On the Dialectics of Trauma in Tennessee Williams�� A Streetcar Named Desire

Blanche DuBois, the tragic heroine of Tennessee Williams' A Streetcar Named Desire, has always been read as either "mad" from the start of the play or as a character who descends into "madness." We argue that Streetcar adumbrates elements of trauma theory, specifically symptoms of post-traumatic stress disorder such as involuntary reliving of traumatic events, dissociation, guilt, shame, denial, the shattering of the self, the compulsion to repeat the story of trauma, as well as the early stages of recovery from trauma. We are the first to employ trauma theory as a critical framework through which to view Blanche and the dramaturgical devices used to concretize her post-traumatic state of mind. Williams' heroine speaks from traumatic experience and not from psychic fabrications. Indeed, we contend that the play traces Blanche's deliberate and self-conscious working through and mourning of the traumatic losses of the past, including her idealized, narcissistic conceptions of herself within a traumatic present. Thus she is more attuned to the most disturbing parts of reality and exhibits tragic insight born of traumatic experience. Critics who see Blanche as "mad" do not fully recognize her struggle to come to terms with trauma and loss within a culture of denial. We conclude that Streetcar stages the inextricable relation between the individual and social dialectics of trauma.     

Treatment of grief and mourning through EMDR: Conceptual considerations and clinical guidelines

IntroductionEye Movement Desensitization and Reprocessing (EMDR) is an empirically-supported psychotherapeutic approach for treating trauma, which is also applicable to a wide range of other experientially-based clinical complaints. It is particularly useful in treating grief and mourning.Literature findingsEMDR is guided by the Adaptive Information Processing Model (AIP), which conceptualizes the effects of traumatic experiences in terms of dysfunctional memory networks in a physiologically-based information processing system. Numerous empirical studies have demonstrated EMDR's efficacy.DiscussionThe death of a loved one can be very distressing, with memories and experiences associated with the loss becoming dysfunctionally stored and preventing access to adaptive information, including positive memories of the deceased. EMDR can be utilized to integrate these distressing experiences and facilitate the assimilation and accommodation of the loss and movement through the mourning processes.ConclusionApplying the eight phases of EMDR to grief and mourning can yield potent clinical results in the aftermath of loss.     

Anna Freud and the Holocaust: Mourning and survival guilt

This article explores the period of Anna Freud's life after she was informed of the deaths of her aunts in Nazi concentration camps during World War II. Understanding of this period may be enhanced by consideration of the role of the Holocaust in her complicated mourning process. A series of her dreams is re‐examined from the point of view of survivor guilt and the complicated mourning of her father in the context of the Holocaust. It is argued that unconscious reproaches against her father led to an identification with him that included his ‘decision’ to leave his sisters in Vienna. Survivor guilt in relation to her aunts’ murders is seen as one of the complicating factors in the mourning process. In addition the article discusses the possible role of this period, particularly her work with child concentration camp survivors, in her post‐war writing. The noted duality in her work between innovation and conservatism is explored in terms of an outcome of the mourning process of this period. It is argued that her views on mourning, trauma, attachment, and the widening scope of indications for psychoanalysis were influenced by the outcome of her mourning process. Finally, an irony is noted in the fact that her attitude about altruism never changed despite the role of the altruism of others in her rescue from the Nazis.     

The missing tombstone: reflections on mourning and creativity

There are differences as well as similarities between mourning occurring after the loss of a single individual under ordinary civilized conditions, and mourning after multiple losses under traumatic conditions. A brief review of the psychoanalytic theory of mourning articulated by Freud in 1917 and modified in the 1960s is followed by an equally brief review of the relationship between artistic creativity and mourning. Because survivors of major disasters who suffer multiple losses need time to recover before they can engage the emotionally demanding task of mourning, the mourning process in these cases is frequently delayed. "Memorial spaces" appear to facilitate delayed mourning because such spaces are responsive to a deeply felt need by survivors of major tragedies to articulate what they experience as unspeakable and unshareable. The memories and the pain associated with them are then welcome because mourning is not about forgetting; mourning is about remembering, a process that may take a lifetime.     

‘The child's past in the adult's present’: The trauma of the Siege of Leningrad (1941–1944)

This study deals with the individual and collective memory of Leningrad Siege survivors who experienced mass and prolonged wartime trauma during childhood (1941–44). While much has been published about the Siege, there has to date been no investigation by psychologists into the effects of extreme deprivation on Siege victims apart from one pilot study (Gulina et al., 2005). This study is still underway. Interviews with 80 participants (68 female and 12 male) are analysed and discussed here. Interpretative Phenomenological Analysis (IPA) and content analysis are utilized. Unpublished archival writings by children caught in the Siege have been analysed. The principal method of interpretation is based on a psychoanalytic understanding of child development, mourning and the metabolizing of traumatic experience. The subjective meaning of the Siege experience to individual children is considered     

THE SURVIVING SIBLING: THE EFFECTS OF SIBLING DEATH IN CHILDHOOD

This paper considers the case of childhood mourning in which there is an increased possibility of a pathological grief reaction, due to an incapacity to sustain mourning and an inability to comprehend death. The death of a sibling in childhood is a complex loss to manage, the outcome of which is inextricably linked with parental grief. Maladaptive parental mourning processes, including the phenomenon of the ‘replacement child’, are explored. The effects of this loss on the surviving sibling can give rise to a variety of symptoms that may impair emotional development. Amongst the main responses experienced by the surviving sibling is that of a guilt reaction, not only for having survived when the sibling did not, but also a fear that harboured death wishes may have caused the tragedy. Premature death anxiety and distorted concepts of illness are further possible outcomes of this event. It is suggested that the primary deprivation a child may experience when their sibling dies is the emotional absence of their parents who are preoccupied with their own grief.     

State of mind assessments

This paper describes state of mind assessments as undertaken by child psychotherapists. It considers the similarities and differences with an assessment for an ongoing child psychotherapy treatment intervention and is described here as a ‘package’ that is offered to the family, child and young person and also the referring colleague. It is suggested that the consultative aspect has more weight in a state of mind assessment. The stages of the assessment are outlined and include the initial consultation with the referring colleague, a meeting with parents, three sessions with a child or young person and feeding back to parents with further consultation to the referring colleague. The meaning of the request at any particular time is explored and influences the stance and the approach to the assessment by the therapist. A summary of a case example illustrates the different stages outlined here. The thinking and approach described may be particularly useful to trainees and those starting out as child psychotherapists in child and adolescent mental health services.     

The destiny of an unacknowledged trauma: the deferred retroactive effect of après-coup in the hidden Jewish children of wartime Belgium

For almost 45 years, the experience of Jewish children who were hidden during World War II was considered to be of little importance, particularly with respect to what had taken place in the concentration camps. Their very history was ignored in the many accounts of the Holocaust. It was only at the end of the 1980s that their experience began to be thought of as potentially traumatic. In this paper, the authors report on their psychoanalytical research project concerning the psychological outcomes of those experiences that had remained concealed for such an extraordinarily long latency period. The results are based on the analysis of 60 accounts and on psychoanalytically-oriented group work. The authors show that the trauma experienced by those hidden children was triggered by the retroactive effect of a deferred action [après-coup].     

Finding a Path toward Re-Enchantment in Contexts of Child Maltreatment

Children’s stories try to provide the possibility of an experience of enchantment through reading or being read to, if the child is able to actively participate in the story. However, this access is not guaranteed, especially if the child is plunged into a traumatic atmosphere which can provoke a regression, even when the psyche is in the process of construction. The concept of the role of the helpful person in the child’s earliest developmental stage, elucidated in Chapter 11?of Freud’s prepsychoanalytic?Project for a Scientific Psychology (1895), led us to believe in this text as a pioneering contribution to the theoretical and clinical underpinnings of child psychoanalysis and was particularly important in helping us to conceptualize the case material presented. We discuss the fundamental role of the helpful person, particularly how this person can help in creating a narrative which can impact the reconstruction and restoration of the psyche, using the possibilities offered by analytic group work with abused children. We consider that a safe container, an envelope, allows a space for psychic elaboration and for symbolization and show how the therapeutic group offered containment that allowed the patient to rediscover the function of the helping person.     

Parental Suicide: An Organizing Event in the Development of Latency Age Children

ABSTRACT: This paper proposes that children who are especially vulnerable to parental suicide have not resolved earlier developmental issues of separation-individuation. Five children, ages 6 to 12, were studied intensively. Parental suicide during the child's latency age period has profound influences on children's ego development and character formation because during this time childhood ego functioning is rapidly maturing and superego functions are developing. The trauma of parental suicide is heightened when difficulties for the surviving parent in mourning interfere with open discussion between the parent and child about the death. Parental suicide may stimulate childhood suicidal impulses if the child identifies with and idealizes the dead parent and has wishes of reuniting with the deceased.     

Concurrent Grandparent Death and Birth of Schizophrenic Offspring: An Intriguing Finding

The finding, in the following study, of grandparent death within ± two years of birth of 41 per cent of schizophrenics (N= 70 ), a rate significantly higher than that in psychiatric (N= 45 ) and normal (N= 25 ) control groups, raises the possibility that this family stress factor may contribute to the development of schizophrenia. The implications are considered regarding the likelihood that the concurrent stresses of the death and the birth, two major events in the family life cycle, could confound and impede mourning and parenting processes. Two hypotheses are suggested: (a) that a bereaved parent may be emotionally unavailable to spouse and infant, and (b) that attention to the child may block mourning and absorb painful feelings, with the child assuming a special replacement role. The dysfunctional potential is related to other interacting variables, including biological factors, mourning resolution, and the family system. Further study is called for.     

The drama of the gifted child and the psycho-analyst's narcissistic disturbance.

In order to develop a true self, the child needs, in the first weeks and months of his life, his mother's appropriate emotional response, mirroring and respect. These narcissistic aspects have to be distinguished from the drive wishes. Only the mother's appropriate responses make it possible for the child to experience his feelings as belonging to his own self. If the child does not get the right narcissistic response, he will continue to search for narcissistic supplies for the rest of his life. The most suitable objects for this will be his own children initially, who are completely at his disposal. Specially gifted children who are sensitive, alert and have many 'antennae', will quickly learn to adapt to the narcissistic needs of their parents. Their behaviour will then give the mother all the mirroring, consideration and admiration which she had missed as a child herself. The result will be that, in spite of excellent performance, the child's own true self cannot develop. All this leads to narcissistic vulnerability and to new attempts in the adult to find at last an available 'mother' in his own child, partner, or, if he has become a psycho-analyst, in his patient. In the transference this type of analysand first experiences narcissistic rage before deep mourning is possible. This process of mourning enables him finally to accept his own deprivation as a child, to give up the unconscious idealizations and with them the hope of finding such a 'mother'. This leads regularly to the liberation of the life forces and allows creativity to develop. Only after this has been achieved is the analysis of drive conflicts possible and becomes emotionally effective.     

Getting the story right: a Reductionist narrative account of personal identity

A popular “Reductionist” account of personal identity unifies person stages into persons in virtue of their psychological continuity with one another. One objection to psychological continuity accounts is that there is more to our personal identity than just mere psychological continuity: there is also an active process of self-interpretation and self-creation. This criticism can be used to motivate a rival account of personal identity that appeals to the notion of a narrative. To the extent that they comment upon the issue, proponents of narrative accounts typically reject Reductionist metaphysics that (ontologically) reduce persons to aggregates of person stages. In contrast to this trend, we seek to develop a narrative account of personal identity from within Reductionist metaphysics: we think person stages are unified into persons in virtue of their narrative continuity with one another. We argue that this Reductionist version of the narrative account avoids some serious problems facing non-Reductionist versions of the narrative account.     

Early development of narrative skills

This ethnographic study of 8 African American toddlers and their families focused on the children's productive competence with regard to various types of naturally occurring narrativelike conversation. The notion of the emergence of narrative competence is examined, and a definition is posited which incorporates minimal requirements for child participation within the fundamental essence of narrative structure. Developmental evidence is used to argue for an order of emergence between fictional and temporal event production, which bears on Nelson's Generalized Event Representation (GER) account of cognitive processing. Qualitative interpretations of the quantitatively derived patterns illustrate the merits of combining both approaches in data analysis. Finally, the creation of a socioculturally sensitive account underscores the importance for theory construction of pursuing research from a comparative, cross-cultural perspective.     

Detection of auditory signals occurring at random times: Intensity and duration

Observers attempted to detect a weak auditory signal presented in noise. The onset of the signal was determined by a Poisson process, and only responses occurring 1 sec after signal onset were considered detections. Three latency distributions were measured, the time to a signal onset, the reaction time distribution, and the false-alarm distribution (of responses occurring before a signal onset). A simple two-state model is proposed to account for a discrepancy between the distribution of signal waits and the distribution of false alarms. The hazard functions of the reaction time distributions are considered in detail and a simple accumulation model is proposed to account for the results.     

Parenting a damaged child: mourning, regression, and disappointment

This paper is an examination of the long-term parenting experiences of parents who have given birth to CNS damaged infants. In particular, the focus is on the mourning, regression, rage, and depression that frequently attend these parents throughout their lives and can become pathological and pathogenic interferences with the provision of good-enough parenting. Several clinical vignettes were presented, each of which illustrated the usefulness of different psychoanalytic clinical theories about normality and pathology of parenting and parent-child interaction. The now-classical contribution of Solnit and Stark (Mourning and the Birth of a Defective Child, 1962) is reviewed along with Benedek's and others' psychoanalytic theories about normal parenting. The thinking of these writers is within the framework of structural/libidinal theory and seems to be useful in describing certain parenting problems that concern the mourning and regressive aspects of parenting. However, it was proposed that some of the adaptive coping and pathology encompassed by Solnit and Stark's explanations is not comfortably illuminated by the structural clinical theory of conflict and drives. Freud's discussion (1917) compares mourning and melancholia, which he differentiated as related but dynamically distinct clinical phenomena. This work is briefly recalled as an earlier point in theory building where structural theory was not sufficient to explain clinical depression and rage that exceeds normal mourning (as in Freud's melancholia). It is felt that an additional theoretical perspective on parenting provided by self psychology can fill in some of the gaps left by structural theory explanations. The self psychology perspective is particularly helpful with understanding the rage, ambivalence, and chronic depression often experienced by parents of damaged children. According to this perspective, the damaged child is a disappointing selfobject for the parent, and the parent's self organization will give him the resources to cope adaptively or to develop narcissistic pathology. Three types of intrapsychic problems for a parent are described: mourning the lost object, the fantasied perfect child; experiencing and recovering from regression to early identifications with his own parents; withstanding tension and regulating one's self (experiencing chronic depression and rage) when confronted with a great disappointment in a selfobject (represented by the damaged child). It is important when designing intervention strategies in a hospital or pediatric clinic setting to clarify which type of problem is the major focus of the parent's struggle.(ABSTRACT TRUNCATED AT 400 WORDS)     

Emotion Dysregulation Mediates the Relationship Between Child Maltreatment and Non-Suicidal Self-Injury

One risk factor for non-suicidal self-injury (NSSI) in adolescents is exposure to traumatic experiences, particularly child maltreatment. However, the mechanisms through which childhood maltreatment predicts NSSI are largely unknown. Emotion dysregulation (ED) is likely an important mechanism in this relationship. Therefore, this study examined the relationship between childhood maltreatment, ED, and NSSI in a sample of adolescent inpatients (n = 53). Results demonstrated that child physical and emotional maltreatment, but not child sexual abuse, was significantly associated with NSSI frequency. More specifically, ED mediated the relationship between child physical and emotional maltreatment and NSSI frequency. Findings support the importance of ED as a mediating factor in the relationship between childhood maltreatment and NSSI behaviors and highlight the need for teaching emotion regulation skills to youth affected by trauma.     

Introduction to Diving Beneath the Waves: In Memory of Tom Ravenette

Recent explorations of the relationship between narrative and self, particularly those tied to social constructionism, have served as a valuable corrective to the still prevalent tendency in psychology to divorce the self from its social surround. Yet certain of these explorations, by privileging the social over the individual, have led to a vision of selfhood that is problematic in its own right. Specifically, it is argued that, even though the "tools" employed in the construction of selfhood are social in nature, the configurational acts through which this construction occurs are better conceived in poetic terms, as imaginative labor seeking to give form and meaning to experience. In considering the poetic construction of selfhood, this article attempts to articulate further the relationship between narrative and self, the cultural dimension of personal experience, and the importance of the idea of narrative for expanding the scope of psychological knowledge.     

Object loss, renewed mourning, and psychic change in Jane Austen's Persuasion

Austen's extraordinary realism in depicting the dynamic internal processes which follow on the heroine's loss in Persuasion becomes clear in the light of a psychoanalytic understanding of mourning. Persuasion dramatizes the effects of a mother's death in adolescence as these come into play at the time of the heroine's separation from her fiancée and her later mourning. The thesis of this paper is that, despite falling in love with the brilliant hero, an unfinished mourning and an unconscious identification with her dead mother helped to persuade the heroine Anne Elliot to break her engagement, to create a 'final parting' as her mother had done to her in dying. The heroine's internal monologues show that she has projected some of the darker feelings of mourning, her anger and resentment, on to the hero and that she reopens a complex mourning process, partly through the displacement of affect, showing how traumatic effects of loss can be worked through in deferred action, effecting positive psychic change.