A Threatened Identity: The Mental Health Status of Syrian Refugees in Egypt and Its Etiology

This study utilized the development-based trauma framework on identity traumas to study the cumulative effects of trauma on the identities of Syrian refugees. Participants included 196 Syrian refugees residing in Cairo, Egypt (Mean age = 35.99, SD = 11.05). The rate of post-traumatic stress disorder was 33.5%, and the rate of depression was around 30%; the level of comorbidity was high with a high rate of suicidal plans or attempts (13.7%). Analyses indicated that existential annihilation anxieties, moderated by identity salience, mediated the effects of cumulative trauma on mental health. The results confirmed the utility and validity of the identity trauma model and provided evidence of the dire mental health needs of Syrian refugees.     

The tripod of terrorism

Abstract

Violent attacks against innocent civilians occurring on an everyday and global basis have intensified the discourse on terrorism. However, like pornography, terrorism seems readily recognizable but hard to define. The designation is applied to the destructive acts of religious zealots, mentally unstable individuals, terror-inducing despots, separatist militia, and, at times, even legitimate freedom fighters. Ordinary language fails to define terrorism’s nosological circumference and is itself defiled in the process. While acknowledging this denotational conundrum, this paper will propose that the origins of the current mayhem by the radicalized few reside in three geopolitical realms. These include the long shadow of colonialism, the hypocrisy and violence of certain Western foreign policies, and some fundamental problems in the societies that form the crucible of such rage. As a result, ameliorative strategies need to be directed at (and require the collaboration of) all three parties at the root of this tragic and bloody scenario.     

Fear information and social phobic beliefs in children: a prospective paradigm and preliminary results

This paper presents a first attempt to develop a prospective paradigm to test Rachman's (Behav. Res. Ther. 15 (1977) 375) theory of fear acquisition for social fears. Following the prospective paradigm for animal fears developed by Field et al. (Behav. Res. Ther. 39 (2001) 1259) an attempt is made to adapt this paradigm to look at the effect of fear information in the development of social fears. A large group of normal children (N=135) who were at an age (10-13 years) at which social concerns are most pertinent were tested using this paradigm. They were given positive, negative or neutral information about three social situations: public speaking, eating in public, and meeting a new group of children. Children's fear beliefs were measured before and after the information was given and the information was given by a teacher, a same age peer or no information was given (a control). The results indicate that although information can change social fear beliefs it is dependent upon the type of social activity and who provides the information. The implications of these initial results for our understanding of both the role of fear information in the development of social fear beliefs, and the limitations of this current paradigm are discussed.     

Marital Quality, Family Patterns, and Children's Fears and Social Anxiety

This study examined relationships among marital quality, family patterns, and children's fears, and social anxiety. Two types of family patterns were studied, adaptability and cohesion. Mothers of children aged 5–6, drawn from kindergartens in northern Israel, completed Hebrew versions of the ENRICH scale (abridged, for marital quality), FACES-III (adaptability and cohesion), the FSSC-R (fears), and the SASC-R (social anxiety). Family cohesion was negatively correlated with marital quality and positively correlated with children's social anxiety. Marital quality and family adaptability were inversely related to specific children's fears. Children's social anxiety was highly correlated with specific fears. These findings suggest that children from rigid, fused families or low quality marriages may be at risk for high levels of fears and social anxiety.     

Know before whom you stand: Mikael Enckell’s Companions of the Unknown [Okändhetens följeslagare]

Mikael Enckell’s book is discussed as a combined self-analytic tour de force and psychoanalytic supplement to Jewish philosophy represented by Frans Rosenzweig and others. The author discusses Enckell’s views on the roots of psychoanalysis in Jewish thought, anti-Semitism, historiography, the importance of human dialogue, revelation and psychic integration, atheism, and the nature of recovery in psychoanalysis. Enckell’s views of a triad of human activities open to conflict and ambiguity – Judaism, poetry, and psychoanalysis – are supplemented by a short discussion on the role of annihilation anxiety in these areas.     

Longitudinally Foretelling Drug Use in the Late Twenties: Adolescent Personality and Social-Environmental Antecedents

This research focuses on the interrelation of the parent-child attachment, unconventionality, friends' drug use, and the young adult's use of drugs. Data were collected from participants at 4 points in time: early adolescence, late adolescence, early 20s, and late 20s. Data were collected from mothers at the 3 points in time that corresponded with the first 3 collections of data from their children. Both the youths and their mothers were individually interviewed. The findings indicated that the effect of parent-child mutual attachment was mediated through early adolescent personality attributes of greater responsibility, less rebelliousness, and intolerance of deviance. These non-drug-prone personality and behavioral attitudes, in turn, insulated the young adult from affiliating with drug-using peers, and these attitudes were related to less drug use in the early 20s and ultimately in the late 20s. The results suggest that interventions focused on enhancing parent-child mutual attachment should result in a reduction of the risk factors conducive to drug use during the late 20s. The fact that these findings cover a decade and a half, from early adolescence to the late 20s, underscores the significance of placing drug use in a perspective that includes familial and behavioral aspects.     

The dimensional structure of people's fears,threats, and concerns and their relationship with right‐wing authoritarianism and social dominance orientation

Most theories addressing the topic have proposed that threat and fear underlie right‐wing authoritarianism (RWA), and many empirical findings have been consistent with this proposition. Important questions, however, remain unanswered, such as whether RWA is associated with fear and threat in general or only specific kinds of fear and threat. Theories of RWA generate markedly different predictions on this issue, particularly with respect to social or personal fears, and whether the association would also hold for the closely related construct of social dominance orientation (SDO). We investigated the issue by asking 463 undergraduate students to rate their feelings of fear, concern, and anxiety to a comprehensive 93‐item list of potential fears and threats, which were formulated as either personal or social. Exploratory factors analysis identified five distinct fear–threat factors: Harm to Self, Child, or Country; Personal and Relationship Failures; Environmental and Economic Fears; Political and Personal Uncertainties; and Threats to Ingroup. All the fear–threat factors were correlated with RWA, with the strongest correlations being for Threats to Ingroup, and with stronger effects for social than for personal fears. None of the fear factors correlated with SDO. These relationships were not affected by controlling for Social Desirability or Emotional Stability (EMS). When the intercorrelations between fear factors and EMS were controlled using ridge regression, only Threats to Ingroup predicted RWA. Structural equation modeling indicated good fit for a model in which low levels of EMS had a significant path to Threats to Ingroup, which in turn had a significant path to RWA, and EMS having a significant though weak indirect (fully mediated) inverse effect on RWA. Implications of these findings for theories of authoritarianism and future research are discussed.     

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     

'My capital secret': Literature and the psychoanalytic agon

Taking as my departure point Freud 's unequivocal claim in The Question of Lay Analysis that psychoanalytic education should include "the history of civilization, mythology, the psychology of religion, and the science of literature" ( Freud, 1926b, p . 246), I advocate for an integration of psychoanalysis with the arts, the humanities, and the social sciences in psychoanalytic training. Foundations in these fields are not only acceptable as preliminary to clinical training but will also provide the diverse intellectual climate that is urgently needed in psychoanalytic institutes whose discursive range is often quite narrow. To provide one example of the salutary effect of such disciplinary integration on clinical practice, I illustrate how the transformative power of literature provides compelling metaphors for the psychoanalytic encounter. Through an example drawn from within my own experience as literary critic and psychoanalyst, I describe the ways that the troubling tensions in Milton's Samson Agonistes functioned to illuminate, for me, an analysand 's 'capital secret'.     

Specific fears as predictors of generalized anxiety

Three hundred thirty-seven female undergraduates completed the Trait Form of the State-Trait Anxiety Inventory (STAI) and the Fear Survey Schedule-II (FSS) to determine if any specific fear factor was significantly related to STAI score. All fear factor scores and the total FSS-II score were significantly correlated with the STAI score and with each other. A stepwise regression procedure indicated that Factor 1, Fear of Social Interaction, accounted for 25.2% of the variance in STAI scores (p <.001), while Factor 4, of Negative Social Evaluation, accounted for an additional 1.8% of the variance (p <.01). The implications for theory, assessment, and intervention are discussed.