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.     

The Holocaust after 70 years: Holocaust survivors in the United States

Over 70 years, there have been different narratives of the Holocaust survivors coming to the United States. Survivors’ stories begin with an event of major historical significance. Difficulties in conceptualizing historical trauma, along with common distortions and myths about Holocaust survivors and their children are examined. This article proposes that it is impossible to discuss the consequences of extreme suffering without consideration of historical meaning and social context with which they are entwined. The evolution of the social representation of the Holocaust and the contradictions in clinical attributions to survivors and their children with consideration of the future is described. Attributions to survivors and their children with consideration of the future is described.     

Resilience in Holocaust Survivors: A Study of Defense Mechanisms in Holocaust Narratives

There is extensive literature examining the psychological adaptation of survivors after the Holocaust, including studies of Holocaust narratives (HN). As a measure of psychological adaptation, defense mechanisms (DM) have been studied in various clinical samples, however, to date, not in Holocaust narratives. Using a standardized observer-rated measure, we assessed DM in Holocaust versus pre/post Holocaust narratives (other narratives [ON]) in 20 in-depth survivor interviews. Regarding individual DM, isolation of affect and self-assertion were statistically more frequent in the HN than the ON. High adaptive (mature) level defenses were more frequent in the HNs than the ON. Furthermore, the overall defensive functioning (ODF) was higher in the HN than the ON, contradicting previous findings showing lower defensive functioning in life-threatening situations. Possible explanations include differences in the nature of trauma, the time elapsed between the trauma and the interview, and the specificity of the sample. A qualitative overview with several examples from the narratives are also presented.     

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.     

Books Received

The physical and mental consequences of the Holocaust combined with difficult present events and the problems of old age can have devastating effects on survivors. Our clinic has recently introduced a psychodynamic-supportive group therapy model for elderly Holocaust, survivors. The model includes specific integrative interventions, which are based on Horowitz's model, of mourning and coping with stress and the leaders' clinical experience. The aim of the group is to improve the patients' homeostasis and enhance their ego functions and adaptation to inner and outer worlds. The theory and working model, are described.     

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.     

Analytical Psychology after Jung with Clinical Case Material from Stephen Mitchell's Influence and Autonomy in Psychoanalysis

This discussion focuses on the contributions of Drs. Loew and Richman, both children of Holocaust survivors and hidden children in the Holocaust, and the transformation of their traumatic experiences of loss and disconnection through sculpture and memoir writing. The influence of the analyst's disclosure of his or her personal self exploration on clinical work is also explored.     

Working with the Holocaust victims psychologically: Some vital cautions

This article traces the evolution of a major psychological organization's involvement with the Holocaust as a fully justified and legitimate topic of concern and of an ongoing commitment to its study and memory. A number of important cautions and requirements are presented for mental health workers who wish to work in the areas encompassed by the Holocaust, including working therapeutically with Survivors of the Holocaust and their children. The special danger of diminishing or trivializing the Holocaust in the course of writing about aspects or elements of it in psychological articles or writings, as has been the case in other kinds of literature, is brought into focus.     

National Days,National Identity,and Collective Memory: Exploring the Impact of Holocaust Day in Israel

This study uses the case of Holocaust Day in Israel to examine the premise that national days impact national identity and collective memory. Specifically, the study examines whether a very unique type of national day—Holocaust Day—impacts national identification, nationalism, and collective memory in the form of Israeli Jews' perceptions of the “lessons” of the Holocaust. This study uses panel survey design data on national identity and perceptions of the Holocaust's lessons from the same sample of Israeli Jews (N = 665) collected two months prior to Holocaust Day and again during and after Holocaust Day. During and after Holocaust Day, respondents expressed increased levels of nationalism and more perceptions of both particularistic and universalistic Holocaust lessons. Participation in Holocaust Day practices had a stronger relationship with nationalism and national identification during Holocaust Day than before but a weaker relationship with the perception of a universalistic lesson during Holocaust Day. These findings indicate that Holocaust Day impacts national identity and collective memory and highlights the multifaceted nature of the relationships between national identity, collective memory, and national days. The theoretical implication of the findings as well as the case comparability are discussed in light of the findings.     

The Question of the Holocaust's Uniqueness: Was it Something More Than or Different From Genocide?

Dating back to the very beginning of our knowledge of the events that constituted the Holocaust, some historians, social scientists, philosophers, theologians and public intellectuals argue that it was a unique historical, or even trans‐historical, event. The aim of this article is to clarify what the uniqueness question should be about and to ascertain whether there are good reasons for judging that the Holocaust is unique. It examines the core meanings of ‘unique’ that feature in the literature and identifies which of these is most apt for considering the possible uniqueness of the Holocaust. It then works out what it would take for the Holocaust to be unique in the appropriately rigorous sense, which is facilitated by inquiring into the nature of genocide. The key question turns on the relation of the Holocaust to genocide: was the Holocaust more than, or different from, genocide?     

Holocaust <Emphasis Type="Italic">Laughter</Emphasis> and Edgar Hilsenrath’s <Emphasis Type="Italic">The Nazi and the Barber</Emphasis>: Towards a Critical Pedagogy of Laughter and Humor in Holocaust Education

This article tries to defend the position that Holocaust Education can be enriched by appreciating laughter and humor as critical and transformative forces that not only challenge dominant discourses about the Holocaust and its representational limits, but also reclaim humanity, ethics, and difference from new angles and juxtapositions. Edgar Hilsenrath’s novel The Nazi and the Barber is discussed here as an example of literature that departs from representations of Holocaust as celebration of resilience and survival, portraying a world in which lies, hatred and violence are still perpetuated. Because of its transgressive qualities, Hilsenrath’s narrative of the Holocaust as a satire with elements of black comedy can offer pedagogical openings for using laughter to interrupt normative constructions of the Holocaust as an unspeakable and sacred event that lies outside history, and thus beyond the capacities of human understanding. It is argued that laughter is an important modality for inviting deep thinking about the Holocaust, to move it from a transcendent phenomenon to an immanent event, situated clearly in the realm of human action and worthy of understanding so as to prevent it from happening again.     

The inter-generational transmission of trauma: The effects of abuse on the survivor's relationship with their children and on the children themselves

This paper explores some of the potential consequences of childhood abuse in adulthood, in terms of the effects on parenting, and on the child of the abuse survivor. Reference is made, and parallels drawn where appropriate, to the experiences of survivors of the Holocaust in respect of both these themes. the clinical experience of the author vis-à-vis survivors of abuse and parenting has strong similarities to some of the findings of those researching this subject from the perspective of the Holocaust. While the primary focus is on the experiences of survivors of childhood abuse these similarities and parallels are also acknowledged.     

From Memorials to Bomb Shelters: Navigating the Emotional Landscape of German Memory

This article addresses the emotional landscape of German memory in the aftermath of the Holocaust and the Nazi past. Different narratives of memory are discussed: the collective, cultural discourse of memory in Germany today; autobiographical memory among Germans and those of German descent; and the impact of history and the role of memory in the clinical situation. Personal experience and its role in the analytic setting is examined within the context of cultural discourses that shape collective and autobiographical memory. The author draws on his experience as a psychoanalyst of German descent, and as a so-called third-generation German. Analytic work with second and third generation Holocaust survivors is discussed. Emphasis is placed on the emotional contexts of memory, and on affect states, such as shame, which challenge and complicate the navigation of history and memory, particularly in analytic interactions.     

PROFESSIONALIZING SURVIVAL: THE POLITICS OF PUBLIC MEMORY AMONG HOLOCAUST SURVIVOR-EDUCATORS IN MONTREAL

The majority of Holocaust survivors never speak publicly about their experiences, but those who do tend to find themselves at the centre of commemorative work in their communities. As Holocaust scholars, Holocaust education institutions, and members of the general public become increasingly interested in how to ethically universalize the lessons of the Holocaust, the public Holocaust survivor's role has broadened. It is no longer enough to recount one's own experience; survivors are expected to speak to current human rights abuses and genocides.In Montreal, Canada, a city which once claimed the third largest survivor population in the world, public survivors do a great deal of work. They give testimony in schools and at commemorative events, organize book clubs, write plays, direct films, teach, act as museum docents, and assume roles as community spokespeople. Given their dedication to this work, and a push to get them to speak beyond their personal experiences, we argue that there is a major shift taking place: the act of giving public Holocaust testimony is being professionalized. This professionalization raises unique questions about how people who lived through the Holocaust conceptualize themselves and their identities as survivors. By treating testimony as professional work, survivors contemplate, on a daily basis and in an applied manner, their stances on big questions regarding hierarchies of suffering, comparability, the connection between the personal and the political, blame and forgiveness, as well as many other relevant themes that are central to Holocaust and memory scholarship. All of this plays out in their testimonies.     

Extraordinary Evil or Common Malevolence? Evaluating the Jewish Holocaust

Abstract  This essay considers and rejects the hypothesis of Fackenheim, Wiesel and others that the Jewish Holocaust contains some qualitatively or quantitatively distinct moral evil. The Holocaust was not qualitatively distinct because the intentions and vices of the mass murderer are qualitatively indistinguishable from the intentions and vices of the common murderer. The Holocaust was not quantitatively distinct either because the sum of the evils of the Holocaust is quantitatively indistinguishable from six million randomly selected individual murders or because the notion of a 'sum' of moral evils is conceptually incoherent.     

Jean Améry: Resentment as Ethic and Ontology

Against the view that trauma cripples the survivor??s ability to account for his or her own experience, Jean Améry, a survivor of Auschwitz, argued that trauma speaks a language of its own. In this language, what may be taken as a clinical symptom, the inability to let go of a traumatic past, is actually an ethical stance on behalf of history??s victims. Améry wrote about aging in similar terms. Aging and death are an assault on the values of life, an assault that Améry rejected with equal vigor, and in much the same terms, as he rejected the history that does not stop with the Holocaust. In the second case, Améry is mistaken. Aging and death, allowed to proceed at a natural pace, serve life, the succession of generations. This argument is pursued by comparing Améry??s position with that of a large group of Holocaust survivors. It may appear as if Améry??s argument about the Holocaust has little to do with his argument about aging. In fact, they are related, to the detriment of both arguments.     

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 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.     

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.     

On Leaving Home and the Flight From Trauma

This paper is both autobiographical and clinical—a psychoanalyst's reflections about important transitional moments in his life. Examples of such moments are the cultural blind spot regarding the affect of the Holocaust experience on the hundreds of thousands of survivors who immigrated to Israel after World War II and his own professional disavowal of that experience and his eventual finding of “shared home” in listening to the trauma discourse of Holocaust survivors and to that of other severely traumatized patients. This paper also highlights the importance for the immigrant analyst of presenting the cultural perspective stemming from his own tradition and background, and the one acquired in his new home, side by side and in dialogue with each other. Finally, the author examines how being a trauma survivor and an immigrant informs his work as a psychoanalyst.