Transformation of Perception of Trauma by Child Survivors of the Holocaust in Group Therapy

Intensive work with child survivors of the Holocaust has made us aware of the clinical importance of understanding the ways children perceive their traumas and the conclusions they draw about how they must live their lives. When these perceptions are transformed congruently with the child's development, the survivors can cope quite well. In this paper we refer to now middle-aged survivors who are still guided by their child perceptions. We will describe how we have used conjoint group psychotherapy to facilitate processes of transformation even at this late stage. The model we provide for trauma work with Holocaust survivors whose traumatization occurred decades ago may well provide tools to reduce future suffering of children who are victims of massive traumatization today.     

The Role of Group Experiences in the Healing Process of Massive Childhood Holocaust Trauma

This paper proposes that Holocaust child survivors profoundly benefit from participating in a variety of group modalities. From participant observation and interviews we demonstrate that affiliation in organizations, social events, commemorations, rituals, and particular therapeutic groups each contributes to the well-being of Holocaust child survivors. Mourning is enhanced by joining forces with others from a historical event that left many children orphans, bereft of a home, a community, a country, and an identity. Group participants achieve individuation and ego integration, and gain clarity about the complex psychological consequences of surviving the Holocaust. A fragmented identity is restored through the opportunity of interacting with others whose identity has been ruptured by similar cataclysmic events.Senior Research Fellow, Graduate Center of CUNY. Codirector, Psychotherapy with Generations of the Holocaust and Related Traumas, Training Institute for Mental Health. Codirector, Child Development ResearchSenior Member and Faculty, National Psychological Association for Psychoanalysis. Codirector, Child Development Research     

Lack of long-lasting consequences of starvation on eating pathology in Jewish Holocaust survivors of Nazi concentration camps

The purpose of the present study was to investigate whether Holocaust survivors will show the same eating pathologies that were found in other participants who had also undergone starvation. Fifty-five Holocaust survivors and 43 matched control participants answered a questionnaire designed to explore eating problems and pathologies described in the literature as lasting for decades after a period of severe food restriction. Confirmation of the survivors' reports was obtained from their children. No significant differences in current eating habits were found between the Holocaust survivors and their matched controls. Prolonged starvation in Holocaust survivors did not lead to disordered eating habits in the sample. These results conflict with the notion that severe starvation consistently leads to food preoccupation and disordered eating.     

Holocaust messages from the past

The impact of the Holocaust on the functioning of the survivors in the role of parents, and its influence on the second generation, has now become apparent. Most research findings and observations point to typical characteristics of survivor parents, such as: over-protection, insecurity, separation anxiety, guilt, as well as excessive expectations of their children. While building new families, many of the survivors are haunted by memories of traumatic events-mainly the loss of former families, spouses, and children. The off-spring are often committed to a heritage they cannot understand, which they absorb either by over-exposure or through the protective cover of silence. It is their wish to find ways of transmitting these historical messages to the third generation without the heavy emotional burden they themselves experienced.All quotations are freely translated from the Israeli film Because of that War by Orna Ben-Dror, Niv, with the permission of the publishers-Shani films, Israel. In this film, Yehuda Poliker and his father Jacko, and Yacov Gilad and his mother, Alina, describe their personal experiences. The authentic stories of these two families represent an excellent example of the transmission of Holocaust messages from generation to generation.     

The Phenomenology of Posttraumatic Distress in Older Adult Holocaust Survivors

This paper focuses on the effects of the Holocaust on its survivors more than 55 years after the end of World War II. The emphasis is on survivors who were either adults during the Holocaust and who are now over the age of 70, or survivors who were children during the Holocaust and whose age is now between 56 and 70. The central question was: What kinds of posttraumatic phenomena are seen in older adult survivors? After an overview of the field, the situation of survivors in Israel is presented in 2 ways. Results of a survey of survivors who were referred to Amcha, the National Israeli Center for Psychosocial Support of Survivors of the Holocaust, is provided to give some insight in a clinical population. In addition, 2 case histories of survivors are presented to give a more in-depth perspective. The gap between the data from the questionnaires and the clinical material has relevance for the way in which we conceptualize the late consequences of massive trauma.     

Challenges for aging Holocaust survivors and their children: The impact of early trauma on aging

ABSTRACT

Is the impact of early trauma continually present or does the negative psychological impact disappear when survivors are younger and then reappear as they age? In Transcending Trauma Project interviews survivors noted the impact of the Holocaust was always present but some stated that it increased as they aged. A small number of children of survivors interviewed observed a dependence upon defense mechanisms to cope with aging which differed from the survivors’ identification of using active and family coping strategies during the war and postwar years. Though children who experienced positive parent-child relationships mentioned the negative coping strategies, they also spoke positively of the impact of their parents in their own lives and expressed empathy for their parents. In the families where tensions existed between the survivors and their children, the children did not express empathy for their aging parents. Several studies supported the importance of family relationships in the aging process. This secondary analysis study further explored the impact of the Holocaust in aging survivors and the views of some children of survivors on aging.     

Holocaust survivors in long-term care

ABSTRACT

Little research exists on the experience of older trauma survivors in long-term care settings. This study examined the experience of Holocaust survivors in community-based and facility-based long-term care. We wished to know if Holocaust survivors had a systematically different experience in such settings compared to persons without a trauma experience in their backgrounds. Through interviews with survivors, American-born Jews in the same settings, family members, and professional staff, we learned that there were differences in certain aspects of mental health and emotional well-being and that these differences are associated with the relative lack of a network of family members as compared to American-born Jews.     

Theistic Dissonance Among Religious Jewish Holocaust Survivors: A Psychodynamic Perspective

Coining the term theistic dissonance to capture conflicted attitudes and feelings toward God, this article examines faith-based reactions to the Holocaust. The theological weltanschauung of religious Jewish Holocaust survivors is analyzed, with a particular focus on their attempts to reconcile the notion of a benevolent and caring God with their harrowing experience. Basic religious sources and contemporary literature are presented to elucidate the realm of resolutions of theistic dissonance. It is suggested that elements of defense mechanisms are adapted from the emotional into the cognitive realm, and are used by survivors to facilitate respective interpretations of God’s role during the Holocaust. Dissonance resolution is seen as being informed theologically and experientially for these victims who confronted stark challenges to their religious integrity.     

Reconstructing Life Stories of Holocaust Survivors Through Art

This article discusses the late works of two women Holocaust survivors, Esther Nisenthal Krinitz and Ilana Ravek, as seen through the prism of the artistic reconstructing of a life story. Their life stories are expressed in works depicting their Holocaust experiences together with additional “rehabilitation” works illustrating elements such as their childhood before the Holocaust, their establishment of families afterwards, their experience of parenthood and grandparenthood, their successful resettlement in their new countries and their acquisition of a new national identity. Each of these artists' work represents a different approach to the construction of a life story. Nisenthal Krinitz's art works exemplify a linear narrative approach, displaying a sequence of events arranged chronologically in an interrelated plot at whose centre stands her Holocaust story, wrapped by works depicting her life before and afterwards. Ravek's works, which are not limited to her Holocaust experience and its ramifications, demonstrate the second approach, which requires far more active involvement on the part of the viewer. Both artists' life stories express a conflicted ambivalent consciousness, as tragic depictions coexist side by side with images of rehabilitation. The enfolding of the past in the present assists them in their reconstruction of a consecutive identity that has a past, present, and future and enables them to give meaning to their life after their survival.     

Identity Disorders of Second-Generation Holocaust Survivors

Healthy child development is outlined, with particular attention to its crucial element of identity formation. Second-generation Holocaust survivors are saddled with a mission of “carrying the torch” which is inconsistent with normal identity formation. Over and above the normative milestones in acquiring personal identity, children of this generation had particular difficulties establishing a sense of self distinct from family and religious identity. This threatened ego integrity portends potential identity dissonance, disruption of the developmental process, and problems in the adult lives of second-generation survivors. The author’s personal narrative is featured to highlight identity challenges inherent in the life of a “memorial candle.”     

SURVIVORS OF THE HOLOCAUST AND THEIR CHILDREN

Despite the importance given in their narratives to the birth of their children and grandchildren, in most of the interviews I conducted with Holocaust survivors they do not discuss their children or family life in detail. Rather, for many of them, discussion is generally connected to how or what they have explained to their children about their experiences during the war. Survivors’ preoccupation with this issue could be understood as a response to the context in which they find themselves, in which a particular social discourse about survivors has developed. This discourse arguably engendered particular responses from survivors: it is a question that survivors expect to be asked, and it is seen as part of their prescribed role. Based on over 50 narrative interviews with survivors of the Holocaust, this article explores how survivors reflect and understand their parenting. It examines to what extent their behaviour has been influenced by their experiences during the war, or in reaction to a particular social discourse. Whilst literature on the second generation has been predominantly based on the responses of the children of survivors, this article provides important evidence of how survivors reflect on and understand their parenting.     

Holocaust survivors in a primary care setting: fifty years later

Past studies have not assessed the prevalence of emotional disturbances in Holocaust survivors seeking medical treatment in a family practice environment. The present study examined the prevalence of lifetime (the presence of symptomatology at any time) and current posttraumatic stress disorder (PTSD) symptoms, general anxiety, and depression in Holocaust survivors seeking medical treatment in a primary care setting. 20 of the 27 Holocaust survivors in our sample received a current diagnosis of PTSD and reported significant symptoms of depression and general anxiety. Although 74% of the survivors were currently diagnosed with PTSD, participants in this study had reported an overall decline in reexperiencing, hyperarousal, and overall PTSD symptoms but exhibited increased avoidance and numbing symptoms throughout the lifespan. These preliminary results suggest that removing avoidance as a defense mechanism during the course of psychotherapy may leave these survivors without an adequate way for coping with their trauma, subsequently increasing their vulnerability to psychopathology. Implications for psychological interventions are provided.     

The Holocaust and Its Effects on Survivors: An Overview

The Nazi Holocaust has had continuing and widely reverberating consequences not only for the Jewish survivors but for the world at large. These consequences are detailed, first through a personal account of an Auschwitz survivor, and then through a discussion of the adaptive measures of concentration camp inmates and the long-term psychiatric and psychological effects on survivors and their families. The Survivor or Concentration Camp Syndrome and its relationship to the Post-Traumatic Stress Disorder is described. Indirect effects of the Holocaust have been manifested in various ways, particularly through various levels of psychologic denial displayed by Holocaust criminals and (at least during the early postwar period) by the German public. The Holocaust has had profound effects on the ways the Jewish people regard themselves and are seen by others. Finally, the Holocaust can be seen as offering a kind of paradigmatic signature to the worldview of the end of the 20th century, emphasizing the persistence of evil and the limitations of the idea of progress.     

Separation-individuation conflicts in children of Holocaust Survivors

This article examines the developmental conflicts of children of Holocaust Survivors with specific emphasis on psychic trauma and second-generation Survivor effects. Issues related to depression, guilt, and aggression are discussed in relation to Mahler's separation-individuation process. Developmental failures at early phases may predispose these children toward low self-esteem, narcissistic vulnerability, identity problems, and impairments in interpersonal relations. The need for further research and clinical investigation is emphasized to help develop preventive measures and attenuate the effects of the Holocaust on future generations.     

Family Therapy with Families of Holocaust Survivors

This is a clinical review of 7 families of Holocaust survivors who presented for treatment because of problems with an adolescent of the third generation. In 3 cases the problem was anorexia, and the remaining 4 had various clinical presentations, mostly related to separation-individuation issues. A common thread in the narratives that unfolded was that the trauma of the grandparent/survivors had been transmitted across subsequent generations to exercise significant influence on the children and grandchildren. Often, a more recent death or separation crisis had been the catalyst for these difficulties or a trigger that activated the Holocaust trauma. An outline of the therapeutic intervention is presented; it was based on a combination of systemic, structural, strategic, and psychodynamic approaches. It is suggested that open acknowledgment of the transgenerational issues played a critical role in moving families toward a more differentiated outcome.     

Thoughts on representation in therapy of Holocaust survivors1

This paper presents the problems of representation and lack of representation in treating Holocaust survivors, through clinical vignettes and various theoreticians. The years of Nazi persecution and murder brought about a destruction of symbolization and turning inner and external reality into the Thing itself, the concrete, or, in Lacan’s words, ‘The Thing’. The paper presents two ideas related to praxis as well as theory in treating Holocaust survivors: the first is related to the therapist’s treatment of the Holocaust nightmare expressing the traumatic events just as they happened 63 years previously; the second deals with the attempt at subjectification, in contrast to the objectification forced by the Nazis on their victims.     

Observations on the First International Conference on Children of Holocaust Survivors

This first large-scale gathering of children of Holocaust survivors revealed — more from the unanticipated group process of the conference than from its official proceedings — that the second generation seeks a collective identity subordinate neither to the older generation of parents nor of mental-health authorities. Vital moments of tension and reconciliation at the conference between the children's self-help movement (with a sizable membership of young mental-health professionals) and distinguished mental-health experts indicated the legitimacy of intergenerational encounter and the place that it will likely be accorded in future meetings.     

Facilitated and real trauma in the psychoanalysis of children of Holocaust survivors

The author investigates the effect of retraumatization on the children of Holocaust survivors who have appropriated their parents' trauma through unconscious identification. The author proposes that the working through of the real trauma results in a mitigation of the transmitted trauma in the psychic reality and mobilizes the work of mourning that facilitates the mastery of the real as well as the transmitted trauma. Two case examples are cited as illustration.     

Salutogenesis and autobiographical disclosure among Holocaust survivors

Forty-five Holocaust survivors and a comparison group of 21 Jews who had not experienced Nazi persecution completed questionnaires assessing salutogenic (health-enhancing) and pathogenic (illness-inducing) outcomes of Holocaust vs. other traumatic experiences. Salutogenesis and pathogenesis were negatively correlated. Holocaust survivors were consistently higher on the measure of salutogenesis; with marital history held constant, this difference was statistically significant. Neither group reported high incidences of posttraumatic stress symptoms, although survivors reported more. Talking about one's Holocaust experiences was related to more positive and fewer negative responses. Marital history and religious observance mediated some aspects of both positive and negative long-term consequences. The results indicate that the long-term consequences of even extreme trauma may include increased personal strength and growth.