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.     

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.     

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.     

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.     

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.     

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.     

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.     

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.     

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.     

EMOTIONAL MEMORIES OF FAMILY RELATIONSHIPS DURING THE HOLOCAUST

This article examines psychosocial aspects of family/parent-child relationships during the Holocaust by focusing on the emotional memories of such relationships. Global and thematic analyses were undertaken on 93 life story interviews and testimonies with Holocaust survivors. Results showed that survivors who lived through most of the war with parents/family and those who had lived approximately an equal time with loved ones and without them were able to recall and narrate more emotional memories, both positive and negative, than people who had experienced the traumatic period mostly on their own. However, going through the war with family did not guarantee the narration of emotional memories; close to half of these victims could not recall/narrate such memories. In general, when the survivor recalled relative emotional security, she or he felt safe, even when physical danger was imminent. However, this feeling did not always continue when the physical situation worsened or when the survivor was separated from loved ones. It was suggested that the ability to recall and narrate emotional memories highlights the heterogeneity in family relationships that existed during the Holocaust and the kinds of family relationships that developed after the Holocaust.     

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.     

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.     

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.     

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.     

Holocaust Survival Stories: Change Over Time

Those Holocaust survivors who have found it impossible to discuss their experiences often face a bleak old age (Krystal, 1990). Some of those who have reached an audience, however, have been changed by the experience of writing. This paper analyzes the differences between those writers whose stories remain static, like Jerzy Kosinski, and others like Elie Wiesel, Gerda Weissmann Klein, and Aharon Appelfeld, whose accounts have become more complex as they aged.     

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.     

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.     

Hopelessness, Temperament, Anger and Interpersonal Relationships in Holocaust (Shoah) Survivors�� Grandchildren

The psychiatric literature is divided with regard to the long-term psychological effects associated with Holocaust (Shoah) experiences because the findings of clinical and empirical studies often contradict each other. Despite case reports of emotional sequelae related to intergenerational transmission of trauma, recent empirical research has suggested that offspring of survivors of the Shoah did not differ from other children and found no evidence that traumatic experiences of survivors of the Shoah affected their children??s and grandchildren??s adjustment. To shed light on some of the differences between the empirical and clinical observations, the present study set out to compare the grandchildren of survivors of the Shoah and persons of the same age whose families had not been through the Shoah experience. This study compared the two groups on some psychological dimensions relevant to traumatic sequelae: hopelessness, temperament, personality, attitudes, and interpersonal expectations. Subjects were 124 equally divided among the Shoah survivors?? grandchildren and comparison groups; we administered to all subjects TEMPS-A Rome, Beck Hopelessness Scale, State-Trait Anger Expression Inventory, and 9AP (9 Attachment Profile). We found no differences between two groups in Hopelessness, Dysthimic/Cyclotimic/Anxious, Hyperthimic temperament, and self-perception; instead the Shoah survivors?? grandchildren have a view of the other as rejecting, hostile, submissive, insecure, unreliable, and competitive in the interpersonal relationships. The Shoah survivors?? grandchildren are similar to controls in affective temperament, hopelessness and self-perception, but they are more irritable and angry than controls, and their perception about others is deeply negative. Attribution theory was used to elucidate these findings.