Multiple Personality Hoax - or How psychiatrists messed up the lives of thousands

NY Times   The notion that a person might embody several personalities, each of them distinct, is hardly new. The ancient Romans had a sense of this and came up with Janus, a two-faced god. In the 1880s, Robert Louis Stevenson wrote “Strange Case of Dr. Jekyll and Mr. Hyde,” a novella that provided us with an enduring metaphor for good and evil corporeally bound. Modern comic books are awash in divided personalities like the Hulk and Two-Face in the Batman series. Even heroic Superman has his alternating personas.

But few instances of the phenomenon captured Americans’ collective imagination quite like “Sybil,” the study of a woman said to have had not two, not three (like the troubled figure in the 1950s’ “Three Faces of Eve”), but 16 different personalities. Alters, psychiatrists call them, short for alternates. As a mass-market book published in 1973, “Sybil” sold in the millions. Tens of millions watched a 1976 television movie version. The story had enough juice left in it for still another television film in 2007.

Sybil Dorsett, a pseudonym, became the paradigm of a psychiatric diagnosis once known as multiple personality disorder. These days, it goes by a more anodyne label: dissociative identity disorder. Either way, the strange case of the woman whose real name was Shirley Ardell Mason made itself felt in psychiatrists’ offices across the country. Pre-"Sybil,” the diagnosis was rare, with only about 100 cases ever having been reported in medical journals. Less than a decade after “Sybil” made its appearance, in 1980, the American Psychiatric Association formally recognized the disorder, and the numbers soared into the thousands. [...]

As retold in this latest video documentary from Retro Report, part of a series exploring past news stories and their consequences, the phenomenon burned most intensely for roughly a decade, from the mid-1980s to the mid-'90s. Then it faded from public view, partly the result of lawsuits brought successfully against some psychiatrists, who were found by the courts to have used dubious methods to lead their patients down the path of false memories.[...]

Dr. Wilbur did not write up her findings in some dry professional journal. Instead, she went looking for a large audience, and enlisted a writer, Flora Rheta Schreiber, to produce what became a blockbuster. But as the years passed, challengers began to speak up. One was Herbert Spiegel, a New York psychiatrist who said that he had treated Ms. Mason when Dr. Wilbur was on vacation. Dr. Spiegel described his patient not as a sufferer of multiple personality disorder but, rather, as a readily suggestible “hysteric.” A harsher judgment was rendered in the 1990s by Robert Rieber, a psychologist at John Jay College of Criminal Justice, a New York City school where Ms. Schreiber taught English. After listening to tape recordings that he said Ms. Schreiber had given him, he concluded that “it is clear from Wilbur’s own words that she was not exploring the truth but rather planting the truth as she wanted it to be.” Debbie Nathan, a writer interviewed for this Retro Report documentary, piled on still more skepticism in her 2011 book, “Sybil Exposed.” Perhaps inevitably in a dispute of this sort, counter-revisionists then emerged to denounce the doubters and to defend “Sybil” as rooted in reality.

Overwhelmingly, those receiving a diagnosis of the disorder have been women. They typically had rough childhoods. A pattern to their stories — Ms. Mason fell squarely within it — was that they endured horrific physical and sexual abuse when they were little. More than a few claimed to have been the victims of torture at the hands of satanic cults. In many cases, their memories were brought to the surface through hypnotism or with injections of so-called truth serums like sodium pentothal. But were those recollections real? The “Sybil” phenomenon went arm in arm with a reassessment of certain psychiatric techniques. Some studies concluded that people may have become less inhibited with pharmacological intervention, but not necessarily more truthful. Other research found that hypnosis sometimes creates false memories. Those who dismiss Dr. Wilbur’s work as hokum say that induced false memories lay at the heart of her work with Ms. Mason. [...]

Har Nof Massacre: Survivor describes his miraculous escape

Arutz 7   Rabbi Shmuel Goldstein describes his 'miraculous' escape from the brutal massacre at Har Nof synagogue - after tackling a terrorist.

Rabbi Shmuel Goldstein, one of several people seriously wounded in last week's horrific attack on a synagogue in Jerusalem, has described his "miraculous" survival to journalists for the first time.

Speaking with some difficulty from a wheelchair at the Hadassah Ein Kerem hospital in Jerusalem where he is being treated for his wounds, Rabbi Goldstein recounted the terrifying moment two terrorists burst in during morning prayers at Har Nof's Kehillat Bnei Torah synagogue.

He said the attack happened during the Amida - the central prayer of the service - and recalled how he suddenly heard gunshot and saw people fall to the floor "ducking for cover."

Rabbi Goldstein described how one of the two terrorists struck him three times with a meat-cleaver, twice in the head and once in the back, leaving him for dead on the ground.[...]

Religious affairs minister:Jailed Israeli Get refusers should be denied mehadrin food

bhol

הפתרון שישחרר עגונות? סגן שר הדתות מציע חוק שישלול מסרבני גט את האפשרות לקבלת אוכל 'מהדרין

 

הצהריים (א) הופיע סגן השר לשירותי דת הרב אלי בן דהן בפני ועדת השרים לענייני חקיקה וביקש מחברי הועדה לתמוך בחוק אשר שולל מסרבני גט שמרצים מאסר בבית סוהר, אפשרות לקבלת אוכל מהדרין.
 

Computers and automation make us dumb

Wall Street Journal    Artificial intelligence has arrived. Today’s computers are discerning and sharp. They can sense the environment, untangle knotty problems, make subtle judgments and learn from experience. They don’t think the way we think—they’re still as mindless as toothpicks—but they can replicate many of our most prized intellectual talents. Dazzled by our brilliant new machines, we’ve been rushing to hand them all sorts of sophisticated jobs that we used to do ourselves.

But our growing reliance on computer automation may be exacting a high price. Worrisome evidence suggests that our own intelligence is withering as we become more dependent on the artificial variety. Rather than lifting us up, smart software seems to be dumbing us down.[...]

Then, in the 1950s, a Harvard Business School professor named James Bright went into the field to study automation’s actual effects on a variety of industries, from heavy manufacturing to oil refining to bread baking. Factory conditions, he discovered, were anything but uplifting. More often than not, the new machines were leaving workers with drabber, less demanding jobs. An automated milling machine, for example, didn’t transform the metalworker into a more creative artisan; it turned him into a pusher of buttons.

Bright concluded that the overriding effect of automation was (in the jargon of labor economists) to “de-skill” workers rather than to “up-skill” them. “The lesson should be increasingly clear,” he wrote in 1966. “Highly complex equipment” did not require “skilled operators. The ‘skill’ can be built into the machine.”[...]

Late last year, a report from a Federal Aviation Administration task force on cockpit technology documented a growing link between crashes and an overreliance on automation. Pilots have become “accustomed to watching things happen, and reacting, instead of being proactive,” the panel warned. The FAA is now urging airlines to get pilots to spend more time flying by hand.[...]

The philosopher Hubert Dreyfus of the University of California, Berkeley, wrote in 2002 that human expertise develops through “experience in a variety of situations, all seen from the same perspective but requiring different tactical decisions.” In other words, our skills get sharper only through practice, when we use them regularly to overcome different sorts of difficult challenges.

The goal of modern software, by contrast, is to ease our way through such challenges. Arduous, painstaking work is exactly what programmers are most eager to automate—after all, that is where the immediate efficiency gains tend to lie. In other words, a fundamental tension ripples between the interests of the people doing the automation and the interests of the people doing the work. [...]

Harvard Medical School professor Beth Lown, in a 2012 journal article written with her student Dayron Rodriquez, warned that when doctors become “screen-driven,” following a computer’s prompts rather than “the patient’s narrative thread,” their thinking can become constricted. In the worst cases, they may miss important diagnostic signals. [...]

We do not have to resign ourselves to this situation, however. Automation needn’t remove challenges from our work and diminish our skills. Those losses stem from what ergonomists and other scholars call “technology-centered automation,” a design philosophy that has come to dominate the thinking of programmers and engineers. [....]

There is an alternative.

In “human-centered automation,” the talents of people take precedence. Systems are designed to keep the human operator in what engineers call “the decision loop”—the continuing process of action, feedback and judgment-making. That keeps workers attentive and engaged and promotes the kind of challenging practice that strengthens skills.[...]

Settlement of abuse by popular teacher case to cost L.A. $170 million

Fox News        Once lawyers began digging into Mark Berndt's past, they discovered a three-decade pattern of odd behavior and complaints about the teacher that school administrators either missed or ignored. 

Both students and teachers had complained about the popular elementary school teacher who was eventually convicted of committing numerous lewd acts on his students.

The settlement involving 81 students is believed to be the largest ever for a school sex abuse case, according to victims' lawyers, and increases the public price of the scandal to $170 million when combined with 65 cases settled earlier for $30 million.

"There was a volcano of evidence," attorney John Manly said. "The district settled this case because there as a gun pointed at their head, a legal gun, and it was about to go off and the public was going to find out everything."

Lawyers said none of it would have come to light if it hadn't been for a gutsy pharmacy photo clerk who called police when she discovered the troubling photos and learned Berndt had been processing similar pictures there since 2005.

The 19-year-old woman had only been on the job a month and her supervisors told her not to call police. She did it anyway.

Lawyers for the children said they managed to unearth a dozen incidents involving Berndt between 1983 and 2009 and found that no action was taken to remove him from teaching.

Har Nof massacre: Rav Chaim Kaniefsky and Rav Reuben

Arutz 7

Rabbi Yitzhak Mordechai Hacohen Rubin, rabbi of the Kehilat Bnei Torah synagogue in Jerusalem that was brutally attacked on Tuesday, went to visit hareidi leaders on Thursday to ask their participation in a eulogy for the four Jews murdered in the attack, in which a Druze police officer was also murdered. [...]

The hareidi leader explained that "there needs to be an atonement" for the generation so as to merit the coming of the Mashiach, an atonement he argued the victims of the terror attack partially made.

Rabbi Kraus follows in the footsteps of Rabbi Rackman in "solving" the Aguna problem

Jewish Week    The court, called the International Beit Din, was formed in June and is headed by Rabbi Simcha Krauss, a highly respected former pulpit rabbi in Queens and Religious Zionist of America leader who made aliyah in 2005. It is interpreting Jewish law in new ways — still consistent with tradition, its leaders say — to procure a get, or religious divorce, for agunot, women stuck in marriages with recalcitrant husbands.[...]

While the number of agunot is not known, the problem has gone largely unsolved, pitting traditional Jewish law against those who feel deep empathy for women stuck in loveless marriages. At the root of the issue is the husband’s absolute right when it comes to issuing a get, or Jewish divorce. And while rabbinic authorities offer sympathy for these women, they maintain they are constrained from action in many cases by the boundaries of halacha. The result, at times, has the husband using extortion before granting a divorce, insisting on large sums of money and/or refusing joint custody of children. According to Jewish law, if the agunah marries and has a child, the child is considered a mamzer, illegitimate, and cannot marry a Jew. (This is not true in the husband’s case.)

Concerns about the moral injustice of the “absolute right” principle have led to a myriad of efforts to resolve the agunah problem, or “crisis,” in recent years. In the 1990s, the late Rabbi Emanuel Rackman, a major figure in Modern Orthodoxy and president of Bar-Ilan University, convened a beit din that issued divorces on the basis of kiddushei ta’ot, a Talmudic concept for annulment. The principle reasons that the woman never would have married her husband if she had known he would act in an abusive fashion during the marriage.

While deeply respected on a personal level by his peers, Rabbi Rackman, who died in 2008,was unsuccessful in persuading them to accept his approach, which was considered too lenient. The practical result was that many rabbis refused to officiate at the subsequent weddings of women who had been freed by the rabbi’s bet din.

Rabbi Krauss is introducing the legal concept of get zikui, annulling a marriage based on what is best for both parties. The principle operates on the premise that the divorce will ultimately benefit the husband as well as the wife.

“There is no more relationship — they have gone their separate ways,” explained Rabbi Krauss in an email. “The husband doesn’t want to give the get unless he gets money. It’s not true that he doesn’t want to give a divorce, but he wants money. Deep down, he wants to be free and pursue his life.”

The International Beit Din will not use get zikui to the exclusion of other methods, explained Rabbi Yosef Blau, another of the three judges on the panel and the spiritual adviser at Yeshiva University.

“A number of tools can be used,” he said. “Each case will be evaluated on its own merit. The goal is to free women in a way that the decision will be accepted in the broader community.”[...]

Still, despite support from abroad, the new religious court has already met with resistance here. According to a source close to the court, several leading rabbis at Yeshiva University, including Rabbi Mordechai Willig and Rabbi Hershel Schachter, have already expressed reservations about the court’s methodology. The source wished to remain anonymous in order to avoid “mahchlocet,” public disagreement. [...]

Aside from methodology, the International Beit Din will also implement a new policy of transparency. According to traditional Jewish law, members of the court do not have to give any explanation for their rulings. But Rabbi Ronnie Warburg, director of the International Beit Din and the court’s third judge, explained that “transparency is an imperative.” [...]

Rav Moshe Sternbuch: Har Nof Massacre

  Rav Sternbuch 

Rav Sternbuch's shul at the time of the attack

Haf Nof Massacre: Rav Malinowitz

Har Nof massacre: Widows ask that everyone be more loving and caring

Book Review: "Why Evolution Matters: A Jewish Approach" (2014)

available at Amazon

Why Evolution Matters: A Jewish Approach (2014)

JOEL YEHUDAH RUTMAN  is a graduate of Brandeis and Harvard Medical School with Board certification in Pediatrics and in Neurology with Special Competence in Child Neurology . He has been involved in clinical care and teaching of pediatric neurology for many years . Since graduation from Orthodox Jewish institutions in Cleveland , Ohio , he has had a second career as a professional hazzan ( cantor).

=====================================

I recently came across this book. It is written by a prominent pediatric neurologist (Harvard Medical School). It is also quite expensive – over $75 on Amazon over $100 on eBay.

He is obviously well acquainted with biology – however I was disappointed about how he dealt with the fundamental questions of  Evolution and Religion. Anybody who disagreed with him - e.g., the Lubavitche Rebbe  he simply dismissed - meaning those who rejected Evolution or those want to keep the two compartmentalized or those who want to reject religion. Thus there is no meaningful discussion about the Scientific issues. He also didn't display a sophisticated level of understanding of the theological issues. He takes for granted that Science is correct and that Evolution is true and that what he explains with Evolution can not be explained otherwise.

His purpose is simply to show that one can reasonably believe in the Torah and Evolution. However he fails to demonstrate why his position of accepting Religion and Evolution should be accepted by someone who rejects either Science or Religion – and in fact he doesn't really try. He is basically taking Rabbi Kelman's approach of Permission to Believe and showing that it is not irrational to accept both Evolution and Religion -  without having to prove the validity of either.

I copied part of his Introduction and his conclusion

==============================

This book is organized around three questions:
 

First Question: How can Judaism insist on a Creator God when evolution informs us that everything out there just happened - with no plan, no purpose? The answer requires an overview, however sketchy, of cosmic and biologic evolution (chapters 2 to 3). This is followed by the main point of the book, which is a proposed way of understanding evolution that is compatible with an intended world (chapters 4 to 6).

Second Question: Where do Genesis and evolution agree or disagree? The answer requires us to look at the Genesis text for its religious, rather than scientific, messages (chapters 7 and 8). Chapter 9 explains the contribution of evolutionary science to Jewish concepts of suffering and death.
 

Third Question: How does human evolution relate to moral behaviour? The answers will require a brief summary of human evolution and brain development and their contribution to Judaism's ideas of free will (chapters 10, 11 and 12).

NOTES

1. Among notable works in this area are: N. Slifkin, The Challenge of Creation: Judaism's Encounter with Science, Cosmology and Evolution (http://www. zoororah.corn, Zoo Torah, 2006); G. Cantor and M. Swerlirz (eds), jewish Tradition GIld the Challenge of Darwinism (Chicago, IL: University of Chicago Press, 2006); ~!'S. Cherry, 'Creation, Evolution and jewi h Thought' (Unpublished PhD dissertation, Brandeis University, 200]); A. Carmel and C. Dornb (eds), Challenge: Torah Views 011 Science and Its Problems (Jerusalem and New York: Feldheim, 1978}. The Catholic Church, relying on its Patristic tradition of biblical interpretation, hJS been increasingly supportive of Darwinian evolution. For instance, the 2009 conference on Catholic teaching and evolution at the Pontifical Gregorian Institute in Rome assumed without protest the validity of biological evolution. Conservative Protestantism has been more wary, as detailed in R.l. Numbers, The Creationists. From Scientific Creationism to Intelligent Design (Cambridge, MA: Harvard University Press, 2006).

2. Slifkin, The Challenge of Creation, p.20.

3, Quoted in D, Hartman, Israelis and Jewish Tradition (New Haven, CT: Yale University Press, 2000), p.95.

4. Tanakh. The Holy Scriptures (Philadelphia, PA: Jewish Publication Society, 1985).

5. Hebrew-English Edition of the Babylonian Talmud (London: Soncino, J 990).

6. Daniel Gordis, 'The Shape and Meaning of Biblical History ', Azure, 45 (Summer 5771/201 J), pp.80-1.

=========================================================

The Answers 

First Question: How can God be considered to have created the world when, according to evolution, everything just happened? The answer is that evolution did not just happen. The predictability and progress of evolution mark it as intended (Chapters 1 to 6).

Second Question: How can we believe in the truth of Genesis when it conflicts with the facts of evolution? The answer is that Genesis is a religious text, a source of purpose, meaning and values, rather than a scientific text. Evolution's facts deepen our appreciation of Judaism's truths - as in issues related to suffering and death (Chapters 7 to 9).

Third Question: How does human evolution relate to human moral behaviour? The answer is that even though we evolved, as have all other species, we are nevertheless intended and unique; even though evolution explains much of our moral behaviour, divine law remains necessary; and even though our brain function is heavily determined we retain free will (Chapters 10 to 12).

Funeral of brave Druse policeman who stopped Har Nof Massacre - attended by thousands from diverse communities

Arutz 7    The funeral for a Druze police officer killed in yesterday's terrorist attack in Jerusalem has begun in his home town of Yanuh-Jat.

Sergeant Major Zidan Seif (30) was shot in a firefight with terrorists as he heroically intervened to stop the massacre at the Kehillat Yaakov synagogue in Har Nof; he died of his wounds late Tuesday night.

 His funeral began at 2 p.m.

Thousands were in attendance, including leaders of the Druze, Jewish, Christian and Muslim communities, as well as President Reuven Rivlin, Minister of Public Security Yitzhak Aharonvich (Yisrael Beytenu), and Police Commissioner Yohanan Danino.

"Zidan entered into the heart of hell, boldly and without fear," Police Commissioner Yohanan Danino stated. "He risked his life for the security of Israeli citizens." 

"The actions of Zidan and his colleagues saved the day," he continued. "It was a rapid and professional response, which avoided any more people from being hurt and prevented the terrorists from widening the scope of the attack as they intended."

"Israel owes a deep debt to Zidan," Danino said," a deep debt for this person and this excellent officer, a debt to remember his greatness, his career, his character, his belief in justice, bravery and courage. This is the legacy of Zidan, and as such is eternal."

"The strength of Zidan, a hero, strengthens and unites us into one family," Danino added. "We are strengthened in light of his memory and his legacy of fearlessness as a cop."

President Reuven Rivlin eulogized Zidan as well, noting that he acted out of a deep sense of human values. 

"Yesterday morning, terror struck in Jerusalem again," Rivlin stated, adding that it "does not distinguish between people, between blood and blood. [...]

Many hundreds of hareidi Jewish mourners are also present, after a campaign urging community members to attend the went viral online and on Whatsapp. Buses were charted from Jerusalem to accommodate the high number of requests.

"He protected our brothers in prayer with his own body - we have come to show him our gratitude and sanctify God's Name," said one of the organizers of the hareidi initiative. He added that buses were arranged, free of charge, from central Jerusalem, sponsored by hareidi donors seeking to honor Seif's memory.

Hareidi websites have also been publishing a psak halakha (religious ruling) by former Sephardic Chief Rabbi and Shas spiritual leader Rabbi Ovadia Yosef, who ruled that "A Druze soldier on duty who defended Israel against its enemy... and was killed at the hands of the Ishmaelites (Arabs), for the sake of guarding the security of Israel, it is correct to recite for him hashkava [a Jewish prayer for the dead - ed.] in the synagogue for his soul."[...]

What is the meaning of "the other" in Judaism, Psychology and Sociology?

My current investigation of the concept of judging others has led to a much more basic issue - what exactly is meant by "the other".

It is clear that this is a very fundamental idea underlying a lot of halacha, hashkofa and psychology. "Judge others favorably", Don't judge others until you are in their place. Be kind to the stranger. Love others as yourself, Don't torment others,  woman is the other, Satan is the other, Amalek is the other, Why was Acher named Acher?, cherem and kares make a person into the other, t  etc etc

WHAT IS THE CONCEPT OF THE OTHER? Is it simply whatever lies outside of yourself?' In other words is it "not you".

I have come across one book [which is out of print] that deals with this האחר -בין אדם לעצמו ולזולתו עורים חיים דויטש מנחם בן ששון

ה"אחר “הגדרתו ומעמדו הם נושאים הזוכים לתשומת לב רבה"בעולם כולו; יש העוסקים ב"אחר" כדי להגדיר לעצמם את זהותם, הפרטית והקיבוצית ; יש המבקשים למצוא בו את מהות המוסר שבגישה האלטרואיסטית, ויש המוצאים בו את המפתח לפרשיות היסטוריות סבוכות, העובדה שהעם היהודי נתפס לאורך ההיסטוריה כאחר טבועה היטב בזיכרון הקיבוצי ובתודעה הלאומית היהודית - הן בסיפר הקיבוצי והן בהנחיות העשייה הנתלות בו ; למן הצורך לאהוב את האחר-הגר, השב ומופיע במקרא 36 פעמים, ועד להצהרותיה של מגילת העצמאות באשר למקומו של האחר כמיעוט במדינה המודרנית המתוקנת, הבסיס ליחסים חברתיים כוללים נמצא ביחס שבין אדם לחברו, שעל עבירות שביניהם אין הקב"ה סולח עד שירצו זה את זה, הצורך באהבת הרע, המשמש בסיס לכל התורה, הוא התשתית לקיומה של החברה, ליד הציוויים לאהבת האחר ולשמירת זכויותיו, יש גם ביטויים קשים של הררת האחר, דמוניזציה שלו, שנאה כלפיו ונכונות לכוון אליו את הקשה שבפגיעות, באסופת מאמרים זו נעסוק במושג ה"אחר בעיקר בהקשר היהודי"כדי להציע תשתית עיונית לשיח המתנהל בעולם המודרני בכלל ובישראל בפרט, נביא דיונים עקרוניים וננתח דוגמאות ספרותיות והיסטוריות בכלים חינוכיים, משפטיים, הגותיים, סוציולוגיים ופסיכולוגיים. בחרנו לעסוק בנושא זה גם משום שהיה קרוב מאוד ללבו של בן, חבר ודמות מופת לסובלנות, שמת בדמי ימיו, דודי דויטש ז"ל. דודי הרבה להדגיש - הן בדיבורים והן במעשים - את הצורך לדון את כל האדם לכף זכות ולהוביל את החכרה לאחדית למרות הפערים הגדולים שבה. כדי להביע את הרב-גוניות והרב-תרבותיות של החברה שבה נוצר קובץ זה, חברו לברר את שאלת האחר נציגים ממגוון תחומים - גברים ונשים, שומרי מצווות .. וחופשיים, אנשי הלכה ומשפט, מטפלים ואנשי אקדמיה, מחנכים וראשי מוסדות, ילידי הארץ ועולים. אין אנו מתיימרים להקיף בספו זה את הנושא מכל צדדיו ולא נעלם מאתנו שיש עוד "אחרים" שחשוב להתמקר בהם. כאמור, בחרנו להתמקד בנושאים שהבאנו מתוך תקווה לתרומה צנועה לשיח בתחום

Har Nof massacre: 4 killed in shul during prayers 1 policeman killed during rescue & 8 wounded

update CNN Hours after the attack, a policeman shot during the rampage while pulling a woman to safety died from his wounds,  The latest victim has been identified as Zidan Seyf, 27, a police officer from the Arab [Druse] village town of Yanuh-Jat, located in northern Israel, northeast of the city of Akko.

YNet   has descriptions of the 4 rabbis
 
ynet         see also   NY Times
 

Four people were killed Tuesday morning in a terror attack on a synagogue and yeshiva in the Har Nof neighborhood in Jerusalem. Eight others were wounded; four are in moderate to serious condition. Two police officers were among the wounded.

Two terrorists wielding axes, knives and guns arrived at around 7:30 am at the site on Harav Shimon Agassi Street, which includes a synagogue and yeshiva (rabbinical seminary), and carried out attacks in more than one location.

The terrorists were killed, following a gunfight with security forces who arrived at the scene. According to an initial investigation the terrorists came from East Jerusalem. The wounded were taken to Shaare Zedek Medical Center and Hadassah Ein Kerem. [...]

"This is an area with a number of rooms," said Megen David Adom spokesman Zaki Heller. 

"The Wounded were scattered throughout different rooms and the paramedics who arrived at the scene dispersed to deliver first aid. The wounded were quickly evacuated by ambulance to hospital."

He said,"It is definitely true to say that the image there - of casualties wearing prayer shawls - are very difficult." 

Akiva, a Magen David Adom paramedic, said that when he arrived he saw a worshiper with stab wounds. "Inside there was someone singing. I ran into the synagogue, there was a gunshot victim lying on the floor. I tried to treat him, but the gunfire started in my direction and we fled. I pulled the wounded man along. The police arrived and surrounded the entrance and then the terrorist ran out and they shot him. there was wild gunfire. People ran out of the synagogue. It was hell." [...]

An official Hamas statement said that the attack was a response to the death of bus driver Yusuf Hassan al-Ramouni, who was found hanged at a Jerusalem bus terminal Sunday night.

While al-Ramouni's family claimed foul play, autopsy results confirmed police's suspicion of suicide on Monday afternoon.