Psychotherapy with the adolescent children of concentration camp survivors

Summary The offspring of people who have experienced overwhelming physical and mental trauma may themselves manifest some of the aftereffects of their parents' trauma. Some children of survivors manifest aspects of their parents' survivor syndrome. These children appear depressed, withdrawn and have difficulty establishing and maintaining interpersonal relationships. In psychotherapy, an important focus is helping the patient establish an identity that is free of the persecutory and depressive elements of the survivor syndrome. Crucial aspects of psychotherapy with survivors' children involve helping the patient deal with the emotional impoverishment and depression of his parents and alleviating resulting guilt feelings. A therapeutic approach that is both nurturant and firm seems essential to provide restitution for the affectional deprivation and to set limits for the survivors' child. Of important concern for the therapist are countertransference attitudes which may lead to rejecting the adolescent.     

Amnesia,flashbacks, nightmares,and dissociation in aging concentration camp survivors

The current study examined to what extent war memories of Dutch survivors of Japanese/Indonesian concentration camps display characteristics that are often believed to be typical for traumatic memories. Twenty-nine survivors were interviewed about amnesia, flashbacks, nightmares and the sensory quality of their most upsetting war memories. In addition, they completed self-report scales measuring post-traumatic stress symptoms and dissociation. In contrast to prevailing notions, amnesia, flashbacks and nightmares were not typical for this sample. Neither were traumatic memories characterized by a particularly strong sensory loading. Post-traumatic stress symptoms were not related to dissociative experiences. At least for this group of aging survivors, it appears that the pathogenic potential of traumatic memories has more to do with their extremely aversive content than with a qualitatively different type of organization of these memories.     

The evolution of mental disturbances in the concentration camp syndrome (KZ-syndrom)

As a result of long-term clinical research on former prisoners of the Nazi concentration camps, I analyzed the evolution of the clinical and psychopathological pattern of the KZ-syndrome. One can differentiate the following characteristic phases: psychosomatic inanition, latency of disease, personality and adaptation disturbances, a pseudo-neurotic and depressive phase, premature aging, and an organic phase. The stigma of KZ-syndrome is present in a second generation in different forms: personality disturbances, emotional and/or social immaturity, social disadaptation, higher frequency of neurotic states, divorce, alcoholism, and suicide. The camp stress has left in human nature traces so painful that they cannot disappear when the generation of former prisoners is gone.     

Between life and death: experiences of concentration camp mussulmen during the holocaust

During the years of 1981 and 1982, 89 former prisoners of the Auschwitz-Birkenau concentration camp responded to questionnaires on mussulmen-prisoners in the extreme phase of starvation disease. In this article, I describe the origin of the term "mussulman," mussulmens' somatic and mental state, their behavior and camp customs. Prisoners characterized as mussulmen remain between life and death, without expressing emotional reactions and defense mechanisms apart from a hypersensibility to food-related stimuli. A mussulman was a product of the camp factory of death. A deep somatic and emotional stigma remains in those who survived the mussulmen state.     

The body as narrator: Body movement memory and the life stories of holocaust survivors

The present study explores the interaction between two narrative worlds of substance: verbal life stories and body movement expressions among Holocaust survivors. A narrative phenomenology approach was used to investigate the way in which people organize their lives, granting them meaning through their life stories and narratives. Sixteen Holocaust survivors participated in this study: men and women aged 73–93. Qualitative open and unstructured interviews were conducted and videotaped. Six major clusters were found. Each cluster presents unique characteristics of verbal and movement expressions: activity, passivity, arousal, self-reassurance, deadlock, and suffocation. These findings shed new light on the survivors’ traumatic life stories.     

Influence of memory theme and posttraumatic stress disorder on memory specificity in British and Iranian trauma survivors

This study investigated the influence of culture, memory theme and posttraumatic stress disorder (PTSD) on autobiographical memory specificity in Iranian and British trauma survivors. Participants completed the Autobiographical Memory Test and PTSD Diagnostic Scale. The results indicated that the British group provided significantly more personal-themed memories than the Iranian group, while the Iranian group provided significantly more social-themed memories than the British group. The British group also provided a significantly greater proportion of specific personal-themed and social-themed memories than the Iranian group. Overall, in both cultural groups memory specificity was found to be significantly correlated with PTSD symptoms. These findings provide further evidence that regardless of memory theme, specificity of autobiographical memories function to differentiate the self from others and reaffirm the independent self. They also further highlight that pan-culturally an overgeneral retrieval style may be employed by those with PTSD symptoms.     

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.     

Concentration camp imprisonment and psychological traumatization

The author reports on a Norwegian investigation extending over more than 30 years, which showed that, apart from a few exceptions, all former concentration camp inmates and prisoners in Nazi jails manifest permanent physical and psychic damage. On the basis of these findings the Norwegian government has established a generous statutory compensation program. Unlike its counterpart in the Federal Republic of Germany, this program does not require applicants to demonstrate the cause of illness or its consequences in each case. The method of the investigation is presented in detail.