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.     

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.     

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.     

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.     

Collective Trauma From the Lab to the Real World: The Effects of the Holocaust on Contemporary Israeli Political Cognitions

This research tested whether chronic or contextually activated Holocaust exposure is associated with more extreme political attitudes among Israeli Jews. Study 1 (N = 57), and Study 2 (N = 61) found that Holocaust primes increased support for aggressive policies against a current adversary and decreased support for political compromise via an amplified sense of identification with Zionist ideology. These effects, however, were obtained only under an exclusive but not an inclusive framing of the Holocaust. Study 3 (N = 152) replicated these findings in a field study conducted around Holocaust Remembrance Day and showed that the link between Holocaust exposure, ideological identification, and militancy also occurs in real‐life settings. Study 4 (N = 867) demonstrated in a nationally representative survey that Holocaust survivors and their descendants exhibited amplified existential threat responses to contemporary political violence, which were associated with militancy and opposition to peaceful compromises. Together, these studies illustrate the Holocaustization of Israeli political cognitions 70 years later.     

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.     

Posttraumatic stress disorder symptoms, psychological distress, personal resources, and quality of life in four groups of Holocaust child survivors

The objective of the present study was to inquire into the long-term effects of child survivors' Holocaust experience. To this end, 170 Holocaust survivors who were born after 1926 completed questionnaires with regard to psychological distress, Posttraumatic Stress Disorder (PTSD), Quality of Life (QoL), Self-identity, and Potency. The survivors were divided into four groups based on the setting of their experience during the Holocaust: Catholic Institutions, Christian foster families, concentration camps, and hiding in the woods and/or with partisans. Results showed that survivors who had been with foster families scored significantly higher on several of the measures of distress, whereas survivors who had been in the woods and/or with partisans scored significantly higher on several of the positive measures, QoL, potency, and self-identity. The discussion focuses on understanding the different experiences according to developmental theory and sense of control. It was concluded that there are group differences between child survivors according to their Holocaust experience.     

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.     

Aging holocaust survivors' well-being and adjustment: associations with ambivalence over emotional expression

A sample of 90 older respondents (age range: 78-83 years) composed of 2 Holocaust groups (camp inmates and other survivors) and a comparison group completed questionnaires measuring ambivalence over emotional expression, positive and negative affect, and psychosocial adjustment. The Holocaust groups rated higher than the comparison group on negative affect and ambivalence over emotional expression and lower on psychosocial adjustment. Ambivalence over emotional expression mediated the effects of the Holocaust on negative affect. These data suggest that the effects of the Holocaust are evident 60 years later, highlighting the role of ambivalence over emotional expression in the well-being of Holocaust survivors.     

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 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.     

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.     

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.     

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.     

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     

Enfants juifs cachés (1940-1944) : une littérature récente

The psychological literature about child survivors of the Holocaust, including “hidden children”, is recent and essentially American and Israeli. Trauma of child survivors of the Holocaust has been recognized in the 1980s. First articles have been published in the United States and Israel. All the clinicians identify traumatic symptomatology. The diagnosis of PTSD is questioned. Literature about “hidden children” has been written after 1991. After recognition of their suffering, articles and books emerged, especially American and Israeli studies. In Europe, only a few articles come out, they are mostly from Netherlands. This article presents a review of the psychological literature, predominantly American and Israeli concerning child survivors of the Holocaust and “hidden children” according to qualitative and quantitative methodology. Recently, a few researches start coming out and are published in French journals.     

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.     

BETWEEN RECEPTION AND SELF-PERCEPTION: TESTIMONIES OF HOLOCAUST SURVIVORS IN ISRAEL

Based on survivors’ testimonies the article discusses the encounters of Holocaust survivors in Palestine/Israel between 1945 and 1955. After addressing the issues of the historiography of these Holocaust survivors and the value of using their testimonies, it examines the interactions of survivors with official authorities: work, housing, kibbutzim, education, and the pre-military/IDF. It sheds light on the meaning of silence and the manifestation of stereotyping for the survivors themselves, and it assesses the impact of families and creating families. The article also examines the validity of these testimonies by studying some testimonies of Holocaust survivors who emigrated from Israel and those who immigrated directly from Europe to North America. The study concludes that although contemporary collective views influenced survivors’ perceptions, cases of their ill-treatment were not isolated. They were more the result of the attitudes of individuals than the policy of the state. Veteran Israelis' insensitivity affected survivors. Stigmatizing ostracized them. Lack of empathy and discrimination caused survivors to feel unwanted and lonely, which resulted in many volunteering for the military, or in self-isolation, or in getting married as quickly as possible. Lack of study and job opportunities for women were more difficult to overcome.     

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.