This article examines the complex manifestations of evil within the therapeutic encounter, challenging
traditional dichotomous understandings of good and evil in medical practice. Drawing from kabbalistic
philosophy, phenomenology, and contemporary theological discourse, we explore how evil presents
itself both as an external force permeating healthcare systems and as an internal reality within the
physician-healer. We have previously attempted to articulate a framework for understanding these
dynamics through "therapeutic orthodoxy"—a methodological approach that operates at the boundaries
between traditional religious thought and contemporary healing practice. This analysis demonstrates
how recognizing the fluid presence of evil in therapeutic relationships can paradoxically enhance rather
than diminish the capacity for authentic healing.
