The second king of Israel (r. 1010–970 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.

David’s importance can be measured by the vast space devoted to the account of his life (1 Sam. 16:1–1 Kings 2:12; 1 Chron. 11:1–29:30). The titles of many psalms identify him as their author. Although there are no contemporary extrabiblical references to David due to the rarity of inscriptions in Palestine at this time, the “house of David” (or Tel Dan) inscription, dated to the eighth century BC, provides an extraordinarily early reference to his dynasty.

David and Saul

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 (1 Sam. 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).

At this point the biblical history turns its attention to David. God commands Samuel to go to Bethlehem, specifically to the household of Jesse, to anoint one of his sons as the next king (1 Sam. 16). In contrast to Saul, who is notable because of his tall, imposing physical stature (10:23), David is the youngest and smallest of all the children of Jesse, a simple shepherd. Nonetheless, he is the chosen one because God “looks at the heart” (16:7). However, David does not immediately assume the kingship. Indeed, his anointing is kept secret.

The first two accounts of David’s initial public appearance appear in 1 Sam. 16:14–17:58. Some doubt attends the question of whether these two stories are chronologically or thematically organized, but in either case they anticipate David’s later role as psalm singer and warrior. The narrative describes David’s work in Saul’s court as a harpist whose music soothes Saul’s tormented mind (16:14–23) and tells the heroic story of David’s courageous stand against Goliath, a gigantic Philistine mercenary (1 Sam. 17).

Although David never shows any signs of subversion or disloyalty, his growing popularity increases the paranoia of Saul. However, Saul cannot simply kill off such a popular figure, even though in a fit of madness he throws a spear at him (1 Sam. 18:10–11). Saul instead settles on a plan that would lead to David’s death on the battlefield. Saul offers his daughter to David in marriage. After an abortive first attempt involving his daughter Merab, Saul invites him to marry Michal, though as a bride-price he asks through his attendants for one hundred Philistine foreskins (1 Sam. 18:25). Saul assumes that David will surely die in the attempt to obtain them, but instead David kills two hundred Philistines and marries Michal. The alliance to the royal house strengthens his later bid for the throne, but for the moment it serves the purpose of making Saul even more suspicious.

While Saul’s hostility increases toward David, Saul’s son Jonathan develops an intense personal friendship with David (1 Sam. 18:1–4). Jonathan recognizes his father’s weaknesses and understands that he will not be the next king. He helps David escape his father’s wrath, and forever afterward David is kind to the descendants of Jonathan (1 Sam. 19–20).

Eventually, Saul’s murderous intentions toward David become so intense that he must leave the court and live in the hinterlands, moving from place to place, staying one step ahead of Saul and his men. He is not alone, however. With him is an army of six hundred men, a prophet (Gad), and the high priest (Abiathar). In essence, he functions as a kingdom in exile. He saves the Judean city of Keilah from the Philistines (1 Sam. 23:1–6) and protects the flocks of Judean landowners such as the aptly named Nabal (“fool”) (1 Sam. 25). The latter is not properly grateful for the help, and David is ready to avenge himself against him. Fortunately, Nabal’s wife, Abigail, wisely intercedes with David. Nabal dies of other causes, and David marries Abigail.

David is to be the next king, but he is no usurper. Two times during this period (1 Sam. 24; 26) David’s men are in a position to dispatch the king. It may even be possible to justify such a move because Saul is pursuing David to kill him. David knows, however, that it is wrong to harm the anointed of the Lord. He is not going to manipulate the situation and grasp the kingship; he will wait on the Lord’s own timing. David continues to keep out of Saul’s way, even seeking refuge with the Philistines for a period of time.

Eventually, however, 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 (1 Sam. 31–2 Sam. 1).

David’s Kingship

Even with Saul out of the way, David’s rise to kingship is not easy. He is immediately crowned king of Judah (2 Sam. 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 (2 Sam. 5:6–16). He also defeats the Philistines, who have been a thorn in the side of Israel for years (5:17–25; for other victories, see 8:1–14). In celebration, David brings the ark of the covenant to Jerusalem (2 Sam. 6).

The David narrative reaches its apex when God enters into a covenant with him that establishes his dynasty (2 Sam. 7; 1 Chron. 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 2 Sam. 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 (2 Sam. 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 [2 Sam. 13]), as well as son against father (Absalom and David [2 Sam. 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 (1 Kings 1). David then dies after a reign of forty-one years, seven in Hebron and the rest over all Israel (1 Kings 2:10–12).

David’s Legacy

The account in Chronicles emphasizes David’s role in the preparations for the building of the temple. He had wanted to build the structure, but God says that this task is not for the one who completes the conquest of Canaan (1 Chron. 22:8), but rather for his son Solomon, who will inherit a stable nation and whose very name means “peace.”

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” (2 Sam. 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.

Several words are used in the Bible to designate donkeys or asses, but they roughly point to two kinds: domestic and wild.

Fond of freedom (Job 39:5) and solitary places (Jer. 14:6), a wild donkey is mentioned several times in the Bible. The Israelites’ idolatry is compared to the lust of a wild donkey (Jer. 2:24). The mode of life of Ishmael and the desert dwellers is likened to that of a wild donkey (Gen. 16:12; Job 24:5). Israel’s political alliance with Assyria is also likened to the wild donkey’s wandering (Hos. 8:9). Such a derisive view is also found in Job 11:12, where the impossibility of a fool being wise is compared to the impossibility of the wild donkey being born a man.

Most of the biblical references to donkeys are about domestic animals. People, regardless of their social class or gender, primarily used this animal for riding. Riding a donkey usually means peaceful pursuits (Gen. 42:26; 1 Sam. 16:20), whereas riding a horse signifies war. However, riding a donkey to enter a city carries the connotation of a royal procession, as indicated in Solomon’s riding on David’s mule on the way to Gihon for anointing (1 Kings 1:33, 44) as well as in other ancient Near Eastern texts, such as the Mari letters (c. eighteenth century BC). Against this background, the Gospel writers understand Jesus’ entry into Jerusalem as the fulfillment of the prophecy about a messianic king in Zech. 9:9 (Matt. 21:1–11; John 12:12–16). (See also Colt; Mule.)

Donkeys were also important agricultural resources, used for tilling fields (Isa. 30:24; 32:20) and carrying burdens (Gen. 45:23; Isa. 30:6). Although these animals are small, other physical characteristics (e.g., long, hollow, sharp-edged hoofs, great strength, little thirst, fondness for prickly herbs) make them well suited for various tasks in the arid hilly regions of western Asia and northeastern Africa. Thus, they were highly valued as important assets (Gen. 12:16; Deut. 5:21; Job 1:3).

Domestic donkeys carry a variety of symbolic connotations. Proverbs characterizes them as stubborn, paralleling the necessity of discipline for fools with that of a bridle for a donkey (26:3). Isaiah uses their usual lack of freedom to portray the dramatic reversal in the time of restoration (32:20). Mosaic law forbids the yoking of a donkey with an ox in plowing (Deut. 22:10; cf. 2 Cor. 6:14). This prohibition may be intended to protect the weaker animal from being exhausted, but it may also be related to the general priestly prohibition of various types of mixtures. This conception of uncleanness helps to explain the descriptions of the severity of the famine in Samaria (2 Kings 6:25), of the Israelites’ spiritual adultery (Ezek. 23:20), and of Jehoiakim’s burial (Jer. 22:19).

Noteworthy is the use of donkeys as literary foils to their riders. For example, in the story of Balaam the prophet (Num. 22:21–30) the description of the donkey plays a crucial role in emphasizing the absurdity of the prophet. The donkey is able to see the angel of the Lord and refuses to move in fear, whereas the bribed prophet cannot see him and forces the donkey to move on by beating it three times. The donkey also delivers the word of God, rebuking the prophet for his disobedience to God. Although our modern conception of the donkey as stupid may draw out a sharper contrast between the prophet and the donkey, it is doubtful that ancient readers shared the same conception. Rather, the contrast is made between the ordinary animal’s recognition of the angel and the supposedly inspired prophet’s lack of discernment (cf. Isa. 1:3). Similarly, the donkey’s faithfulness in the story of the old prophet of Bethel (1 Kings 13) serves to highlight the prophet’s disobedience. Although the donkey here is not as active as in the Balaam story, its survival from the lion’s attack is contrasted with its owner’s miserable death. The portrayal of the donkey as faithfully standing by the corpse of its owner is also compared with that of the prophet lying dead because of his disobedience to God’s command.

In the world of the Bible, a person was viewed as a unity of being with the pervading breath and thus imprint of the loving and holy God. The divine-human relationship consequently is portrayed in the Bible as predominantly spiritual in nature. God is spirit, and humankind may communicate with him in the spiritual realm. The ancients believed in an invisible world of spirits that held most, if not all, reasons for natural events and human actions in the visible world.

Old Testament

The OT writers used the common Hebrew word ruakh (“wind” or “breath”) to describe force and even life from the God of the universe. In its most revealing first instance, God’s ruakh hovered above the waters of the uncreated world (Gen. 1:2). In the next chapter of Genesis a companion word, neshamah (“breath”) is used as God breathed into Adam’s nostrils “the breath of life” (2:7). God thus breathed his own image into the first human being. Humankind’s moral obligations in the remainder of the Bible rest on this breathing act of God.

The OT authors often employ ruakh simply to denote air in motion or breath from a person’s mouth. However, special instances of the use of ruakh include references to the very life of a person (Gen. 7:22; Ps. 104:29), an attitude or emotion (Gen. 41:8; Num. 14:24; Ps. 77:3), the negative traits of pride or temper (Ps. 76:12), a generally good disposition (Prov. 11:13; 18:14), the seat of conversion (Ezek. 18:31; 36:26), and determination given by God (2 Chron. 36:22; Hag. 1:14).

On occasion in the OT, spirits are labeled “evil” (Judg. 9:23 ESV, NRSV, NASB). In the case of an evil spirit tormenting King Saul, the spirit was identified as “from the Lord” (1 Sam. 16:14–15, 23). According to the perspective of the ancients, once a person was possessed by a divine spirit, departure of such a spirit meant possession by a different spirit (1 Sam. 16:14). Such a perspective was common in the ancient Near Eastern and Mediterranean worlds and stemmed from the religious fervor of Semitic nomads.

New Testament

The NT authors used the Greek term pneuma to convey the concept of spirit. In the world of the NT, the human spirit was understood as the divine part of human reality as distinct from the material realm. The spirit appears conscious and capable of rejoicing (Luke 1:47). Jesus was described by Luke as growing and becoming “strong in spirit” (1:80). In “spirit” Jesus “knew” what certain teachers of the law were thinking in their hearts (Mark 2:8). Likewise, Jesus “was deeply moved in spirit and troubled” at the sickness of a loved one (John 11:33). At the end of his life, Jesus gave up his spirit (John 19:30).

According to Jesus, the spirit is the place of God’s new covenant work of conversion and worship (John 3:5; 4:24). He declared the human spirit’s dependence on God and ascribed great virtue to those people who were “poor in spirit” (Matt. 5:3).

Human beings who were possessed by an evil spirit were devalued in Mediterranean society. In various places in the Synoptic Gospels and the book of Acts, either Jesus or the disciples were involved in exorcisms of such spirits (Matt. 8:28–33; Mark 1:21–28; 7:24–30; 9:14–29; 5:1–20; 9:17–29; Luke 8:26–33; 9:37–42; Acts 5:16).

The apostle Paul pointed to the spirit as the seat of conversion (Rom. 7:6; 1 Cor. 5:5). He described believers as facing a struggle between flesh and spirit in regard to living a sanctified life (Rom. 8:2–17; Gal. 5:16–17). A contradiction seems apparent in Pauline thinking as he appears to embrace Greek dualistic understanding of body (flesh) and spirit while likewise commanding that “spirit, soul and body be kept blameless” (1 Thess. 5:23). However, the Christian struggle between flesh and Spirit (the Holy Spirit) centers around the believer’s body being dead because of sin but the spirit being alive because of the crucified and resurrected Christ (Rom. 8:10). Believers therefore are encouraged to lead a holistic life, lived in the Spirit.

Holy Spirit

God’s Spirit is described in the opening chapters of Genesis as partaking in creation. His Spirit likewise is seen throughout the OT as an agent in establishing God’s people as a nation and a people of his own. Leaders of Israel were chosen and possessed by the Spirit to assist in leading the people into God’s will (Deut. 34:9; Judg. 6:34; 15:14; 1 Sam. 11:6; 16:23). Typically, the moment the Spirit of God descended on a leader, miraculous fortitude, wisdom, and power resulted. The Spirit also provided whatever was needed for God’s prophets—courage, inspiration, and miracles (Num. 11:25; 1 Sam. 10:10; Isa. 11:2; Ezek. 2:2; Dan. 4:8; Joel 2:28). The office of prophet included prophesying both in the king’s court and among the people of the land. As the Spirit came on a prophet of God, the prophet would correct the king’s and others’ behavior and at times foretell the future or the outcome of possible decisions.

In the Synoptic Gospels, the Holy Spirit functions in much the same way as in the OT. One such function appears in Luke’s birth narrative when the angel answers Mary’s question as to how she might conceive while a virgin (Luke 1:34): “The Holy Spirit will come on you, and the power of the Most High will overshadow you” (1:35). The Greek verb translated “will overshadow you” is used in the LXX to describe God’s protective nature (Pss. 91:4; 140:7). Likewise, the coming of God’s Spirit presented empowerment (Acts 1:8). Thus, Mary received both divine empowerment and protection. As the birth narrative continues, Luke records how other characters in the story, Elizabeth and Zechariah, were filled with the Spirit when Mary came to visit while pregnant with Jesus and when John the Baptist, the forerunner of the Messiah, was born (1:41, 67). The evangelists record the Spirit descending on Jesus at the time of his baptism (Matt. 3:16; Mark 1:10; Luke 3:22; John 1:32–34) and describe him as full of the Spirit when he was led by the Spirit into the desert (Luke 4:1). Finally, in John’s Gospel the Spirit is the promised comforter whom Jesus will give to his followers. He will testify about Christ (John 15:26).

In the new covenant the Spirit-possession of the OT gave way to believers’ reception of the Spirit at conversion. In Acts the Holy Spirit is presented as instrumental in carrying out the mission of the church, providing power and signs as well as moving and motivating missionaries. The apostle Paul attributes to the Holy Spirit the function of imbuing believers and the church with an assortment of virtues (Gal. 5:22), gifts (Rom. 12:7–8; 1 Cor. 12:1–11), and ministers (Eph. 4:7–13). He uses the idea of life in the Spirit as a point of contrast with life in the flesh. In John’s letters the Spirit is described as providing discernment of truth (1 John 4:6). See also Holy Spirit.

The books of Samuel tell the story of how kingship began in Israel and was subsequently secured under David. Almost all of David’s own story is recounted in Samuel, including God’s promise to him of a dynasty. This promise became a key seedbed for the messianic hope within the OT, which finds its fulfillment in Jesus as David’s son (Matt. 1:1).

Genre and Purpose

Samuel is part of a block of texts running from Joshua through Kings (excluding Ruth), which is known in the Hebrew Bible as the Former Prophets. This block offers a more or less continuous account of Israel’s life in the land of promise from its entry under Joshua until the exile after Jerusalem was captured by the Babylonians (2 Kings 25). Any assessment of the genre and purpose of Samuel must consider its relationship to these surrounding texts, though it should also recognize the distinctive elements of Samuel itself.

At its simplest, Samuel is a work of narrative prose that tells how kingship began in Israel and was secured under David after the failure of Saul, though it also contains a number of important poems. Although contemporary history writing would not be done in the same way, since Samuel points to the ways in which God is active throughout this time, Samuel certainly offers a testimony to this crucial period in Israel’s history. It is not the whole story of the period, as its testimony is concerned with a specific set of issues, and that testimony is related through God’s purposes for Samuel, Saul, and David. But this observation is vital for appreciating that Samuel is not just the story of how kingship came to Israel but is specifically a theological examination of it. It explores how God was at work, fulfilling the hope for kingship that had been expressed through Judg. 17–21, while also providing hope that the exile was not the end of his purposes for Israel as a whole and the kings of David’s line in particular. We should not think of this as a dry piece of history writing, for an important element is also that the telling of this story should entertain and grip those who either read or (perhaps more likely) heard it. Knowing that God had acted in the past for his people and that these actions continued to be important was not enough; the excitement that this should generate also needed to be apparent in the skill with which the story was told.

Outline

I. The Rise of Samuel (1 Sam. 1–7)

II. The Birth of Monarchy (1 Sam. 8–12)

III. Saul’s Early Reign and Rejection (1 Sam. 13–15)

IV. Long Rivalry Narrative: David and Saul (1 Sam.16–2 Sam. 1)

A. David’s anointing and arrival at court (1 Sam. 16–17)

B. David within Saul’s court (1 Sam. 18–20)

C. David as an outlaw in Judah (1 Sam. 21–26)

D. David in Philistine territory and Saul’s death (1 Sam. 27–2 Sam. 1)

V. Short Rivalry Narrative: David and Ish-Bosheth (2 Sam. 2:1–5:5)

VI. First Summary of David’s Reign (2 Sam. 5:6–8:18)

VII. Narrative of David’s Court (2 Sam. 9–20)

A. David accepts Mephibosheth (2 Sam. 9)

B. The war with Ammon and David’s sin (2 Sam. 10–12)

C. Long rebellion narrative: Absalom against David (2 Sam. 13–19)

D. Short rebellion narrative: Sheba against David (2 Sam. 20)

VIII. Second Summary of David’s Reign (2 Sam. 21–24)

Composition

Authorship and sources. The books of Samuel are anonymous, and any assessment of their authorship needs to start with this basic fact. There is a tradition in the Talmud (b. B. Bat. 14b; 15a) that associates the book with Samuel, Nathan, and Gad, presumably concluding that the books of Samuel constitute the source mentioned by 1 Chron. 29:29. But this reference is only to information on David’s life and thus is unlikely to refer to the whole of Samuel. Since Samuel’s own death is recorded in 1 Sam. 25:1, the book’s title in our tradition (in the LXX the books of Samuel are the first two books of Kingdoms, which continue into Kings) is unlikely to refer to authorship. Rather, it is more likely that a later author has drawn together a range of source materials in order to offer a coherent testimony about the origins of kingship.

For some time, the main sources behind Samuel seemed to have been identified, and they included a series of Shiloh traditions concerning the end of the house of Eli and the rise of Samuel (1 Sam. 1:1–4:1a), an ark narrative (2 Sam. 4:1b–7:1; 6), traditions concerning Saul and the origins of kingship (1 Sam. 7:2–15:35), a history of David’s rise (1 Sam. 16:1–2 Sam. 5:5), a succession narrative (2 Sam. 9–20), and a Samuel appendix (2 Sam. 21–24). Within this analysis, the place of 2 Sam. 5:6–25 and 2 Sam. 7:1–8:17 remained unclear, but the general thought was that the sources were more or less placed one after the other in their chronological sequence. But the probability of this conclusion has been challenged in recent times because the various sections of the books are clearly aware of information in other parts, so that the whole is actually well integrated. In addition, the actual boundaries of the sources remained unclear. An unfortunate effect of the source theories is that they tended to downplay some parts of the book, especially 2 Sam. 21–24, as being of less importance, whereas some recent studies have shown that they are closely integrated into the rest of the book, tying together themes developed elsewhere while also showing the structural integrity of the whole of Samuel.

Samuel is likely the end product of several stages of material collected together, rather than being the product of sources that are kept intact, but it is still a unified work. Possibly the oldest material is the collection of longer poems in 1 Sam. 2:1–10; 2 Sam. 1:17–27; 22:1–23:7, all of which draws on common themes and language and comments on the nature of kingship. The opening and closing blocks form the bookends, raising the hope of kingship (1 Sam. 2:1–10) and then commenting on how the king must submit to God’s reign (2 Sam. 22:1–23:7). In the central poem (2 Sam. 1:17–27) David laments the deaths of Saul and Jonathan. It is likely that these poems were joined with the stories about Samuel, Saul, and David in the ninth century BC but were then carefully placed to comment on the stories and yet also be commented on by them. Further editing may have continued until the time of Hezekiah in the late eighth century BC. Later on, more or less the whole of Samuel as we know it was included in the Former Prophets, perhaps during the exile. The important point to note here is that Samuel is a carefully composed whole and not simply a collection of source materials.

Literary devices. Evidence for the nature of the book’s composition can be seen in how it employs certain literary devices throughout. Two that are worth noting are the way the text plays with narrative chronology and employs repetition in various forms. The play with narrative chronology means that although the movement of the book is broadly chronological (moving from the origins of the monarchy to the latter period of David’s reign), not every element is recorded in its actual chronological sequence, since at some points other factors were more important. Alternatively, at some points different narrative strands are brought into a chronological relationship with one another, most notably in comparing the locations of David and Saul in 1 Sam. 27–2 Sam. 1. A simple example of relating material outside its chronological sequence occurs in 1 Sam. 26:12, where it is said that God had caused Saul’s soldiers to sleep so that David could enter Saul’s camp only after David had reached Saul, though clearly the soldiers must already have been asleep.

At other points, the breaks with chronological sequence cover different stories about David. For example, in 2 Sam. 5:17–8:14 there are four accounts about David, two in which he overcomes enemies (5:17–25; 8:1–14) and two associated with events in Jerusalem and public worship (6:1–7:29). Since 7:1 tells us that David’s desire to build a temple came after God had delivered him from all his enemies, it follows that the events of chapter 7 must have come after those of 8:1–14. Here, arranging the material to highlight the theme of public worship was more important than placing it in chronological sequence.

This same section also demonstrates the use of repetition. Hence, 5:17–25 recounts two nearly identical defeats of the Philistines in which David must trust God, while the victories in 8:1–14 are twice said to come about because God gave David victory wherever he went (8:6, 14). Similarly, both 6:1–23 and 7:1–29 depend upon interest in the ark and thus mutually interpret each other. Other large-scale repetitions include two announcements of the coming of kingship (1 Sam. 2:10, 34), two announcements of the end of Eli and his family in the sanctuary at Shiloh (1 Sam. 2:27–36; 3:10–14), and two times when David does not kill Saul (1 Sam. 24; 26). In an oral culture, such repetitions are not evidence of poor composition but rather are a crucial tool for emphasizing the central themes being developed. In addition, variations within each repetition are a tool for increasing the audience’s interest, showing that the authors of Samuel were interested in both giving historical testimony and entertaining their audience.

Text

It is generally agreed that the text of Samuel poses more than its fair share of difficulties, something that can be seen in the often significant differences between the received Hebrew text (MT) and the early translations, especially the main Greek translation (LXX). For example, in 1 Sam. 17 the best-regarded edition of the LXX lacks vv. 12–31, 50, 55–58, and even in shared material it is sometimes significantly shorter. It is generally agreed that the Greek version resolves a number of anomalies, but is this because the MT has been expanded or because the LXX has been abbreviated? In addition, three significant Samuel manuscripts were found at Qumran. Although two of these are only fragmentary, one covers significant portions of Samuel. Although the disputed portions of 1 Sam. 17 are absent from it, there are some points where it appears to support the LXX and others where it agrees with the MT while also introducing some other issues of its own.

It is clear, therefore, that complex issues are involved in determining the text of Samuel, and one must avoid taking a doctrinaire position and allow each point to be resolved on its own merits. At the same time, the difficulties should not be magnified beyond reason, since large sections of the text can be established with reasonable certainty, and for all the problems, the MT remains a reliable guide. One might suggest in the case of 1 Sam. 17, for example, that the LXX text represents an early attempt to address apparent difficulties in the narrative (especially the question of when Saul met David) that nevertheless failed to realize that not everything in Samuel is narrated in exact chronological order. Nevertheless, anyone who compares different translations of Samuel (e.g., NIV and NRSV) will notice variants and should make use of good commentaries at that point.

Central Themes

The reign of God. Kingship lies at the heart of Samuel. But although it is concerned with the story of Israel’s first two kings (Abimelek in Judg. 9 is an aberration and probably only a local figure), it places their story within the framework of God’s reign. No matter what authority a king in Israel might claim, it was always subject to God’s greater authority. Indeed, Samuel makes clear that God did not need a king but rather chose the monarchy as the means by which his own reign might be demonstrated.

An important way in which God’s reign is demonstrated is through the motif of the reversal of fortunes, in which the powerful are brought down and the weak raised. This is announced in Hannah’s Song (1 Sam. 2:4–8) and is then demonstrated when God removed the corrupt family of Eli from their position of power in the sanctuary at Shiloh (2:27–36; 4:1–18). On the other hand, Samuel himself came to prominence even though he had no position of power. Saul, likewise, although a member of a relatively wealthy family (9:1–2), knew that he was not someone who had automatic power (9:21) but still was raised up to be king by God. Yet when he, like Eli before him, became corrupt and clung to power rather than submit to God, he too was removed so that he could be replaced (15:28–29).

David also came from a humble position as the youngest son in his family (1 Sam. 16:11), but unlike Eli and Saul, he would not grasp power for himself. Indeed, he twice refused to kill Saul when he had the chance (1 Sam. 24; 26) and punished those who claimed that they could exercise violence on his behalf (2 Sam. 1:11–16; 4:9–12). Even when it seemed that David had later lost all to Absalom, he held to the fact that he could reign only as long as he had God’s support (2 Sam. 15:25–26). This, in fact, is a central theme in 2 Sam. 7 when David wanted to build a temple for God, for there it is made clear that David cannot act without God’s authority, and that his descendants will have authority as long as they too submit to God (2 Sam. 7:11b–15). David’s closing songs (22:1–23:7) make clear that the king has no authority apart from God.

Kingship. Kingship in Israel is closely related to the theme of God’s reign. The possibility of kingship first arises in Hannah’s Song (1 Sam. 2:10) and is confirmed by the man of God who announces the judgment against Eli’s family (2:34). Both references occur before Israel’s elders requested a king because of the failure of Samuel’s sons (8:1–9), indicating that the request for a king did not take God by surprise. In addition, it indicates that authentic kingship in Israel could only be that which was initiated by God.

The story of Saul’s rise to the throne needs to be read in light of this. Although the human move to kingship stemmed from the request of the elders for a king (1 Sam. 8:4–9), it was still the case that Saul could become king only because of God’s decision. Although 1 Sam. 8–12 often has been broken down into supposedly conflicting sources, it is better to read it as a unified text but to note that the narrator’s voice is not equivalent to any of the characters that speak through it. When the text is understood in this way, it is possible to appreciate that kingship was part of God’s purposes for Israel, but it needed to follow his model. Kings in Israel could prosper only when they submitted to the greater reign of God. It was Saul’s mistake that he did not recognize this. David, although he made some terrible mistakes, always understood this truth, and his closing songs (2 Sam. 22:1–23:7) reflect on it. David learned what Saul never did: power is never something to be grasped; rather, it can only be accepted as a gracious gift from God to be used for his purposes.

New Testament Connections

The importance of the books of Samuel for the NT is far greater than its five direct citations there (Acts 13:22; Rom. 15:9; 2 Cor. 6:18 [2×]; Heb. 1:5) might indicate. The theme of kingship and the associated promise to David in 2 Sam. 7 are fundamental to the messianic hope throughout the OT and are picked up in the NT. Even when the NT cites other OT texts (such as Ps. 2) with reference to Jesus, it is still the books of Samuel that lie behind the citation. In addition, the NT frequently indicates that Jesus was a son of David (e.g., Matt. 1:1). Although such texts do not cite Samuel directly, they clearly allude to it because of God’s promise that David’s throne would be established forever (2 Sam. 7:16). Jesus’ ministry transcends that of David in every way, but we cannot understand his ministry apart from David and God’s promise to him.

In Gen. 3 the serpent entices humankind to sin. Not until Rev. 12:9 are we told explicitly that the serpent is Satan. In English, “Satan” is a name, whereas in the Bible this entity does not have a name. Rather, he is identified through a system of descriptive name-calling labels. In Hebrew, satan means “opponent”—in war, an enemy; in court, an accuser. The verb satan means “to be an adversary, to oppose” someone or something. Most commonly, satan refers to human enemies, and so 1 Chron. 21:1 simply refers to “an enemy” (not “Satan,” as the NIV reads) who “rose up against Israel” (cf. 1 Kings 11:14). It is only as “the satan” (Job 1–2; Zech. 3:1–2; NIV: “Satan”) that we meet the one we know from the NT as “the devil.”

The widely held myth of Satan having been an angel who rebelled is not found in the Bible. Origen (AD 185–254) was the first to allegorize Isa. 14:3–23 and Ezek. 28:1–10 in this way, and Jerome (AD 345–420) the first to translate “the Morning Star” as the name “Lucifer” (cf. Isa. 14:12; Rev. 22:16). The Bible tells us nothing of Satan’s origins.

In the OT, “evil spirit” may be a heavenly being sent by God (1 Sam. 16:14–23; 18:10; 19:9; cf. 1 Kings 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).

Around 200 BC, works falsely attributed to Enoch began to appear, presenting evil and mortality as essential aspects of all physical creatures. Understanding “sons of God” (Gen. 6:1–4) as angels, these books tell of angels marrying women and producing murderous giants. In response, God imprisoned the fallen angels, caused the giants to slaughter one another, and cleansed the earth with the flood. The spirits of the giants then reappear as demons having control of the Gentile nations, appearing to them as gods, worshiped as idols. The book Jubilees (c. 160 BC) introduced a leader of these demons and labeled him “Mastema” (“hatred, enmity”).

Picking up on these ideas, the Qumran literature speaks of many satans and expands the number of abusive labels used to refer to the ruler of the demons—for example, “Belial” (“worthless one”). In the same way, the LXX uses “slanderer” (diabolos) as a translation of satan. The word satan also was taken over into LXX Greek as a loanword to mean “enemy” or “adversary” (1 Kings 11:14). Both satanas and diabolos are used in the NT.

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. 1 Pet. 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 (1 Cor. 6:19), and John urges believers to “test the spirits to see whether they are from God” (1 John 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” (1 John 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.

In Gen. 3 the serpent entices humankind to sin. Not until Rev. 12:9 are we told explicitly that the serpent is Satan. In English, “Satan” is a name, whereas in the Bible this entity does not have a name. Rather, he is identified through a system of descriptive name-calling labels. In Hebrew, satan means “opponent”—in war, an enemy; in court, an accuser. The verb satan means “to be an adversary, to oppose” someone or something. Most commonly, satan refers to human enemies, and so 1 Chron. 21:1 simply refers to “an enemy” (not “Satan,” as the NIV reads) who “rose up against Israel” (cf. 1 Kings 11:14). It is only as “the satan” (Job 1–2; Zech. 3:1–2; NIV: “Satan”) that we meet the one we know from the NT as “the devil.”

The widely held myth of Satan having been an angel who rebelled is not found in the Bible. Origen (AD 185–254) was the first to allegorize Isa. 14:3–23 and Ezek. 28:1–10 in this way, and Jerome (AD 345–420) the first to translate “the Morning Star” as the name “Lucifer” (cf. Isa. 14:12; Rev. 22:16). The Bible tells us nothing of Satan’s origins.

In the OT, “evil spirit” may be a heavenly being sent by God (1 Sam. 16:14–23; 18:10; 19:9; cf. 1 Kings 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).

Around 200 BC, works falsely attributed to Enoch began to appear, presenting evil and mortality as essential aspects of all physical creatures. Understanding “sons of God” (Gen. 6:1–4) as angels, these books tell of angels marrying women and producing murderous giants. In response, God imprisoned the fallen angels, caused the giants to slaughter one another, and cleansed the earth with the flood. The spirits of the giants then reappear as demons having control of the Gentile nations, appearing to them as gods, worshiped as idols. The book Jubilees (c. 160 BC) introduced a leader of these demons and labeled him “Mastema” (“hatred, enmity”).

Picking up on these ideas, the Qumran literature speaks of many satans and expands the number of abusive labels used to refer to the ruler of the demons—for example, “Belial” (“worthless one”). In the same way, the LXX uses “slanderer” (diabolos) as a translation of satan. The word satan also was taken over into LXX Greek as a loanword to mean “enemy” or “adversary” (1 Kings 11:14). Both satanas and diabolos are used in the NT.

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. 1 Pet. 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 (1 Cor. 6:19), and John urges believers to “test the spirits to see whether they are from God” (1 John 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” (1 John 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.

In Gen. 3 the serpent entices humankind to sin. Not until Rev. 12:9 are we told explicitly that the serpent is Satan. In English, “Satan” is a name, whereas in the Bible this entity does not have a name. Rather, he is identified through a system of descriptive name-calling labels. In Hebrew, satan means “opponent”—in war, an enemy; in court, an accuser. The verb satan means “to be an adversary, to oppose” someone or something. Most commonly, satan refers to human enemies, and so 1 Chron. 21:1 simply refers to “an enemy” (not “Satan,” as the NIV reads) who “rose up against Israel” (cf. 1 Kings 11:14). It is only as “the satan” (Job 1–2; Zech. 3:1–2; NIV: “Satan”) that we meet the one we know from the NT as “the devil.”

The widely held myth of Satan having been an angel who rebelled is not found in the Bible. Origen (AD 185–254) was the first to allegorize Isa. 14:3–23 and Ezek. 28:1–10 in this way, and Jerome (AD 345–420) the first to translate “the Morning Star” as the name “Lucifer” (cf. Isa. 14:12; Rev. 22:16). The Bible tells us nothing of Satan’s origins.

In the OT, “evil spirit” may be a heavenly being sent by God (1 Sam. 16:14–23; 18:10; 19:9; cf. 1 Kings 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).

Around 200 BC, works falsely attributed to Enoch began to appear, presenting evil and mortality as essential aspects of all physical creatures. Understanding “sons of God” (Gen. 6:1–4) as angels, these books tell of angels marrying women and producing murderous giants. In response, God imprisoned the fallen angels, caused the giants to slaughter one another, and cleansed the earth with the flood. The spirits of the giants then reappear as demons having control of the Gentile nations, appearing to them as gods, worshiped as idols. The book Jubilees (c. 160 BC) introduced a leader of these demons and labeled him “Mastema” (“hatred, enmity”).

Picking up on these ideas, the Qumran literature speaks of many satans and expands the number of abusive labels used to refer to the ruler of the demons—for example, “Belial” (“worthless one”). In the same way, the LXX uses “slanderer” (diabolos) as a translation of satan. The word satan also was taken over into LXX Greek as a loanword to mean “enemy” or “adversary” (1 Kings 11:14). Both satanas and diabolos are used in the NT.

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. 1 Pet. 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 (1 Cor. 6:19), and John urges believers to “test the spirits to see whether they are from God” (1 John 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” (1 John 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.

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

The names of God given in the Bible are an important means of revelation about his character and works. The names come from three sources: God himself, those who encounter him in the biblical record, and the biblical writers. This article is concerned mainly with the names that occur in the OT, though the NT will be referenced when helpful.

In the Bible the meaning of names is often significant and points to the character of the person so named. As might be expected, this is especially true for God. The names that he gives to himself always are a form of revelation; the names that humans give to God often are a form of testimony.

Yahweh: The Lord

Pronunciation. Unquestionably, for OT revelation the most important name is “(the) Lord.” In English Bibles this represents the name declared by God to Moses at the burning bush (“I am who I am” [Exod. 3:13–15]) and the related term used elsewhere in the OT; in Hebrew this term consists of the four consonants YHWH and is therefore known as the Tetragrammaton (“four letters”). Hebrew does not count vowels as part of its alphabet; in biblical times one simply wrote the consonants of a word and the reader supplied the correct vowels by knowing the vocabulary, grammar, and context. However, to avoid violating the commandment in the Decalogue that prohibits the misuse of God’s name (Exod. 20:7; Deut. 5:11), the Jews stopped pronouncing it. Consequently, no one today knows its correct original pronunciation, but the best evidence available suggests “Yahweh,” which has become the conventional pronunciation (consider the Hebrew word “hallelujah,” which actually is “hallelu-Yah,” hence “praise the Lord”). In ancient Jewish tradition, “Adonai” (“my Lord”) was substituted for “Yahweh.” In fact, when Hebrew eventually developed a vowel notation system, instead of the vowels for “Yahweh,” the vowels for “Adonai” were indicated whenever YHWH appeared in the biblical text, as a reminder. Combining the consonants YHWH with the vowels of “Adonai” yields something like “Yehowah,” which is the origin of the familiar (but mistaken and nonexistent) “Jehovah.” English Bibles typically use “Lord” (small capital letters) for “Yahweh,” and “Lord” (regular letters) for “Adonai,” which distinguishes the two.

Meaning. More vital than the matter of the pronunciation of YHWH is the question of its meaning. There seem to be two main opinions. One sees YHWH as denoting eternal self-existence, partly because it is suggested by the grammar of Exod. 3:14 (the words “I am” use a form of the Hebrew verb that suggests being without beginning or end) and partly because that is the meaning Jesus apparently ascribes to it in John 8:58. The other opinion, suggested by usage, is that YHWH indicates dynamic, active, divine presence: God’s being present in a special way to act on someone’s behalf (e.g., Gen. 26:28; 39:2–3; Josh. 6:27; 1 Sam. 18:12–14). This idea also appears in the episode of the burning bush (Exod. 3:12): when Moses protests his inadequacy to confront Pharaoh, God assures him of his presence, a reality noted with other prophets (1 Sam. 3:19; Jer. 1:8).

Perhaps the best points of reference for understanding the meaning of YHWH are God’s own proclamations. In addition to Exod. 3:13–15, at least two other passages in Exodus give God’s commentary (as it were) about the meaning of his name. An important one is Exod. 34:5–7. A key passage in the theology proper of ancient Israel, its themes echo in later OT Scripture (Num. 14:18–19; Ps. 103:7–12; Jon. 4:2). What is noteworthy about the texts cited is that all of them say something remarkable about the grace of God. This fits, for the revelation of Exod. 34:5–7 is given in the context of covenant renewal after the incident of the golden calf. Moses invokes God’s name in the Numbers text to avoid catastrophic judgment when the Israelites refuse to enter the promised land. The psalm text picks up this theme and connects it with God’s revelation of his ways to the chosen people. Jonah, remarkably, affirms that the same grace extends even toward a wicked Gentile city such as Nineveh.

Another such passage is Exod. 6:2–8. Here God reaffirms his redemptive purpose for captive Israel, despite the fact that Moses’ first encounter with Pharaoh has not gone well. God assures the prophet that he has remembered his covenant with the patriarchs, whom he says did not know him as “Yahweh,” which probably means that the patriarchs did not experience him in the way or character that their descendants would in the exodus event (though it is possible to translate the Hebrew here as a rhetorical question with an affirmative idea: “And indeed, by my name Yahweh did I not make myself known to them?”). God then proceeds to outline the redemptive experience in its fullness: deliverance from bondage, reception into a covenant relationship, and possession of the land promised to their ancestors (vv. 6–8). The statement is bracketed with this declaration: “I am the Lord” (vv. 2, 8). One stated purpose of this redemptive work is that Israel might come to understand this (v. 7). This is important to note because a central theme of Exodus as a book is the identity of the God of Israel. This concern prompts Moses to ask for God’s name at the burning bush (3:13), and this contempt for the God of the enslaved Hebrews causes Pharaoh to be dismissive at his first meeting with Moses and Aaron (5:2). Moses asks with the concern of a seeker and receives one of the most profound declarations of God’s identity in the Bible. Pharaoh asks with the contempt of a scorner and receives one of the most powerful displays of God’s identity in the Bible (the plagues). The contrast is both striking and instructive. The meaning of God’s name, then, is revealed in works as well as words, and his purpose is that not just his people but all peoples may come to understand who he is. Yet another majestic statement in the book of Exodus (9:13–16) makes this abundantly clear.

Based on this pattern of usage, the name “Yahweh” seems to signify especially the active presence of God to bless, deliver, or otherwise aid his people. Where this presence is absent, there is no success, victory, protection, or peace (Num. 14:39–45; Josh. 7:10–12; Judg. 16:20; 1 Sam. 16:13–14). The message that God not only is but also is present to save and deliver may well be the most important truth communicated in the OT, and it is only natural to see its ultimate embodiment in the person and work of Christ (Isa. 7:14; cf. Matt. 1:21–23).

Name used in combination. The name “Yahweh” also is used in combination with other terms. After God grants a military victory to Israel over the Amalekites, Moses names a commemorative altar “Yahweh Nissi,” meaning “the Lord is my Banner” (Exod. 17:15). In Ezekiel’s temple vision Jerusalem is called “Yahweh Shammah,” meaning “the Lord is there” (Ezek. 48:35). A familiar expression is “the Lord of hosts,” which is generally comparable to the expression “commander in chief” used in American culture (cf. 1 Kings 22:19–23).

Elohim

This is the first term for God encountered in the Bible, right in the opening verse. It is a more generic term, denoting deity in contrast to humans or angels. “Elohim” is a plural form; the singular terms “El” and “Eloah” are used occasionally, particularly in poetic texts. “El” is a common term in the biblical world; in fact, it is the name for the father of Baal in the Canaanite religion. This may explain why the Bible commonly uses the plural form, to distinguish the one true God, the God of Israel, from his pagan rivals. Others explain the plural form as a “plural of majesty” or “plural of intensity,” though it is uncertain just what this would mean. Some see the foundation for NT revelation of the Trinity (Gen. 1:26–27; 11:6–7; cf. John 17:20–22), but this is unlikely. The plural form also can serve simply as a common noun, referring to pagan deities (Exod. 12:12), angels (Ps. 97:7, arguably), or even human authorities (Exod. 22:28, possibly).

“El” also occurs in combination with other descriptive terms. The best known is “El Shaddai,” meaning “God Almighty” (Gen. 17:1). The precise meaning of “Shaddai” is uncertain, but it seems to have the notion of “great/powerful one.” The distressed Hagar, caught, comforted, and counseled by the mysterious personage at a well, calls God “El Roi,” which means “the God who sees me” (Gen. 16:13). One of the most exalted expressions to describe God is “El Elyon,” meaning “God Most High.” This title seems to have particular reference to God as the owner and master of creation (Gen. 14:18–20).

Adonai

As noted above, this common word meaning simply “(my) lord/master” is used regularly in place of the personal name of God revealed to Moses in Exod. 3:14. And in the OT of most English Bibles this is indicated by printing “Lord” as opposed to “Lord” (using small capital letters). However, “Adonai” is used of God in some noteworthy instances, such as Isaiah’s lofty vision of God exalted in Isa. 6 and the prophecy of Immanuel in Isa. 7:14. In time, this became the preferred term for referring to God, and the LXX reflected this by using the Greek word kyrios (“lord”) for Yahweh. This makes the ease with which NT writers transfer the use of the term to Jesus (e.g., 1 Cor. 12:3) a strong indication of their Christology.

A physical disorder characterized by repeated seizures, also called the “falling sickness” and “sacred disease.” The seizures often were attributed to the divine or supernatural as a form of possession. Some trace the behavior of Saul (1 Sam. 16:14–16) and Ezekiel (Ezek. 3:26), as well as Paul’s “thorn in the flesh” (2 Cor. 12:1–7), to this condition. Matthew’s presentation of Jesus’ exorcism of the demon-possessed youth employs the Greek term selēniazomai (lit., “moonstruck”; NIV: “seizures”), which was associated with epilepsy in the Greco-Roman world (Matt. 17:15; cf. Ps. 121:6).

The Aramaic translation of Ps. 22:1, which Jesus cried out on the cross (Matt. 27:46; Mark 15:34), meaning, “My God, my God, why have you forsaken me?” Jesus may have continued on and quoted the rest of the psalm. The Gospel writers, in any case, pattern part of their account of the crucifixion on elements of Ps. 22.

How is it that God forsakes Jesus, or forsakes at all? Verses such as Josh. 1:5, where God promises to “never forsake,” tend to get more attention than God’s threats to abandon. Speaking through Azariah to Asa in 2 Chron. 15:2, God made his presence conditional and warned that he would forsake Asa if Asa forsook him. In Jer. 23:33 God is forthright: “I will forsake you, declares the Lord.” So, what does it mean for God to be with or to forsake someone? The promise to Joshua was that God would give him success in the task of conquering Canaan (Josh. 1:5; cf. 6:27; 14:12), and even for Joshua the promise was conditional (7:12). A principal meaning of God being with someone is that God will give that person success in a task. In the OT, when God is said to abandon an individual, it refers to a task or role, not absolute abandonment from relationship. David knew that God had abandoned King Saul (1 Sam. 15:26; 16:14, 23; 18:12; 28:16). So after his adultery with Bathsheba and murder of Uriah, David pled with God, “Do not cast me from your presence or take your Holy Spirit from me” (Ps. 51:11). His plea was that he might retain his role as king.

Psalm 22 presents a question, not a prophetic declaration, but the psalmist’s perception depends on the idea that God can forsake him. The psalm is Davidic and certainly applies to the royal line and extends to Jesus. When on the cross, Jesus had been left by God to the devices of his foes. The agonizing question and the following description of affliction as well as the confidence of being heard by God are fitting for the Davidic heir on the cross.

The Aramaic translation of Ps. 22:1, which Jesus cried out on the cross (Matt. 27:46; Mark 15:34), meaning, “My God, my God, why have you forsaken me?” Jesus may have continued on and quoted the rest of the psalm. The Gospel writers, in any case, pattern part of their account of the crucifixion on elements of Ps. 22.

How is it that God forsakes Jesus, or forsakes at all? Verses such as Josh. 1:5, where God promises to “never forsake,” tend to get more attention than God’s threats to abandon. Speaking through Azariah to Asa in 2 Chron. 15:2, God made his presence conditional and warned that he would forsake Asa if Asa forsook him. In Jer. 23:33 God is forthright: “I will forsake you, declares the Lord.” So, what does it mean for God to be with or to forsake someone? The promise to Joshua was that God would give him success in the task of conquering Canaan (Josh. 1:5; cf. 6:27; 14:12), and even for Joshua the promise was conditional (7:12). A principal meaning of God being with someone is that God will give that person success in a task. In the OT, when God is said to abandon an individual, it refers to a task or role, not absolute abandonment from relationship. David knew that God had abandoned King Saul (1 Sam. 15:26; 16:14, 23; 18:12; 28:16). So after his adultery with Bathsheba and murder of Uriah, David pled with God, “Do not cast me from your presence or take your Holy Spirit from me” (Ps. 51:11). His plea was that he might retain his role as king.

Psalm 22 presents a question, not a prophetic declaration, but the psalmist’s perception depends on the idea that God can forsake him. The psalm is Davidic and certainly applies to the royal line and extends to Jesus. When on the cross, Jesus had been left by God to the devices of his foes. The agonizing question and the following description of affliction as well as the confidence of being heard by God are fitting for the Davidic heir on the cross.

The names of God given in the Bible are an important means of revelation about his character and works. The names come from three sources: God himself, those who encounter him in the biblical record, and the biblical writers. This article is concerned mainly with the names that occur in the OT, though the NT will be referenced when helpful.

In the Bible the meaning of names is often significant and points to the character of the person so named. As might be expected, this is especially true for God. The names that he gives to himself always are a form of revelation; the names that humans give to God often are a form of testimony.

Yahweh: The Lord

Pronunciation. Unquestionably, for OT revelation the most important name is “(the) Lord.” In English Bibles this represents the name declared by God to Moses at the burning bush (“I am who I am” [Exod. 3:13–15]) and the related term used elsewhere in the OT; in Hebrew this term consists of the four consonants YHWH and is therefore known as the Tetragrammaton (“four letters”). Hebrew does not count vowels as part of its alphabet; in biblical times one simply wrote the consonants of a word and the reader supplied the correct vowels by knowing the vocabulary, grammar, and context. However, to avoid violating the commandment in the Decalogue that prohibits the misuse of God’s name (Exod. 20:7; Deut. 5:11), the Jews stopped pronouncing it. Consequently, no one today knows its correct original pronunciation, but the best evidence available suggests “Yahweh,” which has become the conventional pronunciation (consider the Hebrew word “hallelujah,” which actually is “hallelu-Yah,” hence “praise the Lord”). In ancient Jewish tradition, “Adonai” (“my Lord”) was substituted for “Yahweh.” In fact, when Hebrew eventually developed a vowel notation system, instead of the vowels for “Yahweh,” the vowels for “Adonai” were indicated whenever YHWH appeared in the biblical text, as a reminder. Combining the consonants YHWH with the vowels of “Adonai” yields something like “Yehowah,” which is the origin of the familiar (but mistaken and nonexistent) “Jehovah.” English Bibles typically use “Lord” (small capital letters) for “Yahweh,” and “Lord” (regular letters) for “Adonai,” which distinguishes the two.

Meaning. More vital than the matter of the pronunciation of YHWH is the question of its meaning. There seem to be two main opinions. One sees YHWH as denoting eternal self-existence, partly because it is suggested by the grammar of Exod. 3:14 (the words “I am” use a form of the Hebrew verb that suggests being without beginning or end) and partly because that is the meaning Jesus apparently ascribes to it in John 8:58. The other opinion, suggested by usage, is that YHWH indicates dynamic, active, divine presence: God’s being present in a special way to act on someone’s behalf (e.g., Gen. 26:28; 39:2–3; Josh. 6:27; 1 Sam. 18:12–14). This idea also appears in the episode of the burning bush (Exod. 3:12): when Moses protests his inadequacy to confront Pharaoh, God assures him of his presence, a reality noted with other prophets (1 Sam. 3:19; Jer. 1:8).

Perhaps the best points of reference for understanding the meaning of YHWH are God’s own proclamations. In addition to Exod. 3:13–15, at least two other passages in Exodus give God’s commentary (as it were) about the meaning of his name. An important one is Exod. 34:5–7. A key passage in the theology proper of ancient Israel, its themes echo in later OT Scripture (Num. 14:18–19; Ps. 103:7–12; Jon. 4:2). What is noteworthy about the texts cited is that all of them say something remarkable about the grace of God. This fits, for the revelation of Exod. 34:5–7 is given in the context of covenant renewal after the incident of the golden calf. Moses invokes God’s name in the Numbers text to avoid catastrophic judgment when the Israelites refuse to enter the promised land. The psalm text picks up this theme and connects it with God’s revelation of his ways to the chosen people. Jonah, remarkably, affirms that the same grace extends even toward a wicked Gentile city such as Nineveh.

Another such passage is Exod. 6:2–8. Here God reaffirms his redemptive purpose for captive Israel, despite the fact that Moses’ first encounter with Pharaoh has not gone well. God assures the prophet that he has remembered his covenant with the patriarchs, whom he says did not know him as “Yahweh,” which probably means that the patriarchs did not experience him in the way or character that their descendants would in the exodus event (though it is possible to translate the Hebrew here as a rhetorical question with an affirmative idea: “And indeed, by my name Yahweh did I not make myself known to them?”). God then proceeds to outline the redemptive experience in its fullness: deliverance from bondage, reception into a covenant relationship, and possession of the land promised to their ancestors (vv. 6–8). The statement is bracketed with this declaration: “I am the Lord” (vv. 2, 8). One stated purpose of this redemptive work is that Israel might come to understand this (v. 7). This is important to note because a central theme of Exodus as a book is the identity of the God of Israel. This concern prompts Moses to ask for God’s name at the burning bush (3:13), and this contempt for the God of the enslaved Hebrews causes Pharaoh to be dismissive at his first meeting with Moses and Aaron (5:2). Moses asks with the concern of a seeker and receives one of the most profound declarations of God’s identity in the Bible. Pharaoh asks with the contempt of a scorner and receives one of the most powerful displays of God’s identity in the Bible (the plagues). The contrast is both striking and instructive. The meaning of God’s name, then, is revealed in works as well as words, and his purpose is that not just his people but all peoples may come to understand who he is. Yet another majestic statement in the book of Exodus (9:13–16) makes this abundantly clear.

Based on this pattern of usage, the name “Yahweh” seems to signify especially the active presence of God to bless, deliver, or otherwise aid his people. Where this presence is absent, there is no success, victory, protection, or peace (Num. 14:39–45; Josh. 7:10–12; Judg. 16:20; 1 Sam. 16:13–14). The message that God not only is but also is present to save and deliver may well be the most important truth communicated in the OT, and it is only natural to see its ultimate embodiment in the person and work of Christ (Isa. 7:14; cf. Matt. 1:21–23).

Name used in combination. The name “Yahweh” also is used in combination with other terms. After God grants a military victory to Israel over the Amalekites, Moses names a commemorative altar “Yahweh Nissi,” meaning “the Lord is my Banner” (Exod. 17:15). In Ezekiel’s temple vision Jerusalem is called “Yahweh Shammah,” meaning “the Lord is there” (Ezek. 48:35). A familiar expression is “the Lord of hosts,” which is generally comparable to the expression “commander in chief” used in American culture (cf. 1 Kings 22:19–23).

Elohim

This is the first term for God encountered in the Bible, right in the opening verse. It is a more generic term, denoting deity in contrast to humans or angels. “Elohim” is a plural form; the singular terms “El” and “Eloah” are used occasionally, particularly in poetic texts. “El” is a common term in the biblical world; in fact, it is the name for the father of Baal in the Canaanite religion. This may explain why the Bible commonly uses the plural form, to distinguish the one true God, the God of Israel, from his pagan rivals. Others explain the plural form as a “plural of majesty” or “plural of intensity,” though it is uncertain just what this would mean. Some see the foundation for NT revelation of the Trinity (Gen. 1:26–27; 11:6–7; cf. John 17:20–22), but this is unlikely. The plural form also can serve simply as a common noun, referring to pagan deities (Exod. 12:12), angels (Ps. 97:7, arguably), or even human authorities (Exod. 22:28, possibly).

“El” also occurs in combination with other descriptive terms. The best known is “El Shaddai,” meaning “God Almighty” (Gen. 17:1). The precise meaning of “Shaddai” is uncertain, but it seems to have the notion of “great/powerful one.” The distressed Hagar, caught, comforted, and counseled by the mysterious personage at a well, calls God “El Roi,” which means “the God who sees me” (Gen. 16:13). One of the most exalted expressions to describe God is “El Elyon,” meaning “God Most High.” This title seems to have particular reference to God as the owner and master of creation (Gen. 14:18–20).

Adonai

As noted above, this common word meaning simply “(my) lord/master” is used regularly in place of the personal name of God revealed to Moses in Exod. 3:14. And in the OT of most English Bibles this is indicated by printing “Lord” as opposed to “Lord” (using small capital letters). However, “Adonai” is used of God in some noteworthy instances, such as Isaiah’s lofty vision of God exalted in Isa. 6 and the prophecy of Immanuel in Isa. 7:14. In time, this became the preferred term for referring to God, and the LXX reflected this by using the Greek word kyrios (“lord”) for Yahweh. This makes the ease with which NT writers transfer the use of the term to Jesus (e.g., 1 Cor. 12:3) a strong indication of their Christology.

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

The names of God given in the Bible are an important means of revelation about his character and works. The names come from three sources: God himself, those who encounter him in the biblical record, and the biblical writers. This article is concerned mainly with the names that occur in the OT, though the NT will be referenced when helpful.

In the Bible the meaning of names is often significant and points to the character of the person so named. As might be expected, this is especially true for God. The names that he gives to himself always are a form of revelation; the names that humans give to God often are a form of testimony.

Yahweh: The Lord

Pronunciation. Unquestionably, for OT revelation the most important name is “(the) Lord.” In English Bibles this represents the name declared by God to Moses at the burning bush (“I am who I am” [Exod. 3:13–15]) and the related term used elsewhere in the OT; in Hebrew this term consists of the four consonants YHWH and is therefore known as the Tetragrammaton (“four letters”). Hebrew does not count vowels as part of its alphabet; in biblical times one simply wrote the consonants of a word and the reader supplied the correct vowels by knowing the vocabulary, grammar, and context. However, to avoid violating the commandment in the Decalogue that prohibits the misuse of God’s name (Exod. 20:7; Deut. 5:11), the Jews stopped pronouncing it. Consequently, no one today knows its correct original pronunciation, but the best evidence available suggests “Yahweh,” which has become the conventional pronunciation (consider the Hebrew word “hallelujah,” which actually is “hallelu-Yah,” hence “praise the Lord”). In ancient Jewish tradition, “Adonai” (“my Lord”) was substituted for “Yahweh.” In fact, when Hebrew eventually developed a vowel notation system, instead of the vowels for “Yahweh,” the vowels for “Adonai” were indicated whenever YHWH appeared in the biblical text, as a reminder. Combining the consonants YHWH with the vowels of “Adonai” yields something like “Yehowah,” which is the origin of the familiar (but mistaken and nonexistent) “Jehovah.” English Bibles typically use “Lord” (small capital letters) for “Yahweh,” and “Lord” (regular letters) for “Adonai,” which distinguishes the two.

Meaning. More vital than the matter of the pronunciation of YHWH is the question of its meaning. There seem to be two main opinions. One sees YHWH as denoting eternal self-existence, partly because it is suggested by the grammar of Exod. 3:14 (the words “I am” use a form of the Hebrew verb that suggests being without beginning or end) and partly because that is the meaning Jesus apparently ascribes to it in John 8:58. The other opinion, suggested by usage, is that YHWH indicates dynamic, active, divine presence: God’s being present in a special way to act on someone’s behalf (e.g., Gen. 26:28; 39:2–3; Josh. 6:27; 1 Sam. 18:12–14). This idea also appears in the episode of the burning bush (Exod. 3:12): when Moses protests his inadequacy to confront Pharaoh, God assures him of his presence, a reality noted with other prophets (1 Sam. 3:19; Jer. 1:8).

Perhaps the best points of reference for understanding the meaning of YHWH are God’s own proclamations. In addition to Exod. 3:13–15, at least two other passages in Exodus give God’s commentary (as it were) about the meaning of his name. An important one is Exod. 34:5–7. A key passage in the theology proper of ancient Israel, its themes echo in later OT Scripture (Num. 14:18–19; Ps. 103:7–12; Jon. 4:2). What is noteworthy about the texts cited is that all of them say something remarkable about the grace of God. This fits, for the revelation of Exod. 34:5–7 is given in the context of covenant renewal after the incident of the golden calf. Moses invokes God’s name in the Numbers text to avoid catastrophic judgment when the Israelites refuse to enter the promised land. The psalm text picks up this theme and connects it with God’s revelation of his ways to the chosen people. Jonah, remarkably, affirms that the same grace extends even toward a wicked Gentile city such as Nineveh.

Another such passage is Exod. 6:2–8. Here God reaffirms his redemptive purpose for captive Israel, despite the fact that Moses’ first encounter with Pharaoh has not gone well. God assures the prophet that he has remembered his covenant with the patriarchs, whom he says did not know him as “Yahweh,” which probably means that the patriarchs did not experience him in the way or character that their descendants would in the exodus event (though it is possible to translate the Hebrew here as a rhetorical question with an affirmative idea: “And indeed, by my name Yahweh did I not make myself known to them?”). God then proceeds to outline the redemptive experience in its fullness: deliverance from bondage, reception into a covenant relationship, and possession of the land promised to their ancestors (vv. 6–8). The statement is bracketed with this declaration: “I am the Lord” (vv. 2, 8). One stated purpose of this redemptive work is that Israel might come to understand this (v. 7). This is important to note because a central theme of Exodus as a book is the identity of the God of Israel. This concern prompts Moses to ask for God’s name at the burning bush (3:13), and this contempt for the God of the enslaved Hebrews causes Pharaoh to be dismissive at his first meeting with Moses and Aaron (5:2). Moses asks with the concern of a seeker and receives one of the most profound declarations of God’s identity in the Bible. Pharaoh asks with the contempt of a scorner and receives one of the most powerful displays of God’s identity in the Bible (the plagues). The contrast is both striking and instructive. The meaning of God’s name, then, is revealed in works as well as words, and his purpose is that not just his people but all peoples may come to understand who he is. Yet another majestic statement in the book of Exodus (9:13–16) makes this abundantly clear.

Based on this pattern of usage, the name “Yahweh” seems to signify especially the active presence of God to bless, deliver, or otherwise aid his people. Where this presence is absent, there is no success, victory, protection, or peace (Num. 14:39–45; Josh. 7:10–12; Judg. 16:20; 1 Sam. 16:13–14). The message that God not only is but also is present to save and deliver may well be the most important truth communicated in the OT, and it is only natural to see its ultimate embodiment in the person and work of Christ (Isa. 7:14; cf. Matt. 1:21–23).

Name used in combination. The name “Yahweh” also is used in combination with other terms. After God grants a military victory to Israel over the Amalekites, Moses names a commemorative altar “Yahweh Nissi,” meaning “the Lord is my Banner” (Exod. 17:15). In Ezekiel’s temple vision Jerusalem is called “Yahweh Shammah,” meaning “the Lord is there” (Ezek. 48:35). A familiar expression is “the Lord of hosts,” which is generally comparable to the expression “commander in chief” used in American culture (cf. 1 Kings 22:19–23).

Elohim

This is the first term for God encountered in the Bible, right in the opening verse. It is a more generic term, denoting deity in contrast to humans or angels. “Elohim” is a plural form; the singular terms “El” and “Eloah” are used occasionally, particularly in poetic texts. “El” is a common term in the biblical world; in fact, it is the name for the father of Baal in the Canaanite religion. This may explain why the Bible commonly uses the plural form, to distinguish the one true God, the God of Israel, from his pagan rivals. Others explain the plural form as a “plural of majesty” or “plural of intensity,” though it is uncertain just what this would mean. Some see the foundation for NT revelation of the Trinity (Gen. 1:26–27; 11:6–7; cf. John 17:20–22), but this is unlikely. The plural form also can serve simply as a common noun, referring to pagan deities (Exod. 12:12), angels (Ps. 97:7, arguably), or even human authorities (Exod. 22:28, possibly).

“El” also occurs in combination with other descriptive terms. The best known is “El Shaddai,” meaning “God Almighty” (Gen. 17:1). The precise meaning of “Shaddai” is uncertain, but it seems to have the notion of “great/powerful one.” The distressed Hagar, caught, comforted, and counseled by the mysterious personage at a well, calls God “El Roi,” which means “the God who sees me” (Gen. 16:13). One of the most exalted expressions to describe God is “El Elyon,” meaning “God Most High.” This title seems to have particular reference to God as the owner and master of creation (Gen. 14:18–20).

Adonai

As noted above, this common word meaning simply “(my) lord/master” is used regularly in place of the personal name of God revealed to Moses in Exod. 3:14. And in the OT of most English Bibles this is indicated by printing “Lord” as opposed to “Lord” (using small capital letters). However, “Adonai” is used of God in some noteworthy instances, such as Isaiah’s lofty vision of God exalted in Isa. 6 and the prophecy of Immanuel in Isa. 7:14. In time, this became the preferred term for referring to God, and the LXX reflected this by using the Greek word kyrios (“lord”) for Yahweh. This makes the ease with which NT writers transfer the use of the term to Jesus (e.g., 1 Cor. 12:3) a strong indication of their Christology.

The names of God given in the Bible are an important means of revelation about his character and works. The names come from three sources: God himself, those who encounter him in the biblical record, and the biblical writers. This article is concerned mainly with the names that occur in the OT, though the NT will be referenced when helpful.

In the Bible the meaning of names is often significant and points to the character of the person so named. As might be expected, this is especially true for God. The names that he gives to himself always are a form of revelation; the names that humans give to God often are a form of testimony.

Yahweh: The Lord

Pronunciation. Unquestionably, for OT revelation the most important name is “(the) Lord.” In English Bibles this represents the name declared by God to Moses at the burning bush (“I am who I am” [Exod. 3:13–15]) and the related term used elsewhere in the OT; in Hebrew this term consists of the four consonants YHWH and is therefore known as the Tetragrammaton (“four letters”). Hebrew does not count vowels as part of its alphabet; in biblical times one simply wrote the consonants of a word and the reader supplied the correct vowels by knowing the vocabulary, grammar, and context. However, to avoid violating the commandment in the Decalogue that prohibits the misuse of God’s name (Exod. 20:7; Deut. 5:11), the Jews stopped pronouncing it. Consequently, no one today knows its correct original pronunciation, but the best evidence available suggests “Yahweh,” which has become the conventional pronunciation (consider the Hebrew word “hallelujah,” which actually is “hallelu-Yah,” hence “praise the Lord”). In ancient Jewish tradition, “Adonai” (“my Lord”) was substituted for “Yahweh.” In fact, when Hebrew eventually developed a vowel notation system, instead of the vowels for “Yahweh,” the vowels for “Adonai” were indicated whenever YHWH appeared in the biblical text, as a reminder. Combining the consonants YHWH with the vowels of “Adonai” yields something like “Yehowah,” which is the origin of the familiar (but mistaken and nonexistent) “Jehovah.” English Bibles typically use “Lord” (small capital letters) for “Yahweh,” and “Lord” (regular letters) for “Adonai,” which distinguishes the two.

Meaning. More vital than the matter of the pronunciation of YHWH is the question of its meaning. There seem to be two main opinions. One sees YHWH as denoting eternal self-existence, partly because it is suggested by the grammar of Exod. 3:14 (the words “I am” use a form of the Hebrew verb that suggests being without beginning or end) and partly because that is the meaning Jesus apparently ascribes to it in John 8:58. The other opinion, suggested by usage, is that YHWH indicates dynamic, active, divine presence: God’s being present in a special way to act on someone’s behalf (e.g., Gen. 26:28; 39:2–3; Josh. 6:27; 1 Sam. 18:12–14). This idea also appears in the episode of the burning bush (Exod. 3:12): when Moses protests his inadequacy to confront Pharaoh, God assures him of his presence, a reality noted with other prophets (1 Sam. 3:19; Jer. 1:8).

Perhaps the best points of reference for understanding the meaning of YHWH are God’s own proclamations. In addition to Exod. 3:13–15, at least two other passages in Exodus give God’s commentary (as it were) about the meaning of his name. An important one is Exod. 34:5–7. A key passage in the theology proper of ancient Israel, its themes echo in later OT Scripture (Num. 14:18–19; Ps. 103:7–12; Jon. 4:2). What is noteworthy about the texts cited is that all of them say something remarkable about the grace of God. This fits, for the revelation of Exod. 34:5–7 is given in the context of covenant renewal after the incident of the golden calf. Moses invokes God’s name in the Numbers text to avoid catastrophic judgment when the Israelites refuse to enter the promised land. The psalm text picks up this theme and connects it with God’s revelation of his ways to the chosen people. Jonah, remarkably, affirms that the same grace extends even toward a wicked Gentile city such as Nineveh.

Another such passage is Exod. 6:2–8. Here God reaffirms his redemptive purpose for captive Israel, despite the fact that Moses’ first encounter with Pharaoh has not gone well. God assures the prophet that he has remembered his covenant with the patriarchs, whom he says did not know him as “Yahweh,” which probably means that the patriarchs did not experience him in the way or character that their descendants would in the exodus event (though it is possible to translate the Hebrew here as a rhetorical question with an affirmative idea: “And indeed, by my name Yahweh did I not make myself known to them?”). God then proceeds to outline the redemptive experience in its fullness: deliverance from bondage, reception into a covenant relationship, and possession of the land promised to their ancestors (vv. 6–8). The statement is bracketed with this declaration: “I am the Lord” (vv. 2, 8). One stated purpose of this redemptive work is that Israel might come to understand this (v. 7). This is important to note because a central theme of Exodus as a book is the identity of the God of Israel. This concern prompts Moses to ask for God’s name at the burning bush (3:13), and this contempt for the God of the enslaved Hebrews causes Pharaoh to be dismissive at his first meeting with Moses and Aaron (5:2). Moses asks with the concern of a seeker and receives one of the most profound declarations of God’s identity in the Bible. Pharaoh asks with the contempt of a scorner and receives one of the most powerful displays of God’s identity in the Bible (the plagues). The contrast is both striking and instructive. The meaning of God’s name, then, is revealed in works as well as words, and his purpose is that not just his people but all peoples may come to understand who he is. Yet another majestic statement in the book of Exodus (9:13–16) makes this abundantly clear.

Based on this pattern of usage, the name “Yahweh” seems to signify especially the active presence of God to bless, deliver, or otherwise aid his people. Where this presence is absent, there is no success, victory, protection, or peace (Num. 14:39–45; Josh. 7:10–12; Judg. 16:20; 1 Sam. 16:13–14). The message that God not only is but also is present to save and deliver may well be the most important truth communicated in the OT, and it is only natural to see its ultimate embodiment in the person and work of Christ (Isa. 7:14; cf. Matt. 1:21–23).

Name used in combination. The name “Yahweh” also is used in combination with other terms. After God grants a military victory to Israel over the Amalekites, Moses names a commemorative altar “Yahweh Nissi,” meaning “the Lord is my Banner” (Exod. 17:15). In Ezekiel’s temple vision Jerusalem is called “Yahweh Shammah,” meaning “the Lord is there” (Ezek. 48:35). A familiar expression is “the Lord of hosts,” which is generally comparable to the expression “commander in chief” used in American culture (cf. 1 Kings 22:19–23).

Elohim

This is the first term for God encountered in the Bible, right in the opening verse. It is a more generic term, denoting deity in contrast to humans or angels. “Elohim” is a plural form; the singular terms “El” and “Eloah” are used occasionally, particularly in poetic texts. “El” is a common term in the biblical world; in fact, it is the name for the father of Baal in the Canaanite religion. This may explain why the Bible commonly uses the plural form, to distinguish the one true God, the God of Israel, from his pagan rivals. Others explain the plural form as a “plural of majesty” or “plural of intensity,” though it is uncertain just what this would mean. Some see the foundation for NT revelation of the Trinity (Gen. 1:26–27; 11:6–7; cf. John 17:20–22), but this is unlikely. The plural form also can serve simply as a common noun, referring to pagan deities (Exod. 12:12), angels (Ps. 97:7, arguably), or even human authorities (Exod. 22:28, possibly).

“El” also occurs in combination with other descriptive terms. The best known is “El Shaddai,” meaning “God Almighty” (Gen. 17:1). The precise meaning of “Shaddai” is uncertain, but it seems to have the notion of “great/powerful one.” The distressed Hagar, caught, comforted, and counseled by the mysterious personage at a well, calls God “El Roi,” which means “the God who sees me” (Gen. 16:13). One of the most exalted expressions to describe God is “El Elyon,” meaning “God Most High.” This title seems to have particular reference to God as the owner and master of creation (Gen. 14:18–20).

Adonai

As noted above, this common word meaning simply “(my) lord/master” is used regularly in place of the personal name of God revealed to Moses in Exod. 3:14. And in the OT of most English Bibles this is indicated by printing “Lord” as opposed to “Lord” (using small capital letters). However, “Adonai” is used of God in some noteworthy instances, such as Isaiah’s lofty vision of God exalted in Isa. 6 and the prophecy of Immanuel in Isa. 7:14. In time, this became the preferred term for referring to God, and the LXX reflected this by using the Greek word kyrios (“lord”) for Yahweh. This makes the ease with which NT writers transfer the use of the term to Jesus (e.g., 1 Cor. 12:3) a strong indication of their Christology.

An occupation or profession is the usual work or business in which a person engages for the sake of earning a living. In biblical times, family or social standing most often determined occupation. This was particularly true for occupations tied to land, such as planting crops and raising animals, since land in ancient Israel was passed down within the tribe, normally from fathers to sons (Josh. 14:9; Ezek. 46:18). Sometimes daughters also received a share in the family inheritance (Josh. 17:6). Most people gained their livelihood from their family’s land, and those who did not have land hired themselves out to work for wages (Deut. 24:14). A son normally learned his trade from his father (Gen. 47:3; 2 Kings 4:18; Matt. 4:21) and continued in that occupation unless called into God’s service (1 Kings 19:19–21; Jer. 1:5; Matt. 4:22).

Cicero, writing around the time of the NT, considered occupations such as tax collector, laborer, and fisherman to be vulgar. Conversely, professions such as teacher, doctor, and wholesale trader were more honorable, with landowner being the most respectable and profitable profession (Off. 1.42).

Agriculture and Farming

Farming is the earliest recorded occupation in the Bible, as the first man was called to work and keep the garden (Gen. 2:15). Even after the exile from Eden because of sin, Adam worked the ground for food, as did Cain, his firstborn son (Gen. 3:17–18; 4:2). The opening chapters of the Bible establish a fundamental link between “man” (’adam) and the “ground” (’adamah). After the flood, Noah established himself as a “man of the soil” (’ish ha’adamah) by planting a vineyard (Gen. 9:20). King Uzziah “loved the soil” (’oheb ’adamah) and so employed people to work in his fields and vineyards (2 Chron. 26:10).

God demonstrated his covenant commitment to Isaac by blessing him with an incredible harvest (Gen. 26:12), and he promised to prosper Israel’s farms if the people obeyed him (Deut. 28:4) and to curse the fruit of their ground if they disobeyed (Deut. 28:18). The OT ideal was for everyone to live “under their own vine and under their own fig tree” (1 Kings 4:25; Mic. 4:4). According to Prov. 28:19, the diligent farmer would have abundant food.

Jesus’ parables frequently employed agricultural imagery that would have been readily understandable in first-century Palestine, where many people were farmers (cf. Mark 4:1–9; 12:1–11) and some owned land (Acts 4:34). The people living around Jerusalem at this time engaged in agriculture, soil cultivation, and cattle raising (Let. Aris. 107–112).

Herding and Hunting

Herding animals is the second-oldest occupation recorded in Scripture (after farming), and raising flocks and herds continued to be one of the most common and important professions throughout biblical times. Abel is the first “keeper of sheep” in the Bible (Gen. 4:2 NRSV). Several generations later, Jabal pioneered the nomadic herding lifestyle (Gen. 4:20). The patriarchs were shepherds (Gen. 47:3), as were Moses (Exod. 3:1), David (1 Sam. 17:34), and many others in the OT. Josephus acknowledged that “feeding of sheep was the employment of our forefathers in the most ancient ages” (Ag. Ap. 1.91). While men typically worked as shepherds and herdsmen, the occupation was also open to women, such as Rachel, whose fathers owned sheep (Gen. 29:9). Shepherds were present at Jesus’ birth (Luke 2:8–20), and Jesus’ teaching suggests that shepherding was a common occupation in Palestine (cf. Matt. 18:12; John 10:1–30).

Many people in biblical times hunted, either for food, sport, or protection. The first recorded hunter is Nimrod, “a mighty hunter before the Lord” (Gen. 10:9). Ishmael was “an expert with the bow” (Gen. 21:20 NRSV), while Esau was “a skillful hunter, a man of the open country” who brought back wild game for food (25:27–28). The name of Pokereth-Hazzebaim, included in the genealogy of Solomon’s servants in Ezra 2:57, reflects his occupation as a “gazelle catcher” (cf. 1 Kings 4:23).

Builders and Craftsmen

Cain was the first person in the Bible to build a city (Gen. 4:17), and his descendant Tubal-Cain was the first metalworker (4:22). Nimrod built a number of cities (10:11–12), and the beginning of Nimrod’s kingdom was Babel (10:10), where the people gathered together to build a city with brick (11:3). Builders in Mesopotamia used baked brick and asphalt, while Israelite builders usually preferred the more readily available stone and mortar. After Joseph’s death, Israel was conscripted into forced labor in Egypt, which involved building cities of brick and mortar (Exod. 1:11).

The role of craftsmen in the construction of the tabernacle was particularly significant. Bezalel and Oholiab were “skilled workers and designers” empowered by God for work on the tabernacle (Exod. 35:35). They engaged in “all kinds of crafts,” including artistic metalworking, masonry, carpentry, and weaving (Exod. 31:4–5; 38:23).

Kings in Israel often commissioned important building projects (1 Kings 12:25; 15:22; 16:24; 2 Chron. 26:9; Josephus, J.W. 1.401–2). Carpenters and stonemasons worked on David’s palace (2 Sam. 5:11). Solomon conscripted laborers to build the temple and also employed carriers, stonecutters, craftsmen, and foremen to supervise the work (1 Kings 5:13–18). After the Babylonian exile, many Israelites were involved in rebuilding the temple and the wall of Jerusalem, which had been destroyed (Ezra 3:8; Neh. 4:16–18). These projects, directed by Zerubbabel and Nehemiah, utilized masons, carpenters, and other workers (Ezra 3:7).

Jesus is referred to as a tektōn (Mark 6:3) and as the son of a tektōn (Matt. 13:55), with tektōn usually translated “carpenter” by English versions. However, recent scholarship has demonstrated that Jesus was likely a builder, not a carpenter in the modern sense of the term. In the LXX, the word tektōn typically translates a Hebrew word, kharash, used broadly to refer to craftsmen working with stone, wood, or metal.

Musicians

The first musician recorded in Scripture is Jubal, “the father of all who play the stringed instruments and pipes” (Gen. 4:21). Musicians performed a variety of roles in ancient society, as they do today. Singers and instrumentalists were employed to celebrate festive occasions, often to provide accompaniment for dancing (Gen. 31:27; Luke 15:25), to soothe the sick or distressed (1 Sam. 16:16), and to express lamentation (Job 30:31).

Musicians played an important role in leading God’s people in worship. The “director of music” is mentioned in the headings of fifty-five psalms and Hab. 3:19. The most famous musician in Scripture is David, “the singer of Israel’s psalms” (2 Sam. 23:1 GW), who played the harp (1 Sam. 16:18) and wrote or inspired at least seventy-three canonical psalms. Solomon was also a notable songwriter and lover of music (1 Kings 4:32). David appointed many Levites as singers and musicians to lead Israel in worship (1 Chron. 15:16; 23:5). The musicians played lyres, harps, cymbals, and trumpets (2 Chron. 5:12).

Government, Politics, and Military

Before the monarchy, there were no formal government offices. Under Moses, a group of seventy elders in Israel served as leaders and officials, and these men were to carry out Moses’ decrees and judge the people on most matters (Exod. 18:20–22; Num. 11:16). After Joshua’s death, God raised up judges to rescue Israel from foreign enemies and lead the people (Judg. 2:16) until the time of Samuel, when Saul was made king (1 Sam. 11:15).

Kings in Israel employed various officials. In 2 Sam. 8:16–18, Joab is listed first among David’s officials, which suggests that the military commander was second in authority after the king. Under Solomon, the leader of the army is called “commander in chief” (1 Kings 4:4). The royal cabinet included a number of key advisers, including the recorder, the secretary, and the “confidant” of the king (cf. 2 Sam. 16:16). The OT does not specify the precise roles of these officials. The recorder was among the highest governmental positions and served as a royal counselor. In Hebrew, mazkir (“recorder”) is a cognate noun to the verb zkr (“to remember”), which suggests that this official may have managed and preserved public records (2 Kings 18:18; Isa. 36:22). The main task of the king’s secretary or scribe (sop̱er) was to write down (sapar) official state documents (2 Sam. 8:17), and he advised the king and also provided financial oversight (2 Kings 12:10). Recorders and secretaries apparently were well educated and multilingual, as was the palace administrator (2 Kings 18:18, 26). Solomon’s officials included supervisors of the palace and the forced labor, as well as governors who supplied provisions for the king’s household (1 Kings 4:6–7). The OT mentions cupbearers in Israel’s government and in other administrations (Gen. 40:1; 1 Kings 10:5; Neh. 1:11). The cupbearer served as the royal wine taster; he protected the king from being poisoned and had direct access to the monarch.

In the Roman Empire, the emperor was absolute ruler (1 Pet. 2:17), with the senate next in authority. Proconsuls held judicial and military authority over larger provinces (Acts 18:12), prefects (governors) administered smaller provinces (Matt. 27:2), with tetrarchs over one-fourth of a province (Luke 3:1).

Christians in NT times engaged in civil service. Erastus was a financial officer in Corinth (Rom. 16:23), and he may be the same Erastus commemorated in an inscription from this period who held the office of aedile. The proconsul Sergius Paulus (Acts 13:7); Manaen, a close friend of Herod Antipas (Acts 13:1); and members of Caesar’s household (Phil. 4:22) were also Christian public leaders.

Trade and Economics

From earliest times, people have exchanged goods and property. When Abraham purchased Ephron’s field, his silver was measured “according to the weight current among the merchants” (Gen. 23:16), which suggests that a recognized system of public trading was in place during the time of the patriarchs. Traders of commodities such as spices traveled along caravan routes between southern Arabia and Egypt, and these traders often acquired slaves along the way (Gen. 37:28). Solomon employed royal merchants to buy and sell goods (1 Kings 10:28).

In the first century, Jews were engaged broadly in economic life as landowners, artisans, merchants, traders, bankers, and slaves. Several of Jesus’ disciples were fishermen (Matt. 4:18). Luke was a physician, a well-educated and respectable professional (Col. 4:14). Lydia was a dealer in purple cloth (Acts 16:14). Paul, Aquila, and Priscilla worked as tentmakers (Acts 18:3). In the Roman Empire, commerce and pagan religion often intermingled. Merchants often formed trade guilds, where membership sometimes required religious and moral compromise. In Ephesus, silversmiths and craftsmen in related trades turned significant profit through their connections with the local Artemis cult (Acts 19:24–27).

Jesus frequently spent time with tax collectors, such as Levi (also called “Matthew”) (Matt. 9:9; Mark 2:14). Tax collectors were a despised group because often they became wealthy by taking advantage of the Roman taxation system, which allowed them to charge commission on taxes collected (Luke 19:2, 8). Jesus’ parable of the talents references bankers who offered interest on deposits collected (Matt. 25:27), and Rev. 3:17–18 alludes to the fact that Laodicea was a financial center with a significant banking system.

Servants and Slaves

In the OT, ’ebed most often designates a slave or servant, whose occupation involves work (’abad ) as a subordinate. Some servants held very important positions in their master’s household (Gen. 24:2), while many others toiled in hard labor (Job 7:2). Israelites were not to enslave their kinfolk, but they could take slaves from other nations. Fellow Israelites who became poor could serve as hired workers, but they were to be released along with their children at the Jubilee because God had brought Israel out from Egyptian slavery and they belonged to God as his servants (Lev. 25:39–46).

Slaves in the Roman world were property like goods or cattle, possessed by another (Dio Chrysostom, 2 Serv. lib. 24). Unlike modern slavery practices, race played no factor in the Roman institution of slavery. Slaves were kidnapped and sold in NT times (1 Tim. 1:10; Rev. 18:13), but the majority of slaves were so by birth. The most prominent slave in the NT is Onesimus, for whom Paul intercedes with his master, Philemon (Philem. 10, 16). Believing slaves were to obey their earthly masters “as slaves of Christ” (Eph. 6:5–6), but the NT stressed the equality of slave and free in Christ (Gal. 3:28). Paul called himself a “servant [doulos] of Christ Jesus” (Rom. 1:1).

Religious Service

Most Israelites engaged in professional religious service were Levites (Num. 3:12), including Moses, Aaron, and the priests in Aaron’s line (Exod. 6:19–20; 35:19). The priests offered sacrifices to God on behalf of the people (Heb. 5:1). Under the priests’ direction, the Levites were charged with caring for the tabernacle and its furnishings (Num. 1:49; 1 Chron. 23:32) and carrying the ark of the covenant (1 Chron. 15:2). They were set apart to serve in God’s presence (Deut. 18:7) and to lead the people in worship (2 Chron. 5:12). Further, priests often played an important advisory role to Israel’s kings (2 Sam. 8:17; 1 Kings 4:5; 2 Kings 12:2).

In Israel, people went to seers and prophets to inquire of God (1 Sam. 9:9), for they received and communicated God’s word (2 Sam. 24:11; Jer. 37:6). Sometimes individuals are mentioned as prophets, and other times the prophets are discussed as an organized group (1 Sam. 19:20; 1 Kings 22:6).

The NT references a number of ministerial offices (1 Cor. 12:28; Eph. 4:11; 1 Tim. 3:1–12). Not all ministers were paid, though teachers and preachers had a right to “receive their living from the gospel” (1 Cor. 9:14–15; cf. 1 Tim. 5:17). Apostles were those sent out by Jesus as his representatives. The term apostolos refers particularly to the twelve apostles who were with Jesus during his earthly ministry and who were witnesses of his resurrection (Acts 1:21–22). Paul referred to himself as an apostle (Gal. 1:1; 1 Cor. 1:1), and he calls Epaph-ro-di-tus and others “messengers” (apostoloi) in the churches (2 Cor. 8:23; Phil. 2:25). Prophets have the spiritual gift of prophecy and speak to strengthen, encourage, and comfort the church (Acts 15:32; 1 Cor. 14:3). Overseers (also called “elders” or “pastors”) are qualified leaders who teach, shepherd, and exercise authority in the church (1 Tim. 3:1; 1 Pet. 5:2). Evangelists and missionaries proclaim the gospel and aim to win converts to Christ (Acts 21:8; 2 Tim. 4:5). Those ministers who are faithful to the gospel deserve support (3 John 8).

An occupation or profession is the usual work or business in which a person engages for the sake of earning a living. In biblical times, family or social standing most often determined occupation. This was particularly true for occupations tied to land, such as planting crops and raising animals, since land in ancient Israel was passed down within the tribe, normally from fathers to sons (Josh. 14:9; Ezek. 46:18). Sometimes daughters also received a share in the family inheritance (Josh. 17:6). Most people gained their livelihood from their family’s land, and those who did not have land hired themselves out to work for wages (Deut. 24:14). A son normally learned his trade from his father (Gen. 47:3; 2 Kings 4:18; Matt. 4:21) and continued in that occupation unless called into God’s service (1 Kings 19:19–21; Jer. 1:5; Matt. 4:22).

Cicero, writing around the time of the NT, considered occupations such as tax collector, laborer, and fisherman to be vulgar. Conversely, professions such as teacher, doctor, and wholesale trader were more honorable, with landowner being the most respectable and profitable profession (Off. 1.42).

Agriculture and Farming

Farming is the earliest recorded occupation in the Bible, as the first man was called to work and keep the garden (Gen. 2:15). Even after the exile from Eden because of sin, Adam worked the ground for food, as did Cain, his firstborn son (Gen. 3:17–18; 4:2). The opening chapters of the Bible establish a fundamental link between “man” (’adam) and the “ground” (’adamah). After the flood, Noah established himself as a “man of the soil” (’ish ha’adamah) by planting a vineyard (Gen. 9:20). King Uzziah “loved the soil” (’oheb ’adamah) and so employed people to work in his fields and vineyards (2 Chron. 26:10).

God demonstrated his covenant commitment to Isaac by blessing him with an incredible harvest (Gen. 26:12), and he promised to prosper Israel’s farms if the people obeyed him (Deut. 28:4) and to curse the fruit of their ground if they disobeyed (Deut. 28:18). The OT ideal was for everyone to live “under their own vine and under their own fig tree” (1 Kings 4:25; Mic. 4:4). According to Prov. 28:19, the diligent farmer would have abundant food.

Jesus’ parables frequently employed agricultural imagery that would have been readily understandable in first-century Palestine, where many people were farmers (cf. Mark 4:1–9; 12:1–11) and some owned land (Acts 4:34). The people living around Jerusalem at this time engaged in agriculture, soil cultivation, and cattle raising (Let. Aris. 107–112).

Herding and Hunting

Herding animals is the second-oldest occupation recorded in Scripture (after farming), and raising flocks and herds continued to be one of the most common and important professions throughout biblical times. Abel is the first “keeper of sheep” in the Bible (Gen. 4:2 NRSV). Several generations later, Jabal pioneered the nomadic herding lifestyle (Gen. 4:20). The patriarchs were shepherds (Gen. 47:3), as were Moses (Exod. 3:1), David (1 Sam. 17:34), and many others in the OT. Josephus acknowledged that “feeding of sheep was the employment of our forefathers in the most ancient ages” (Ag. Ap. 1.91). While men typically worked as shepherds and herdsmen, the occupation was also open to women, such as Rachel, whose fathers owned sheep (Gen. 29:9). Shepherds were present at Jesus’ birth (Luke 2:8–20), and Jesus’ teaching suggests that shepherding was a common occupation in Palestine (cf. Matt. 18:12; John 10:1–30).

Many people in biblical times hunted, either for food, sport, or protection. The first recorded hunter is Nimrod, “a mighty hunter before the Lord” (Gen. 10:9). Ishmael was “an expert with the bow” (Gen. 21:20 NRSV), while Esau was “a skillful hunter, a man of the open country” who brought back wild game for food (25:27–28). The name of Pokereth-Hazzebaim, included in the genealogy of Solomon’s servants in Ezra 2:57, reflects his occupation as a “gazelle catcher” (cf. 1 Kings 4:23).

Builders and Craftsmen

Cain was the first person in the Bible to build a city (Gen. 4:17), and his descendant Tubal-Cain was the first metalworker (4:22). Nimrod built a number of cities (10:11–12), and the beginning of Nimrod’s kingdom was Babel (10:10), where the people gathered together to build a city with brick (11:3). Builders in Mesopotamia used baked brick and asphalt, while Israelite builders usually preferred the more readily available stone and mortar. After Joseph’s death, Israel was conscripted into forced labor in Egypt, which involved building cities of brick and mortar (Exod. 1:11).

The role of craftsmen in the construction of the tabernacle was particularly significant. Bezalel and Oholiab were “skilled workers and designers” empowered by God for work on the tabernacle (Exod. 35:35). They engaged in “all kinds of crafts,” including artistic metalworking, masonry, carpentry, and weaving (Exod. 31:4–5; 38:23).

Kings in Israel often commissioned important building projects (1 Kings 12:25; 15:22; 16:24; 2 Chron. 26:9; Josephus, J.W. 1.401–2). Carpenters and stonemasons worked on David’s palace (2 Sam. 5:11). Solomon conscripted laborers to build the temple and also employed carriers, stonecutters, craftsmen, and foremen to supervise the work (1 Kings 5:13–18). After the Babylonian exile, many Israelites were involved in rebuilding the temple and the wall of Jerusalem, which had been destroyed (Ezra 3:8; Neh. 4:16–18). These projects, directed by Zerubbabel and Nehemiah, utilized masons, carpenters, and other workers (Ezra 3:7).

Jesus is referred to as a tektōn (Mark 6:3) and as the son of a tektōn (Matt. 13:55), with tektōn usually translated “carpenter” by English versions. However, recent scholarship has demonstrated that Jesus was likely a builder, not a carpenter in the modern sense of the term. In the LXX, the word tektōn typically translates a Hebrew word, kharash, used broadly to refer to craftsmen working with stone, wood, or metal.

Musicians

The first musician recorded in Scripture is Jubal, “the father of all who play the stringed instruments and pipes” (Gen. 4:21). Musicians performed a variety of roles in ancient society, as they do today. Singers and instrumentalists were employed to celebrate festive occasions, often to provide accompaniment for dancing (Gen. 31:27; Luke 15:25), to soothe the sick or distressed (1 Sam. 16:16), and to express lamentation (Job 30:31).

Musicians played an important role in leading God’s people in worship. The “director of music” is mentioned in the headings of fifty-five psalms and Hab. 3:19. The most famous musician in Scripture is David, “the singer of Israel’s psalms” (2 Sam. 23:1 GW), who played the harp (1 Sam. 16:18) and wrote or inspired at least seventy-three canonical psalms. Solomon was also a notable songwriter and lover of music (1 Kings 4:32). David appointed many Levites as singers and musicians to lead Israel in worship (1 Chron. 15:16; 23:5). The musicians played lyres, harps, cymbals, and trumpets (2 Chron. 5:12).

Government, Politics, and Military

Before the monarchy, there were no formal government offices. Under Moses, a group of seventy elders in Israel served as leaders and officials, and these men were to carry out Moses’ decrees and judge the people on most matters (Exod. 18:20–22; Num. 11:16). After Joshua’s death, God raised up judges to rescue Israel from foreign enemies and lead the people (Judg. 2:16) until the time of Samuel, when Saul was made king (1 Sam. 11:15).

Kings in Israel employed various officials. In 2 Sam. 8:16–18, Joab is listed first among David’s officials, which suggests that the military commander was second in authority after the king. Under Solomon, the leader of the army is called “commander in chief” (1 Kings 4:4). The royal cabinet included a number of key advisers, including the recorder, the secretary, and the “confidant” of the king (cf. 2 Sam. 16:16). The OT does not specify the precise roles of these officials. The recorder was among the highest governmental positions and served as a royal counselor. In Hebrew, mazkir (“recorder”) is a cognate noun to the verb zkr (“to remember”), which suggests that this official may have managed and preserved public records (2 Kings 18:18; Isa. 36:22). The main task of the king’s secretary or scribe (sop̱er) was to write down (sapar) official state documents (2 Sam. 8:17), and he advised the king and also provided financial oversight (2 Kings 12:10). Recorders and secretaries apparently were well educated and multilingual, as was the palace administrator (2 Kings 18:18, 26). Solomon’s officials included supervisors of the palace and the forced labor, as well as governors who supplied provisions for the king’s household (1 Kings 4:6–7). The OT mentions cupbearers in Israel’s government and in other administrations (Gen. 40:1; 1 Kings 10:5; Neh. 1:11). The cupbearer served as the royal wine taster; he protected the king from being poisoned and had direct access to the monarch.

In the Roman Empire, the emperor was absolute ruler (1 Pet. 2:17), with the senate next in authority. Proconsuls held judicial and military authority over larger provinces (Acts 18:12), prefects (governors) administered smaller provinces (Matt. 27:2), with tetrarchs over one-fourth of a province (Luke 3:1).

Christians in NT times engaged in civil service. Erastus was a financial officer in Corinth (Rom. 16:23), and he may be the same Erastus commemorated in an inscription from this period who held the office of aedile. The proconsul Sergius Paulus (Acts 13:7); Manaen, a close friend of Herod Antipas (Acts 13:1); and members of Caesar’s household (Phil. 4:22) were also Christian public leaders.

Trade and Economics

From earliest times, people have exchanged goods and property. When Abraham purchased Ephron’s field, his silver was measured “according to the weight current among the merchants” (Gen. 23:16), which suggests that a recognized system of public trading was in place during the time of the patriarchs. Traders of commodities such as spices traveled along caravan routes between southern Arabia and Egypt, and these traders often acquired slaves along the way (Gen. 37:28). Solomon employed royal merchants to buy and sell goods (1 Kings 10:28).

In the first century, Jews were engaged broadly in economic life as landowners, artisans, merchants, traders, bankers, and slaves. Several of Jesus’ disciples were fishermen (Matt. 4:18). Luke was a physician, a well-educated and respectable professional (Col. 4:14). Lydia was a dealer in purple cloth (Acts 16:14). Paul, Aquila, and Priscilla worked as tentmakers (Acts 18:3). In the Roman Empire, commerce and pagan religion often intermingled. Merchants often formed trade guilds, where membership sometimes required religious and moral compromise. In Ephesus, silversmiths and craftsmen in related trades turned significant profit through their connections with the local Artemis cult (Acts 19:24–27).

Jesus frequently spent time with tax collectors, such as Levi (also called “Matthew”) (Matt. 9:9; Mark 2:14). Tax collectors were a despised group because often they became wealthy by taking advantage of the Roman taxation system, which allowed them to charge commission on taxes collected (Luke 19:2, 8). Jesus’ parable of the talents references bankers who offered interest on deposits collected (Matt. 25:27), and Rev. 3:17–18 alludes to the fact that Laodicea was a financial center with a significant banking system.

Servants and Slaves

In the OT, ’ebed most often designates a slave or servant, whose occupation involves work (’abad ) as a subordinate. Some servants held very important positions in their master’s household (Gen. 24:2), while many others toiled in hard labor (Job 7:2). Israelites were not to enslave their kinfolk, but they could take slaves from other nations. Fellow Israelites who became poor could serve as hired workers, but they were to be released along with their children at the Jubilee because God had brought Israel out from Egyptian slavery and they belonged to God as his servants (Lev. 25:39–46).

Slaves in the Roman world were property like goods or cattle, possessed by another (Dio Chrysostom, 2 Serv. lib. 24). Unlike modern slavery practices, race played no factor in the Roman institution of slavery. Slaves were kidnapped and sold in NT times (1 Tim. 1:10; Rev. 18:13), but the majority of slaves were so by birth. The most prominent slave in the NT is Onesimus, for whom Paul intercedes with his master, Philemon (Philem. 10, 16). Believing slaves were to obey their earthly masters “as slaves of Christ” (Eph. 6:5–6), but the NT stressed the equality of slave and free in Christ (Gal. 3:28). Paul called himself a “servant [doulos] of Christ Jesus” (Rom. 1:1).

Religious Service

Most Israelites engaged in professional religious service were Levites (Num. 3:12), including Moses, Aaron, and the priests in Aaron’s line (Exod. 6:19–20; 35:19). The priests offered sacrifices to God on behalf of the people (Heb. 5:1). Under the priests’ direction, the Levites were charged with caring for the tabernacle and its furnishings (Num. 1:49; 1 Chron. 23:32) and carrying the ark of the covenant (1 Chron. 15:2). They were set apart to serve in God’s presence (Deut. 18:7) and to lead the people in worship (2 Chron. 5:12). Further, priests often played an important advisory role to Israel’s kings (2 Sam. 8:17; 1 Kings 4:5; 2 Kings 12:2).

In Israel, people went to seers and prophets to inquire of God (1 Sam. 9:9), for they received and communicated God’s word (2 Sam. 24:11; Jer. 37:6). Sometimes individuals are mentioned as prophets, and other times the prophets are discussed as an organized group (1 Sam. 19:20; 1 Kings 22:6).

The NT references a number of ministerial offices (1 Cor. 12:28; Eph. 4:11; 1 Tim. 3:1–12). Not all ministers were paid, though teachers and preachers had a right to “receive their living from the gospel” (1 Cor. 9:14–15; cf. 1 Tim. 5:17). Apostles were those sent out by Jesus as his representatives. The term apostolos refers particularly to the twelve apostles who were with Jesus during his earthly ministry and who were witnesses of his resurrection (Acts 1:21–22). Paul referred to himself as an apostle (Gal. 1:1; 1 Cor. 1:1), and he calls Epaph-ro-di-tus and others “messengers” (apostoloi) in the churches (2 Cor. 8:23; Phil. 2:25). Prophets have the spiritual gift of prophecy and speak to strengthen, encourage, and comfort the church (Acts 15:32; 1 Cor. 14:3). Overseers (also called “elders” or “pastors”) are qualified leaders who teach, shepherd, and exercise authority in the church (1 Tim. 3:1; 1 Pet. 5:2). Evangelists and missionaries proclaim the gospel and aim to win converts to Christ (Acts 21:8; 2 Tim. 4:5). Those ministers who are faithful to the gospel deserve support (3 John 8).

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

An occupation or profession is the usual work or business in which a person engages for the sake of earning a living. In biblical times, family or social standing most often determined occupation. This was particularly true for occupations tied to land, such as planting crops and raising animals, since land in ancient Israel was passed down within the tribe, normally from fathers to sons (Josh. 14:9; Ezek. 46:18). Sometimes daughters also received a share in the family inheritance (Josh. 17:6). Most people gained their livelihood from their family’s land, and those who did not have land hired themselves out to work for wages (Deut. 24:14). A son normally learned his trade from his father (Gen. 47:3; 2 Kings 4:18; Matt. 4:21) and continued in that occupation unless called into God’s service (1 Kings 19:19–21; Jer. 1:5; Matt. 4:22).

Cicero, writing around the time of the NT, considered occupations such as tax collector, laborer, and fisherman to be vulgar. Conversely, professions such as teacher, doctor, and wholesale trader were more honorable, with landowner being the most respectable and profitable profession (Off. 1.42).

Agriculture and Farming

Farming is the earliest recorded occupation in the Bible, as the first man was called to work and keep the garden (Gen. 2:15). Even after the exile from Eden because of sin, Adam worked the ground for food, as did Cain, his firstborn son (Gen. 3:17–18; 4:2). The opening chapters of the Bible establish a fundamental link between “man” (’adam) and the “ground” (’adamah). After the flood, Noah established himself as a “man of the soil” (’ish ha’adamah) by planting a vineyard (Gen. 9:20). King Uzziah “loved the soil” (’oheb ’adamah) and so employed people to work in his fields and vineyards (2 Chron. 26:10).

God demonstrated his covenant commitment to Isaac by blessing him with an incredible harvest (Gen. 26:12), and he promised to prosper Israel’s farms if the people obeyed him (Deut. 28:4) and to curse the fruit of their ground if they disobeyed (Deut. 28:18). The OT ideal was for everyone to live “under their own vine and under their own fig tree” (1 Kings 4:25; Mic. 4:4). According to Prov. 28:19, the diligent farmer would have abundant food.

Jesus’ parables frequently employed agricultural imagery that would have been readily understandable in first-century Palestine, where many people were farmers (cf. Mark 4:1–9; 12:1–11) and some owned land (Acts 4:34). The people living around Jerusalem at this time engaged in agriculture, soil cultivation, and cattle raising (Let. Aris. 107–112).

Herding and Hunting

Herding animals is the second-oldest occupation recorded in Scripture (after farming), and raising flocks and herds continued to be one of the most common and important professions throughout biblical times. Abel is the first “keeper of sheep” in the Bible (Gen. 4:2 NRSV). Several generations later, Jabal pioneered the nomadic herding lifestyle (Gen. 4:20). The patriarchs were shepherds (Gen. 47:3), as were Moses (Exod. 3:1), David (1 Sam. 17:34), and many others in the OT. Josephus acknowledged that “feeding of sheep was the employment of our forefathers in the most ancient ages” (Ag. Ap. 1.91). While men typically worked as shepherds and herdsmen, the occupation was also open to women, such as Rachel, whose fathers owned sheep (Gen. 29:9). Shepherds were present at Jesus’ birth (Luke 2:8–20), and Jesus’ teaching suggests that shepherding was a common occupation in Palestine (cf. Matt. 18:12; John 10:1–30).

Many people in biblical times hunted, either for food, sport, or protection. The first recorded hunter is Nimrod, “a mighty hunter before the Lord” (Gen. 10:9). Ishmael was “an expert with the bow” (Gen. 21:20 NRSV), while Esau was “a skillful hunter, a man of the open country” who brought back wild game for food (25:27–28). The name of Pokereth-Hazzebaim, included in the genealogy of Solomon’s servants in Ezra 2:57, reflects his occupation as a “gazelle catcher” (cf. 1 Kings 4:23).

Builders and Craftsmen

Cain was the first person in the Bible to build a city (Gen. 4:17), and his descendant Tubal-Cain was the first metalworker (4:22). Nimrod built a number of cities (10:11–12), and the beginning of Nimrod’s kingdom was Babel (10:10), where the people gathered together to build a city with brick (11:3). Builders in Mesopotamia used baked brick and asphalt, while Israelite builders usually preferred the more readily available stone and mortar. After Joseph’s death, Israel was conscripted into forced labor in Egypt, which involved building cities of brick and mortar (Exod. 1:11).

The role of craftsmen in the construction of the tabernacle was particularly significant. Bezalel and Oholiab were “skilled workers and designers” empowered by God for work on the tabernacle (Exod. 35:35). They engaged in “all kinds of crafts,” including artistic metalworking, masonry, carpentry, and weaving (Exod. 31:4–5; 38:23).

Kings in Israel often commissioned important building projects (1 Kings 12:25; 15:22; 16:24; 2 Chron. 26:9; Josephus, J.W. 1.401–2). Carpenters and stonemasons worked on David’s palace (2 Sam. 5:11). Solomon conscripted laborers to build the temple and also employed carriers, stonecutters, craftsmen, and foremen to supervise the work (1 Kings 5:13–18). After the Babylonian exile, many Israelites were involved in rebuilding the temple and the wall of Jerusalem, which had been destroyed (Ezra 3:8; Neh. 4:16–18). These projects, directed by Zerubbabel and Nehemiah, utilized masons, carpenters, and other workers (Ezra 3:7).

Jesus is referred to as a tektōn (Mark 6:3) and as the son of a tektōn (Matt. 13:55), with tektōn usually translated “carpenter” by English versions. However, recent scholarship has demonstrated that Jesus was likely a builder, not a carpenter in the modern sense of the term. In the LXX, the word tektōn typically translates a Hebrew word, kharash, used broadly to refer to craftsmen working with stone, wood, or metal.

Musicians

The first musician recorded in Scripture is Jubal, “the father of all who play the stringed instruments and pipes” (Gen. 4:21). Musicians performed a variety of roles in ancient society, as they do today. Singers and instrumentalists were employed to celebrate festive occasions, often to provide accompaniment for dancing (Gen. 31:27; Luke 15:25), to soothe the sick or distressed (1 Sam. 16:16), and to express lamentation (Job 30:31).

Musicians played an important role in leading God’s people in worship. The “director of music” is mentioned in the headings of fifty-five psalms and Hab. 3:19. The most famous musician in Scripture is David, “the singer of Israel’s psalms” (2 Sam. 23:1 GW), who played the harp (1 Sam. 16:18) and wrote or inspired at least seventy-three canonical psalms. Solomon was also a notable songwriter and lover of music (1 Kings 4:32). David appointed many Levites as singers and musicians to lead Israel in worship (1 Chron. 15:16; 23:5). The musicians played lyres, harps, cymbals, and trumpets (2 Chron. 5:12).

Government, Politics, and Military

Before the monarchy, there were no formal government offices. Under Moses, a group of seventy elders in Israel served as leaders and officials, and these men were to carry out Moses’ decrees and judge the people on most matters (Exod. 18:20–22; Num. 11:16). After Joshua’s death, God raised up judges to rescue Israel from foreign enemies and lead the people (Judg. 2:16) until the time of Samuel, when Saul was made king (1 Sam. 11:15).

Kings in Israel employed various officials. In 2 Sam. 8:16–18, Joab is listed first among David’s officials, which suggests that the military commander was second in authority after the king. Under Solomon, the leader of the army is called “commander in chief” (1 Kings 4:4). The royal cabinet included a number of key advisers, including the recorder, the secretary, and the “confidant” of the king (cf. 2 Sam. 16:16). The OT does not specify the precise roles of these officials. The recorder was among the highest governmental positions and served as a royal counselor. In Hebrew, mazkir (“recorder”) is a cognate noun to the verb zkr (“to remember”), which suggests that this official may have managed and preserved public records (2 Kings 18:18; Isa. 36:22). The main task of the king’s secretary or scribe (sop̱er) was to write down (sapar) official state documents (2 Sam. 8:17), and he advised the king and also provided financial oversight (2 Kings 12:10). Recorders and secretaries apparently were well educated and multilingual, as was the palace administrator (2 Kings 18:18, 26). Solomon’s officials included supervisors of the palace and the forced labor, as well as governors who supplied provisions for the king’s household (1 Kings 4:6–7). The OT mentions cupbearers in Israel’s government and in other administrations (Gen. 40:1; 1 Kings 10:5; Neh. 1:11). The cupbearer served as the royal wine taster; he protected the king from being poisoned and had direct access to the monarch.

In the Roman Empire, the emperor was absolute ruler (1 Pet. 2:17), with the senate next in authority. Proconsuls held judicial and military authority over larger provinces (Acts 18:12), prefects (governors) administered smaller provinces (Matt. 27:2), with tetrarchs over one-fourth of a province (Luke 3:1).

Christians in NT times engaged in civil service. Erastus was a financial officer in Corinth (Rom. 16:23), and he may be the same Erastus commemorated in an inscription from this period who held the office of aedile. The proconsul Sergius Paulus (Acts 13:7); Manaen, a close friend of Herod Antipas (Acts 13:1); and members of Caesar’s household (Phil. 4:22) were also Christian public leaders.

Trade and Economics

From earliest times, people have exchanged goods and property. When Abraham purchased Ephron’s field, his silver was measured “according to the weight current among the merchants” (Gen. 23:16), which suggests that a recognized system of public trading was in place during the time of the patriarchs. Traders of commodities such as spices traveled along caravan routes between southern Arabia and Egypt, and these traders often acquired slaves along the way (Gen. 37:28). Solomon employed royal merchants to buy and sell goods (1 Kings 10:28).

In the first century, Jews were engaged broadly in economic life as landowners, artisans, merchants, traders, bankers, and slaves. Several of Jesus’ disciples were fishermen (Matt. 4:18). Luke was a physician, a well-educated and respectable professional (Col. 4:14). Lydia was a dealer in purple cloth (Acts 16:14). Paul, Aquila, and Priscilla worked as tentmakers (Acts 18:3). In the Roman Empire, commerce and pagan religion often intermingled. Merchants often formed trade guilds, where membership sometimes required religious and moral compromise. In Ephesus, silversmiths and craftsmen in related trades turned significant profit through their connections with the local Artemis cult (Acts 19:24–27).

Jesus frequently spent time with tax collectors, such as Levi (also called “Matthew”) (Matt. 9:9; Mark 2:14). Tax collectors were a despised group because often they became wealthy by taking advantage of the Roman taxation system, which allowed them to charge commission on taxes collected (Luke 19:2, 8). Jesus’ parable of the talents references bankers who offered interest on deposits collected (Matt. 25:27), and Rev. 3:17–18 alludes to the fact that Laodicea was a financial center with a significant banking system.

Servants and Slaves

In the OT, ’ebed most often designates a slave or servant, whose occupation involves work (’abad ) as a subordinate. Some servants held very important positions in their master’s household (Gen. 24:2), while many others toiled in hard labor (Job 7:2). Israelites were not to enslave their kinfolk, but they could take slaves from other nations. Fellow Israelites who became poor could serve as hired workers, but they were to be released along with their children at the Jubilee because God had brought Israel out from Egyptian slavery and they belonged to God as his servants (Lev. 25:39–46).

Slaves in the Roman world were property like goods or cattle, possessed by another (Dio Chrysostom, 2 Serv. lib. 24). Unlike modern slavery practices, race played no factor in the Roman institution of slavery. Slaves were kidnapped and sold in NT times (1 Tim. 1:10; Rev. 18:13), but the majority of slaves were so by birth. The most prominent slave in the NT is Onesimus, for whom Paul intercedes with his master, Philemon (Philem. 10, 16). Believing slaves were to obey their earthly masters “as slaves of Christ” (Eph. 6:5–6), but the NT stressed the equality of slave and free in Christ (Gal. 3:28). Paul called himself a “servant [doulos] of Christ Jesus” (Rom. 1:1).

Religious Service

Most Israelites engaged in professional religious service were Levites (Num. 3:12), including Moses, Aaron, and the priests in Aaron’s line (Exod. 6:19–20; 35:19). The priests offered sacrifices to God on behalf of the people (Heb. 5:1). Under the priests’ direction, the Levites were charged with caring for the tabernacle and its furnishings (Num. 1:49; 1 Chron. 23:32) and carrying the ark of the covenant (1 Chron. 15:2). They were set apart to serve in God’s presence (Deut. 18:7) and to lead the people in worship (2 Chron. 5:12). Further, priests often played an important advisory role to Israel’s kings (2 Sam. 8:17; 1 Kings 4:5; 2 Kings 12:2).

In Israel, people went to seers and prophets to inquire of God (1 Sam. 9:9), for they received and communicated God’s word (2 Sam. 24:11; Jer. 37:6). Sometimes individuals are mentioned as prophets, and other times the prophets are discussed as an organized group (1 Sam. 19:20; 1 Kings 22:6).

The NT references a number of ministerial offices (1 Cor. 12:28; Eph. 4:11; 1 Tim. 3:1–12). Not all ministers were paid, though teachers and preachers had a right to “receive their living from the gospel” (1 Cor. 9:14–15; cf. 1 Tim. 5:17). Apostles were those sent out by Jesus as his representatives. The term apostolos refers particularly to the twelve apostles who were with Jesus during his earthly ministry and who were witnesses of his resurrection (Acts 1:21–22). Paul referred to himself as an apostle (Gal. 1:1; 1 Cor. 1:1), and he calls Epaph-ro-di-tus and others “messengers” (apostoloi) in the churches (2 Cor. 8:23; Phil. 2:25). Prophets have the spiritual gift of prophecy and speak to strengthen, encourage, and comfort the church (Acts 15:32; 1 Cor. 14:3). Overseers (also called “elders” or “pastors”) are qualified leaders who teach, shepherd, and exercise authority in the church (1 Tim. 3:1; 1 Pet. 5:2). Evangelists and missionaries proclaim the gospel and aim to win converts to Christ (Acts 21:8; 2 Tim. 4:5). Those ministers who are faithful to the gospel deserve support (3 John 8).

Samuel oversaw the transition from the period of judges to the time of the monarchy. He was the final judge (1 Sam. 7:6, 15–16; cf. 8:1 NIV mg.). He also was a priest (2:18) and functioned as a prophet (3:20).

The account of his life begins when his mother, Hannah, desperately prayed that God would open her barren womb. The situation in Israel was not good. Eli, the high priest, was incompetent and spiritually dull. He even mistook her sincere prayers for the blabbering of a drunkard (1 Sam. 1:12–16). In answer to her prayers and her vow to dedicate her future child as a Nazirite (cf. Num. 6:1–21), God opened her womb, and Samuel was born. Upon his birth, he was committed to the service of Yahweh at the tabernacle.

Samuel was quite different from Eli’s wicked sons, Hophni and Phinehas. While they stole from the sacrifices and slept with the women who ministered at the tabernacle, Samuel “was ministering before the Lord” (1 Sam. 2:18). The narrative even draws a contrast between Samuel and Eli in that the latter was dull and did not immediately recognize that God was speaking to Samuel one evening (1 Sam. 3).

Sometime after the death of Eli, Samuel found himself in the position of leadership as a judge in Israel (1 Sam. 7). God used him to inflict a serious, but not decisive, defeat against the Philistines. Afterward Samuel set up a stone called “Ebenezer” (“stone of help”) to commemorate the event.

The people, however, felt that Israel needed a stronger central leader to expel the Philistines from their land, so they requested that Samuel anoint a king over them (1 Sam. 8:5). This worried and angered Samuel, who took it as a personal affront, and in reality it was more seriously an insult toward God. The people should have trusted God to provide the victory over the Philistines. Even so, God directed Samuel to anoint a king over the people, and Saul was chosen.

After this event, Samuel no longer was judge over Israel, but he was a priest and a prophet. As such, he led the people in a covenant renewal ritual whereby they reaffirmed their allegiance to God, the heavenly king, even though they now had an earthly king (1 Sam. 12).

As part of his duties, Samuel operated as the conscience of King Saul. He confronted Saul on numerous occasions when the king chose to go his own way rather than obey the commands of Yahweh (1 Sam. 13; 15).

Saul greatly disappointed God and his representative Samuel. Accordingly, God commissioned Samuel to anoint the next king, even before the death of Saul. In Bethlehem, God directed Samuel to anoint David as the future king of Israel.

Samuel died and was buried at Ramah before David’s kingship became a reality (1 Sam. 25:1). Even with death, the story of Samuel does not end. Toward the end of Saul’s life, God cut off communication with him. Desperate to control the outcome of a battle with the Philistines, Saul showed his spiritual perversity by consulting a necromancer. The latter summoned Samuel from the dead (1 Sam. 28), and Samuel pronounced Saul’s demise.

Samuel was remembered as an important and faithful spiritual leader, compared favorably even to Moses (Jer. 15:1; Acts 13:20; Heb. 11:32). He is honored as a prophet whose words anticipated the coming of Jesus Christ (Acts 3:24).

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

(Disabilities; Disability; Deformity; Deformities; Sickness] The Bible often speaks of health, healing, disease, and illness. Good health was a sign of God’s favor, and healing was also the work of God and his divinely empowered agents. These agents included the prophets (1 Kings 17:8–23; 2 Kings 5:1–15), 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), and miraculous healings were a sign of his messianic office (Luke 7:20–23). Disease, on the other hand, was regarded as a sign of God’s disfavor. Within a covenantal context, God could send disease to punish the sinner (Exod. 4:11; 32:35).

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

Ancient Near Eastern Influences

In the ancient Near East the knowledge of disease and medicine was precritical. Bacteria and viruses were virtually unknown. Mesopotamian literature contains many references to medicine, physicians, and medical practice. Minerals, salts, herbs, and other botanicals were used to make up treatments. Babylonian physicians also administered prescriptions accompanied by incantations. Disease was considered to be the result of a violation of a taboo or possession by a demon. The Code of Hammurabi (1750 BC) includes laws regulating the practice of medicine and surgery by physicians. In Egypt medicine and healing were connected to the gods. Tomb paintings and several papyrus documents describe the developing state of Egyptian medicine, pharmacy, and surgery.

Greek physicians 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 being the first physician to reject the belief that supernatural or divine forces cause illness. He argued that disease is the result of environmental factors, diet, and living habits, not a punishment imposed by the gods.

It is clear that the biblical world shared with the ancient Near East the same types of maladies common to tropical or subtropical climates. These include malaria, tropical fevers, dysentery, and sunstroke. The tendency of the hot climate to produce frequent droughts and famine certainly contributed to similar types of diseases throughout the Fertile Crescent. Additionally, it must be remembered that Palestine was a land bridge between the Mesopotamian and Egyptian worlds. Migrations carry not only goods and products, but also parasites, communicable disease, and epidemics.

Biblical Concept of Disease

The religious tradition of the Hebrews repudiated the magical or demonic origin of disease. Hence, moral, ethical, and spiritual factors regulated disease and illness. This was true for the individual as well as the community. The Hebrews, like the Egyptians, also recognized that much sickness arose from the individual’s relationship to the physical environment. Great stress was placed on hygiene and preventive medicine.

Pentateuchal legislation offered seven covenantal principles designed to prevent the possibility of disease and sickness: (1) Sabbath observance for humans, animals, and the land, which enforced regular periods of rest (Gen. 2:3); (2) dietary regulations, which divided food into efficient categories of clean and unclean (Lev. 11); (3) circumcision, which carried physical benefits as well as religious and moral implications (Gen. 17:9; circumcision is the only example of Hebrew surgery); (4) laws governing sexual relationships and health, including a list of forbidden degrees of marital relationships (Lev. 18–20); (5) provisions for individual sexual hygiene (Lev. 15); (6) stipulations for cleanliness and bodily purification (Lev. 14:2; 15:2); (7) sanitary and hygienic regulations for camp life (Num. 31:19; Deut. 23:12).

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

Circulatory Diseases

Nabal most likely suffered a cerebrovascular accident or stroke (1 Sam. 25:36–38). After a heavy bout of drinking, his heart “died” (KJV; NIV: “failed”), and he became paralyzed, lapsed into a coma, and died ten days later. Psalm 137:5–6 may contain a clinical example of the symptoms of stroke. The psalmist wrote, “If I forget you, Jerusalem, may my right hand forget its skill. May my tongue 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 result from a stroke on the left side of the brain. Basically, the exiled psalmist is wishing upon himself the effects of a stroke if he held anything other than Jerusalem as his highest priority. Some have considered the collapse of Uzzah when he reached out to stabilize the ark of the covenant (2 Sam. 6:6–7) to be the consequence of an apoplectic seizure. But since no actual paralysis was described and death occurred immediately, this seems unlikely. It is more probable that God struck him down with an aortic aneurism or a coronary thrombosis.

Paralysis

A possible case of paralysis may be described in the shriveled (atrophic) hand of Jeroboam I (1 Kings 13:4–6). In an angry outburst Jeroboam ordered the arrest of a prophet who condemned the 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 of cataplexy, a sudden loss of muscle power following a strong emotional stimulus. After intercession by the man of God, and the subsiding of the emotional outburst, the arm was restored.

The threat 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, or locomotor ataxia. Knifelike pains in the extremities and blindness characterize this disease.

Paralysis is frequently mentioned in the NT (Matt. 8:6; 9:2, 6; 12:10; Mark 2:3–5, 9, 10; 3:1, 3, 5; Luke 5:18, 24; 6:6; John 5:3; Acts 9:33; Heb. 12:12). The exact diagnosis for each of these cases remains uncertain.

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

Mental Illness and Brain Disorders

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

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

Nebuchadnezzar suffered a rare form of monomania in which he lived like a wild beast in the field eating grass (Dan. 4:33). David, in order to save his own life, feigned insanity or perhaps epilepsy before the Philistine king Achish (1 Sam. 21:12–15).

In the NT, individuals with mental disorders went about naked, mutilated themselves, lived in tombs (Mark 5:2), and exhibited violent behavior (Matt. 8:28). Such mental disorientation was often linked to demon possession. 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 mute demoniac (Matt. 12:22; Luke 11:14), and a fortune-telling slave girl (Acts 16:16). While such behavior is clinically suggestive of paranoid schizophrenia or other mental disorders, the mind-controlling influence of some extraneous negative force cannot be ruled out.

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

Childhood Diseases

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

In the first case, the boy at Zarephath stopped breathing (1 Kings 17:17). This may leave the door open to argue that Elijah resuscitated the child. However, in the second case, the text clearly states that the Shunammite boy died (2 Kings 4:20), implying a resurrection.

Infectious and Communicable Diseases

Fever and other calamities are listed among the punishments for covenantal infidelity (Deut. 28:22). Three different types of fever may be intentionally described here: “fever,” “inflammation,” and “scorching heat” (ESV: “fiery heat”). Fever is also mentioned frequently in the NT (Matt. 8:15; Mark 1:30–31; Luke 4:38–39; John 4:52; Acts 28:8). Both Jesus and Paul healed individuals who had a fever. A number of these fevers were likely caused by malaria, since the disease was known to be endemic to the Jordan Valley and other marshy areas in Palestine.

Several epidemics in which numerous people died of pestilence or plague are mentioned in the OT (Exod. 11:1; 12:13; Num. 14:37; Zech. 14:12). The fifth plague of Egypt (Exod. 9:3–6) has been attributed to Jordan Rift Valley fever, which is spread by flies. Bubonic plague has been blamed for the malady that struck the Philistines (1 Sam. 5–6). However, it may have been the result of a severe form of tropical dysentery. Acute bacillary dysentery contracted in the military camp may also have been responsible for the epidemic that killed a large number of the Assyrian army (2 Kings 19:35).

Parasitic Diseases

Some scholars have repeatedly argued that the “fiery serpents” (NIV: “venomous snakes”) encountered by Moses and the children of Israel (Num. 21:6–9) were in reality an infestation of the parasitic guinea worm (Dracunculus medinensis). Microscopic fleas ingested in drinking water carry the larvae of this slender nematode into the body. The larvae move from the digestive tract to the 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 host occurs because of the resulting infection of the skin ulcers.

After the conquest of Jericho, Joshua cursed the individual who would endeavor to rebuild the city (Josh. 6:26). Later, Hiel of Bethel attempted to rebuild the city and lost two of his sons as a result of the curse (1 Kings 16:34). Elisha was then asked to purify the bad water at Jericho in order to allow a new settlement (2 Kings 2:19). Elisha obliged by throwing salt into the spring and thereby making the water potable (2:20–22). Recent archaeological study has discovered the remains of certain snails in the mud-bricks used to construct Jericho in the Bronze Age. These types of snails are now known to serve as intermediate hosts for the flatworm parasite that can cause schistosomiasis. The Schistosoma haematobium trematode infects the urinary tract and the bladder. It is possible that this type of parasite was responsible for the death of Hiel’s two sons.

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

Physical Deformities and Abnormalities

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

Diseases and Disabilities of the Eyes and Ears

Physical blindness is mentioned several times in the Bible. Blindness excluded one from serving as a priest (Lev. 21:18, 20). Blindness and deafness, however, were disabilities requiring special care from the community (Lev. 19:14; Deut. 27:18). The “weak eyes” of Leah may refer to an eye condition (Gen. 29:17).

Blindness in the biblical world was caused by various factors. Leviticus 26:16 speaks of a fever that destroys the eyes. Flies probably were responsible for much of the conjunctivitis found in children. John 9:1 mentions congenital blindness, which Jesus cured using mud made from spittle and dirt (John 9:6). In Mark 8:22–26 Jesus healed a blind man by spitting in his eye and laying hands on him (cf. Matt. 20:34 with Mark 10:52).

Congenital deafness would also be associated with mutism and speech defects because 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 of hearing early in life.

Skin Conditions

Various skin and hair abnormalities are described in the Bible. Some made the individual unclean (Lev. 13:30; 14:54). The OT speaks of “the boils of Egypt” (Deut. 28:27; cf. Exod. 9:9). Skin ailments included 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), black peeling skin and fever (30:30), gnawing bone pain (2:5; 19:20; 30:17), insomnia (7:3–4), and wasting away (33:21). These symptoms have been diagnosed as indications of yaws or eczema. A poultice made of figs cured Hezekiah’s boil (2 Kings 20:7).

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

Scholars now suggest that the symptoms of the disease described in the Bible do not fit this pattern and thus do not signify leprosy (Hansen’s disease) as it is known today. Instead, the word that English versions translate as “leprosy” (Heb. root tsr’) probably refers to different types of infectious skin disease, often characterized by a long-standing, patchy skin condition associated with peeling or flakiness and redness of skin. Evidence points more toward psoriasis, fungal infections, or dermatitis.

This disease could appear in humans (Lev. 14:2), on buildings (14:34), and on clothing (14:55). It was not limited to the extremities but could occur on the head (14:42–44). It could run its course quickly (13:5–8). It made the individual ceremonially unclean, but it was also curable (Lev. 14:3; 2 Kings 5:1–27). Individuals with the disease were not necessarily shunned (2 Kings 7; Matt. 26:6 // Mark 14:3). Moses (Exod. 4:6), Miriam (Num. 12:10), and Naaman experienced this type of skin disease (2 Kings 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 “men who had leprosy” (Luke 17:12–14).

Ailments of an Unknown Nature

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

The biblical writers proclaim that only one God exists, yet they also refer to three persons as “God.” The Father, the Son, and the Holy Spirit are all God. Furthermore, these three persons relate to one another as self-conscious individuals. Jesus prays to the Father (John 17). The Father speaks from heaven concerning the Son (Matt. 3:17; Luke 3:22). Jesus vows to send the Spirit as “Advocate” after his ascension, and he will do what Jesus himself did while he was among us (John 16:7–8). The challenge of Christian theology, therefore, is to formulate a doctrine of God that captures all these elements, each of which surfaces in both Testaments.

Old Testament

In the OT, evidence for the Trinity appears mostly at the implicit level. Yahweh is called “Father” in Isaiah (63:16; 64:8), Jeremiah (3:4, 19; 31:9), and Malachi (2:10). Isaiah declares, “But you are our Father, though Abraham does not know us or Israel acknowledge us; you, Lord, are our Father, our Redeemer from of old is your name” (Isa. 63:16). Yahweh identifies himself as “Father” implicitly when he claims Israel as his “son” (Hos. 11:1), and the same principle applies to Ps. 2:7, where God declares to his anointed, “You are my son; today I have become your father.” These cases do not compare in numbers with the NT evidence, but a person thought of as “God the Father” certainly appears in the OT.

Messianic texts of the OT introduce us to God the Son. In Isa. 9:6 a “child is born” who will be called “Wonderful Counselor, Mighty God, Everlasting Father, Prince of Peace.” The day of “Immanuel,” or “God with us,” is foreshadowed in Isa. 7:14 (cf. Matt. 1:22), while Isa. 40:3–5 anticipates the appearance of the Lord “in the wilderness” (cf. Matt. 3:3). Daniel sees “one like a son of man, coming with the clouds of heaven” being given “authority, glory and sovereign power” (Dan. 7:13–14). In Ps. 110:1 Yahweh says to David’s “Lord,” “Sit at my right hand until I make your enemies a footstool for your feet.”

Similarly, the OT seems to distinguish the Spirit of God from Yahweh while implying the Spirit’s own personality. Genesis 1:2 makes that case, as does Exod. 31:3, where Yahweh fills Bezalel with the “Spirit of God” (cf. Exod. 35:31; Num. 11:29). In 1 Sam. 16:14 a contrast is made between the “Spirit of the Lord” that leaves Saul and an “evil spirit from the Lord” that torments him; also we find a repentant David pleading that God would not take away his “Holy Spirit” (Ps. 51:11). The Spirit can be put on persons by God, with the result that they prophesy (Isa. 61:1; Joel 2:28–29) and do what pleases him (Ezek. 36:26–27). In the OT, therefore, we see two persons (the Son and the Holy Spirit) who are both God and also distinguishable from one to whom they answer and by whom they are sent.

New Testament

The NT contains abundant evidence for “God the Father,” often because of Jesus’ teaching. The “Father” appears several times in the Sermon on the Mount (e.g., Matt. 5:16; 6:6–9, 14, 18, 26, 32; 7:11). Matthew 7:21 stands out because of Jesus’ reference to “my Father who is in heaven,” by which he identifies himself as the Son (see also Matt. 15:13; 16:17; 18:10; and Luke 24:49). Paul’s greetings normally come from God the Father and the Lord Jesus Christ, as seen in Rom. 1:7: “Grace and peace to you from God our Father and from the Lord Jesus Christ” (also 1 Cor. 1:3; 2 Cor. 1:2; Gal. 1:1–3; 1 Tim. 1:2; 2 Tim. 1:2). Paul introduces the Father and the Son in 1 Cor. 8:6: “For us there is but one God, the Father, from whom all things came and for whom we live; and there is but one Lord, Jesus Christ, through whom all things came and through whom we live” (see also 1 Cor. 15:24; 2 Cor. 11:31; Eph. 1:3; Phil. 2:22). Other significant texts include Heb. 1:5; 1 Pet. 1:2–3; in the latter, the scattered believers are those “who have been chosen according to the foreknowledge of God the Father, through the sanctifying work of the Spirit, to be obedient to Jesus Christ and sprinkled with his blood. . . . Praise be to the God and Father of our Lord Jesus Christ!” The NT evidence for “God the Father” is clear.

Biblical texts that point to the deity of Christ supply evidence for the second claim: the Son is God. Some of the texts listed above say as much, but one can take this case further. In context, John’s prologue refers to Jesus as the “Word” and proclaims that he was “with God” and “was God” (John 1:1). Jesus also relates to the Father in ways that imply his own deity, as he declares in John 10:30, “I and the Father are one.” After significant doubting, Thomas confesses the deity of Christ in John 20:28: “My Lord and my God!” NT passages that identify Jesus as the “Son of God” point to his deity, as Peter does in Matt. 16:16: “You are the Messiah, the Son of the living God.” Even demons identify Jesus as the Son. They call out, “What do you want with us, Son of God? . . . Have you come here to torture us before the appointed time?” (Matt. 8:29; cf. Mark 5:7). The so-called Christ Hymn of Phil. 2:6–11 puts Jesus on the level with God, saying that he did not consider “equality with God something to be used to his own advantage.” The author of Hebrews declares that Jesus is “the radiance of God’s glory and the exact representation of his being” (1:3). Colossians 1:15–16 says that Jesus is the “image of the invisible God, the firstborn over all creation” and the one by whom “all things were created,” and Col. 1:19 states that “God was pleased to have all his fullness dwell in him.” According to Titus 2:13, Jesus is “our great God and Savior.” The entire sequence of Rev. 4–5 highlights the deity of Christ, culminating in the praise “To him who sits on the throne and to the Lamb be praise and honor and glory and power, for ever and ever!” as both the Enthroned One and the Lamb are worshiped as God (5:13–14).

The NT writers underscore both the deity and the distinctive personality of the Holy Spirit. Jesus is conceived in Mary’s womb by the Spirit’s power (Matt. 1:18–20), and when Jesus is baptized, the Spirit descends upon him as a dove (Matt. 3:16; Mark 1:10). Jesus drives out demons by the Spirit, and one dare not speak against the Spirit when he does so (Matt. 12:28–32). Luke’s Gospel puts added emphasis on the ministry of the Spirit, as we also see in Acts. He empowers various people to praise and prophesy (Luke 1:41, 67) and to be witnesses for Christ (Acts 1:8; 2:4, 17–18, 38). Sinners can lie to the Holy Spirit (Acts 5:3, 9), and the Holy Spirit bears witness along with the apostles to the risen Christ (5:32). In John’s Gospel, the Spirit becomes the counselor and teacher of the disciples, reminding them of their Lord’s instructions (John 14:26; 16:13). The Spirit brings assurance of sonship (Rom. 8:16) and helps disciples when they pray (8:26). This person even knows the very thoughts of God (1 Cor. 2:11). Accordingly, the Great Commission requires baptism in the name of the Father, the Son, and the Holy Spirit (Matt. 28:19). All three members of the Trinity have a part in the advancement of the kingdom, the Spirit no less than the Father and the Son.

Relationships between Father, Son, and Spirit

The evidence considered thus far demonstrates that three persons are called “God” in Scripture: the Father, the Son, and the Holy Spirit. But the Scriptures also point to a chain of command in their relationship to one another. The Son obeys the Father, and the Spirit proceeds from the Father and the Son to apply the work of the cross to the church. This “functional subordination” of the Son to the Father, some might argue, would follow simply from the analogy chosen by God to reveal himself to us. The “Son” would obey his “Father,” not vice versa, though they share a common dignity as God, just as a human father and son share a common humanity. But the NT writers expressly tell us that they relate to each other in this way. In Matt. 11:27 (cf. Luke 10:22) Jesus announces, “All things have been committed to me by my Father” (cf. John 3:35; 5:22). The latter transfers authority to the former as his subordinate. The Father even (for a season) knows more than the Son regarding the last days: “About that day or hour no one knows, not even the angels in heaven, nor the Son, but only the Father” (Matt. 24:36), though he also dignifies the Son: “For the Father loves the Son and shows him all he does” (John 5:20). The Son’s commitment to please his heavenly Father is a prominent theme of the NT, as Jesus declares in John 5:19: “The Son can do nothing by himself; he can do only what he sees his Father doing, because whatever the Father does the Son also does.” No text brings out this dependence of the Son upon the Father more clearly than Heb. 5:7–8, where the Son is said to have “offered up prayers and petitions with fervent cries and tears to the one who could save him from death, and he was heard because of his reverent submission. Son though he was, he learned obedience from what he suffered.” It is debated by theologians whether this functional subordination relates only to the period of the Son’s earthly ministry, or whether it is an eternal subordination.

The Spirit, though equal in personality and dignity with the Father and the Son, proceeds from them to apply the work of the cross and empower the church for ministry. In John 14:26 Jesus says, “The Advocate, the Holy Spirit, whom the Father will send in my name, will teach you all things and will remind you of everything I have said to you.” In John 15:26 Jesus announces that he also sends the Spirit out: “When the Advocate comes, whom I will send to you from the Father—the Spirit of truth who goes out from the Father—he will testify about me.” The Spirit only conveys what he has received: “He will not speak on his own; he will speak only what he hears, and he will tell you what is yet to come” (John 16:13). The same “chain of command” appears in John 16:15, where Jesus says, “All that belongs to the Father is mine. That is why I said the Spirit will receive from me what he will make known to you.”

Trinitarian Heresies

The Father, the Son, and the Holy Spirit are God, while being distinguishable persons. The Son obeys the Father; and these two persons of the Trinity send out the Holy Spirit to implement our deliverance from sin. A defensible explanation of the Trinity will respect all these dynamics, taking special care not to illustrate them with misleading images or simply lapse into various forms of polytheism. One of the earliest heresies of the church came from Marcion, a second-century theologian who distinguished the Father of Jesus from the supposedly vindictive God of the OT, which leaves us with more than one God. Later came the heresies of modalism and subordinationism (or Arianism). Modalists claimed that the persons of the Trinity are no more than guises worn by the one person of God. One minute God is the Father, the next he is the Son or the Holy Spirit. Subordinationists such as Arius (died AD 336) went beyond the functionality of the NT’s chain of command, arguing that the Son and the Holy Spirit are not themselves God but are essentially subordinate to him. Jehovah’s Witnesses have fallen into this latter error, suggesting that Jesus is “a god” but not the Creator God.

These early heresies pressed the church to refine its understanding of the Trinity. In his response to Marcion’s error, Tertullian coined precise language to describe the persons of the Godhead, so that God’s “threeness” and “oneness” are preserved. He used the Latin term trinitas to describe the Christian God and argued that the Father, the Son, and the Holy Spirit share the same “substance.” The Son (also, then, the Holy Spirit) is not simply of “like substance” (Gk. homoiousios) with God the Father, but rather is “consubstantial” (Gk. homoousios) with him: the Son is God, and so is the Holy Spirit. The Nicene Creed of AD 325 incorporated this explanation and, in so doing, also set aside the idea that either the Son or the Holy Spirit was created by God, as the Arian heresy requires. Nicaea also rejected adoptionism, which regards Jesus as a man whom God promoted by endowing him with supernatural powers.

Each of these heresies—plus, say, the strict monotheism of Islam—attempts to relieve the tension seen among the claims that constitute the Trinity; however, orthodox Christians will remember that tensions and paradoxes are not automatic contradictions. No philosopher or theologian has ever expressly demonstrated that the Trinity entails logical nonsense, and Christianity’s detractors carry the burden of proof in this case. It is one thing to allege that an idea is contradictory, and quite another thing to show with an argument that it is so. On the positive side, the Trinity must remain a central doctrine of the church because it affects all the others, especially the entire work of redemption. If God is not triune, then Jesus is not God; and if he is not God, then he cannot save us, nor can we worship him as our Lord. The sacrifice that he offers for our sin would not, in that case, be supremely valuable. Consider also the application to us of what Christ has done. If the Holy Spirit is not God, then he cannot speak for God as one who knows perfectly his thoughts and gives us the word of God, our Bible. Scripture indicates that God is triune, and sinners need him to be so.

An occupation or profession is the usual work or business in which a person engages for the sake of earning a living. In biblical times, family or social standing most often determined occupation. This was particularly true for occupations tied to land, such as planting crops and raising animals, since land in ancient Israel was passed down within the tribe, normally from fathers to sons (Josh. 14:9; Ezek. 46:18). Sometimes daughters also received a share in the family inheritance (Josh. 17:6). Most people gained their livelihood from their family’s land, and those who did not have land hired themselves out to work for wages (Deut. 24:14). A son normally learned his trade from his father (Gen. 47:3; 2 Kings 4:18; Matt. 4:21) and continued in that occupation unless called into God’s service (1 Kings 19:19–21; Jer. 1:5; Matt. 4:22).

Cicero, writing around the time of the NT, considered occupations such as tax collector, laborer, and fisherman to be vulgar. Conversely, professions such as teacher, doctor, and wholesale trader were more honorable, with landowner being the most respectable and profitable profession (Off. 1.42).

Agriculture and Farming

Farming is the earliest recorded occupation in the Bible, as the first man was called to work and keep the garden (Gen. 2:15). Even after the exile from Eden because of sin, Adam worked the ground for food, as did Cain, his firstborn son (Gen. 3:17–18; 4:2). The opening chapters of the Bible establish a fundamental link between “man” (’adam) and the “ground” (’adamah). After the flood, Noah established himself as a “man of the soil” (’ish ha’adamah) by planting a vineyard (Gen. 9:20). King Uzziah “loved the soil” (’oheb ’adamah) and so employed people to work in his fields and vineyards (2 Chron. 26:10).

God demonstrated his covenant commitment to Isaac by blessing him with an incredible harvest (Gen. 26:12), and he promised to prosper Israel’s farms if the people obeyed him (Deut. 28:4) and to curse the fruit of their ground if they disobeyed (Deut. 28:18). The OT ideal was for everyone to live “under their own vine and under their own fig tree” (1 Kings 4:25; Mic. 4:4). According to Prov. 28:19, the diligent farmer would have abundant food.

Jesus’ parables frequently employed agricultural imagery that would have been readily understandable in first-century Palestine, where many people were farmers (cf. Mark 4:1–9; 12:1–11) and some owned land (Acts 4:34). The people living around Jerusalem at this time engaged in agriculture, soil cultivation, and cattle raising (Let. Aris. 107–112).

Herding and Hunting

Herding animals is the second-oldest occupation recorded in Scripture (after farming), and raising flocks and herds continued to be one of the most common and important professions throughout biblical times. Abel is the first “keeper of sheep” in the Bible (Gen. 4:2 NRSV). Several generations later, Jabal pioneered the nomadic herding lifestyle (Gen. 4:20). The patriarchs were shepherds (Gen. 47:3), as were Moses (Exod. 3:1), David (1 Sam. 17:34), and many others in the OT. Josephus acknowledged that “feeding of sheep was the employment of our forefathers in the most ancient ages” (Ag. Ap. 1.91). While men typically worked as shepherds and herdsmen, the occupation was also open to women, such as Rachel, whose fathers owned sheep (Gen. 29:9). Shepherds were present at Jesus’ birth (Luke 2:8–20), and Jesus’ teaching suggests that shepherding was a common occupation in Palestine (cf. Matt. 18:12; John 10:1–30).

Many people in biblical times hunted, either for food, sport, or protection. The first recorded hunter is Nimrod, “a mighty hunter before the Lord” (Gen. 10:9). Ishmael was “an expert with the bow” (Gen. 21:20 NRSV), while Esau was “a skillful hunter, a man of the open country” who brought back wild game for food (25:27–28). The name of Pokereth-Hazzebaim, included in the genealogy of Solomon’s servants in Ezra 2:57, reflects his occupation as a “gazelle catcher” (cf. 1 Kings 4:23).

Builders and Craftsmen

Cain was the first person in the Bible to build a city (Gen. 4:17), and his descendant Tubal-Cain was the first metalworker (4:22). Nimrod built a number of cities (10:11–12), and the beginning of Nimrod’s kingdom was Babel (10:10), where the people gathered together to build a city with brick (11:3). Builders in Mesopotamia used baked brick and asphalt, while Israelite builders usually preferred the more readily available stone and mortar. After Joseph’s death, Israel was conscripted into forced labor in Egypt, which involved building cities of brick and mortar (Exod. 1:11).

The role of craftsmen in the construction of the tabernacle was particularly significant. Bezalel and Oholiab were “skilled workers and designers” empowered by God for work on the tabernacle (Exod. 35:35). They engaged in “all kinds of crafts,” including artistic metalworking, masonry, carpentry, and weaving (Exod. 31:4–5; 38:23).

Kings in Israel often commissioned important building projects (1 Kings 12:25; 15:22; 16:24; 2 Chron. 26:9; Josephus, J.W. 1.401–2). Carpenters and stonemasons worked on David’s palace (2 Sam. 5:11). Solomon conscripted laborers to build the temple and also employed carriers, stonecutters, craftsmen, and foremen to supervise the work (1 Kings 5:13–18). After the Babylonian exile, many Israelites were involved in rebuilding the temple and the wall of Jerusalem, which had been destroyed (Ezra 3:8; Neh. 4:16–18). These projects, directed by Zerubbabel and Nehemiah, utilized masons, carpenters, and other workers (Ezra 3:7).

Jesus is referred to as a tektōn (Mark 6:3) and as the son of a tektōn (Matt. 13:55), with tektōn usually translated “carpenter” by English versions. However, recent scholarship has demonstrated that Jesus was likely a builder, not a carpenter in the modern sense of the term. In the LXX, the word tektōn typically translates a Hebrew word, kharash, used broadly to refer to craftsmen working with stone, wood, or metal.

Musicians

The first musician recorded in Scripture is Jubal, “the father of all who play the stringed instruments and pipes” (Gen. 4:21). Musicians performed a variety of roles in ancient society, as they do today. Singers and instrumentalists were employed to celebrate festive occasions, often to provide accompaniment for dancing (Gen. 31:27; Luke 15:25), to soothe the sick or distressed (1 Sam. 16:16), and to express lamentation (Job 30:31).

Musicians played an important role in leading God’s people in worship. The “director of music” is mentioned in the headings of fifty-five psalms and Hab. 3:19. The most famous musician in Scripture is David, “the singer of Israel’s psalms” (2 Sam. 23:1 GW), who played the harp (1 Sam. 16:18) and wrote or inspired at least seventy-three canonical psalms. Solomon was also a notable songwriter and lover of music (1 Kings 4:32). David appointed many Levites as singers and musicians to lead Israel in worship (1 Chron. 15:16; 23:5). The musicians played lyres, harps, cymbals, and trumpets (2 Chron. 5:12).

Government, Politics, and Military

Before the monarchy, there were no formal government offices. Under Moses, a group of seventy elders in Israel served as leaders and officials, and these men were to carry out Moses’ decrees and judge the people on most matters (Exod. 18:20–22; Num. 11:16). After Joshua’s death, God raised up judges to rescue Israel from foreign enemies and lead the people (Judg. 2:16) until the time of Samuel, when Saul was made king (1 Sam. 11:15).

Kings in Israel employed various officials. In 2 Sam. 8:16–18, Joab is listed first among David’s officials, which suggests that the military commander was second in authority after the king. Under Solomon, the leader of the army is called “commander in chief” (1 Kings 4:4). The royal cabinet included a number of key advisers, including the recorder, the secretary, and the “confidant” of the king (cf. 2 Sam. 16:16). The OT does not specify the precise roles of these officials. The recorder was among the highest governmental positions and served as a royal counselor. In Hebrew, mazkir (“recorder”) is a cognate noun to the verb zkr (“to remember”), which suggests that this official may have managed and preserved public records (2 Kings 18:18; Isa. 36:22). The main task of the king’s secretary or scribe (sop̱er) was to write down (sapar) official state documents (2 Sam. 8:17), and he advised the king and also provided financial oversight (2 Kings 12:10). Recorders and secretaries apparently were well educated and multilingual, as was the palace administrator (2 Kings 18:18, 26). Solomon’s officials included supervisors of the palace and the forced labor, as well as governors who supplied provisions for the king’s household (1 Kings 4:6–7). The OT mentions cupbearers in Israel’s government and in other administrations (Gen. 40:1; 1 Kings 10:5; Neh. 1:11). The cupbearer served as the royal wine taster; he protected the king from being poisoned and had direct access to the monarch.

In the Roman Empire, the emperor was absolute ruler (1 Pet. 2:17), with the senate next in authority. Proconsuls held judicial and military authority over larger provinces (Acts 18:12), prefects (governors) administered smaller provinces (Matt. 27:2), with tetrarchs over one-fourth of a province (Luke 3:1).

Christians in NT times engaged in civil service. Erastus was a financial officer in Corinth (Rom. 16:23), and he may be the same Erastus commemorated in an inscription from this period who held the office of aedile. The proconsul Sergius Paulus (Acts 13:7); Manaen, a close friend of Herod Antipas (Acts 13:1); and members of Caesar’s household (Phil. 4:22) were also Christian public leaders.

Trade and Economics

From earliest times, people have exchanged goods and property. When Abraham purchased Ephron’s field, his silver was measured “according to the weight current among the merchants” (Gen. 23:16), which suggests that a recognized system of public trading was in place during the time of the patriarchs. Traders of commodities such as spices traveled along caravan routes between southern Arabia and Egypt, and these traders often acquired slaves along the way (Gen. 37:28). Solomon employed royal merchants to buy and sell goods (1 Kings 10:28).

In the first century, Jews were engaged broadly in economic life as landowners, artisans, merchants, traders, bankers, and slaves. Several of Jesus’ disciples were fishermen (Matt. 4:18). Luke was a physician, a well-educated and respectable professional (Col. 4:14). Lydia was a dealer in purple cloth (Acts 16:14). Paul, Aquila, and Priscilla worked as tentmakers (Acts 18:3). In the Roman Empire, commerce and pagan religion often intermingled. Merchants often formed trade guilds, where membership sometimes required religious and moral compromise. In Ephesus, silversmiths and craftsmen in related trades turned significant profit through their connections with the local Artemis cult (Acts 19:24–27).

Jesus frequently spent time with tax collectors, such as Levi (also called “Matthew”) (Matt. 9:9; Mark 2:14). Tax collectors were a despised group because often they became wealthy by taking advantage of the Roman taxation system, which allowed them to charge commission on taxes collected (Luke 19:2, 8). Jesus’ parable of the talents references bankers who offered interest on deposits collected (Matt. 25:27), and Rev. 3:17–18 alludes to the fact that Laodicea was a financial center with a significant banking system.

Servants and Slaves

In the OT, ’ebed most often designates a slave or servant, whose occupation involves work (’abad ) as a subordinate. Some servants held very important positions in their master’s household (Gen. 24:2), while many others toiled in hard labor (Job 7:2). Israelites were not to enslave their kinfolk, but they could take slaves from other nations. Fellow Israelites who became poor could serve as hired workers, but they were to be released along with their children at the Jubilee because God had brought Israel out from Egyptian slavery and they belonged to God as his servants (Lev. 25:39–46).

Slaves in the Roman world were property like goods or cattle, possessed by another (Dio Chrysostom, 2 Serv. lib. 24). Unlike modern slavery practices, race played no factor in the Roman institution of slavery. Slaves were kidnapped and sold in NT times (1 Tim. 1:10; Rev. 18:13), but the majority of slaves were so by birth. The most prominent slave in the NT is Onesimus, for whom Paul intercedes with his master, Philemon (Philem. 10, 16). Believing slaves were to obey their earthly masters “as slaves of Christ” (Eph. 6:5–6), but the NT stressed the equality of slave and free in Christ (Gal. 3:28). Paul called himself a “servant [doulos] of Christ Jesus” (Rom. 1:1).

Religious Service

Most Israelites engaged in professional religious service were Levites (Num. 3:12), including Moses, Aaron, and the priests in Aaron’s line (Exod. 6:19–20; 35:19). The priests offered sacrifices to God on behalf of the people (Heb. 5:1). Under the priests’ direction, the Levites were charged with caring for the tabernacle and its furnishings (Num. 1:49; 1 Chron. 23:32) and carrying the ark of the covenant (1 Chron. 15:2). They were set apart to serve in God’s presence (Deut. 18:7) and to lead the people in worship (2 Chron. 5:12). Further, priests often played an important advisory role to Israel’s kings (2 Sam. 8:17; 1 Kings 4:5; 2 Kings 12:2).

In Israel, people went to seers and prophets to inquire of God (1 Sam. 9:9), for they received and communicated God’s word (2 Sam. 24:11; Jer. 37:6). Sometimes individuals are mentioned as prophets, and other times the prophets are discussed as an organized group (1 Sam. 19:20; 1 Kings 22:6).

The NT references a number of ministerial offices (1 Cor. 12:28; Eph. 4:11; 1 Tim. 3:1–12). Not all ministers were paid, though teachers and preachers had a right to “receive their living from the gospel” (1 Cor. 9:14–15; cf. 1 Tim. 5:17). Apostles were those sent out by Jesus as his representatives. The term apostolos refers particularly to the twelve apostles who were with Jesus during his earthly ministry and who were witnesses of his resurrection (Acts 1:21–22). Paul referred to himself as an apostle (Gal. 1:1; 1 Cor. 1:1), and he calls Epaph-ro-di-tus and others “messengers” (apostoloi) in the churches (2 Cor. 8:23; Phil. 2:25). Prophets have the spiritual gift of prophecy and speak to strengthen, encourage, and comfort the church (Acts 15:32; 1 Cor. 14:3). Overseers (also called “elders” or “pastors”) are qualified leaders who teach, shepherd, and exercise authority in the church (1 Tim. 3:1; 1 Pet. 5:2). Evangelists and missionaries proclaim the gospel and aim to win converts to Christ (Acts 21:8; 2 Tim. 4:5). Those ministers who are faithful to the gospel deserve support (3 John 8).