Sharing the holocaust experience: communication behaviors and their consequences in families of ex-partisans and ex-prisoners of concentration camps

This study concerns the manner in which the traumatic events suffered by the parent in the Nazi holocaust are communicated to the second generation born after the Second World War. Additionally we investigated the effects of differences in wartime experiences on subsequent communication behaviors. Communication behaviors in families whose parents had been prisoners in concentration camps were compared with those of families who had displayed active resistance (i.e., were partisans) during the Second World War. The data indicate greater legitimacy and openness in discussing holocaust-related issues in the homes of ex-partisans than in the homes of ex-prisoners in concentration camps. Also, sons and daughters of the former group have better knowledge of the holocaust and hold more favorable attitudes than do sons and daughters in the second group. The implications of these findings are discussed.     

From General Laws To Singularities

This article comprises several sections. The first is devoted to an explanation of a number of notions stemming from work by Ilya Prigogine and others on open systems far from equilibrium. As a result of this work, I have been able to stand back from the traditional approach employed in family therapy, that of open systems at equilibrium (the theory of Ludwig von Bertalanffy). The second section describes a clinical example based on elements close to Prigogine's theories. In the third part I develop an approach that--although continuing to draw on Prigogine's work--is much more closely linked to the research I have carried out with Félix Guattari over recent years. In this part I attempt to study a level that, in my view, has too often been left outside the field of inquiry: that of couplings between "singularities" of members of the family system and the therapist. A clinical case is presented in which this "semiotic" level, as Guattari terms it, is used together with that of the "intrinsic rules" of the system. Finally, I propose a few avenues of inquiry and research on the basis of the concepts presented.     

The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients

Data for the presenting complaints, average age and sex distribution, average length of stay and the discharge diagnosis for 900 consecutive adolescents treated at the Adolescent Center of Houston International Hospital between 1974 and 1982 were reviewed. The number of cases remained fairly constant over the 9 years. As the males and females showed an increase in age, the increase in age for males (13.4 years to 15.2 years) was greater than that for females (14.4 years to 15.0 years). The average age for male admissions during 1974-1976 was significantly lower than 1980-1982 (p less than 0.03). The average length of stay for males during 1980-1982 was significantly greater than 1974-1976 (p less than 0.05). The most frequent presenting symptoms in decreasing order for 1974-1982 were depression, school problems, family problems, threatening behavior, runaway behavior, and suicidal ideation. Depression increased from 15.6% in 1974-1976 to 29.6% of presenting symptoms. Substance abuse increased from 4% (1974-1976) to 8.8% (1980-1982). Suicidal ideation increased three-fold over the same period (3.3% to 10.6%). A significantly greater number of males presented with 1) impulsivity, 2) aggressiveness, 3) withdrawal behavior, 4) stealing, and 5) disruptive behavior. A significantly greater number of females presented with 1) runaway behavior, and 2) suicidal ideation. The 10 most frequent discharge diagnoses are listed. Depression as a diagnosis increased almost four-fold between 1977-1979 and 1980-1982 (7.6% versus 27.5%).     

"Mom and dad": views on the relationship between direct-care staff and therapists in residential, adolescent treatment facilities

Some of the common conflicts that occur between therapists and direct-care staff in residential, adolescent treatment facilities are highlighted. These conflicts often parallel those occurring between an adolescent's parents. Common issues include the amount of time spent with the adolescent patient, questions of authority, and communication difficulties. These conflicts can have positive consequences, if each party recognizes that the other brings a needed perspective to adolescent treatment.     

Pursuing and distancing: the construct and its measurement

Although the concept of interpersonal pursuing and distancing has been introduced and used clinically, the lack of a reliable and valid measure has deterred its more formal investigation and relevance to personality theory. The Pursuing-Distancing (P-D) Scale, a 92-item measure of the behavioral expression of these characteristics, was developed. Evidence for internal consistency as well as internal support of construct validity is presented and discussed. An 80-item revised scale is available from the authors and is currently being evaluated in a variety of external validation settings.     

Response to two presentations of the Sentence Completion Test of ego development

This was a study of the differences among individuals on their performance on oral and written versions of the Washington University Sentence Completion Test of ego development. The study included 192 subjects from three age groups: College age, community residents, and retired people. No oral versus written differences were found in scores. Gender was the only factor to exhibit a consistently significant effect on Sentence Completion Test score differences.