Talk:Jerusalem syndrome

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This article was nominated for deletion on 6 January 2006. The result of the discussion was KEEP. An archived record of this discussion can be found here.

Contents

[edit] Number of tourists

"About 2 million tourists visit Jerusalem each year". Sorry, but not even half that! Acmthompson 17:51, 24 March 2007 (UTC)

Source? Timbudtwo 17:52, 24 March 2007 (UTC)
I stand corrected, as according to the Israeli Central Bureau of Statistics http://www.cbs.gov.il/yarhon/e7_h.htm (hebrew site) the total number of entries to Israel on tourist visas during 2006 came to 1,825,863 including several thousands of Jordanian and Egyptian citizens. Most tourists would not leave Israel without seeing Jerusalem, so it would be indeed fair to say close to 2 million, especially as the tourism in 2006 was marred by the 2nd Lebanese War.Acmthompson 17:01, 25 March 2007 (UTC)

[edit] Nomination For Neutrality Check

The constant references to the delusional nature of the intent of the trip are highly biased against people who find it to be something to promote their faith; People that find it a religious obligation. Delusional refers to a fixed false belief, which to say of any religious ideals of any kind are as such is outstandingly biased. At the very least it could be stimulation for Evangelism. Timbudtwo 17:48, 24 March 2007 (UTC)

[edit] Is this for real?

You can't be serious, is this for real? Bensaccount 17:20, 3 Apr 2004 (UTC)

Indeed. For example, it's described in literature indexed on PubMed at a webpage. Vaughan 18:10, 3 Apr 2004 (UTC)

Umm, although that link does indeed take us to PubMed summaries of articles on the subject, it finds only 8 articles relevant to the subject, and if we drill down to the actual articles quite a few of them are disputing the existence of the syndrome. In particular, the typology discussed in our article comes directly from Bar-El et al., and most of the rest of the PubMed links are either disputing this article, or its original authors defending it. (There are also two which are relatively neutral.) Bar-El et al. is strongly criticised by Kalian and Witztum (2000) - who note that it presents no epidemiological data to justify its typological system, no data to justify regarding the "syndrome" as a distinct clinical entity, and also that 40 hospitalisations per annum out of two million tourists, makes the condition "uncommon". The paper Kalian and Witztum (1999), also criticises the syndrome, observing that the overwhelming majority of people exhibiting the syndrome were known to have existing mental disorders before going to Jerusalem, and in fact usually the existing mental disorder was a factor in deciding to visit the city.

[edit] Type I - already crazy

Indeed, if we examine the case studies in Bar-El et al., there isn't really much to go on. The first "Type" (comprising 4 subtypes) explicitly concerns persons who were already mentally ill before visiting Jerusalem. In all the examples given (one dating back to 1848!) the existing mental illness was the reason for visiting Jerusalem, and in one example there was not even any known religious factor (the ill person simply believed that a person who had raped his daughter was hiding in Jerusalem.) We might characterise "Type I" by saying "each year, about 40 crazy people and millions of sane people, choose to visit Jerusalem. Many (sane or insane) are motivated by its religious significance. But some aren't". That wouldn't make for much of an article, though.

[edit] Type II - not crazy, just odd

The second "Type" is "idiosyncratic ideations" - in other words, just eccentric ideas, not necessarily mental illness at all. In both the examples for the two subtypes of this "Type", Bar-El et al. freely admits there was no evidence of mental illness! So, umm, what are they doing in a psychiatry paper as a classification of a mental illness?! (It does observe that in a certain group of unspecified size, 3 members who got into a fight were found to have "personality disorders". Pffft.) What's more, in neither example is the eccentric belief particularly fixated with Jerusalem. We could characterise "Type II" as "some people have odd ideas. Some of them live in Jerusalem". Also not much of a WP article. But we begin to see what is going on here; as Bar-El et al. notices, eccentrics make excellent news stories in slow news weeks.

[edit] Type III - the real deal, suddenly crazy. Maybe.

We finally get to Bar-El et al.'s "Type III", cases of psychosis occurring in Jerusalem among pilgrims or tourists who had no known history of mental illness, and "apparently" were quite well soon after leaving. This, IMHO is the sole category of real interest. Unfortunately, we discover that this "classification" is based on just 42 persons over a period of 13 years (a time during which tens of millions of tourists or pilgrims visited Jerusalem), and the claim of having no subsequent pathology appears to be based on just four of these persons, none of whom actually completed the questionnaire!! In other words, we are presented with no evidence that "Type III" actually exists. At this point one might be inclined to think that Bar-El et al. is a filler paper, an article that doesn't really say anything written in order to keep up ones' publication count without doing any real research. But it gets worse!

[edit] Seven signs of madness. (Hymns, etc.)

Some of Bar-El et al.'s "seven clinical stages of type III", quoted verbatim in our article, are positively surreal. Apparently one of the earliest signs of this terrible psychosis is when an otherwise sane, healthy tourist exhibits a desire to separate from a tour group to visit parts of the city solo. To anyone except Bar-El et al., this would seem to be a perfectly common and sane behaviour. Oh, you think, this is just one of many signs to be taken in conjunction with others, right? Nope, Bar-El et al. actually recommend that at this "stage" of the "syndrome" the tourist be referred to a psychiatric institution!!!! At this point I checked to see if the paper was submitted or published on April Fool's Day (it wasn't).

Next, cutting up the hotel bed-linen to make a toga seems pretty wacky (unless actually participating in a toga party, of course) but oddly hotel staff are not expected to notice this, so perhaps it doesn't always happen, or the toga isn't actually worn, or something (they don't really go into details). On the other hand, singing hymns is a definitely a sign of psychosis according to Bar-El et al., who recommend that the hapless soul at this point be taken (not referred) to an institution as the final, dire phases of the illness are now inevitable!! It would almost be an amusing joke about cacophanous blue-noses if not for the fact that these quacks are actually recommending the involuntary committal of persons for being found singing hymns in Jerusalem. At this point I begin to wonder about those 42 "Type III" cases over 13 years; how many were actually ill, how many just religious people in high spirits? (Presumably less high in spirits after being bundled into a white van.)

And what is this dire seventh stage? It is publicly making a "confused and unrealistic plea to humankind to adopt a more wholesome, moral, simple way of life". Gosh. Lucky we caught that one in time.

[edit] Vagueness

If we include all of the three types in order to determine the limits of what can characterise "Jerusalem syndrome", it appears that sufferers of this illness are:

  • either previously psychotic, temporarily psychotic, or not psychotic;
  • either visitors to Jerusalem or residents there;
  • motivated either religiously or non-religiously (e.g. politics, family problems); and
  • prone to exhibit any of a variety of odd behaviours, such as visiting historic sites alone, singing, or breeding cattle.

Seen in this light, it is difficult to avoid Kalian and Witztum's conclusion that "Jerusalem syndrome" is not a syndrome at all, but a media story that takes whatever form is likely to titillate the readers.

[edit] Old version better

It frankly appears to me as if our current article is close to nonsense. It is based (verbatim in places) on a single journal article which appears not to be accepted by any other authorities in its field, and in fact has been strongly criticised. Examination of that article shows that it has many flaws, and even its authors admit (in the "Limitations" section) that it is not a research paper. Yet our article omits even the caveats in the original paper! The version of our article from around 4th August 2003 was, in my opinion, a much more accurate and fairer representation. Securiger 16:41, 25 Aug 2004 (UTC)


Hi there,
The criticisms you mention are good ones, but they are largely criticisms of the concept of the Jerusalem syndrome, not of the article itself, which aims to reflect the medical literature on the subject. However, you have raised a particularly valid point about the article not covering the debate about the syndrome fully, and I agree this needs to be added to provide more balance to the article. - Vaughan 19:31, 28 Aug 2004 (UTC)

[edit] Jerusalem syndrome in contempory show

I don't see how to fit this into the article at the moment, but there is a review of exhibitions in the Guardian newspaper's arts section which includes mention of a "video segment" which is all about Jerusalem syndrome.

In the article: " The Jerusalem Syndrome is the subject of a two-part video projection by Nathan Coley, the most interesting segment of which is the interview with the city's district psychiatrist, who describes the variety of symptoms displayed by some visitors to the city (invariably, he observes, these are Christian and Jewish rather than Muslims), whose delusions are often what lead them to take their pilgrimage in the first place."


http://www.guardian.co.uk/g2/story/0,3604,1531260,00.html

Just in case anyone can do anything with that. As I say, I don't see where any of it can be worked in.

Telsa 09:02, 19 July 2005 (UTC)

what exactly is so wrong with "singing religous hymns in Jerusalem" and begging mankind to adapt a more moral life etc.? can you explain why is this a "case"?

[edit] lol

I too, thought this was a hoax on first reading this article. It certainly needs more of a criticism section or somethingMerkinsmum 01:02, 13 March 2007 (UTC)