those things that were present in daily life (Pss. 127:2; 80:5; Prov. 4:17; 20:17).

The second king of Israel (r. 1010970 BC), founder of a dynasty that continued with his son Solomon (r. 970–931 BC), who ruled all of Israel; subsequently the remaining “sons of David” ruled the southern kingdom, Judah, until 586 BC.

Human kingship is a late development in Israel, but a number of ancient texts anticipate the establishment of the institution (Gen. 17:6; Deut. 17:14–20) and specifically the rise of a king from Judah (Gen. 49:8–12; Num. 24:17). Thus, it is surprising that the first king of Israel is not from Judah, but from Benjamin. When the people ask Samuel for a king, he anoints Saul (1Sam. 8–12), who proves to be a tremendous disappointment. He forfeits the establishment of his dynasty when he shows a lack of confidence in God by rashly offering prebattle sacrifices (13:13–14). God then rejects Saul as king because he does not execute God’s full judgment against the Amalekites as he knows he should (15:23).

Eventually Saul’s moment of judgment comes. Saul’s final battle is against the Philistines, the major foreign force still inside the borders of the promised land. Both Saul and Jonathan meet their end on Mount Gilboa, and David sings songs that express his sadness over their deaths (1Sam. 31–2Sam. 1).

Even with Saul out of the way, David’s rise to kingship is not easy. He is immediately crowned king of Judah (2Sam. 2:1–7), but the northern tribes choose to follow Ish-Bosheth, the son of Saul. War erupts between the two kingdoms. Eventually, though, the powerful general Abner abandons his support of Saul’s son, sealing the end of that dynasty. Ish-Bosheth is killed by his own men, and soon David becomes king over all Israel (5:1–5).

David’s kingship leads to significant victories that, in essence, complete the conquest of Canaan by finally subduing all the internal enemies. His men take the city of Jerusalem from the Jebusites, and he makes it his capital (2Sam. 5:6–16). He also defeats the Philistines, who have been a thorn in the side of Israel for years (2Sam. 5:17–25; for other victories, see 8:1–14). In celebration, David brings the ark of the covenant to Jerusalem (2Sam. 6).

The David narrative reaches its apex when God enters into a covenant with him that establishes his dynasty (2Sam. 7; 1Chron. 17). After David dies, his son will succeed him, and indeed his dynasty lasts for many hundreds of years (see below).

David is a good king, but not a perfect king. A turning point in his reign comes in 2Sam. 11. Up to this point, David has been content with what God has given him. He does not grasp for anything that does not belong to him. However, when he sees the beautiful Bathsheba bathing, he sends messengers to bring her to his house, where the two have sexual intercourse and she becomes pregnant. In an attempt to conceal this sin of adultery, he orders the death of her husband, Uriah the Hittite. Thus, he adds the crime of murder to that of adultery.

David thinks that the sin is secret, but nothing is hidden from God, who sends his prophet Nathan to confront David (2Sam. 12; cf. Ps. 51). The difference between Saul and David is not that the latter is perfect but rather that David, as opposed to Saul, repents when he sins. Thus, God allows his reign to continue. Even so, David feels the consequences of his sin. First, the son that Bathsheba bears from her illicit union with David is struck with illness and dies. And ever afterward, David’s family life is troubled, with great impact on the political life of Israel. Son is pitted against son (Amnon and Absalom [2Sam. 13]), as well as son against father (Absalom and David [2Sam. 15–18]). Absalom temporarily deposes his father from the throne, but David eventually regains the kingship, though at the cost of the heartbreaking loss of his son.

Even at the very end, there is conflict within David’s house. When David has grown old, another son, Adonijah, attempts to take the throne, with support from powerful people such as Joab and Abiathar. At the instigation of Bathsheba and Nathan, however, David places the son of his choosing, Solomon, on the throne (1Kings 1). David then dies after a reign of forty-one years, seven in Hebron and the rest over all Israel (1Kings 2:10–12).

David’s greatest legacy is the dynasty that bears his name. Beginning with Solomon, however, his successors do not continue his spiritual legacy. Although a number of kings do some good, only Hezekiah (r. 727–698 BC) and Josiah (r. 639–609 BC) are given unqualified approval. Eventually, the Davidic rule comes to an end in Jerusalem at the hands of the Babylonians (586 BC). But God is not done with his redemptive purposes, and his promise to David is that he will have a ruler on the throne “forever” (2Sam. 7:16). The NT recognizes that Jesus Christ is the fulfillment of this promise. He is the greater son of David, the one who is the Christ or Messiah, the anointed king. Jesus is the one who reigns forever in heaven. The life and the rule of David foreshadow the messianic rule of Jesus Christ.

In Gen. 3 the serpent entices humankind to sin. Not until Rev. 12:9 are we told explicitly that the serpent is Satan.

In the OT, “evil spirit” may be a heavenly being sent by God (1Sam. 16:1423; 18:10; 19:9; cf. 1Kings 22:22–23). The OT engages in extensive rebuke of the superstitions of the surrounding nations that included belief in demons (Deut. 32:17; Ps. 106:37; perhaps Isa. 13:21; cf. Rev. 18:2).

Jesus’ encounter with the devil in the wilderness recalls Adam and Eve’s encounter with the serpent in Eden. The setting, significantly, is now a wasteland. The second man to walk the earth with no sin claims the right to take back the dominion that Adam passed to the serpent. Jesus can have the whole world (without the cross) if only he will submit to the devil’s rule (Luke 4:5–7). Jesus rejects the offer. Later, he sees Satan’s fall from heaven to earth (Luke 10:18; cf. Rev. 12:5–12). Whereas once the devil had access to God’s courtroom, now his case is lost. His only recourse is murderous persecution. Between the ascension of the Son of Man (Acts 1:9) and the final judgment, this is understood to be the experience of Christ’s people (Dan. 7:25; Rev. 12:17; cf. 1Pet. 5:8).

Whereas the OT provides sparse information about Satan and his angels/demons, the NT opens with an intensity of activity. Demons are also called “evil spirits,” and they are associated with physical illness, madness, and fortune-telling. In Acts 17:22 Paul describes his pagan Athenian listeners as “demon-fearers” (NIV: “religious”). Jesus’ miracles demonstrate his lordship over Satan’s regime as the demons flee in terror before him (Mark 1:23–26; 5:1–15). According to Paul, Christians are temples of the Holy Spirit (1Cor. 6:19), and John urges believers to “test the spirits to see whether they are from God” (1John 4:1), assuring them that they need not fear Satan or his forces, “because the one who is in you is greater than the one who is in the world.” (1John 4:4). On judgment day Satan will be cast into the lake of fire (Rev. 20:14–15) along with all of God’s enemies.

Faith in the context of the OT rests on a foundation that the person or object of trust, belief, or confidence is reliable. Trust in Yahweh is expressed through loyalty and obedience. The theme of responsive obedience is emphasized in the Torah (Exod. 19:5). In the later history of Israel, faithfulness to the law became the predominant expression of faith (Dan. 1:8; 6:10). OT faith, then, is a moral response rather than abstract intellect or emotion.

Faith is a central theological concept in the NT. In relational terms, faith is foremost personalized as the locus of trust and belief in the person of Jesus Christ.

In the Gospels, Jesus is spoken of not as the subject of faith (as believing in God), but as the object of faith. In the Synoptic Gospels, faith is seen most often in connection with the ministry of Jesus. Miracles, in particular healings, are presented as taking place in response to the faith of the one in need of healing or the requester. In the Gospel of John, faith (belief) is presented as something that God requires of his people (6:2829).

In the book of Acts, “faith/belief” is used to refer to Jews and Gentiles converting to following the life and teachings of Jesus Christ and becoming part of the Christian community. The book correlates faith in Christ closely with repentance (Acts 11:21; 19:18; 20:21; 26:18).

Paul relates faith to righteousness and justification (Rom. 3:22; 5:11; Gal. 3:6). In Ephesians faith is shown as instrumental in salvation: “For it is by grace you have been saved, through faith—and this not from yourselves, it is the gift of God” (2:8).

In Hebrews, faith is described as “being sure of what we hope for and certain of what we do not see” (11:1). Faith thus is viewed as something that can be accomplished in the life of the believer—a calling of God not yet tangible or seen. To possess faith is to be loyal to God and to the gospel of Jesus Christ despite all obstacles. In the Letter of James, genuine works naturally accompany genuine faith. Works, however, are expressed in doing the will of God. The will of God means, for example, caring for the poor (James 2:15–16).

In 1Peter, Christ is depicted as the broker of faith in God (1:21), whereas in 2Peter and Jude faith is presented as received from God (2Pet. 1:1). In the Letters of John “to believe” is used as a litmus test for those who possess eternal life: “You who believe in the name of the Son of God, ... you have eternal life” (1John 5:13).

Mercy is a distinguishing characteristic of the nature of God. God is called “the Father of mercies” (2Cor. 1:3 NRSV [NIV: “Father of compassion”]). God is “rich in mercy” (Eph. 2:4; cf. 2Sam. 24:14; Dan. 9:9). God’s mercy was demonstrated in his covenantal faithfulness to his people (1Kings 8:2324; Mic. 7:18–20). God redeemed the oppressed Israelites from slavery under Pharaoh because of his mercy, which was stirred when he heard their groaning and cry for help.

Jesus Christ lived a life full of mercy. He is, in a sense, the bodily manifestation of God’s mercy. Jesus expressed deep mercy whenever he saw the sick and the lost. The writers of the Gospels describe Jesus’ demonstrations of mercy when he healed the blind, the lame, the deaf, the leprous, the demon-possessed, and the dead (Matt. 9:36; 14:14; 20:34; Mark 1:41; 5:19; 6:34; 8:2; Luke 7:13; John 11:33). Jesus especially had compassion on the crowds, who did not have a spiritual leader, and he compared them to “sheep without a shepherd” (Matt. 9:36).

What is the proper response to God’s mercy and compassion? God expects believers to show the same kind of mercy toward other people. One of the best examples is the parable of the unmerciful servant (Matt. 18:23–35).

Two ancient city-states of the Phoenicians that have a long and well-documented history predating many of the events in the Bible. Genesis 10:15 notes that Sidon was a son of Canaan, likely hinting at the importance of this city for the Canaanites. Several times in the Bible the term “Sidon” or “Sidonians” serves as an alternate name for the Phoenicians or Canaanites and usually refers to the southern part of this northern neighbor. There was much social and political interaction between Sidon and Tyre and the kingdoms of Israel and Judah, including Solomon’s marriage to several women from Sidon (1Kings 11:1) and the Omride dynasty’s treaties and intermarriage with the Phoenicians (16:31). For much of the tenth through seventh centuries BC, Israel and the Phoenicians were close economic allies, with Israel providing materials for trade, and the cities of Sidon and Tyre offering the transport of those goods in their famed ships. Like Israel, Sidon and Tyre suffered under the expansions of the Assyrians and the Babylonians. Both Sidon and Tyre often were recipients of the OT prophets’ ire. Tyre especially was subject to many prophetic denouncements of which Ezekiel’s is an archetype (Ezek. 26:128:19). Ezekiel prophesied the total destruction of the city. Both cities had special cultic centers that advocated various versions of Baal worship and attempted to propagate their religion, as demonstrated by the actions of Jezebel, the wife of King Ahab and daughter of the king of Sidon.

Tyre and Sidon continued to be significant cities under Roman rule during the NT period. Jesus went to these two locations and condemned Jewish cities by saying that even the pagan Tyre and Sidon would have repented if they had witnessed miracles he had performed around them (Matt. 11:20–23). Paul also traveled to Tyre, staying there for seven days during a missionary journey (Acts 21:3–4).

While in the OT suffering is regularly an indication of divine displeasure (Lev. 26:1636; Deut. 28:20–68; Ps. 44:10–12; Isa. 1:25; cf. Heb. 10:26–31), in the NT it becomes the means by which blessing comes to humanity.

The Bible often shows that sinfulness results in suffering (Gen. 2:17; 6:5–7; Exod. 32:33; 2Sam. 12:13–18; Rom. 1:18; 1Cor. 11:27–30). Job’s friends mistakenly assume that he has suffered because of disobedience (Job 4:7–9; 8:3–4, 20; 11:6). Job passionately defends himself (12:4; 23:10), and in the final chapter of the book God commends Job and condemns his friends for their accusations (42:7–8; cf. 1:1, 22; 2:10). The writer makes clear that suffering is not necessarily evidence of sinfulness. Like Job’s friends, Jesus’ disciples assume that blindness is an indication of sinfulness (John 9:1–2). Jesus rejects this simplistic notion of retributive suffering (John 9:3, 6–7; cf. Luke 13:1–5).

The NT writers reveal that Jesus’ suffering was prophesied in the OT (Mark 9:12; 14:21; Luke 18:31–32; 24:46; Acts 3:18; 17:3; 26:22–23; 1Pet. 1:11; referring to OT texts such as Ps. 22; Isa. 52:13–53:12; Zech. 13:7). The Lord Jesus is presented as the answer to human suffering: (1)Through the incarnation, God’s Son personally experienced human suffering (Phil. 2:6–8; Heb. 2:9; 5:8). (2)Through his suffering, Christ paid the price for sin (Rom. 4:25; 3:25–26), so that believers are set free from sin (Rom. 6:6, 18, 22) and helped in temptation (Heb. 2:18). (3)Christ Jesus intercedes for his suffering followers (Rom. 8:34–35). (4)Christ is the example in suffering (1Pet. 2:21; 4:1; cf. Phil. 3:10; 2Cor. 1:5; 4:10; 1Pet. 4:13), and though he died once for sins (Heb. 10:12), he continues to suffer as his church suffers (Acts 9:4–5). (5)Christ provides hope of resurrection (Rom. 6:5; 1Cor. 15:20–26; Phil. 3:10–11) and a future life without suffering or death (Rev. 21:4).

The NT writers repeatedly mention the benefits of suffering, for it has become part of God’s work of redemption. The suffering of believers accompanies the proclamation and advancement of the gospel (Acts 5:41–42; 9:15–16; 2Cor. 4:10–11; 6:2–10; Phil. 1:12, 27–29; 1Thess. 2:14–16; 2Tim. 1:8; 4:5) and results in salvation (Matt. 10:22; 2Cor. 1:6; 1Thess. 2:16; 2Tim. 2:10; Heb. 10:39), faith (Heb. 10:32–34, 38–39; 1Pet. 1:7), the kingdom of God (Acts 14:22), resurrection from the dead (Phil. 3:10–11), and the crown of life (Rev. 2:10). It is an essential part of the development toward Christian maturity (Rom. 5:3–4; 2Cor. 4:11; Heb. 12:4; James 1:3–4; 1Pet. 1:7; 4:1).

Suffering is associated with knowing Christ (Phil. 3:10); daily inward renewal (2Cor. 4:16); purity, understanding, patience, kindness, sincere love, truthful speech, the power of God (2Cor. 4:4–10); comfort and endurance (2Cor. 1:6); obedience (Heb. 5:8); blessing (1Pet. 3:14; 4:14); glory (Rom. 8:17; 2Cor. 4:17); and joy (Matt. 5:12; Acts 5:41; 2Cor. 6:10; 12:10; James 1:2; 1Pet. 1:6; 4:13). Other positive results of Christian suffering include perseverance (Rom. 5:3; James 1:3), character and hope (Rom. 5:4), strength (2Cor. 12:10), and maturity and completeness (James 1:4). Present suffering is light and momentary when compared to future glory (Matt. 5:10–12; Acts 14:22; Rom. 8:18; 2Cor. 4:17; Heb. 10:34–36; 1Pet. 1:5–7; 4:12–13).

Throughout the Bible, believers are instructed to help those who suffer. The OT law provides principles for assisting the poor, the disadvantaged, and the oppressed (Exod. 20:10; 21:2; 23:11; Lev. 19:13, 34; 25:10, 35; Deut. 14:28–29; 15:1–2; 24:19–21). Jesus regularly taught his followers to help the poor (Matt. 5:42; 6:3; 19:21; 25:34–36; Luke 4:18; 12:33; 14:13, 21). It is believers’ responsibility to show mercy (Matt. 5:7; 9:13), be generous (Rom. 12:8; 2Cor. 8:7; 1Tim. 6:18), mourn with mourners (Rom. 12:15), carry other’s burdens (Gal. 6:1–2), and visit prisoners (Matt. 25:36, 43). See also Servant of the Lord.

In the Bible, woman is first encountered along with man in Gen. 1:2628. God created “man” in the plural, male and female, and commanded them to reproduce and to fill the earth and subdue it. Being created male and female is set in parallel to being created in the image of God. In the ancient Near East, perhaps the king would be thought of as the image of God. But in Genesis, not only is the first man the image of God, but the first woman participates in the image as well. This is all but unthinkable in the ancient world, and it suggests an unparalleled dignity and worth in womankind.

Genesis records that the human race fell through the instrumentality of a man, a woman, and the serpent. The serpent approached the woman, not the man. The woman was convinced by the serpent and ate the forbidden fruit. She gave some to her husband, who also ate it without saying a word. Thus, the woman can be blamed in part for the fall of the race. Adam was condemned because he “listened to [his] wife” (Gen. 3:17). Her judgment, for heeding the serpent, was pain in childbirth and a desire for her husband, who would rule over her (Gen. 3:16). The exact parameters of this judgment are unclear, but it appears that her desire will be for his position of leadership and will be perpetually frustrated.

Often in the Bible, women are motivated by their desire to have children. Rachel demanded of Jacob, “Give me children, or I’ll die!” (Gen. 30:1). She saw herself in competition with her sister, Leah, in this respect (30:8). The “fruit of the womb” is a reward, and like arrows, the blessed man’s quiver is full of them (Ps. 127:1–5). Note also the beatitude of Ps. 128:3: “Your wife will be like a fruitful vine within your house; your children will be like olive shoots around your table.”

In Genesis, the reproductive capability of slave girls is at the disposal of their owners. Thus, Rachel and Leah’s maidservants became surrogate mothers for a number of their sons (Gen. 30:3–10). Sarah also became frustrated at her inability to conceive, so she gave Hagar to Abraham. The result was great familial turmoil, finally resulting in the banishment of both Hagar and Ishmael, whom she bore to Abraham.

In the beginning, God joined one man and one woman together as husband and wife. But soon this idea was corrupted, and Lamech, a man from Cain’s lineage, is credited with the first polygamous marriage (Gen. 4:19). Although the patriarchs (such as Jacob) did have more than one wife, the household discontent and strife are what is highlighted in those stories, such as with Hagar. In the NT, an elder is to be, literally, a “one-woman man” (1Tim. 3:2; ESV, KJV: “the husband of one wife”), meaning monogamous.

The Torah contains significant legislation regarding women. The daughters of Zelophehad argued that their father died without sons, so in Canaan they were disinherited. God agreed and decreed that in Israel daughters would inherit land in the absence of sons. Only if there were no children at all would the land pass to other kin (Num. 27:1–11).

When a man made a vow, he must fulfill it, but a young woman’s vow was subject to her father. If he remained silent, the vow stood, but if he expressed disapproval, then she was freed from it. If she was married, her husband governed her vows, but if she was divorced, then there was no responsible male over her, and her vow was treated as a man’s (Num. 30:1–16).

Sexual intercourse was also regulated in the law of Moses, insofar as the act rendered both parties ritually impure (Lev. 15:18). Both must bathe and were unclean until evening. A woman’s menstrual discharge also made her unclean for a week. Everything she sat or lay upon was unclean, as was anyone who touched these things. She must wash and offer sacrifice to become clean again (15:18–31).

If a man discovered on his wedding night that his bride was not a virgin, he could accuse her publicly. If her parents provided evidence that she had in fact been a virgin, then the man was severely punished for lying and not allowed to divorce her (otherwise, it was simply a matter of writing a letter to divorce her [Deut. 24:1]). If her virginity could not be proved, she was to be put to death by stoning (Deut. 22:13–21).

In the case of a rape of a betrothed virgin, if it occurred in the city, both the rapist and the victim were stoned, since apparently she had failed to cry out for help and thus, the law assumed, consented to sexual intercourse. If she was raped in the countryside, only the man was killed. But if he raped a woman who was not spoken for, his punishment was that he must marry her without possibility of divorce (Deut. 22:23–29).

Numbers 5:11–31 treats cases where a husband was suspicious that his wife had been unfaithful—that is, a matter of covenantal jealousy. The unprovable was left to God to punish.

In the Bible, women sometimes are afforded dignity beyond what is expected in an ancient Near Eastern provenance. Hagar is the only woman in all ancient Near Eastern literature who gave a name to a deity (Gen. 16:13). In Judg. 4:4, Deborah “judged” Israel (despite the NIV’s “leading,” the underlying Hebrew verb indicates “judging,” as in the NRSV). Even as judge, however, she did not lead the army against the enemy general Sisera; Barak did so. But Barak was unwilling to undertake this mission unless Deborah went with him (4:8). Thus, God ensured that the prestige of killing Sisera went to a woman, Jael (4:9, 21). Another prominent woman was Huldah, to whom the priests turned for guidance when the law was rediscovered (2Kings 22:14).

Many biblical stories feature heroines. Mighty Pharaoh was undermined by two midwives in his attempt to destroy Israel (Exod. 1:15–21). Ruth the Moabite woman gave her name to the book that recounts her trek from Moab to Israel, including her famous oath of loyalty (Ruth 1:16–17). Esther too was a courageous woman whose book bears her name. Heroines are especially prominent in the Gospels, and the women there have the distinction of being the first to witness the risen Lord. Luke’s birth narrative is largely organized around Mary. Priscilla (with her husband) taught and helped to shape the early church (Acts 18:26). Paul lists many women in Rom. 16, calling them “deaconess,” “fellow worker,” and possibly even “apostle.”

Scripture also at times portrays various women as being temptations to men. Eve handed the fruit to Adam (Gen. 3:6). In the wilderness Israel worshiped Moabite gods in conjunction with sexual activity (Num. 25:1–9). Later, Israelites intermarried with Canaanite women, directly leading to worship of their idols (Judg. 3:6). Bathsheba was a temptation to David, and this began a series of events that marred his career as a man after God’s own heart. Solomon loved many foreign women, who turned him to worship their gods. After the exile, the Israelites were admonished by Nehemiah to put away their foreign wives lest history repeat itself (Neh. 13:26).

Women and marriage are used in the Bible as images for spiritual things. Paul writes that marital love mirrors the church’s relationship with Christ (Eph. 5:32–33). A man should love his wife as Christ loved the church. Revelation portrays the climax to human history in the figure of two women: the bride of Christ, adorned with righteous deeds for her husband (19:7–8), and the whor* Babylon, drunk on the blood of the saints (17:5–6). The consummation of the age is when one is judged and the other enters her eternal marital bliss.

The book of Proverbs also separates humankind into two groups, symbolized by two women. Along the path of life, the youth hears the voices of Woman Folly (9:13–18) and of Woman Wisdom (1:20–33) calling out to him. Folly is incarnated in the flesh-and-blood temptation of the immoral woman (7:6–27), whereas Woman Wisdom has her counterpart at the end of the book in the detailed description of the woman of virtue (31:10–31). There, the woman who fears God is set as a prize far above earthly wealth—the highest blessing of the wise.

Paul uses two women from sacred history to help explain his gospel of law versus grace. Hagar the slave woman represents the Mosaic covenant given at Sinai, and the earthly Jerusalem—that is, a mind-set of slavery that futilely attempts to earn God’s favor by works of the law. Sarah was the free woman, and her son was the promised son, who represents the heavenly Jerusalem, the new covenant, and freedom from the requirements of the law (Gal. 4:21–31). Again, two women symbolize two paths and two peoples—one being slaves, the other being God’s free people.

“Word” is used in the Bible to refer to the speech of God in oral, written, or incarnate form. In each of these uses, God desires to make himself known to his people. The communication of God is always personal and relational, whether he speaks to call things into existence (Gen. 1) or to address an individual directly (Gen. 2:1617; Exod. 3:14). The prophets and the apostles received the word of God (Deut. 18:14–22; John 16:13), some of which was proclaimed but not recorded. The greatest revelation in this regard is the person of Jesus Christ, who is called the “Word” of God (John 1:1, 14).

The psalmist declared God’s word to be an eternal object of hope and trust that gives light and direction (Ps. 119), and Jesus declared the word to be truth (John 17:17). The word is particularized and intimately connected with God himself by means of the key phrases “your word,” “the word of God,” “the word of the Lord,” “word about Christ,” and “the word of Christ” (Rom. 10:17; Col. 3:16). Our understanding of the word is informed by a variety of terms and contexts in the canon of Scripture, a collection of which is found in Ps. 119.

The theme of the word in Ps. 119 is continued and clarified in the NT, accentuating the intimate connection between the word of God and God himself. The “Word” of God is the eternal Lord Jesus Christ (John 1:1; 1John 1:1–4), who took on flesh and blood so that we might see the glory of the eternal God. The sovereign glory of Christ as the Word of God is depicted in the vision of John in Rev. 19:13. As the Word of God, Jesus Christ ultimately gives us our lives (John 1:4; 6:33; 10:10), sustains our lives (John 5:24; 6:51, 54; 8:51), and ultimately renders a just judgment regarding our lives (John 5:30; 8:16, 26; 9:39; cf. Matt. 25:31–33; Heb. 4:12).

The Gospels list demon possession among the maladies thatJesus and his disciples (and later the apostles) cured (e.g., Matt.4:24). While the NT does not offer an explicit theory of demonpossession or an account of how it differs from illnesses withnondemonic causes, the Gospels are rich in descriptions of thesuffering of the demon-possessed. Demons caused muteness (Matt.9:32–33; Luke 11:14), blindness (Matt. 12:22), and seizures(Matt. 17:15; Luke 4:35; 9:42), as well as symptoms that modernsassociate with various forms of mental illness, including strangeverbal outbursts (Matt. 8:28–34; Luke 4:34). The story of theGerasene demoniac is especially troubling (Luke 8:26–39 pars.).The demoniac (or demoniacs, according to Matt. 8:28) wore no clothes,lived outside his city among the tombs, howled, cut himself withstones, and shouted under the control of the demons. He was able tobreak chains that were placed on his body as restraints. Manydemoniacs who appear in the Gospels are men, but demon possessionalso affected women (Matt. 15:22–28). The Gospels do notdescribe the onset of demon possession.

Inaddition to these descriptions of demon possession, the recordedperceptions of Jesus’ contemporaries offer insight into how itwas understood in antiquity. Some thought that John the Baptist wasdemon-possessed (Matt. 11:18; Luke 7:33) because he “cameneither eating nor drinking”—that is, he adhered to anextreme ascetic diet and lifestyle. Jesus was thought to derive hispower to cast out demons from collusion with Beelzebul (Mark 3:22).In the Gospel of John, in contrast to the Synoptic Gospels, Jesus’ability to heal leads his contemporaries to the opposite conclusion,that he is not demon-possessed (John 10:20–21). Instead, thecharge of demon possession in the Gospel of John stems from theperception that Jesus’ religious teachings were unorthodox(John 8:48–52). Paul also correlates heresy with demonicinfluence (1Tim.4:1).

Itis important to note that in the NT, demon possession is almostalways portrayed as a terrible affliction. The idea of harnessing thepower of a demon for one’s own benefit, which was widespread inantiquity and the Middle Ages, is not a major focus in the NT, thoughit is reflected in the story of the girl who was possessed by afortune-telling spirit (Acts 16:16) and in cases in which Jesus’contemporaries attributed (falsely) his healing power to demonicpossession.

The Gospels list demon possession among the maladies thatJesus and his disciples (and later the apostles) cured (e.g., Matt.4:24). While the NT does not offer an explicit theory of demonpossession or an account of how it differs from illnesses withnondemonic causes, the Gospels are rich in descriptions of thesuffering of the demon-possessed. Demons caused muteness (Matt.9:32–33; Luke 11:14), blindness (Matt. 12:22), and seizures(Matt. 17:15; Luke 4:35; 9:42), as well as symptoms that modernsassociate with various forms of mental illness, including strangeverbal outbursts (Matt. 8:28–34; Luke 4:34). The story of theGerasene demoniac is especially troubling (Luke 8:26–39 pars.).The demoniac (or demoniacs, according to Matt. 8:28) wore no clothes,lived outside his city among the tombs, howled, cut himself withstones, and shouted under the control of the demons. He was able tobreak chains that were placed on his body as restraints. Manydemoniacs who appear in the Gospels are men, but demon possessionalso affected women (Matt. 15:22–28). The Gospels do notdescribe the onset of demon possession.

Inaddition to these descriptions of demon possession, the recordedperceptions of Jesus’ contemporaries offer insight into how itwas understood in antiquity. Some thought that John the Baptist wasdemon-possessed (Matt. 11:18; Luke 7:33) because he “cameneither eating nor drinking”—that is, he adhered to anextreme ascetic diet and lifestyle. Jesus was thought to derive hispower to cast out demons from collusion with Beelzebul (Mark 3:22).In the Gospel of John, in contrast to the Synoptic Gospels, Jesus’ability to heal leads his contemporaries to the opposite conclusion,that he is not demon-possessed (John 10:20–21). Instead, thecharge of demon possession in the Gospel of John stems from theperception that Jesus’ religious teachings were unorthodox(John 8:48–52). Paul also correlates heresy with demonicinfluence (1Tim.4:1).

Itis important to note that in the NT, demon possession is almostalways portrayed as a terrible affliction. The idea of harnessing thepower of a demon for one’s own benefit, which was widespread inantiquity and the Middle Ages, is not a major focus in the NT, thoughit is reflected in the story of the girl who was possessed by afortune-telling spirit (Acts 16:16) and in cases in which Jesus’contemporaries attributed (falsely) his healing power to demonicpossession.

Behind the English translation “mercy” liediverse biblical words in Hebrew (khesed, khanan, rakham) and inGreek (charis, eleos, oiktirmos, splanchnon). These words are alsotranslated as “love,” “compassion,” “grace,”“favor,” “kindness,” “loving-kindness,”and so on, depending on context. Hence, a conceptual approach to themeaning of “mercy” is best.

God’sMercy

Mercyas part of God’s character.Mercy is a distinguishing characteristic of the nature of God. God iscalled “the Father of mercies” (2Cor. 1:3 NRSV[NIV: “Father of compassion”]). God is “rich inmercy” (Eph. 2:4; cf. 2Sam. 24:14; Dan. 9:9). God’smercy was demonstrated in his covenantal faithfulness to his people(1Kings 8:23–24; Mic. 7:18–20). God redeemed theoppressed Israelites from slavery under Pharaoh because of his mercy,which was stirred when he heard their groaning and cry for help.Here, the rekindling of God’s mercy toward the Israelites wasdepicted in terms of remembering his covenant with Abraham, Isaac,and Jacob (Exod. 2:23–25). Mercy is a manifestation of God’sfaithfulness to his covenant. Hence, God’s mercy to hiscovenant people never ceases (Pss. 119:132; 103:17).

Godhas absolute sovereignty in electing the people to whom he wills toshow mercy. A classic expression appears in Exod. 33:19: “Iwill have mercy on whom I will have mercy, and I will have compassionon whom I will have compassion.” Paul quoted this to explainGod’s sovereignty in electing Jacob as the recipient of God’smercy (Rom. 9:13–15). God’s mercy cannot be acquired byhuman effort or desire (Rom. 9:16). God even ordered the Israelitesto show no mercy to the Canaanites because of their corruption andidolatry (Deut. 7:2).

Diverseimages are used to describe God’s mercy. God is compared to aloving father who has compassion on his children (Jer. 31:20; Mal.3:17). “As a father has compassion on his children, so the Lordhas compassion on those who fear him; for he knows how we are formed,he remembers that we are dust” (Ps. 103:13–14). God’scompassion is also compared to that of a nursing mother who feeds herbaby at her breast (Isa. 49:15). The images of the loving father andthe loving mother reflect closely the heart of God’s mercytoward his chosen people. God is especially merciful to the needy,the weak, the afflicted, and the oppressed (Exod. 2:23–24; Ps.123:2–3; Isa. 49:13; Heb. 4:16). God is called “a fatherto the fatherless” and “a defender of widows” (Ps.68:5). Sinners appeal for God’s mercy when they requestforgiveness (Ps. 51:1). “Have mercy on me” is a commonform of expression when the psalmist entreats God for his forgiveness(Pss. 41:4, 10; 51:1). God’s mercy is also shown in his act ofsalvation and blessing (Exod. 15:13; Deut. 13:17–18; Judg.2:18; Eph. 2:4–5).

God’smercy in redemptive history.Redemptive history is a successive demonstration of God’s mercytoward his chosen people. It was because of God’s mercy that hetook the initiative to save fallen human beings (Gen. 3:15). Deathwas the due penalty for Adam and Eve (Gen. 2:17), but God preachedthe good news of mercy that the descendant of the woman would somedaycrush the head of the serpent. In Rev. 20:2 that ancient serpent inthe garden of Eden is identified as “the devil, or Satan,”whose head was crushed by Jesus Christ on the cross and is bound bythe coming Messiah “for a thousand years” and will be“thrown into the lake of burning sulfur” (Rev. 20:2, 10).In spite of God’s judgment on Cain, the first murderer, Godshowed mercy by putting a mark on him so that no one would kill him(Gen. 4:15). As the psalmist later confesses, God proves himself asthe merciful God who “does not treat us as our sins deserve orrepay us according to our iniquities” (Ps. 103:10).

Noahand his family were saved from the judgment of the flood because ofGod’s special mercy toward them (Gen. 6:8). Immediately afterGod confused the languages of human beings because of their challengeto him (Gen. 11:1–9), God showed mercy on Abram, “awandering Aramean” (Deut. 26:5), and designated him to be thefather of his chosen people (Gen. 12:1–3). Jacob’selection originated solely from God’s mercy, as Paul pointedout by quoting Scripture: “Jacob I loved, but Esau I hated”(Rom. 9:13). The exodus is also the clearest evidence of God’sdemonstration of mercy toward his chosen people (Exod. 2:23–25).They were saved not by their own righteousness but rather by God’smercy on the covenant people, who suffered under the bondage ofPharaoh’s slavery. God’s mercy reached its climax when hesent his only Son, Jesus Christ, to save sinners (Rom. 5:8). It isbecause of God’s mercy that we are saved, not because of ourrighteousness (Titus 3:5).

Christ’sMercy

JesusChrist lived a life full of mercy. He is, in a sense, the bodilymanifestation of God’s mercy. Jesus expressed deep mercywhenever he saw the sick and the lost. The writers of the Gospelsdescribe Jesus’ demonstrations of mercy when he healed theblind, the lame, the deaf, the leprous, the demon-possessed, and thedead (Matt. 9:36; 14:14; 20:34; Mark 1:41; 5:19; 6:34; 8:2; Luke7:13; John 11:33). Jesus especially had compassion on the crowds, whodid not have a spiritual leader, and he compared them to “sheepwithout a shepherd” (Matt. 9:36).

Jesus’ministry of healing and evangelism was motivated by his deep mercyand compassion toward people in physical and spiritual need (Luke4:16–21; cf. Isa. 61:1–2). Whenever the sick appealed tohis mercy, Jesus never refused to dispense it to them (Matt. 15:22;17:14–18). For example, he healed the two blind men whoentreated his mercy (Matt. 20:30–34). When a leper, kneelingbefore him, entreated his mercy, Jesus touched him (risking his ownuncleanness according to the law) and healed him (Matt. 8:2–3).When a centurion asked for Jesus’ mercy on his sick servant, hewas willing to go and heal the sick man (Matt. 8:5–13). Jesus’mercy was aroused especially when he saw people crying for the dead,and even he shed tears (John 11:33–35). When Jesus saw a widowcrying for her dead son during a funeral procession, he comforted andhad compassion on her and made her son alive (Luke 7:12–15).

Accordingto Heb. 2:17–18, Jesus became “a merciful and faithfulhigh priest” to make atonement for the sins of his people. Heis also compared to the high priest who is able to sympathize withour weaknesses because he “has been tempted in every way, justas we are” (Heb. 4:15). His high priestly work on earth washighlighted in terms of his ministry of mercy toward his people. LikeGod’s mercy, Jesus’ mercy was shown in his actions ofsalvation (Luke 19:10; Eph. 5:2; 1Tim. 1:14–16; Titus3:4–7), of blessing (Mark 10:13–16), and of forgiveness(Mark 2:10; Luke 23:34). Paul’s personal experience led him toconfess, “He saved us, not because of righteous things we haddone, but because of his mercy” (Titus 3:5). Jesus’character of mercy was most vividly manifested on the cross when heprayed for the forgiveness of the crucifying soldiers and the cursingcrowds (Luke 23:33–37).

HumanResponse to God’s Mercy

Whatis the proper response to God’s mercy and compassion? Godexpects believers to show the same kind of mercy toward other people.One of the best examples is the parable of the unmerciful servant(Matt. 18:23–35). The central focus of this parable is on theunmerciful servant, to whom a tremendous mercy is shown by the king,but who refuses to show a little mercy to his fellow servant. Theparable concludes with the king’s statement that no mercy willbe shown to those who do not show mercy and forgiveness to others.Hence, a forgiving attitude is a must for believers, who havereceived immeasurable mercy from God when he forgave their sins atthe time of repentance. The Lord’s Prayer also includes thebeliever’s forgiveness of others as being inseparably linked tothe request for forgiveness from God (Matt. 6:12). Jesus affirms thisidea in a subsequent statement: “For if you forgive otherpeople when they sin against you, your heavenly Father will alsoforgive you. But if you do not forgive others their sins, your Fatherwill not forgive your sins” (6:14–15).

Mercyis one of the eight blessings in the Beatitudes: “Blessed arethe merciful, for they will be shown mercy” (Matt. 5:7). Jesus’response to the critical Pharisees reveals that our merciful lifeshould precede our religious life (9:13). According to the parable ofthe good Samaritan (Luke 10:25–37), the true neighbor is theone who shows mercy to the afflicted. Its conclusion, “Go anddo likewise” (10:37), requires believers to show mercy to theirsuffering neighbors. At the last judgment the righteous arecharacterized by their lives of showing mercy to the hungry, thethirsty, the stranger, the unclothed, the sick, and the imprisoned(Matt. 25:37–40). In Luke 6:36, Jesus summarizes the law ofmercy: “Be merciful, just as your Father is merciful.”According to James, “judgment without mercy will be shown toanyone who has not been merciful”; however, “mercytriumphs over judgment” (James 2:12–13). And according tothe prophets, a merciless life is characteristic of godless people(Isa. 13:18; Jer. 6:23; 21:7; 50:42; Amos 1:11–12).

Itis by God’s mercy that believers can persevere during the timeof suffering (2Cor. 4:1). Their prayer is the channel throughwhich they draw God’s mercy. Hence, the writer of Hebrewsexhorts believers to “approach God’s throne of grace withconfidence, so that we may receive mercy” (Heb. 4:16).

From the Latin word tabula (“board”), “table”first denoted any flat surface, but especially one of wood or stoneused for writing (Exod. 20:2–17). The Ten Commandments wereoriginally inscribed upon two tables of stone. Eventually “table”in this sense was replaced by “tablet” (see Tablet).

Tableswere used for eating, working, and displaying objects: domestictables (Judg. 1:7; 1Sam. 20:29), temple tables of Yahweh(2Chron. 4:8; Ezek. 40:39–43) or of heathen gods (Isa.65:11), the “Lord’s table” (Mal. 1:7, 12), and thetable for the bread of the Presence in the sanctuary (Exod. 25:23–30;1Kings 7:48; Heb. 9:2).

Tablesfound in the ancient Near East usually stood no more than eighteeninches high. Most were made of wood (2Kings 4:10), but thewealthy had tables of ornate stone. It was a great honor to beinvited to eat at or be given food from the king’s table(2Sam. 9:7, 10–13; 1Kings 2:7; 4:27; Dan. 1:5). Thecustom of the rich reclining on couches around a low table (Amos 6:4;cf. 3:12) became commonplace in NT times. Although dining at a tablewas customary (Luke 22:21; Acts 6:2), to eat under the table was fordogs and the despised (Judg. 1:7; Matt. 15:27; Mark 7:28; Luke16:21). Money changers used tables as stands where money wasexchanged (Matt. 21:12; Mark 11:15).

Figuratively,“table” was used to represent the meal on which it wasserved. In the ancient Near East, eating with others expressedintimate fellowship and trust, yet Jesus shared table fellowship withJudas (Luke 22:21). At the Lord’s Table (i.e., Communion,Eucharist), Jesus is the host, who invites us to remember him as weeat (1Cor. 10:21; 11:23–26). The imagery of a banquettable of thanksgiving is used to depict God’s provision for hispeople (Pss. 23:5; 78:19).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

Contrary to common uses of the word “forgiveness,”which are highly influenced by modernity’s interest inpsychology, the biblical concept identifies forgiveness as atheological issue to be understood in relational categories.Biblically speaking, to forgive is less about changing feelings(emotions) and more about an actual restoration of a relationship. Itis about making a wrong right, a process that usually is both costlyand painful. To capture the biblical sense, the English word “pardon”may prove more helpful.

Terminology

Principally,God forgives by removing the guilt from transgressors and therebyreleasing them from their deserved penalty. The OT term kipper speaksto the covering of sin (Deut. 21:8; Ps. 78:38; Jer. 18:23), and itsuse in connection with sacrifice signifies the idea of atonement.Like salakh, it communicates exclusively God’s forgiveness ofhumans (Num. 30:5; Amos 7:2). The term nasa’ refers to theremoval of guilt, God lifting the burden of sin from the sinner(Exod. 32:32; Num. 14:19), but it also can be used of forgivenessbetween humans (Gen. 50:17).

Inthe NT, verbs such as aphiēmi (noun aphesis) and apolyōconnote the idea of sending away or releasing, whereas (epi)kalyptōexpresses the idea of covering. Other terms, such as paresis(“passing over” [Rom. 3:25]) further extend the idea ofGod’s forgiveness: debt is canceled; God is exercising hisforbearing love. Paul’s preferred term is charizomai, whichunderscores the close correlation between grace and forgiveness (Rom.8:32; Eph. 4:32; Col. 2:13; 3:13).

God’sForgiveness

Forgivenessexpresses the character of the merciful God, who eagerly pardonssinners who confess their sins, repent of their transgressions, andexpress this through proper actions. Forgiveness is never a matter ofa human right; it is exclusively a gracious expression of God’sloving care. Human need for forgiveness stems from actions arisingfrom their fallen nature. These actions (or nonactions), whether donedeliberately or coincidentally, destroy people’s relationshipwith God and can be restored only by God’s forgiving mercy(Eph. 2:1).

Underthe Mosaic covenant, sin placed offenders under God’s wrathamong the ungodly. Rescue from this fate could be obtained by God’sforgiveness alone, which was attained through repentance andsacrifice. Although sacrifice was necessary to express truerepentance, it is a mistake to consider it a payment that couldpurchase God’s forgiveness (1Sam. 15:22; Prov. 21:3;Eccles. 5:1; Hos. 6:6). The forgiveness of God remains his free,undeserved gift.

Althoughthe sacrificial system is done away with, or rather completed,through Christ (Heb. 10:12), NT teaching continues to recognizeconditions for forgiveness. Since forgiveness restores relationship,the offender remains involved and must desire the restoration (Luke13:3; 24:47; Acts 2:38). God does not grant his forgiveness withoutconsideration of the offending party.

Jesusexpresses this most clearly in the parable of the prodigal son (Luke15:11–24). The son rebels against his father, squanders hiswealth, and violates their relationship. The gracious and lovingfather remains willing to restore the relationship, but the reuniondoes not occur until the prodigal replaces rebellion with repentance;then, before he can even utter his sorrow, the eager father welcomeshim back to a restored relationship. God remains free to forgive ornot forgive, but sinners can rest assured of God’srelationship-restoring forgiveness when they seek it in repentance.The forgiveness that God grants is full and restores things to an “asbefore” situation (cf. Ps. 103:12; Jer. 31:34), a point thatthe older son in the parable (Luke 15:25–32), who exemplifiesreligious self-righteousness, did not comprehend.

HumanForgiveness

Thebiblical description of forgiveness between humans is rooted in thistheological understanding and articulates a clear analogy betweendivine and human forgiveness. Human relationship with God provides apattern for their relationship to each other (Matt. 5:23–24;6:12, 14–15). They forgive because they have been forgiven(Luke 7:41–47; Col. 3:13). If, or when, their forgiveness ofothers remains absent, it questions, or even jeopardizes, their ownrelationship with God (Matt. 18:22–35).

Again,since forgiveness is a theological matter, the one being wrongedremains obligated to work for the restoration of the relationshipeven if the wrongdoer does not repent. The one wronged should seek towin the offender back by showing mercy and eagerness to forgive aslearned from God (Rom. 12:19–20). There is no formula for thisGod-inspired forgiveness and no limit to its zeal. Jesus met Peter’ssuggestion that the offer of forgiveness could be exhausted with anunequivocal no (Matt. 18:21–22). The offended must offerforgiveness every time the wrongdoer asks for it (Luke 17:3–4).

Mostradical is the biblical mandate to forgive enemies. The OT oftenfollows the common ancient Near Eastern notion that enemies areexpressions of foreign deities, whom their own god(s) desires todestroy. It was therefore unimaginable that Israel (or Yahweh) shouldforgive a pagan god (e.g., Ps. 137:8–9). Jesus transforms thisthinking and makes forgiveness a Christian duty (Matt. 5:43–48;cf. Rom. 12:20).

The desire to harmonize the differences between the canonicalGospels can be traced back to the second century, when Tatian (asecond-century apologist) combined the four Gospels into one documentknown as the Diatessaron (Greek for “out of four”). Thiscombined Gospel was used in the Syrian churches in the third andfourth centuries until it was replaced by the four canonical Gospelsin the fifth century.

MaterialCommon to More than One Gospel

Allfour Gospels portray Jesus as leading a group of disciples,preaching, healing, performing miracles, being crucified, and beingraised from the dead. Matthew was written for a Jewish or JewishChristian audience, reminding them that Jesus fulfills the HebrewScriptures. Mark was written for a Gentile audience, focusing more onnarrative than on teaching and portraying Jesus as a man ofmiraculous, powerful action. Luke shows Jesus as one who isespecially concerned for the poor and those on the fringes ofsociety. John explains that Jesus, the eternal Word of God, is not asecond god, but rather the one true God, sent by the Father to renewIsrael.

Peoplewho are familiar with the content of the Gospel stories often confusethe information from different accounts. For example, there isactually no single story in the Bible about a “rich youngruler”: only Matthew describes the man as young (Matt. 19:20),and only Luke mentions that the man was a ruler (Luke 18:18).

Somematerial is found in all four Gospels, including information aboutJohn the Baptist, the miracle of the feeding of the five thousand,and the story of the crucifixion and the resurrection (although theindividual accounts of the resurrection differ). Some materialappears in three Gospels, especially in Matthew, Mark, and Luke.These three Gospels have therefore been labeled the “SynopticGospels” (syn= together, optic= view). Storiesfound in all three Synoptic Gospels include the transfiguration(Matt. 17:1–13; Mark 9:2–13; Luke 9:28–36); thehealing of Jairus’s daughter and of a woman with a flow ofblood (Matt. 9:18–26; Mark 5:21–43; Luke 8:41–56);and the rich young ruler (Matt. 19:16–30; Mark 10:17–31;Luke 18:18–30). The details do not agree in every respect ineach account, but clearly they represent the same story and exhibitlinguistic dependence on the same source(s).

Asignificant amount of material appears in two of the four canonicalGospels. Matthew and Mark have the story of a Syrophoenician woman(Matt. 15:21–28; Mark 7:24–30), and both Mark and Luketell the story of a widow’s offering to the temple treasury(Mark 12:41–44; Luke 21:1–4). The most significant bodyof teachings and sayings found in two Gospels is the material sharedby Matthew and Luke. Each of the Gospels contains material that doesnot appear in any other Gospel. Mark has the smallest amount of suchmaterial, John the largest.

TheGospel of John and the Synoptic Gospels

Basedon a study of the material common to more than one Gospel, and thematerial unique to one Gospel, John’s Gospel usually is seen asdistinct from the other three. The most likely explanation for thisis that John was written later, with knowledge of the other Gospels,and therefore the author saw no need to repeat most of this material(except what was central to his purposes). Some of the distinctivefeatures of John’s Gospel are the use of terminology such as“love,” “light,” “life,” “truth,”“abide,” “knowledge,” “world,”and the “I am” statements. Furthermore, certain Synopticterms are either rare or absent—for example, “kingdom,”“demons,” “power,” “pity,”“gospel,” “preach,” “repent,”“parable,” “tax collector.” More so than theSynoptics, John is written from the vantage point of the resurrectionand with the aid of hindsight as well as the Spirit. This is why theauthor of John’s Gospel does not refrain from adding commentaryto Jesus’ words (e.g., 2:21–22; 7:39; 11:51–52;12:16).

TheSynoptic Gospels are more interrelated. In passages that appear inthese three Gospels, there is often very close verbal agreementbetween them (e.g., the healing of the leper [Matt. 8:2; Mark1:40–44; Luke 5:12–14]; the question of Jesus’authority [Matt. 21:23–27; Mark 11:27–33; Luke 20:1–8]),implying a common source. In many sections that are found in allthree Synoptic Gospels, two agree extensively and the third diverges(e.g., Matt. 20:24–28 and Mark 10:41–45 against Luke22:24–27). When two Gospels agree and one disagrees, Matthewand Mark often agree against Luke, and Luke and Mark often agreeagainst Matthew; but Matthew and Luke do not often agree against Markand never do so in regard to the order of material. At other points,the Gospel accounts diverge quite significantly when referring to thesame events. The infancy narratives in Matthew are quite differentfrom those in Luke. The two accounts of the parable of the weddingbanquet (Matt. 22:2–14; Luke 14:16–24) differ sosignificantly that it is difficult to decide whether they are twoversions of the same parable or two different stories. Reports on theresurrection diverge across all four Gospels.

Itis possible that these similarities and differences can be tracedback to the oral presentation of the gospel. Apostolic preachingwould have formed itself into set ways of retelling the events ofJesus’ ministry through repetition. These accounts may havebeen told originally in Aramaic before being translated into Greek tofacilitate the Gentile mission. The authors of Matthew, Mark, andLuke could have been drawing from this common tradition in writingtheir Gospels. There is probably a degree of truth to this theory,but it cannot explain all the data. The theory does not account forsimilarities and differences in the order of events, nor does itexplain why Matthew and Luke always return to Mark’s orderafter they deviate from it. A common oral tradition does notadequately explain similar editorial comments (e.g., cf. Matt. 24:15with Mark 13:14), which suggest a common written source.

Somehave argued that the apostles or others wrote records of the words ofJesus (memorabilia), which were collected and written down topically,from which the Synoptic Gospels were composed. As the church grewnumerically and geographically, various collections of thesememorabilia were made. Again, this is not beyond the realm ofpossibility; however, working against this theory is the completeabsence of any reference to such records. Furthermore, as with theoral theory, it does not explain agreement in the order of material.It does, however, highlight the probability that the evangelists wereusing written sources.

MarkanPriority and Q

Onthe assumption that the writers of the Synoptic Gospels employed awritten source(s), several scholars have tried to reconstruct thisoriginal written Gospel from the material in the Synoptic Gospels.This document, which scholars call the Urevangelium (German for“original Gospel”), ended up bearing very closesimilarities with the Gospel of Mark. This is not surprising, sincenearly all of Mark is repeated in Matthew and Luke. This led to thebelief that Mark was the most primitive Synoptic Gospel, and that itwas a common source for Matthew and Luke.

Thisbelief in Markan priority, which has gained increasing popularitysince the nineteenth century, has helped explain the similaritiesamong the Synoptic Gospels. Traditionally, Matthew was thought to bethe first Gospel to be written, hence the order of the Gospels in ourNT. This belief in Matthean priority was upheld by several earlychurch writers such as Augustine, who saw Mark as an abridgement ofMatthew (Cons. 1.2). Augustine may have been more influenced by thetraditional ordering of the Gospels than by an analysis of theGospels themselves. Mark’s Gospel does not read like anabridgement; it is the shortest Gospel, but individual sections of ittypically are longer and more detailed than in Matthew.

Thereare many reasons why the priority of Mark is probable. It is theshortest Gospel, containing 661 verses, whereas Matthew contains1,068 and Luke contains 1,149. When their content is compared,97.2percent of Mark is paralleled in Matthew, and 88.4percentof Mark is paralleled in Luke. It is easier to understand Matthew andLuke as using Mark and choosing to add additional material to it thanto think of Mark as using Matthew, Luke, or both and deciding to omitmaterial such as the birth narratives and the Sermon on the Mount.Mark has simpler Greek, which includes an extensive use of thepresent tense, redundancies (e.g., Mark 1:32: “that eveningafter sunset”; cf. Matt. 8:16: “when evening came”;Luke 4:40: “at sunset”), and various colloquialisms(e.g., the word for “mat” in Mark 2:4). Mark alone amongthe Gospels uses Aramaic terms such as abba (14:36), talitha koum(5:41), and ephphatha (7:34), although Matthew also mentions Eloi,Eloi, lama sabachthani (Matt. 27:46; Mark 15:34). It is easier to seehow Luke and Matthew would have “improved” Mark than thereverse.

Ifwe accept the priority of Mark, and Luke and Matthew’sdependence upon it, there are still the sections of Matthew and Lukethat bear strong similarities with each other. From an analysis ofthe text of Matthew and Luke, it appears that these two evangelistsdid not know each other’s works. If one knew of the other’swork, why the divergence in some material such as the birthnarratives? Alongside this, however, there are close similarities inother material: Matthew has 4,290 words that have parallels in Lukebut not in Mark, and Luke has 3,559 words that have parallels inMatthew but not in Mark. The solution appears to be that Matthew andLuke were dealing with some material that they held in common, andthat each of them also had other material that he drew onindependently. The material held in common is commonly called “Q”(from the German word Quelle, meaning “source”); thematerial unique to Matthew is called “M” and that whichis unique to Luke, “L.” Whether Q was a document isunknown, although it is more likely to be a collection of sources, asis also the case with MandL.

Manyscholars argue that Q was a written rather than an oral source, basedon the exact word parallels in the Greek text (e.g., Matt. 6:24 andLuke 16:13, where 27 of the 28 words are exactly the same). Thepresence of doublets (double accounts of the same incident) inMatthew and Luke may show dependence by the respective evangelists onboth a Markan and a Q source (e.g., Luke 8:16; cf. Mark 4:21; Luke11:33; cf. Matt. 5:15). Some scholars have tried to explain thesources geographically: Markan material originated in Rome, Qmaterial in Antioch, M in Jerusalem, and L in Caesarea, but suchspeculations are far from proven.

Summary

Withinall of this, in seeking to understand the harmony of the Gospels, itis important to be aware of what we do not know. Many of thesolutions focus on a history behind the text to which we do not haveaccess. Modern literary critics have tended to focus more on the textit*elf than its prehistory. There is merit in this because it affirmsthe priority of the text and allows the reader to understand how apart of the text functions within the larger literary unit. It alsoallows the evangelists to be more than collectors of sources, to havewritten distinctive theological accounts. Their different emphasesmay explain some of the differences between the Gospels. Thisapproach, however, also has its dangers. Some who focus on the textover its original intent distance the text from the author’spurpose and therefore open the door for subjective interpretationsthat deny the difference between a correct and an incorrect readingof the text. It also raises the danger of reading an ancient textthrough modern eyes, losing sight of the original context.

Thechurch has been well served by four Gospel traditions. The fact thatesteem for the text has stopped overharmonization has been of greatbenefit, as the readers of the Gospels can appreciate various huesand emphases between the different accounts of the ministry of Jesus.

The founder of what became known as the movement of Jesusfollowers or Christianity. For Christian believers, Jesus Christembodies the personal and supernatural intervention of God in humanhistory.

Introduction

Name.Early Christians combined the name “Jesus” with the title“Christ” (Acts 5:42; NIV: “Messiah”). Thename “Jesus,” from the Hebrew Yehoshua or Yeshua, was acommon male name in first-century Judaism. The title “Christ”is from the Greek christos, a translation of the Hebrew mashiakh(“anointed one, messiah”). Christians eventually werenamed after Jesus’ title (Acts 11:26). During the ministry ofJesus, Peter was the first disciple to recognize Jesus as the Messiah(Matt. 16:16; Mark 9:29; Luke 9:20).

Sources.From the viewpoint of Christianity, the life and ministry of Jesusconstitute the turning point in human history. From a historicalperspective, ample early source materials would be expected. Indeed,both Christian and non-Christian first-century and earlysecond-century literary sources are extant, but they are few innumber. In part, this low incidence is due to society’s initialresistance to the Jesus followers’ movement. The ancient Romanhistorian Tacitus called Christianity “a superstition,”since its beliefs did not fit with the culture’s prevailingworldview and thus were considered antisocial. Early literary sourcestherefore are either in-group documents or allusions in non-Christiansources.

TheNT Gospels are the principal sources for the life and ministry ofJesus. They consist of Matthew, Mark, Luke (the Synoptic Gospels),and John. Most scholars adhere to the so-called Four SourceHypothesis. In this theory, Mark was written first and was used as asource by Matthew and Luke, who also used the sayings source Q (fromGerman Quelle, meaning “source”) as well as their ownindividual sources M (Matthew) and L (Luke). John used additionalsources.

Theearly church tried to put together singular accounts, so-calledGospel harmonies, of the life of Jesus. The Gospel of the Ebionitesrepresents one such attempt based on the Synoptic Gospels. Anotherharmony, the Diatessaron, based on all four Gospels, was producedaround AD 170 by Tatian. Additional source materials concerning thelife of Christ are provided in the NT in texts such as Acts, thePauline Epistles, the General Epistles, and the Revelation of John.Paul wrote to the Galatians, “But when the time had fully come,God sent his Son, born of a woman, born under law” (Gal. 4:4).The first narrative about Jesus by the Christian community was apassion narrative, the account of his death and resurrection. Thefirst extant references to this tradition are found in Paul’sletters (1Cor. 2:2; Gal. 3:1). The resurrection was recognizedfrom the beginning as the cornerstone of the Christian faith (1Cor.15:13–14).

Amongnon-Christian sources, the earliest reference to Jesus is found in aletter written circa AD 112 by Pliny the Younger, the Roman governorof Bithynia-Pontus (Ep. 10.96). The Roman historian Tacitus mentionsChristians and Jesus around AD 115 in his famous work about thehistory of Rome (Ann. 15.44). Another Roman historian, Suetonius,wrote around the same time concerning unrest among the Jews in Romebecause of a certain “Chrestos” (Claud. 25.4). Somescholars conclude that “Chrestos” is a misspelling of“Christos,” a reference to Jesus.

TheJewish author Josephus (first century AD) mentions Jesus in a storyabout the Jewish high priest Ananus and James the brother of Jesus(Ant. 20.200). A controversial reference to Jesus appears in adifferent part of the same work, where Josephus affirms that Jesus isthe Messiah and that he rose from the dead (Ant. 18.63–64). Themajority of scholars consider this passage to be authentic butheavily edited by later Christian copyists. Another Jewish source,the Talmud, also mentions Jesus in several places, but thesereferences are very late and of little historical value.

NoncanonicalGospels that mention Jesus include, for example, the Infancy Gospelof Thomas, the Gospel of Thomas, the Gospel of Peter, the Gospel ofJames, the Gospel of Judas Iscariot, the Gospel of the Hebrews, theEgerton Gospel, and the Gospel of Judas. Although some of these maycontain an occasional authentic saying or event, for the most partthey are late and unreliable.

Jesus’Life

Birthand childhood. TheGospels of Matthew and Luke record Jesus’ birth in Bethlehemduring the reign of Herod the Great (Matt. 2:1; Luke 2:4, 11). Jesuswas probably born between 6 and 4 BC, shortly before Herod’sdeath (Matt. 2:19). Both Matthew and Luke record the miracle of avirginal conception made possible by the Holy Spirit (Matt. 1:18;Luke 1:35). Luke mentions a census under the Syrian governorQuirinius that was responsible for Jesus’ birth taking place inBethlehem (2:1–5). Both the census and the governorship at thetime of the birth of Jesus have been questioned by scholars.Unfortunately, there is not enough extrabiblical evidence to eitherconfirm or disprove these events, so their veracity must bedetermined on the basis of one’s view regarding the generalreliability of the Gospel tradition.

Onthe eighth day after his birth, Jesus was circumcised, in keepingwith the Jewish law, at which time he officially was named “Jesus”(Luke 2:21). He spent his growing years in Nazareth, in the home ofhis parents, Joseph and Mary (2:40). Of the NT Gospels, the Gospel ofLuke contains the only brief portrayal of Jesus’ growth instrength, wisdom, and favor with God and people (2:40, 52). Luke alsocontains the only account of Jesus as a young boy (2:41–49).

Jesuswas born in a lower socioeconomic setting. His parents offered atemple sacrifice appropriate for those who could not afford tosacrifice a sheep (Luke 2:22–24; cf. Lev. 12:8). Joseph, Jesus’earthly father, was a carpenter or an artisan in wood, stone, ormetal (Matt. 13:55). From a geographical perspective, Nazareth wasnot a prominent place for settling, since it lacked fertile ground.Jesus’ disciple Nathanael expressed an apparently commonfirst-century sentiment concerning Nazareth: “Nazareth! Cananything good come from there?” (John 1:46).

Jesuswas also born in a context of scandal. Questions of illegitimacy weresurely raised, since his mother Mary was discovered to be pregnantbefore her marriage to Joseph. According to Matthew, only theintervention of an angel convinced Joseph not to break his betrothal(Matt. 1:18–24). Jesus’ birth took place in Bethlehem,far from his parents’ home in Nazareth. According to kinshiphospitality customs, Joseph and Mary would have expected to stay withdistant relatives in Bethlehem. It is likely that they were unwelcomebecause of Jesus’ status as an illegitimate child; thus Maryhad to give birth elsewhere and place the infant Jesus in a feedingtrough (Luke 2:7). A similar response was seen years later inNazareth when Jesus was identified as “Mary’s son”(Mark 6:3) rather than through his paternal line, thereby shaming himas one who was born an illegitimate child. Jesus was likewiserejected at the end of his life as the crowds cried, “Crucifyhim!” (Matt. 27:22–23; Mark 15:13–14; Luke 23:21;John 19:6, 15). When Jesus was arrested, most of his followers fled(Matt. 26:56; Mark 14:50–52), and a core disciple, Peter,vehemently denied knowing him (Matt. 26:69–74; Mark 14:66–71;Luke 22:55–60; John 18:15–17, 25–27). His ownsiblings did not believe in him (John 7:5) and were evidently ashamedof his fate, since from the cross Jesus placed the care of his motherinto the hands of “the disciple whom he loved” (19:26–27)rather than the next brother in line, as was customary.

Baptism,temptation, and start of ministry.After Jesus was baptized by the prophet John the Baptist (Luke3:21–22), God affirmed his pleasure with him by referring tohim as his Son, whom he loved (Matt. 3:17; Mark 1:11; Luke 3:22).Jesus’ baptism did not launch him into fame and instantministry success; instead, Jesus was led by the Spirit into thewilderness, where he was tempted for forty days (Matt. 4:1–11;Mark 1:12–13; Luke 4:1–13). Mark stresses that thetemptations immediately followed the baptism. Matthew and Lukeidentify three specific temptations by the devil, though their orderfor the last two is reversed. Both Matthew and Luke agree that Jesuswas tempted to turn stones into bread, expect divine interventionafter jumping off the temple portico, and receive all the world’skingdoms for worshiping the devil. Jesus resisted all temptation,quoting Scripture in response.

Matthewand Mark record that Jesus began his ministry in Capernaum inGalilee, after the arrest of John the Baptist (Matt. 4:12–13;Mark 1:14). Luke says that Jesus started his ministry at about thirtyyears of age (3:23). This may be meant to indicate full maturity orperhaps correlate this age with the onset of the service of theLevites in the temple (cf. Num. 4:3). John narrates the beginning ofJesus’ ministry by focusing on the calling of the disciples andthe sign performed at a wedding at Cana (1:35–2:11).

Jesus’public ministry: chronology.Jesus’ ministry started in Galilee, probably around AD 27/28,and ended with his death around AD 30 in Jerusalem. The temple hadbeen forty-six years in construction (generally interpreted as thetemple itself and the wider temple complex) when Jesus drove out themoney changers (John 2:20). According to Josephus, the rebuilding andexpansion of the second temple had started in 20/19 BC, during theeighteenth year of Herod’s reign (Ant. 15.380). The ministry ofJohn the Baptist had commenced in the fifteenth year of Tiberius(Luke 3:1–2), who had become a coregent in AD 11/12. From thesedates of the start of the temple building and the correlation of thereign of Tiberius to John the Baptist’s ministry, the onset ofJesus’ ministry can probably be dated to AD 27/28.

TheGospel of John mentions three Passovers and another unnamed feast inJohn 5:1. The length of Jesus’ ministry thus extended overthree or four Passovers, equaling about three or three and a halfyears. Passover, which took place on the fifteenth of Nisan, came ona Friday in AD 30 and 33. The year of Jesus’ death wastherefore probably AD 30.

Jesus’ministry years may be divided broadly into his Galilean and hisJudean ministries. The Synoptic Gospels describe the ministry inGalilee from various angles but converge again as Jesus enters Judea.

Galileanministry.The early stages of Jesus’ ministry centered in and aroundGalilee. Jesus presented the good news and proclaimed that thekingdom of God was near. Matthew focuses on the fulfillment ofprophecy (Matt. 4:13–17). Luke records Jesus’ firstteaching in his hometown, Nazareth, as paradigmatic (Luke 4:16–30);the text that Jesus quoted, Isa. 61:1–2, set the stage for hiscalling to serve and revealed a trajectory of rejection andsuffering.

AllGospels record Jesus’ gathering of disciples early in hisGalilean ministry (Matt. 4:18–22; Mark 1:16–20; Luke5:1–11; John 1:35–51). The formal call and commissioningof the Twelve who would become Jesus’ closest followers isrecorded in different parts of the Gospels (Matt. 10:1–4; Mark3:13–19; Luke 6:12–16). A key event in the early ministryis the Sermon on the Mount/Plain (Matt. 5:1–7:29; Luke6:20–49). John focuses on Jesus’ signs and miracles, inparticular in the early parts of his ministry, whereas the Synopticsfocus on healings and exorcisms.

DuringJesus’ Galilean ministry, onlookers struggled with hisidentity. However, evil spirits knew him to be of supreme authority(Mark 3:11). Jesus was criticized by outsiders and by his own family(3:21). The scribes from Jerusalem identified him as a partner ofBeelzebul (3:22). Amid these situations of social conflict, Jesustold parables that couched his ministry in the context of a growingkingdom of God. This kingdom would miraculously spring from humblebeginnings (4:1–32).

TheSynoptics present Jesus’ early Galilean ministry as successful.No challenge or ministry need superseded Jesus’ authority orability: he calmed a storm (Mark 4:35–39), exorcized manydemons (Mark 5:1–13), raised the dead (Mark 5:35–42), fedfive thousand (Mark 6:30–44), and walked on water (Mark6:48–49).

Inthe later part of his ministry in Galilee, Jesus often withdrew andtraveled to the north and the east. The Gospel narratives are notwritten with a focus on chronology. However, only brief returns toGalilee appear to have taken place prior to Jesus’ journey toJerusalem. As people followed Jesus, faith was praised and fearresolved. Jerusalem’s religious leaders traveled to Galilee,where they leveled accusations and charged Jesus’ discipleswith lacking ritual purity (Mark 7:1–5). Jesus shamed thePharisees by pointing out their dishonorable treatment of parents(7:11–13). The Pharisees challenged his legitimacy by demandinga sign (8:11). Jesus refused them signs but agreed with Peter, whoconfessed, “You are the Messiah” (8:29). Jesus didprovide the disciples a sign: his transfiguration (9:2–8).

Jesuswithdrew from Galilee to Tyre and Sidon, where a Syrophoenician womanrequested healing for her daughter. Jesus replied, “I was sentonly to the lost sheep of Israel” (Matt. 15:24). Galileans hadlong resented the Syrian provincial leadership partiality thatallotted governmental funds in ways that made the Jews receive mere“crumbs.” Consequently, when the woman replied, “Eventhe dogs eat the crumbs that fall from their master’s table,”Jesus applauded her faith (Matt. 15:27–28). Healing a deaf-muteman in the Decapolis provided another example of Jesus’ministry in Gentile territory (Mark 7:31–37). Peter’sconfession of Jesus as the Christ took place during Jesus’travel to Caesarea Philippi, a well-known Gentile territory. The citywas the ancient center of worship of the Hellenistic god Pan.

Judeanministry.Luke records a geographic turning point in Jesus’ ministry ashe resolutely set out for Jerusalem, a direction that eventually ledto his death (Luke 9:51). Luke divides the journey to Jerusalem intothree phases (9:51–13:21; 13:22–17:10; 17:11–19:27).The opening verses of phase one emphasize a prophetic element of thejourney. Jesus viewed his ministry in Jerusalem as his mission, andthe demands on discipleship intensified as Jesus approached Jerusalem(Matt. 20:17–19, 26–28; Mark 10:38–39, 43–45;Luke 14:25–35). Luke presents the second phase of the journeytoward Jerusalem with a focus on conversations regarding salvationand judgment (Luke 13:22–30). In the third and final phase ofthe journey, the advent of the kingdom and the final judgment are themain themes (17:20–37; 19:11–27).

Socialconflicts with religious leaders increased throughout Jesus’ministry. These conflicts led to lively challenge-riposteinteractions concerning the Pharisaic schools of Shammai and Hillel(Matt. 19:1–12; Mark 10:1–12). Likewise, socioeconomicfeathers were ruffled as Jesus welcomed young children, who hadlittle value in society (Matt. 19:13–15; Mark 10:13–16;Luke 18:15–17).

PassionWeek, death, and resurrection. Eachof the Gospels records Jesus’ entry into Jerusalem with thecrowds extending him a royal welcome (Matt. 21:4–9; Mark11:7–10; Luke 19:35–38; John 12:12–15). Lukedescribes Jesus’ ministry in Jerusalem as a time during whichJesus taught in the temple as Israel’s Messiah (19:45–21:38).

InJerusalem, Jesus cleansed the temple of profiteering (Mark 11:15–17).Mark describes the religious leaders as fearing Jesus because thewhole crowd was amazed at his teaching, and so they “beganlooking for a way to kill him” (11:18). Dismayed, each segmentof Jerusalem’s temple leadership inquired about Jesus’authority (11:27–33). Jesus replied with cunning questions(12:16, 35–36), stories (12:1–12), denunciation(12:38–44), and a prediction of Jerusalem’s owndestruction (13:1–31). One of Jesus’ own disciples, JudasIscariot, provided the temple leaders the opportunity for Jesus’arrest (14:10–11).

Atthe Last Supper, Jesus instituted a new Passover, defining a newcovenant grounded in his sufferings (Matt. 26:17–18, 26–29;Mark 14:16–25; Luke 22:14–20). He again warned thedisciples of his betrayal and arrest (Matt. 26:21–25, 31; Mark14:27–31; Luke 22:21–23; John 13:21–30), and laterhe prayed for the disciples (John 17:1–26) and prayed in agonyand submissiveness in the garden of Gethsemane (Matt. 26:36–42;Mark 14:32–42; Luke 22:39–42). His arrest, trial,crucifixion, death, and resurrection followed (Matt. 26:46–28:15;Mark 14:43–16:8; Luke 22:47–24:9; John 18:1–20:18).Jesus finally commissioned his disciples to continue his mission bymaking disciples of all the nations (Matt. 28:18–20; Acts 1:8)and ascended to heaven with the promise that he will one day return(Luke 24:50–53; Acts 1:9–11).

TheIdentity of Jesus Christ

Variousaspects of Jesus’ identity are stressed in the four NT Gospels,depending on their target audiences. In the Gospels the witnesses toJesus’ ministry are portrayed as constantly questioning andexamining his identity (Matt. 11:2–5; 12:24; 26:63; 27:11; Mark3:22; 8:11; 11:28; 14:61; Luke 7:18–20; 11:15; 22:67, 70;23:39; John 7:20, 25–27; 18:37). Only beings of the spiritualrealm are certain of his divinity (Mark 1:34; 3:11; Luke 4:41). AtJesus’ baptism, God referred to him as his Son, whom he loved(Matt. 3:17; Mark 1:11; Luke 3:22). Likewise, when Jesus wastransfigured in the presence of Peter, James, and John, a voiceaffirmed, “This is my Son, whom I love” (Matt. 17:5; Mark9:7). At the moment of his death, the questioning of Jesus’identity culminated in a confession by a Roman centurion and otherguards: “Surely he was the Son of God!” (Matt. 27:54; cf.Mark 15:39).

Miracleworker.In the first-century setting, folk healers and miracle workers werepart of the fabric of society. Jesus, however, performed signs andmiracles in order to demonstrate the authority of the kingdom of Godover various realms: disease, illness, the spiritual world, nature,and even future events. Especially in the Gospel of John, Jesus’signs and miracles are used to show his authority and thus hisidentity.

Nochallenge superseded Jesus’ authority. Among his ample miraclesand signs, he changed water into wine (John 2:7–9), calmed astorm in the sea (Matt. 8:23–27; Mark 4:35–39; Luke8:22–25), exorcized demons (Matt. 9:32–34; Mark 5:1–13;Luke 9:42–43), healed the sick (Mark 1:40–44), raised thedead (Matt. 9:23–25; Mark 5:35–42; Luke 7:1–16;8:49–54; John 11:17, 38–44), performed miraculousfeedings (Matt. 14:17–21; 15:34–38; Mark 6:30–44;8:5–9; Luke 9:10–17; John 6:8–13), and walked onwater (Matt. 14:25–26; Mark 6:48–49; John 6:19).

ThePharisees requested miracles as evidence of his authority (Mark8:11–12). Jesus refused, claiming that a wicked and adulterousgeneration asks for a miraculous sign (Matt. 12:38–39; 16:1–4).The only sign that he would give was the sign of Jonah—hisdeath and resurrection three days later—a personal sacrifice,taking upon himself the judgment of the world (Matt. 12:39–41).

Rabbi/teacher.Jesus’ teaching style was similar to other first-century rabbisor Pharisees (Mark 9:5; 10:51; John 1:38; 3:2). What distinguishedhim was that he spoke with great personal authority (Matt. 5:22, 28,32, 39, 44; Mark 1:22). Like other rabbis of his day, Jesus gathereddisciples. He called these men to observe his lifestyle and to joinhim in his ministry of teaching, healing, and exorcism (Matt. 10:1–4;Mark 3:13–19; Luke 6:12–16).

Jesusused a variety of teaching methods. He frequently spoke in parables(Matt. 6:24; 13:24–52; 18:10–14, 23–35;21:28–22:14; 24:32–36, 45–51; 25:14–30; Mark4:1–34; 12:1–12; 13:28–34; Luke 8:4–18;12:41–46; 13:18–21; 14:15–24; 15:1–16:15,19–31; 18:1–14; 19:11–27; 20:9–19; 21:29–33),used figures of speech (John 10:9), hyperbole (Matt. 19:24; Mark10:25; Luke 18:25), argumentation (Matt. 26:11), object lessons(Matt. 24:32), frequent repetition (Matt. 13:44–47; Luke13:18–21), practical examples, and personal guidance.

Majorthemes in Jesus’ teaching include the kingdom of God, the costof discipleship, internal righteousness, the end of the age, hisidentity, his mission, and his approaching death. In his teachings,observance of Torah was given new context and meaning because God’skingdom had “come near” (Matt. 3:2). Jesus had come tofulfill the law (Matt. 5:17).

Jesus’teaching ministry often took place amid social conflict. Theseconflicts were couched in so-called challenge-riposte interactions inwhich the honor status of those involved was at stake. Jesus usedthese interactions as teachable moments. When questioned, Jesus gavereplies that reveal omniscience or intimate knowledge of God’swill, especially in the Gospel of John. In the Synoptic Gospels,Jesus’ answers are both ethical and practical in nature. TheSynoptics portray Jesus as challenged repeatedly with accusations ofviolating customs specified in the Jewish law. Jesus’ answersto such accusations often echoed the essence of 1Sam. 15:22,“To obey is better than sacrifice,” phrased by Jesus as“I desire mercy, not sacrifice” (Matt. 9:13; 12:7). Anoverall “better than” ethic was common in Jesus’public teaching.

TheSermon on the Mount (Matt. 5–7) contains a “better than”ethic in which internal obedience is better than mere outwardobedience. For example, Jesus said that anger without cause is equalto murder (Matt. 5:21–22), that looking at a woman lustfullyamounts to adultery (Matt. 5:28), and that instead of revengingwrongs one must reciprocate with love (Matt. 5:38–48). Jesusvalued compassion above traditions and customs, even those containedwithin the OT law. He desired internal obedience above the letter ofthe law.

Jesus’teachings found their authority in the reality of God’simminent kingdom (Matt. 3:2; 10:7; Mark 1:15; Luke 10:9),necessitating repentance (Matt. 3:2), belief (Mark 1:15), dependence(Matt. 18:3–5; Mark 10:15), and loyalty to a new community—thefamily of Jesus followers (Mark 3:34; 10:29–30). Jesus urged,“Seek first [God’s] kingdom and his righteousness”(Matt. 6:33). Preaching with such urgency was common among propheticteachers of the intertestamental period. Jesus, however, had his owngrounds for urgency. He held that God deeply valued all humans (Matt.10:31) and would bring judgment swiftly (Matt. 25:31–46).

Examplesof a “greater good” ethic in the Synoptics include theoccasions when Jesus ate with sinners (Mark 2:16–17). Jesusused an aphorism in response to accusations about his associationswith sinners, saying, “It is not the healthy who need a doctor,but the sick. I have not come to call the righteous, but sinners”(Mark 2:17). He advocated harvesting and healing on the Sabbath (Mark2:23–28; 3:1–6), and when he was accused of breaking thelaw, he pointed to an OT exception (1Sam. 21:1–6) todeclare compassion appropriate for the Sabbath. Jesus also appliedthe “greater good” ethic in the case of divorce, sincewomen suffered the societal stigma of adultery and commonly becameoutcasts following divorce (Matt. 19:8–9; Mark 10:5–9).

Jesus’kingdom teachings were simultaneously spiritual, ethical, andeschatological in application. The teachings were aimed at internaltransformation (Matt. 5:3–9; 18:3; Mark 10:15) and spurring onlove (Matt. 5:44; 7:21). The Spirit of the Lord had called Jesus tobless the hurting ones as they aspired to a godly character. Jesustaught, “Be perfect, therefore, as your heavenly Father isperfect” (Matt. 5:48), and “Be merciful, just as yourFather is merciful” (Luke 6:36). The “blessed” onesin Jesus’ teachings are poor of spirit, peace driven, mournful,and hungry for righteousness, consumed with emulating godlycharacter.

Somescholars believe that Jesus promoted an “interim ethic”for the kingdom, intended only for a short period prior to the end oftime. However, he was explicit regarding the longevity of histeachings: “Heaven and earth will pass away, but my words willnever pass away” (Matt. 24:35; Luke 16:17).

Messiah.The concept of an anointed one, a messiah, who would restore theglories of David’s kingdom and bring political stability wascommon in Jewish expectation. Both before and after the Babyloniancaptivity, many Jews longed for one who would bring peace andprotection. Israel’s prophets had spoken of a coming deliverer,one who would restore David’s kingdom and reign in justice andrighteousness (2Sam. 7:11–16; Isa. 9:1–7; 11:1–16;Jer. 23:5–6; 33:15–16; Ezek. 37:25; Dan. 2:44; Mic. 5:2;Zech. 9:9). Isaiah’s description of the servant (Isa. 53) whosesuffering healed the nation provided a slightly different angle ofexpectation in terms of a deliverer.

Jesus’authority and popularity as a miracle worker called up messianicimages in first-century Jewish minds. On several occasions hearerscalled him “Son of David,” hoping for the Messiah (Matt.12:23; 21:9). Simon Peter was the first follower who confessed Jesusas the Christ, the “Messiah” (Matt. 16:16; Mark 8:29). Inline with Isaiah’s model of the Suffering Servant, Jesusfocused not on political ends but rather on spiritual regenerationthrough his own sacrificial death (Mark 10:45).

Eschatologicalprophet.Many scholars claim that Jesus is best understood as a Jewishapocalypticist, an eschatological prophet who expected God tointervene in history, destroy the wicked, and bring in the kingdom ofGod. Central in this understanding are Jesus’ propheciesconcerning the destruction of the temple in Jerusalem (Matt. 24:1–2,15–22; Mark 13:1; Luke 21:5–24; John 2:19; Acts 6:14). Inaddition, it is noted that Jesus had twelve disciples, representativeof the twelve tribes of Israel (Matt. 19:2–28; Luke 22:23–30).Certain of Jesus’ parables, those with apocalyptic images ofcoming judgment, present Jesus as an eschatological prophet (Matt.24:45–25:30; Luke 12:41–46; 19:11–27).

SufferingSon of God.Jesus’ first recorded teaching in a synagogue in Nazareth wasparadigmatic (Luke 4:16–21). He attributed the reading, Isa.61:1–2, to his personal calling to serve, and in doing so herevealed a trajectory of suffering. The Gospel of Mark likewise aptlyportrays Jesus as the suffering Son of God. Jesus’ ownteachings incorporated his upcoming suffering (Mark 8:31; 9:12–13,31; 10:33–34). He summarized his mission by declaring, “TheSon of Man did not come to be served, but to serve, and to give hislife as a ransom for many” (Mark 10:45). His earthly careerended with a trial in Jerusalem consisting of both Roman and Jewishcomponents (Matt. 26:57–68; 27:1–31; Mark 14:53–65;15:1–20; Luke 22:54–23:25; John 18:19–24;18:28–19:16). He was insulted, scourged, mocked, and crucified.

Jesus’suffering culminated in his humiliating death by crucifixion (Matt.27:33–50; Mark 15:22–37; Luke 23:33–46; John19:16–30). Crucifixion was a death of unimaginable horror,bringing shame and humiliation to the victim and his family. Anyonehanging on a tree was considered cursed (Deut. 21:23; Gal. 3:13).Thus, especially in a Jewish society, anyone associated with acrucified person bore the shame of following one who was executed asa lowly slave and left as a cursed corpse. The apostle Paul referredto this shame of the cross when he stated, “I am not ashamed ofthe gospel” (Rom. 1:16).

ExaltedLord.Jesus had prophesied that he would rise again (Matt. 16:21; 17:9, 23;20:19; 27:63; Mark 8:31; 9:9, 31; 10:34; Luke 9:22; 18:33; 24:7, 46).The testimony of the Synoptics is that the resurrection of JesusChrist indeed occurred on the third day, Christ having died on Friday(Mark 15:42–45; Luke 23:52–54; John 19:30–33) andrisen again on Sunday (Matt. 28:1–7; Mark 16:2–7; Luke24:1–7; John 20:1–16). The resurrected Jesus waswitnessed by the women (Matt. 28:8–9), the eleven disciples(Matt. 28:16–17; Luke 24:36–43), and travelers on theroad to Emmaus (Luke 24:31–32). According to Paul, he appearedto as many as five hundred others (1Cor. 15:6). He appeared inbodily form, spoke, showed his scars, and ate (Luke 24:39–43;John 20:27; Acts 1:4). After forty postresurrection days, Jesusascended into the heavenly realm (Acts 1:9).

Asmuch as Jesus’ death was the epitome of shame, his victory overdeath was his ultimate exaltation (Phil. 2:5–11). At Pentecost,Peter proclaimed that in the resurrection God fulfilled OT promises(Ps. 16:10) by raising his Son from the grave (Acts 2:30–31).Furthermore, Christ provided freedom from the law through hisresurrection (Rom. 5:13–14), God’s approval of his lifeand work (Phil. 2:8–9), and God’s designation of him asLord over all the earth, the living and the dead (Acts 17:30–31;Phil. 2:10; Heb. 1:3), and over all his enemies (Eph. 1:20–23).

Jesus’exaltation commenced the beginning of forgiveness and justification(Luke 24:46–47; Acts 13:30–39; Rom. 4:25) and hisintercession for the people of God (Rom. 8:34). His ascensionsignaled the coming of the Holy Spirit as comforter and teacher (John14:26; Acts 2:33) and was accompanied by the promise of his return inglory (Luke 24:51), at which time he will render judgment (Matt.19:28; 24:31; Rev. 20:11–15) and establish his eternal kingdom(1Cor. 15:24; 2Tim. 4:1; Rev. 11:15; 22:5).

Jesus’Purpose and Community

Inthe Gospel of Matthew, Jesus is the long-awaited Messiah, whopreaches the good news of the kingdom, urging people to repent(4:17–23). Repentance and belief allow one to enter thekingdom. The call into the kingdom is a call into a new covenant, onemade in Jesus’ blood (26:28).

Inthe prologue to the Gospel of Mark, the narrator reveals the identityof Jesus (1:1). Jesus is presented as the one who brings good tidingsof salvation (cf. Isa. 40:9; 52:7; 61:1). The centrality of thegospel, the good news (Mark 1:14–15), is evident.

Lukelikewise presents the preaching of the good news as a main purpose ofJesus’ ministry (4:43). The content of this good news is thekingdom of God (4:43; 8:1; 16:16). When the disciples of John theBaptist asked Jesus if he was the one who was to come (7:20), Jesusanswered, “Go back and report to John what you have seen andheard: The blind receive sight, the lame walk, those who have leprosyare cleansed, the deaf hear, the dead are raised, and the good newsis proclaimed to the poor” (7:22). The kingdom of God, aspresented in Luke, brings freedom for the prisoners, recovery ofsight for the blind, and release for the oppressed (4:18). Jesus’healings and exorcisms announce the coming kingdom of God alreadypresent in the ministry of Jesus (4:40–44; 6:18–20;8:1–2; 9:2; 10:8–9).

Inthe Gospel of John, Jesus testifies to the good news by way of signsthroughout his ministry. These signs point to Jesus’ glory, hisidentity, and the significance of his ministry. Jesus is the Messiah,the Son of God, who offers eternal and abundant life. This abundantlife is lived out in community.

Inthe Gospel of John, the disciples of Jesus represent the community ofGod (17:21). The disciples did not belong to the world, but theycontinued to live in the world (17:14–16). Throughout hisministry, Jesus called his disciples to follow him. This was a callto loyalty (Matt. 10:32–40; 16:24–26; Mark 8:34–38;Luke 9:23–26), a call to the family of God (Matt. 12:48–50;Mark 3:33–35). Jesus’ declaration “On this rock Iwill build my church” (Matt. 16:18) was preceded by the call tocommunity. Jesus’ presence as the head of the community wasreplaced by the promised Spirit (John 14:16–18).

Jesus’ministry continued in the community of Jesus’ followers, God’sfamily—the church. Entrance into the community was obtained byadopting the values of the kingdom, belief, and through theinitiation rite of baptism (Matt. 10:37–39; 16:24–26;Mark 8:34–38; Luke 9:23–26, 57–62; John 1:12; 3:16;10:27–29; Acts 2:38; 16:31–33; 17:30; Rom. 10:9).

TheQuests for the Historical Jesus

Thequest for the historical Jesus, or seeking who Jesus was from ahistorical perspective, is a modern phenomenon deemed necessary byscholars who claim that the NT Gospels were written long after Jesus’death and were heavily influenced by the post-Easter understanding ofthe church.

Thebeginning of this quest is often dated to 1770, when the lecturenotes of Hermann Samuel Reimarus were published posthumously.Reimarus had launched an inquiry into the identity of Jesus thatrejected as inauthentic all supernatural elements in the Gospels. Heconcluded that the disciples invented Jesus’ miracles,prophecies, ritualistic religion, and resurrection. Reimarus’sconclusions were not widely accepted, but they set off a flurry ofrationalistic research into the historical Jesus that continuedthroughout the nineteenth century. This became known as the “firstquest” for the historical Jesus.

In1906 German theologian Albert Schweit-zer published The Quest of theHistorical Jesus (German title: Von Reimarus zu Wrede: EineGeschichte der Leben-Jesu-Forschung), a scathing indictment of thefirst quest. Schweitzer’s work showed that nineteenth-centuryresearchers re-created Jesus in their own image, transforming thehistorical Jesus into a modern philanthropist preaching aninoffensive message of love and brotherhood. Schweitzer’sconclusions marked the beginning of the end for this first quest.Schweitzer himself concluded that the historical Jesus was aneschatological prophet whose purposes failed during his last days inJerusalem.

Withthe demise of the first quest, some NT scholars, such as RudolfBultmann, rejected any claim to being able to discover the historicalJesus. This trend continued until 1953, when some of Bultmann’sformer students launched what has come to be known as the “newquest” for the historical Jesus (1953–c. 1970). Thisquest created new interest in the historical Jesus but was stilldominated by the view that the portrait of Jesus in the Gospels islargely a creation of the church in a post-Easter setting.

Asthe rebuilding years of the post–World WarII era wanedand scholars started to reap academic fruit from major archaeologicalfinds such as the DSS, research on the historical Jesus moved on towhat has been called the “third quest.” This quest seeksespecially to research and understand Jesus in his social andcultural setting.

Laying hands on someone/something has two literal uses andtwo with symbolic significance. (1)Literally, to take something(e.g., Exod. 22:8–11; Esther 9:10–16; Matt. 26:51; Luke9:62) or someone—that is, to make an arrest (e.g., Neh. 13:21;Matt. 26:50; Mark 14:46; Luke 20:19; 21:12; 22:53; John 7:30, 44;Acts 4:3; 5:18; 12:1; 21:27). (2)Literally, to lay hands onpersons (or things) so as to hurt or destroy them (e.g., Gen. 22:12;37:22; 1Sam. 22:17; 24:5–13; 26:9–23; Job 1:12;9:33; Isa. 11:14; Jer. 15:6; Ezek. 39:21). (3)Laying a handover one’s mouth as a symbolic gesture of amazement (Mic. 7:16)or humility (Job 40:4). (4)A gesture to symbolize the transferof something from one person to another. Transfer symbolismapplications include the transfer of representative identity insacrificing (e.g., Exod. 29:10–19; Lev. 1:4; 16:21; Num.8:10–12; 2Chron. 29:23–24), of authority incommissioning (ordination) (e.g., Num. 27:18–23; Deut. 34:9;Acts 6:6; 13:3), of blessing (e.g., Gen. 48:13–20; Matt.19:13–15), of life and health (e.g., Matt. 8:3, 15; 9:18, 25,29; 20:34; Mark 6:5; 7:32–33; 8:22–26; 16:18; Luke 4:40;7:14; 13:13; 22:51; Acts 8:17; 9:12, 17; 28:8), and of the HolySpirit and spiritual gifting (Acts 8:17–19; 9:17; 19:6; 1Tim.4:14; 2Tim. 1:6).

Threeadditional things should be noted about this transfer symbolism.First, the laying on of hands is symbolic rather than purelycausative. This is evidenced when Jesus and the apostles creditfaith, and not mere touch, for healings (e.g., Matt. 9:22, 29–30;Luke 17:19; Acts 3:12–16; 14:9; cf. Matt. 13:58), when healingsoccur from a distance (e.g., Matt. 8:5–13; 15:21–28; John4:46–54) and/or with no apparent touch involved (e.g., Matt.8:28–34; 9:1–8, 32–33; 12:22; 17:14–21; Mark1:23–28; Luke 17:11–19; John 5:1–9; 11:1–44;Acts 5:15; 9:32–35, 40–41; 14:8–10; 16:18), whenthe Holy Spirit comes upon people without touch (e.g., Acts10:44–45), and when Peter strongly rebukes Simon Magus forassuming that the Holy Spirit is dispensed by mere touch (Acts8:17–24).

Second,the early church used the laying on of hands for commissioning churchworkers (Acts 6:6), missionaries (Acts 13:3),and elders (Acts 14:23 [the Greek word used for “appointing,”cheirotoneō, is derivedfrom the words for “extend,” teinō, and “hand,”cheir; cf. 2Cor. 8:19). Since the act was conducted by apostles(Acts 6:6), by prophets and teachers (Acts 13:1–3), byPaul and Barnabas (Acts 14:23; 2Tim. 1:6), and by church elders(1Tim. 4:14), we may conclude that the early church had noestablished hierarchy for ordination.

Third,the NT has some guidelines for commissioning Christian workers (cf.Heb. 6:2). Church leaders have weighty responsibilities (Acts 20:28;1Tim. 3:1–13; 5:17; Titus 1:5–9; 1Pet.5:1–4), so it is not surprising that a church elder/overseermust not be a recent convert (1Tim. 3:6) or hastily ordained(1Tim. 5:22), and that a deacon must first be tested (1Tim.3:10).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

The founder of what became known as the movement of Jesusfollowers or Christianity. For Christian believers, Jesus Christembodies the personal and supernatural intervention of God in humanhistory.

Introduction

Name.Early Christians combined the name “Jesus” with the title“Christ” (Acts 5:42; NIV: “Messiah”). Thename “Jesus,” from the Hebrew Yehoshua or Yeshua, was acommon male name in first-century Judaism. The title “Christ”is from the Greek christos, a translation of the Hebrew mashiakh(“anointed one, messiah”). Christians eventually werenamed after Jesus’ title (Acts 11:26). During the ministry ofJesus, Peter was the first disciple to recognize Jesus as the Messiah(Matt. 16:16; Mark 9:29; Luke 9:20).

Sources.From the viewpoint of Christianity, the life and ministry of Jesusconstitute the turning point in human history. From a historicalperspective, ample early source materials would be expected. Indeed,both Christian and non-Christian first-century and earlysecond-century literary sources are extant, but they are few innumber. In part, this low incidence is due to society’s initialresistance to the Jesus followers’ movement. The ancient Romanhistorian Tacitus called Christianity “a superstition,”since its beliefs did not fit with the culture’s prevailingworldview and thus were considered antisocial. Early literary sourcestherefore are either in-group documents or allusions in non-Christiansources.

TheNT Gospels are the principal sources for the life and ministry ofJesus. They consist of Matthew, Mark, Luke (the Synoptic Gospels),and John. Most scholars adhere to the so-called Four SourceHypothesis. In this theory, Mark was written first and was used as asource by Matthew and Luke, who also used the sayings source Q (fromGerman Quelle, meaning “source”) as well as their ownindividual sources M (Matthew) and L (Luke). John used additionalsources.

Theearly church tried to put together singular accounts, so-calledGospel harmonies, of the life of Jesus. The Gospel of the Ebionitesrepresents one such attempt based on the Synoptic Gospels. Anotherharmony, the Diatessaron, based on all four Gospels, was producedaround AD 170 by Tatian. Additional source materials concerning thelife of Christ are provided in the NT in texts such as Acts, thePauline Epistles, the General Epistles, and the Revelation of John.Paul wrote to the Galatians, “But when the time had fully come,God sent his Son, born of a woman, born under law” (Gal. 4:4).The first narrative about Jesus by the Christian community was apassion narrative, the account of his death and resurrection. Thefirst extant references to this tradition are found in Paul’sletters (1Cor. 2:2; Gal. 3:1). The resurrection was recognizedfrom the beginning as the cornerstone of the Christian faith (1Cor.15:13–14).

Amongnon-Christian sources, the earliest reference to Jesus is found in aletter written circa AD 112 by Pliny the Younger, the Roman governorof Bithynia-Pontus (Ep. 10.96). The Roman historian Tacitus mentionsChristians and Jesus around AD 115 in his famous work about thehistory of Rome (Ann. 15.44). Another Roman historian, Suetonius,wrote around the same time concerning unrest among the Jews in Romebecause of a certain “Chrestos” (Claud. 25.4). Somescholars conclude that “Chrestos” is a misspelling of“Christos,” a reference to Jesus.

TheJewish author Josephus (first century AD) mentions Jesus in a storyabout the Jewish high priest Ananus and James the brother of Jesus(Ant. 20.200). A controversial reference to Jesus appears in adifferent part of the same work, where Josephus affirms that Jesus isthe Messiah and that he rose from the dead (Ant. 18.63–64). Themajority of scholars consider this passage to be authentic butheavily edited by later Christian copyists. Another Jewish source,the Talmud, also mentions Jesus in several places, but thesereferences are very late and of little historical value.

NoncanonicalGospels that mention Jesus include, for example, the Infancy Gospelof Thomas, the Gospel of Thomas, the Gospel of Peter, the Gospel ofJames, the Gospel of Judas Iscariot, the Gospel of the Hebrews, theEgerton Gospel, and the Gospel of Judas. Although some of these maycontain an occasional authentic saying or event, for the most partthey are late and unreliable.

Jesus’Life

Birthand childhood. TheGospels of Matthew and Luke record Jesus’ birth in Bethlehemduring the reign of Herod the Great (Matt. 2:1; Luke 2:4, 11). Jesuswas probably born between 6 and 4 BC, shortly before Herod’sdeath (Matt. 2:19). Both Matthew and Luke record the miracle of avirginal conception made possible by the Holy Spirit (Matt. 1:18;Luke 1:35). Luke mentions a census under the Syrian governorQuirinius that was responsible for Jesus’ birth taking place inBethlehem (2:1–5). Both the census and the governorship at thetime of the birth of Jesus have been questioned by scholars.Unfortunately, there is not enough extrabiblical evidence to eitherconfirm or disprove these events, so their veracity must bedetermined on the basis of one’s view regarding the generalreliability of the Gospel tradition.

Onthe eighth day after his birth, Jesus was circumcised, in keepingwith the Jewish law, at which time he officially was named “Jesus”(Luke 2:21). He spent his growing years in Nazareth, in the home ofhis parents, Joseph and Mary (2:40). Of the NT Gospels, the Gospel ofLuke contains the only brief portrayal of Jesus’ growth instrength, wisdom, and favor with God and people (2:40, 52). Luke alsocontains the only account of Jesus as a young boy (2:41–49).

Jesuswas born in a lower socioeconomic setting. His parents offered atemple sacrifice appropriate for those who could not afford tosacrifice a sheep (Luke 2:22–24; cf. Lev. 12:8). Joseph, Jesus’earthly father, was a carpenter or an artisan in wood, stone, ormetal (Matt. 13:55). From a geographical perspective, Nazareth wasnot a prominent place for settling, since it lacked fertile ground.Jesus’ disciple Nathanael expressed an apparently commonfirst-century sentiment concerning Nazareth: “Nazareth! Cananything good come from there?” (John 1:46).

Jesuswas also born in a context of scandal. Questions of illegitimacy weresurely raised, since his mother Mary was discovered to be pregnantbefore her marriage to Joseph. According to Matthew, only theintervention of an angel convinced Joseph not to break his betrothal(Matt. 1:18–24). Jesus’ birth took place in Bethlehem,far from his parents’ home in Nazareth. According to kinshiphospitality customs, Joseph and Mary would have expected to stay withdistant relatives in Bethlehem. It is likely that they were unwelcomebecause of Jesus’ status as an illegitimate child; thus Maryhad to give birth elsewhere and place the infant Jesus in a feedingtrough (Luke 2:7). A similar response was seen years later inNazareth when Jesus was identified as “Mary’s son”(Mark 6:3) rather than through his paternal line, thereby shaming himas one who was born an illegitimate child. Jesus was likewiserejected at the end of his life as the crowds cried, “Crucifyhim!” (Matt. 27:22–23; Mark 15:13–14; Luke 23:21;John 19:6, 15). When Jesus was arrested, most of his followers fled(Matt. 26:56; Mark 14:50–52), and a core disciple, Peter,vehemently denied knowing him (Matt. 26:69–74; Mark 14:66–71;Luke 22:55–60; John 18:15–17, 25–27). His ownsiblings did not believe in him (John 7:5) and were evidently ashamedof his fate, since from the cross Jesus placed the care of his motherinto the hands of “the disciple whom he loved” (19:26–27)rather than the next brother in line, as was customary.

Baptism,temptation, and start of ministry.After Jesus was baptized by the prophet John the Baptist (Luke3:21–22), God affirmed his pleasure with him by referring tohim as his Son, whom he loved (Matt. 3:17; Mark 1:11; Luke 3:22).Jesus’ baptism did not launch him into fame and instantministry success; instead, Jesus was led by the Spirit into thewilderness, where he was tempted for forty days (Matt. 4:1–11;Mark 1:12–13; Luke 4:1–13). Mark stresses that thetemptations immediately followed the baptism. Matthew and Lukeidentify three specific temptations by the devil, though their orderfor the last two is reversed. Both Matthew and Luke agree that Jesuswas tempted to turn stones into bread, expect divine interventionafter jumping off the temple portico, and receive all the world’skingdoms for worshiping the devil. Jesus resisted all temptation,quoting Scripture in response.

Matthewand Mark record that Jesus began his ministry in Capernaum inGalilee, after the arrest of John the Baptist (Matt. 4:12–13;Mark 1:14). Luke says that Jesus started his ministry at about thirtyyears of age (3:23). This may be meant to indicate full maturity orperhaps correlate this age with the onset of the service of theLevites in the temple (cf. Num. 4:3). John narrates the beginning ofJesus’ ministry by focusing on the calling of the disciples andthe sign performed at a wedding at Cana (1:35–2:11).

Jesus’public ministry: chronology.Jesus’ ministry started in Galilee, probably around AD 27/28,and ended with his death around AD 30 in Jerusalem. The temple hadbeen forty-six years in construction (generally interpreted as thetemple itself and the wider temple complex) when Jesus drove out themoney changers (John 2:20). According to Josephus, the rebuilding andexpansion of the second temple had started in 20/19 BC, during theeighteenth year of Herod’s reign (Ant. 15.380). The ministry ofJohn the Baptist had commenced in the fifteenth year of Tiberius(Luke 3:1–2), who had become a coregent in AD 11/12. From thesedates of the start of the temple building and the correlation of thereign of Tiberius to John the Baptist’s ministry, the onset ofJesus’ ministry can probably be dated to AD 27/28.

TheGospel of John mentions three Passovers and another unnamed feast inJohn 5:1. The length of Jesus’ ministry thus extended overthree or four Passovers, equaling about three or three and a halfyears. Passover, which took place on the fifteenth of Nisan, came ona Friday in AD 30 and 33. The year of Jesus’ death wastherefore probably AD 30.

Jesus’ministry years may be divided broadly into his Galilean and hisJudean ministries. The Synoptic Gospels describe the ministry inGalilee from various angles but converge again as Jesus enters Judea.

Galileanministry.The early stages of Jesus’ ministry centered in and aroundGalilee. Jesus presented the good news and proclaimed that thekingdom of God was near. Matthew focuses on the fulfillment ofprophecy (Matt. 4:13–17). Luke records Jesus’ firstteaching in his hometown, Nazareth, as paradigmatic (Luke 4:16–30);the text that Jesus quoted, Isa. 61:1–2, set the stage for hiscalling to serve and revealed a trajectory of rejection andsuffering.

AllGospels record Jesus’ gathering of disciples early in hisGalilean ministry (Matt. 4:18–22; Mark 1:16–20; Luke5:1–11; John 1:35–51). The formal call and commissioningof the Twelve who would become Jesus’ closest followers isrecorded in different parts of the Gospels (Matt. 10:1–4; Mark3:13–19; Luke 6:12–16). A key event in the early ministryis the Sermon on the Mount/Plain (Matt. 5:1–7:29; Luke6:20–49). John focuses on Jesus’ signs and miracles, inparticular in the early parts of his ministry, whereas the Synopticsfocus on healings and exorcisms.

DuringJesus’ Galilean ministry, onlookers struggled with hisidentity. However, evil spirits knew him to be of supreme authority(Mark 3:11). Jesus was criticized by outsiders and by his own family(3:21). The scribes from Jerusalem identified him as a partner ofBeelzebul (3:22). Amid these situations of social conflict, Jesustold parables that couched his ministry in the context of a growingkingdom of God. This kingdom would miraculously spring from humblebeginnings (4:1–32).

TheSynoptics present Jesus’ early Galilean ministry as successful.No challenge or ministry need superseded Jesus’ authority orability: he calmed a storm (Mark 4:35–39), exorcized manydemons (Mark 5:1–13), raised the dead (Mark 5:35–42), fedfive thousand (Mark 6:30–44), and walked on water (Mark6:48–49).

Inthe later part of his ministry in Galilee, Jesus often withdrew andtraveled to the north and the east. The Gospel narratives are notwritten with a focus on chronology. However, only brief returns toGalilee appear to have taken place prior to Jesus’ journey toJerusalem. As people followed Jesus, faith was praised and fearresolved. Jerusalem’s religious leaders traveled to Galilee,where they leveled accusations and charged Jesus’ discipleswith lacking ritual purity (Mark 7:1–5). Jesus shamed thePharisees by pointing out their dishonorable treatment of parents(7:11–13). The Pharisees challenged his legitimacy by demandinga sign (8:11). Jesus refused them signs but agreed with Peter, whoconfessed, “You are the Messiah” (8:29). Jesus didprovide the disciples a sign: his transfiguration (9:2–8).

Jesuswithdrew from Galilee to Tyre and Sidon, where a Syrophoenician womanrequested healing for her daughter. Jesus replied, “I was sentonly to the lost sheep of Israel” (Matt. 15:24). Galileans hadlong resented the Syrian provincial leadership partiality thatallotted governmental funds in ways that made the Jews receive mere“crumbs.” Consequently, when the woman replied, “Eventhe dogs eat the crumbs that fall from their master’s table,”Jesus applauded her faith (Matt. 15:27–28). Healing a deaf-muteman in the Decapolis provided another example of Jesus’ministry in Gentile territory (Mark 7:31–37). Peter’sconfession of Jesus as the Christ took place during Jesus’travel to Caesarea Philippi, a well-known Gentile territory. The citywas the ancient center of worship of the Hellenistic god Pan.

Judeanministry.Luke records a geographic turning point in Jesus’ ministry ashe resolutely set out for Jerusalem, a direction that eventually ledto his death (Luke 9:51). Luke divides the journey to Jerusalem intothree phases (9:51–13:21; 13:22–17:10; 17:11–19:27).The opening verses of phase one emphasize a prophetic element of thejourney. Jesus viewed his ministry in Jerusalem as his mission, andthe demands on discipleship intensified as Jesus approached Jerusalem(Matt. 20:17–19, 26–28; Mark 10:38–39, 43–45;Luke 14:25–35). Luke presents the second phase of the journeytoward Jerusalem with a focus on conversations regarding salvationand judgment (Luke 13:22–30). In the third and final phase ofthe journey, the advent of the kingdom and the final judgment are themain themes (17:20–37; 19:11–27).

Socialconflicts with religious leaders increased throughout Jesus’ministry. These conflicts led to lively challenge-riposteinteractions concerning the Pharisaic schools of Shammai and Hillel(Matt. 19:1–12; Mark 10:1–12). Likewise, socioeconomicfeathers were ruffled as Jesus welcomed young children, who hadlittle value in society (Matt. 19:13–15; Mark 10:13–16;Luke 18:15–17).

PassionWeek, death, and resurrection. Eachof the Gospels records Jesus’ entry into Jerusalem with thecrowds extending him a royal welcome (Matt. 21:4–9; Mark11:7–10; Luke 19:35–38; John 12:12–15). Lukedescribes Jesus’ ministry in Jerusalem as a time during whichJesus taught in the temple as Israel’s Messiah (19:45–21:38).

InJerusalem, Jesus cleansed the temple of profiteering (Mark 11:15–17).Mark describes the religious leaders as fearing Jesus because thewhole crowd was amazed at his teaching, and so they “beganlooking for a way to kill him” (11:18). Dismayed, each segmentof Jerusalem’s temple leadership inquired about Jesus’authority (11:27–33). Jesus replied with cunning questions(12:16, 35–36), stories (12:1–12), denunciation(12:38–44), and a prediction of Jerusalem’s owndestruction (13:1–31). One of Jesus’ own disciples, JudasIscariot, provided the temple leaders the opportunity for Jesus’arrest (14:10–11).

Atthe Last Supper, Jesus instituted a new Passover, defining a newcovenant grounded in his sufferings (Matt. 26:17–18, 26–29;Mark 14:16–25; Luke 22:14–20). He again warned thedisciples of his betrayal and arrest (Matt. 26:21–25, 31; Mark14:27–31; Luke 22:21–23; John 13:21–30), and laterhe prayed for the disciples (John 17:1–26) and prayed in agonyand submissiveness in the garden of Gethsemane (Matt. 26:36–42;Mark 14:32–42; Luke 22:39–42). His arrest, trial,crucifixion, death, and resurrection followed (Matt. 26:46–28:15;Mark 14:43–16:8; Luke 22:47–24:9; John 18:1–20:18).Jesus finally commissioned his disciples to continue his mission bymaking disciples of all the nations (Matt. 28:18–20; Acts 1:8)and ascended to heaven with the promise that he will one day return(Luke 24:50–53; Acts 1:9–11).

TheIdentity of Jesus Christ

Variousaspects of Jesus’ identity are stressed in the four NT Gospels,depending on their target audiences. In the Gospels the witnesses toJesus’ ministry are portrayed as constantly questioning andexamining his identity (Matt. 11:2–5; 12:24; 26:63; 27:11; Mark3:22; 8:11; 11:28; 14:61; Luke 7:18–20; 11:15; 22:67, 70;23:39; John 7:20, 25–27; 18:37). Only beings of the spiritualrealm are certain of his divinity (Mark 1:34; 3:11; Luke 4:41). AtJesus’ baptism, God referred to him as his Son, whom he loved(Matt. 3:17; Mark 1:11; Luke 3:22). Likewise, when Jesus wastransfigured in the presence of Peter, James, and John, a voiceaffirmed, “This is my Son, whom I love” (Matt. 17:5; Mark9:7). At the moment of his death, the questioning of Jesus’identity culminated in a confession by a Roman centurion and otherguards: “Surely he was the Son of God!” (Matt. 27:54; cf.Mark 15:39).

Miracleworker.In the first-century setting, folk healers and miracle workers werepart of the fabric of society. Jesus, however, performed signs andmiracles in order to demonstrate the authority of the kingdom of Godover various realms: disease, illness, the spiritual world, nature,and even future events. Especially in the Gospel of John, Jesus’signs and miracles are used to show his authority and thus hisidentity.

Nochallenge superseded Jesus’ authority. Among his ample miraclesand signs, he changed water into wine (John 2:7–9), calmed astorm in the sea (Matt. 8:23–27; Mark 4:35–39; Luke8:22–25), exorcized demons (Matt. 9:32–34; Mark 5:1–13;Luke 9:42–43), healed the sick (Mark 1:40–44), raised thedead (Matt. 9:23–25; Mark 5:35–42; Luke 7:1–16;8:49–54; John 11:17, 38–44), performed miraculousfeedings (Matt. 14:17–21; 15:34–38; Mark 6:30–44;8:5–9; Luke 9:10–17; John 6:8–13), and walked onwater (Matt. 14:25–26; Mark 6:48–49; John 6:19).

ThePharisees requested miracles as evidence of his authority (Mark8:11–12). Jesus refused, claiming that a wicked and adulterousgeneration asks for a miraculous sign (Matt. 12:38–39; 16:1–4).The only sign that he would give was the sign of Jonah—hisdeath and resurrection three days later—a personal sacrifice,taking upon himself the judgment of the world (Matt. 12:39–41).

Rabbi/teacher.Jesus’ teaching style was similar to other first-century rabbisor Pharisees (Mark 9:5; 10:51; John 1:38; 3:2). What distinguishedhim was that he spoke with great personal authority (Matt. 5:22, 28,32, 39, 44; Mark 1:22). Like other rabbis of his day, Jesus gathereddisciples. He called these men to observe his lifestyle and to joinhim in his ministry of teaching, healing, and exorcism (Matt. 10:1–4;Mark 3:13–19; Luke 6:12–16).

Jesusused a variety of teaching methods. He frequently spoke in parables(Matt. 6:24; 13:24–52; 18:10–14, 23–35;21:28–22:14; 24:32–36, 45–51; 25:14–30; Mark4:1–34; 12:1–12; 13:28–34; Luke 8:4–18;12:41–46; 13:18–21; 14:15–24; 15:1–16:15,19–31; 18:1–14; 19:11–27; 20:9–19; 21:29–33),used figures of speech (John 10:9), hyperbole (Matt. 19:24; Mark10:25; Luke 18:25), argumentation (Matt. 26:11), object lessons(Matt. 24:32), frequent repetition (Matt. 13:44–47; Luke13:18–21), practical examples, and personal guidance.

Majorthemes in Jesus’ teaching include the kingdom of God, the costof discipleship, internal righteousness, the end of the age, hisidentity, his mission, and his approaching death. In his teachings,observance of Torah was given new context and meaning because God’skingdom had “come near” (Matt. 3:2). Jesus had come tofulfill the law (Matt. 5:17).

Jesus’teaching ministry often took place amid social conflict. Theseconflicts were couched in so-called challenge-riposte interactions inwhich the honor status of those involved was at stake. Jesus usedthese interactions as teachable moments. When questioned, Jesus gavereplies that reveal omniscience or intimate knowledge of God’swill, especially in the Gospel of John. In the Synoptic Gospels,Jesus’ answers are both ethical and practical in nature. TheSynoptics portray Jesus as challenged repeatedly with accusations ofviolating customs specified in the Jewish law. Jesus’ answersto such accusations often echoed the essence of 1Sam. 15:22,“To obey is better than sacrifice,” phrased by Jesus as“I desire mercy, not sacrifice” (Matt. 9:13; 12:7). Anoverall “better than” ethic was common in Jesus’public teaching.

TheSermon on the Mount (Matt. 5–7) contains a “better than”ethic in which internal obedience is better than mere outwardobedience. For example, Jesus said that anger without cause is equalto murder (Matt. 5:21–22), that looking at a woman lustfullyamounts to adultery (Matt. 5:28), and that instead of revengingwrongs one must reciprocate with love (Matt. 5:38–48). Jesusvalued compassion above traditions and customs, even those containedwithin the OT law. He desired internal obedience above the letter ofthe law.

Jesus’teachings found their authority in the reality of God’simminent kingdom (Matt. 3:2; 10:7; Mark 1:15; Luke 10:9),necessitating repentance (Matt. 3:2), belief (Mark 1:15), dependence(Matt. 18:3–5; Mark 10:15), and loyalty to a new community—thefamily of Jesus followers (Mark 3:34; 10:29–30). Jesus urged,“Seek first [God’s] kingdom and his righteousness”(Matt. 6:33). Preaching with such urgency was common among propheticteachers of the intertestamental period. Jesus, however, had his owngrounds for urgency. He held that God deeply valued all humans (Matt.10:31) and would bring judgment swiftly (Matt. 25:31–46).

Examplesof a “greater good” ethic in the Synoptics include theoccasions when Jesus ate with sinners (Mark 2:16–17). Jesusused an aphorism in response to accusations about his associationswith sinners, saying, “It is not the healthy who need a doctor,but the sick. I have not come to call the righteous, but sinners”(Mark 2:17). He advocated harvesting and healing on the Sabbath (Mark2:23–28; 3:1–6), and when he was accused of breaking thelaw, he pointed to an OT exception (1Sam. 21:1–6) todeclare compassion appropriate for the Sabbath. Jesus also appliedthe “greater good” ethic in the case of divorce, sincewomen suffered the societal stigma of adultery and commonly becameoutcasts following divorce (Matt. 19:8–9; Mark 10:5–9).

Jesus’kingdom teachings were simultaneously spiritual, ethical, andeschatological in application. The teachings were aimed at internaltransformation (Matt. 5:3–9; 18:3; Mark 10:15) and spurring onlove (Matt. 5:44; 7:21). The Spirit of the Lord had called Jesus tobless the hurting ones as they aspired to a godly character. Jesustaught, “Be perfect, therefore, as your heavenly Father isperfect” (Matt. 5:48), and “Be merciful, just as yourFather is merciful” (Luke 6:36). The “blessed” onesin Jesus’ teachings are poor of spirit, peace driven, mournful,and hungry for righteousness, consumed with emulating godlycharacter.

Somescholars believe that Jesus promoted an “interim ethic”for the kingdom, intended only for a short period prior to the end oftime. However, he was explicit regarding the longevity of histeachings: “Heaven and earth will pass away, but my words willnever pass away” (Matt. 24:35; Luke 16:17).

Messiah.The concept of an anointed one, a messiah, who would restore theglories of David’s kingdom and bring political stability wascommon in Jewish expectation. Both before and after the Babyloniancaptivity, many Jews longed for one who would bring peace andprotection. Israel’s prophets had spoken of a coming deliverer,one who would restore David’s kingdom and reign in justice andrighteousness (2Sam. 7:11–16; Isa. 9:1–7; 11:1–16;Jer. 23:5–6; 33:15–16; Ezek. 37:25; Dan. 2:44; Mic. 5:2;Zech. 9:9). Isaiah’s description of the servant (Isa. 53) whosesuffering healed the nation provided a slightly different angle ofexpectation in terms of a deliverer.

Jesus’authority and popularity as a miracle worker called up messianicimages in first-century Jewish minds. On several occasions hearerscalled him “Son of David,” hoping for the Messiah (Matt.12:23; 21:9). Simon Peter was the first follower who confessed Jesusas the Christ, the “Messiah” (Matt. 16:16; Mark 8:29). Inline with Isaiah’s model of the Suffering Servant, Jesusfocused not on political ends but rather on spiritual regenerationthrough his own sacrificial death (Mark 10:45).

Eschatologicalprophet.Many scholars claim that Jesus is best understood as a Jewishapocalypticist, an eschatological prophet who expected God tointervene in history, destroy the wicked, and bring in the kingdom ofGod. Central in this understanding are Jesus’ propheciesconcerning the destruction of the temple in Jerusalem (Matt. 24:1–2,15–22; Mark 13:1; Luke 21:5–24; John 2:19; Acts 6:14). Inaddition, it is noted that Jesus had twelve disciples, representativeof the twelve tribes of Israel (Matt. 19:2–28; Luke 22:23–30).Certain of Jesus’ parables, those with apocalyptic images ofcoming judgment, present Jesus as an eschatological prophet (Matt.24:45–25:30; Luke 12:41–46; 19:11–27).

SufferingSon of God.Jesus’ first recorded teaching in a synagogue in Nazareth wasparadigmatic (Luke 4:16–21). He attributed the reading, Isa.61:1–2, to his personal calling to serve, and in doing so herevealed a trajectory of suffering. The Gospel of Mark likewise aptlyportrays Jesus as the suffering Son of God. Jesus’ ownteachings incorporated his upcoming suffering (Mark 8:31; 9:12–13,31; 10:33–34). He summarized his mission by declaring, “TheSon of Man did not come to be served, but to serve, and to give hislife as a ransom for many” (Mark 10:45). His earthly careerended with a trial in Jerusalem consisting of both Roman and Jewishcomponents (Matt. 26:57–68; 27:1–31; Mark 14:53–65;15:1–20; Luke 22:54–23:25; John 18:19–24;18:28–19:16). He was insulted, scourged, mocked, and crucified.

Jesus’suffering culminated in his humiliating death by crucifixion (Matt.27:33–50; Mark 15:22–37; Luke 23:33–46; John19:16–30). Crucifixion was a death of unimaginable horror,bringing shame and humiliation to the victim and his family. Anyonehanging on a tree was considered cursed (Deut. 21:23; Gal. 3:13).Thus, especially in a Jewish society, anyone associated with acrucified person bore the shame of following one who was executed asa lowly slave and left as a cursed corpse. The apostle Paul referredto this shame of the cross when he stated, “I am not ashamed ofthe gospel” (Rom. 1:16).

ExaltedLord.Jesus had prophesied that he would rise again (Matt. 16:21; 17:9, 23;20:19; 27:63; Mark 8:31; 9:9, 31; 10:34; Luke 9:22; 18:33; 24:7, 46).The testimony of the Synoptics is that the resurrection of JesusChrist indeed occurred on the third day, Christ having died on Friday(Mark 15:42–45; Luke 23:52–54; John 19:30–33) andrisen again on Sunday (Matt. 28:1–7; Mark 16:2–7; Luke24:1–7; John 20:1–16). The resurrected Jesus waswitnessed by the women (Matt. 28:8–9), the eleven disciples(Matt. 28:16–17; Luke 24:36–43), and travelers on theroad to Emmaus (Luke 24:31–32). According to Paul, he appearedto as many as five hundred others (1Cor. 15:6). He appeared inbodily form, spoke, showed his scars, and ate (Luke 24:39–43;John 20:27; Acts 1:4). After forty postresurrection days, Jesusascended into the heavenly realm (Acts 1:9).

Asmuch as Jesus’ death was the epitome of shame, his victory overdeath was his ultimate exaltation (Phil. 2:5–11). At Pentecost,Peter proclaimed that in the resurrection God fulfilled OT promises(Ps. 16:10) by raising his Son from the grave (Acts 2:30–31).Furthermore, Christ provided freedom from the law through hisresurrection (Rom. 5:13–14), God’s approval of his lifeand work (Phil. 2:8–9), and God’s designation of him asLord over all the earth, the living and the dead (Acts 17:30–31;Phil. 2:10; Heb. 1:3), and over all his enemies (Eph. 1:20–23).

Jesus’exaltation commenced the beginning of forgiveness and justification(Luke 24:46–47; Acts 13:30–39; Rom. 4:25) and hisintercession for the people of God (Rom. 8:34). His ascensionsignaled the coming of the Holy Spirit as comforter and teacher (John14:26; Acts 2:33) and was accompanied by the promise of his return inglory (Luke 24:51), at which time he will render judgment (Matt.19:28; 24:31; Rev. 20:11–15) and establish his eternal kingdom(1Cor. 15:24; 2Tim. 4:1; Rev. 11:15; 22:5).

Jesus’Purpose and Community

Inthe Gospel of Matthew, Jesus is the long-awaited Messiah, whopreaches the good news of the kingdom, urging people to repent(4:17–23). Repentance and belief allow one to enter thekingdom. The call into the kingdom is a call into a new covenant, onemade in Jesus’ blood (26:28).

Inthe prologue to the Gospel of Mark, the narrator reveals the identityof Jesus (1:1). Jesus is presented as the one who brings good tidingsof salvation (cf. Isa. 40:9; 52:7; 61:1). The centrality of thegospel, the good news (Mark 1:14–15), is evident.

Lukelikewise presents the preaching of the good news as a main purpose ofJesus’ ministry (4:43). The content of this good news is thekingdom of God (4:43; 8:1; 16:16). When the disciples of John theBaptist asked Jesus if he was the one who was to come (7:20), Jesusanswered, “Go back and report to John what you have seen andheard: The blind receive sight, the lame walk, those who have leprosyare cleansed, the deaf hear, the dead are raised, and the good newsis proclaimed to the poor” (7:22). The kingdom of God, aspresented in Luke, brings freedom for the prisoners, recovery ofsight for the blind, and release for the oppressed (4:18). Jesus’healings and exorcisms announce the coming kingdom of God alreadypresent in the ministry of Jesus (4:40–44; 6:18–20;8:1–2; 9:2; 10:8–9).

Inthe Gospel of John, Jesus testifies to the good news by way of signsthroughout his ministry. These signs point to Jesus’ glory, hisidentity, and the significance of his ministry. Jesus is the Messiah,the Son of God, who offers eternal and abundant life. This abundantlife is lived out in community.

Inthe Gospel of John, the disciples of Jesus represent the community ofGod (17:21). The disciples did not belong to the world, but theycontinued to live in the world (17:14–16). Throughout hisministry, Jesus called his disciples to follow him. This was a callto loyalty (Matt. 10:32–40; 16:24–26; Mark 8:34–38;Luke 9:23–26), a call to the family of God (Matt. 12:48–50;Mark 3:33–35). Jesus’ declaration “On this rock Iwill build my church” (Matt. 16:18) was preceded by the call tocommunity. Jesus’ presence as the head of the community wasreplaced by the promised Spirit (John 14:16–18).

Jesus’ministry continued in the community of Jesus’ followers, God’sfamily—the church. Entrance into the community was obtained byadopting the values of the kingdom, belief, and through theinitiation rite of baptism (Matt. 10:37–39; 16:24–26;Mark 8:34–38; Luke 9:23–26, 57–62; John 1:12; 3:16;10:27–29; Acts 2:38; 16:31–33; 17:30; Rom. 10:9).

TheQuests for the Historical Jesus

Thequest for the historical Jesus, or seeking who Jesus was from ahistorical perspective, is a modern phenomenon deemed necessary byscholars who claim that the NT Gospels were written long after Jesus’death and were heavily influenced by the post-Easter understanding ofthe church.

Thebeginning of this quest is often dated to 1770, when the lecturenotes of Hermann Samuel Reimarus were published posthumously.Reimarus had launched an inquiry into the identity of Jesus thatrejected as inauthentic all supernatural elements in the Gospels. Heconcluded that the disciples invented Jesus’ miracles,prophecies, ritualistic religion, and resurrection. Reimarus’sconclusions were not widely accepted, but they set off a flurry ofrationalistic research into the historical Jesus that continuedthroughout the nineteenth century. This became known as the “firstquest” for the historical Jesus.

In1906 German theologian Albert Schweit-zer published The Quest of theHistorical Jesus (German title: Von Reimarus zu Wrede: EineGeschichte der Leben-Jesu-Forschung), a scathing indictment of thefirst quest. Schweitzer’s work showed that nineteenth-centuryresearchers re-created Jesus in their own image, transforming thehistorical Jesus into a modern philanthropist preaching aninoffensive message of love and brotherhood. Schweitzer’sconclusions marked the beginning of the end for this first quest.Schweitzer himself concluded that the historical Jesus was aneschatological prophet whose purposes failed during his last days inJerusalem.

Withthe demise of the first quest, some NT scholars, such as RudolfBultmann, rejected any claim to being able to discover the historicalJesus. This trend continued until 1953, when some of Bultmann’sformer students launched what has come to be known as the “newquest” for the historical Jesus (1953–c. 1970). Thisquest created new interest in the historical Jesus but was stilldominated by the view that the portrait of Jesus in the Gospels islargely a creation of the church in a post-Easter setting.

Asthe rebuilding years of the post–World WarII era wanedand scholars started to reap academic fruit from major archaeologicalfinds such as the DSS, research on the historical Jesus moved on towhat has been called the “third quest.” This quest seeksespecially to research and understand Jesus in his social andcultural setting.

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

The concept of a people of God in the Bible may be traced toits origins in Gen. 12. Following the dispersion of humanity bydivine design in the previous chapter, God elects Abraham as ancestorof a nation. God grants to Abraham promises of protection, growth inthe number of offspring, and a homeland for his descendants andenvisions a flow of blessing to the nations through the seed ofAbraham.

Thepromise of numerous offspring comes to fruition in Exod. 1, to thepoint that the Israelites are perceived to be a threat by theEgyptians. In Exodus, God begins to refer to the descendants ofAbraham as his people (3:7; 6:7; 7:16; 18:1). They are to be a“kingdom of priests” and a “holy nation”(19:5–6), set apart from other nations. The gathering of thepeople at Sinai, in the view of Moses, is an important moment in theestablishment of the community, a moment marked by the conclusion ofa covenant (Deut. 5:2; 9:10–11).

TheFormer Prophets, however, tell a story of deterioration in therelationship. Israel and its kings consistently turn to the worshipof other deities (Judg. 2:11–23; 1Kings 11:1–8),rejecting God as king and overlord (1Sam. 8:19). After thereign of Solomon and because of Solomon’s acts of idolatry, thenation is torn in two (1Kings 11:1–13). Ultimately, bothpolitical entities, because of their persistence in apostasy, sufferdemise (2Kings 23:24–27).

Inresponse to Israel’s apostasy, the Latter Prophets envision adistinction between the national entity that is Israel and a “truepeople of God,” one abiding in covenantal faithfulness (e.g.,Isa. 11:11, 16; Amos 5:15; Hos. 1:10–11). The prophets,therefore, see within the nation a remnant that receives forgivenessand becomes the object of national restoration in the postexilicperiod (Hag. 1:2–15; Zech. 8:1–23). The covenantalfaithfulness of the remnant is marked by a passion for righteousnessand justice for the poor and oppressed (Isa. 11:1–5; Amos5:11–15).

Thespirit of restoration and redemption carries over into the NT (Rom.11:1–10). The Gospels present Jesus as one gathering a lostpeople (Matt. 15:24; Luke 2:25; John 1:31), redirecting them in thecorrect way (1Pet. 2:10). Employing a series of metaphors (thebody of Christ, a bride, the house of God, God’s flock) todescribe God’s people, the church, the concept of a faithfulremnant (the true Israel) persists. Thus, Paul speaks of a“circumcision of the heart” (not just of the flesh) thatmarks one as a true descendant of Abraham (Rom. 2:25–29;4:1–25). Similar to how the remnant is understood in the LatterProphets, the church of Jesus Christ will be characterized by itsconcern for covenantal faithfulness (Heb. 8:7–13),righteousness, and the pursuit of justice for the poor (James 2:1–7).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

(Disabilities; Disability; Deformity; Deformities; Sickness]The Bible often speaks of health, healing, disease, andillness. Good health was a sign of God’s favor, and healing wasalso the work of God and his divinely empowered agents. These agentsincluded the prophets (1Kings 17:8–23; 2Kings5:1–15), the apostles (Acts 3:1–10), and the messiah(Mal. 4:2). The divine prerogative of Jesus was to heal (Mark 1:32;6:56; Matt. 4:23; 8:16; 15:30; 21:14; Luke 6:10, 17–19), andmiraculous healings were a sign of his messianic office (Luke7:20–23). Disease, on the other hand, was regarded as a sign ofGod’s disfavor. Within a covenantal context, God could senddisease to punish the sinner (Exod. 4:11; 32:35).

TheBible assigns a wide variety of names to various diseases and theirsymptoms. These terms are nontechnical and generally descriptive.Some are uncertain in meaning. In most cases they describe thesymptoms of the disease, not the disease itself. Diagnosis often wasbased on incomplete observation and nonclinical examination. TheBible also presupposes supernatural intervention in the life of aperson. Healing occurred when God’s agents touched individuals,cast out demons, and resurrected the dead.

AncientNear Eastern Influences

Inthe ancient Near East the knowledge of disease and medicine wasprecritical. Bacteria and viruses were virtually unknown.Mesopotamian literature contains many references to medicine,physicians, and medical practice. Minerals, salts, herbs, and otherbotanicals were used to make up treatments. Babylonian physiciansalso administered prescriptions accompanied by incantations. Diseasewas considered to be the result of a violation of a taboo orpossession by a demon. The Code of Hammurabi (1750 BC) includes lawsregulating the practice of medicine and surgery by physicians. InEgypt medicine and healing were connected to the gods. Tomb paintingsand several papyrus documents describe the developing state ofEgyptian medicine, pharmacy, and surgery.

Greekphysicians admired and sought to learn the skills of the Egyptians.However, the early Greek doctor Hippocrates (460–370 BC),called the “Father of Medicine,” is credited with beingthe first physician to reject the belief that supernatural or divineforces cause illness. He argued that disease is the result ofenvironmental factors, diet, and living habits, not a punishmentimposed by the gods.

Itis clear that the biblical world shared with the ancient Near Eastthe same types of maladies common to tropical or subtropicalclimates. These include malaria, tropical fevers, dysentery, andsunstroke. The tendency of the hot climate to produce frequentdroughts and famine certainly contributed to similar types ofdiseases throughout the Fertile Crescent. Additionally, it must beremembered that Palestine was a land bridge between the Mesopotamianand Egyptian worlds. Migrations carry not only goods and products,but also parasites, communicable disease, and epidemics.

BiblicalConcept of Disease

Thereligious tradition of the Hebrews repudiated the magical or demonicorigin of disease. Hence, moral, ethical, and spiritual factorsregulated disease and illness. This was true for the individual aswell as the community. The Hebrews, like the Egyptians, alsorecognized that much sickness arose from the individual’srelationship to the physical environment. Great stress was placed onhygiene and preventive medicine.

Pentateuchallegislation offered seven covenantal principles designed to preventthe possibility of disease and sickness: (1)Sabbath observancefor humans, animals, and the land, which enforced regular periods ofrest (Gen. 2:3); (2)dietary regulations, which divided foodinto efficient categories of clean and unclean (Lev. 11);(3)circumcision, which carried physical benefits as well asreligious and moral implications (Gen. 17:9; circumcision is the onlyexample of Hebrew surgery); (4)laws governing sexualrelationships and health, including a list of forbidden degrees ofmarital relationships (Lev. 18–20); (5)provisions forindividual sexual hygiene (Lev. 15); (6)stipulations forcleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitaryand hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

InNT times magical charms and incantations were used along with folkremedies in an effort to cure disease. Jesus repudiated these means.He also suggested that sickness and disease were not directpunishments for sin (John 9:2). In the Sermon on the Mount (Matt.5–7), Jesus confirmed that the ethical and religious standardsof the new covenant promoted the total health of the community andthe individual.

CirculatoryDiseases

Nabalmost likely suffered a cerebrovascular accident or stroke (1Sam.25:36–38). After a heavy bout of drinking, his heart “died”(KJV; NIV: “failed”), and he became paralyzed, lapsedinto a coma, and died ten days later. Psalm 137:5–6 may containa clinical example of the symptoms of stroke. The psalmist wrote, “IfI forget you, Jerusalem, may my right hand forget its skill. May mytongue cling to the roof of my mouth if I do not remember you.”This description points to a paralysis of the right side of the body(right hemiplegia) and the loss of speech (motor aphasia) that resultfrom a stroke on the left side of the brain. Basically, the exiledpsalmist is wishing upon himself the effects of a stroke if he heldanything other than Jerusalem as his highest priority. Some haveconsidered the collapse of Uzzah when he reached out to stabilize theark of the covenant (2Sam. 6:6–7) to be the consequenceof an apoplectic seizure. But since no actual paralysis was describedand death occurred immediately, this seems unlikely. It is moreprobable that God struck him down with an aortic aneurism or acoronary thrombosis.

Paralysis

Apossible case of paralysis may be described in the shriveled(atrophic) hand of JeroboamI (1Kings 13:4–6). In anangry outburst Jeroboam ordered the arrest of a prophet who condemnedthe altar at Bethel. When Jeroboam stretched out his hand, it“shriveled up, so that he could not pull it back.”Several complicated diagnoses have been offered to explain the“withered” hand, but it is possibly an example ofcataplexy, a sudden loss of muscle power following a strong emotionalstimulus. After intercession by the man of God, and the subsiding ofthe emotional outburst, the arm was restored.

Thethreat against the faithless shepherd of God’s people (Zech.11:17), which included a withered arm and blindness in the right eye,may refer to a form of paralysis known as tabes dorsalis, orlocomotor ataxia. Knifelike pains in the extremities and blindnesscharacterize this disease.

Paralysisis frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts9:33; Heb. 12:12). The exact diagnosis for each of these casesremains uncertain.

Thephysician Luke’s use of the Greek medical term paralelymenos(Luke 5:18, 24) suggests that some of these cases were caused bychronic organic disease. Others clearly were congenital (Acts 3:2;cf. 14:8). It is not necessary to rationalize the origin of theseexamples of paralysis as hysteria or pretense. The NT writersregarded the healing of these individuals by Jesus and the apostlesas miraculous.

MentalIllness and Brain Disorders

Casesof mental disease are generally described in the Bible by noting thesymptoms produced by the disorder. The particular cause of a mentalillness in the NT is often blamed on an unknown evil spirit orspirits (Luke 8:2). Such spirits, however, were subject to God’scontrol and operated only within the boundaries allowed by him(1Sam. 16:14–16, 23; 18:10; 19:9). Accordingly, in the OT“madness” and “confusion of mind” wereregarded as consequences of covenantal disobedience (Deut. 28:28,34).

Ithas been argued that King Saul displayed early indications ofpersonality disorder. Symptoms included pride, self-aggrandizement(1Sam. 11:6; 13:12; 15:9, 19), and ecstatic behavior(10:11–12). A rapid deterioration in Saul’s charactertranspired after David was anointed and became more popular (16:14;18:10–11). Since Saul demonstrated fear, jealousy, a sense ofpersecution, and homicidal tendencies, some scholars argue that hesuffered from paranoid schizophrenia.

Nebuchadnezzarsuffered a rare form of monomania in which he lived like a wild beastin the field eating grass (Dan. 4:33). David, in order to save hisown life, feigned insanity or perhaps epilepsy before the Philistineking Achish (1Sam. 21:12–15).

Inthe NT, individuals with mental disorders went about naked, mutilatedthemselves, lived in tombs (Mark 5:2), and exhibited violent behavior(Matt. 8:28). Such mental disorientation was often linked to demonpossession. Examples include the Syrophoenician’s child (Matt.15:22; Mark 7:25), the demoniacs at Gerasa (Matt. 8:28; Mark 5:2;Luke 8:27) and Capernaum (Mark 1:23; Luke 4:33), a blind and mutedemoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl(Acts 16:16). While such behavior is clinically suggestive ofparanoid schizophrenia or other mental disorders, themind-controlling influence of some extraneous negative force cannotbe ruled out.

Epilepsy(grand mal) causes the afflicted person to fall to the ground, foamat the mouth, and clench or grind the teeth (Matt. 17:15; Mark9:17–18; Luke 9:39). The description of Saul falling to theground in an ecstatic state (1Sam. 19:23–24) and Balaamfalling with open eyes may be indicative of an epileptic seizure. Inthe NT, Jesus healed many who suffered from epilepsy (Matt. 4:24;17:14–18; Mark 9:17–18; Luke 9:38–42). Somescholars have linked the light seen by Paul on the road to Damascuswith the aura that some epileptics experience prior to a seizure. Hissubsequent blindness has also been attributed to the epilepticdisturbance of the circulation of the blood in the brain.

ChildhoodDiseases

Thecause of the death of the widow’s son at Zarephath is unknown(1Kings 17:17–22). The death of the Shunammite woman’sson has been attributed to sunstroke (2Kings 4:18–37),although a headache is the only symptom recorded (v.19). Inboth cases there is too little evidence to present an accuratediagnosis.

Inthe first case, the boy at Zarephath stopped breathing (1Kings17:17). This may leave the door open to argue that Elijahresuscitated the child. However, in the second case, the text clearlystates that the Shunammite boy died (2Kings 4:20), implying aresurrection.

Infectiousand Communicable Diseases

Feverand other calamities are listed among the punishments for covenantalinfidelity (Deut. 28:22). Three different types of fever may beintentionally described here: “fever,” “inflammation,”and “scorching heat” (ESV: “fiery heat”).Fever is also mentioned frequently in the NT (Matt. 8:15; Mark1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesusand Paul healed individuals who had a fever. A number of these feverswere likely caused by malaria, since the disease was known to beendemic to the Jordan Valley and other marshy areas in Palestine.

Severalepidemics in which numerous people died of pestilence or plague arementioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). Thefifth plague of Egypt (Exod. 9:3–6) has been attributed toJordan Rift Valley fever, which is spread by flies. Bubonic plaguehas been blamed for the malady that struck the Philistines (1Sam.5–6). However, it may have been the result of a severe form oftropical dysentery. Acute bacillary dysentery contracted in themilitary camp may also have been responsible for the epidemic thatkilled a large number of the Assyrian army (2Kings 19:35).

ParasiticDiseases

Somescholars have repeatedly argued that the “fiery serpents”(NIV: “venomous snakes”) encountered by Moses and thechildren of Israel (Num. 21:6–9) were in reality an infestationof the parasitic guinea worm (Dracunculus medinensis). Microscopicfleas ingested in drinking water carry the larvae of this slendernematode into the body. The larvae move from the digestive tract tothe skin. The adult worm, which may grow to a length of several feet,discharges its eggs into an ulcer on the skin. Death of the hostoccurs because of the resulting infection of the skin ulcers.

Afterthe conquest of Jericho, Joshua cursed the individual who wouldendeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethelattempted to rebuild the city and lost two of his sons as a result ofthe curse (1Kings 16:34). Elisha was then asked to purify thebad water at Jericho in order to allow a new settlement (2Kings2:19). Elisha obliged by throwing salt into the spring and therebymaking the water potable (2:20–22). Recent archaeological studyhas discovered the remains of certain snails in the mud-bricks usedto construct Jericho in the Bronze Age. These types of snails are nowknown to serve as intermediate hosts for the flatworm parasite thatcan cause schistosomiasis. The Schistosoma haematobium trematodeinfects the urinary tract and the bladder. It is possible that thistype of parasite was responsible for the death of Hiel’s twosons.

InNT times, Herod Agrippa apparently died of the complications of aparasitic disease, perhaps being infested by the larvae of flies(myiasis) in the bowels. Luke mentions that he was “eaten byworms” (skōlēkobrōtos [Acts 12:23]). The fatherof Publius also suffered from dysentery (Acts 28:8).

PhysicalDeformities and Abnormalities

Individualswith deformities were disqualified from priestly service (Lev.21:18–20). The list included lameness, limb damage, anddwarfism. The deformities mentioned here might have been congenitalor acquired. Mephibosheth was dropped by his nurse (2 Sam. 4:4) andperhaps suffered damage to the spinal cord. Jacob possibly sustainedinjury to an intervertebral disk (Gen. 32:32) causing a deformity anda limp. The woman who was “bent over” (Luke 13:10–17)might have suffered from an abnormality of the spine similar toscoliosis. It is difficult to ascertain the origin of the “shriveledhand” of the unnamed individual healed by Jesus (Matt.12:10–13; Mark 3:1–5; Luke 6:6–10). It could becongenital in character or a paralysis caused by any number offactors.

Diseasesand Disabilities of the Eyes and Ears

Physicalblindness is mentioned several times in the Bible. Blindness excludedone from serving as a priest (Lev. 21:18, 20). Blindness anddeafness, however, were disabilities requiring special care from thecommunity (Lev. 19:14; Deut. 27:18). The “weak eyes” ofLeah may refer to an eye condition (Gen. 29:17).

Blindnessin the biblical world was caused by various factors. Leviticus 26:16speaks of a fever that destroys the eyes. Flies probably wereresponsible for much of the conjunctivitis found in children. John9:1 mentions congenital blindness, which Jesus cured using mud madefrom spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healeda blind man by spitting in his eye and laying hands on him (cf. Matt.20:34 with Mark10:52).

Congenitaldeafness would also be associated with mutism and speech defectsbecause a child learning to speak depends on imitation and mimicry.Jesus healed a man who was deaf and could barely talk (Mark 7:32–37).The man’s inability to say much possibly pointed to a loss ofhearing early in life.

SkinConditions

Variousskin and hair abnormalities are described in the Bible. Some made theindividual unclean (Lev. 13:30; 14:54). The OT speaks of “theboils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailmentsincluded tumors, festering sores, boils, infections, and the itch(Deut. 28:27, 35; Isa. 3:7). Job complained of a litany of ailments:broken and festering skin (7:5), multiple wounds (9:17), blackpeeling skin and fever (30:30), gnawing bone pain (2:5; 19:20;30:17), insomnia (7:3–4), and wasting away (33:21). Thesesymptoms have been diagnosed as indications of yaws or eczema. Apoultice made of figs cured Hezekiah’s boil (2Kings20:7).

Leprosywas once thought to be a common problem in the biblical world.Leprosy (Hansen’s disease) is a slow, progressive chronicinfectious disease caused by a bacterium. Symptoms include loss ofsensation and loss of parts of the body. Evidence for this type ofdisease in Palestine is rare. Uzziah may have had a true case ofHansen’s disease. He was quarantined until the day he died(2Chron. 26:21).

Scholarsnow suggest that the symptoms of the disease described in the Bibledo not fit this pattern and thus do not signify leprosy (Hansen’sdisease) as it is known today. Instead, the word that Englishversions translate as “leprosy” (Heb. root tsr’)probably refers to different types of infectious skin disease, oftencharacterized by a long-standing, patchy skin condition associatedwith peeling or flakiness and redness of skin. Evidence points moretoward psoriasis, fungal infections, or dermatitis.

Thisdisease could appear in humans (Lev. 14:2), on buildings (14:34), andon clothing (14:55). It was not limited to the extremities but couldoccur on the head (14:42–44). It could run its course quickly(13:5–8). It made the individual ceremonially unclean, but itwas also curable (Lev. 14:3; 2Kings 5:1–27). Individualswith the disease were not necessarily shunned (2Kings 7; Matt.26:6// Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), andNaaman experienced this type of skin disease (2Kings 5:1–27).Jesus healed many suffering from skin ailments (Matt. 8:2–3;Mark 1:40–42; Luke 5:12–13), including the ten “menwho had leprosy” (Luke 17:12–14).

Ailmentsof an Unknown Nature

Somecases in the Bible present insufficient evidence for scholars torender a clear diagnosis. King Asa suffered a disease in his feet(2Chron. 16:12). However, in the OT the Hebrew expression for“feet” is sometimes used euphemistically for the sexualorgans (Judg. 3:24 KJV). Because of this, the exact nature of thedisease is ambiguous. Jehoram was afflicted with “an incurabledisease of the bowels” (2Chron. 21:18–19). Otherunknown ailments factor in the deaths of the firstborn son of Davidand Bathsheba (2Sam. 12:15), of Jeroboam’s son in infancy(1Kings 14:17), of Elisha (2Kings 13:14), and ofEzekiel’s wife (Ezek. 24:16).

This term (Gr. syrophoinikissa) occurs only in Mark 7:26 (cf.NIV: “born in Syrian Phoenicia”) and designates aninhabitant of Syrophoenicia. Mark 7:26 specifies the woman as aSyrophoenician by lineage and also calls her a “Greek.”Matthew 15:22 calls the same woman a “Canaanite” (whichcorresponds to the Phoenicians’ definition but may also beunderstood as a general term including the early inhabitants ofPhoenicia; cf. Num. 13:29) in order to highlight a contrast: thisdescendant of prototypical idolaters (Deut. 7:1–6; Ezra 9:1)exhibited more faith than most of Israel. In light of the two texts,it seems that the woman was a Greek-speaking member of the Phoenicianpeople, still recognized by Jews as Canaanites.

Phoeniciawas so called by the Greeks because of its famed trade in purple-reddye (Gr. phoinix). Phoenicia, a coastal region that included Tyre andSidon, had been incorporated into the Roman province of Syria beforeNT times. The term “Syrophoenician” distinguishedPhoenicians from Syria from those who lived near Carthage in NorthAfrica and were called “Lybophoenicians” (cf. Strabo,Geogr. 17.3.19). Syrophoenicia was officially designated a separatedistrict within the province of Syria in AD 194.