Neither Object Nor Abyss: Relational Theology from Hasidism to the Twelve Steps to the Bedside
American Journal of Medical and Clinical Research & Reviews January 1, 2026 Peer reviewed DOI: 10.58372/2835-6276.1362 via OpenAlex
Summary
Jewish theology contains a tension between personal encounter with God as a 'Thou' and mystical union that dissolves the self. This essay argues that Hasidism reorients mystical depth toward relational responsibility rather than absorption. Drawing on Jewish mysticism and extending into clinical ethics and addiction recovery, the I–Thou relation is presented as an ethical discipline of presence. Practices like tzimtzum and sacred not-knowing preserve the patient as subject. The twelve-step tradition parallels this, evolving the Higher Power from external deity to internalized wisdom. The I–Thou relation becomes a foundational ethic for relational medicine and recovery.
Study at a glance
| Design | theoretical or philosophical paper |
|---|---|
| Key finding | The I–Thou relation, as reframed through Hasidic thought, serves as an ethical discipline of presence that can sustain meaning and dignity in clinical and recovery contexts. |
Abstract
Jewish theology sustains a persistent tension between two spiritual grammars: personal encounter with God as an addressable "Thou," and mystical union in which the self is attenuated or absorbed into an impersonal infinite. This essay argues that while rational Orthodoxy protects divine personalism through transcendence and restraint, and Kabbalah often radicalizes transcendence into theosophical or absorptive mysticism, Hasidism—particularly in its existential and devotional streams—reorients mystical depth toward relational responsibility rather than dissolution. Drawing on classical scholarship in Jewish mysticism and Hasidic studies, and extending these insights into the domains of clinical ethics and addiction recovery, the essay proposes that the I–Thou relation constitutes not merely a theology of prayer but an ethical discipline of presence. In therapeutic contexts, this discipline manifests as tzimtzum, sacred not-knowing, and the refusal of premature explanation—practices that preserve the irreducibility of the patient as subject. The twelve-step recovery tradition is examined as a parallel spiritual trajectory in which the "Higher Power" evolves from an external, interventionist deity toward an internalized source of wisdom and moral orientation. The I–Thou relation is thus reframed as a foundational ethic for relational medicine and transformative recovery, capable of sustaining meaning, responsibility, and human dignity under conditions of suffering and uncertainty.