Intergenerational Transmission of Conflict-Related Trauma in Northern Ireland: A Behavior Analytic Approach

Intergenerational transmission of trauma describes the impact that traumatic events experienced by one generation have for the subsequent generation. In Northern Ireland, violent conflict raged between 1969 and 1998, when a peace process begun. This study explored to what extent (if any) parents’ experiences of the conflict influenced how children perceived life in this society. Parents completed a questionnaire, and their children drew 2 pictures, depicting Northern Ireland now and before they were born. Children’s behaviors and awareness of the conflict were influenced by their parents’ experiences and narratives, their age, gender, and school. Parental narrative about the violence was influenced by individual learning history, the child’s age and gender, and present circumstances. A behavior analytic approach is offered.     

Overcoming a Legacy of Conflict: The Repercussive Effects of Stress and Intergenerational Transmission of Trauma Among Vietnamese Americans

The modern narrative of Vietnamese people is often strongly associated with events of the 20th century, such as the Vietnam War, but a legacy of strife in Southeast Asia spans many centuries. Enduring stress and trauma has pernicious psychological and physiological repercussions that have affected first and later generations of Vietnamese American refugees. To contextualize the present-day narrative, we review the history of Vietnam and the contemporary refugee experience in the United States. We then examine more proximal spheres of influence, including community and family. Finally, we review individual experiences of stress and trauma. We present recommendations to inform individual, group, family, and community-based counseling interventions, as well as recommendations for future research.     

Introduction: Multicultural Perspectives of Intergenerational Transmission of Trauma

Intergenerational transmission of trauma (ITT) has increasingly been a topic of interest among researchers. What still appears lacking is the thorough understanding of ITT in various marginalized cultural groups. This special issue is the second part of a 2-part series that systematically reviews the literature, synthesizes the literature, and conducts original research in ITT in marginalized groups. Due to known devastating and far-reaching effects of ITT, the authors of the 4 articles in this special issue attempt to shed light on ITT mechanisms and salient sociocultural factors that might lead to or exacerbate ITT in 4 marginalized communities. The authors also offer suggestions on culturally responsive ways of healing from ITT in these cultural groups.     

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.     

Assessment of acquired capability for suicide in clinical practice

The Interpersonal Psychological Theory of suicide proposes that the interaction between Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability for Suicide (ACS) predicts proximal risk of death by suicide. Instruments to assess all three constructs are available. However, research on the validity of one of them, the acquired capability for suicide scale (ACSS), has been limited, especially in terms of its clinical relevance. This study aimed to explore the utility of the different versions of the ACSS in clinical assessment. Three versions of the scale were investigated, the full 20-item version, a 7-item version and a single item version representing self-perceived capability for suicide. In a sample of patients recruited from a clinic specialising in the treatment of suicidality and in a community sample, all versions of the ACSS were found to show reasonable levels of reliability and to correlate as expected with reports of suicidal ideation, self-harm, and attempted suicide. The item assessing self-perceived acquired capacity for suicide showed highest correlations with all levels of suicidal behaviour. However, no version of the ACSS on its own showed a capacity to indicate suicide attempts in the combined sample. It is concluded that the versions of the scale have construct validity, but their clinical utility is limited. An assessment using a single item on self-perceived ACS outperforms the full and shortened versions of ACSS in clinical settings and can be recommended with caution for clinicians interested in assessing this characteristic.     

Relations of trauma exposure with current religiousness and spirituality

Many theorists posit that religiousness/spirituality (RS) may change after trauma. However, empirical findings regarding RS following trauma are inconclusive. The present study examined the relationship between potentially traumatic events (PTEs) and current RS by considering the cumulative effect of PTEs and multiple dimensions of RS. In our sample of 245 undergraduates (60% female, 79% White), there were no differences in RS between participants who did and did not have PTEs. When analysed as a continuous variable, the number of PTEs was positively correlated with many RS dimensions (i.e., daily spiritual experiences, religious strain, religious comfort, provident and challenging God images, belief in God) but not all (i.e., organised religious involvement, belief in afterlife, benevolent God image). These results suggest that PTEs relate distinctly to different aspects of RS and that examining multiple dimensions of RS may be a more informative way of studying this association.     

The client,the therapist and the paranormal: a response to the special edition on psychotherapy and the paranormal

Abstract

In this paper, I provide a published paper response to the papers in this special edition on the paranormal and psychotherapy articulated largely from my career as a parapsychologist. In the introduction I note the definitional differences between advocates and counter-advocates in terms of what might be ‘paranormal’, although I argue ultimately that definitional differences aside, the therapist’s relationship with the client’s unusual experiences is critical, taking a phenomenological stance which is echoed by at least two of the papers in the special edition. In broad review, the papers make a variety of welcome contributions; historical individually and small sample phenomenological and also more metaphorically in terms of articulations of the haunting nature of collective and intergenerational trauma in the social and cultural sphere. I review the papers from a parapsychological perspective, considering the evidence drawn from parapsychological studies where it supports or adds to the topics of each paper. In concluding this response, it seems clear that therapists often work from first principles when relating to clients’ anomalous experiences, and that the papers of the special edition each offer practising therapists some important evidential and practical insights into working with client presentations of ostensibly paranormal and anomalous experiences.     

Trauma exposure and life satisfaction among at-risk black South African adolescents

This study aimed to construct a model to explain trauma exposure and life satisfaction among black South African school learners. A random sample of 366 black adolescents selected from ten South African schools participated (females = 63.2%; rural = 24.2%; mean age = 13.9 years). The school learners were surveyed on trauma exposure, resources, coping and resilience, and life satisfaction. A structural equation modelling analysis indicated that interpersonal, intrapersonal and affective strengths, coping skills, family involvement, and school functioning were associated with increased resilience, which in turn predicted life satisfaction. Interventions aimed at increasing resilience in contexts characterised by high levels of trauma exposure should prioritise helping adolescents access both internal and external resources, such as coping skills and family involvement respectively.     

My subdued ego: A psychodynamic case study of borderline personality disorder following relational trauma

Recent advances in the conceptualisation of borderline personality disorder (BPD) have highlighted the role of relational trauma as central to the onset of the disorder, whilst observing deficits in the structure of the self-concept as a result of developmental adversity. Understanding borderline states within a psychiatric framework alone has attracted significant criticism due to the lack of the medical model’s explanatory properties, which fail to account for the complexity and variation of borderline symptomatology. A reliance on psychodynamic formulation instead, can provide an aetiological framework where BPD can be understood as a disorder of the sense of self, originating in the client’s relational matrix. The purpose of the current paper is to discuss a borderline case study with a focus on formulation rather than diagnosis, in an attempt to shed light on the relational and unconscious processes underpinning the disorder and thus inform treatment interventions.     

Infantile sexuality and Freud's legacy

The topic of sexuality and infantile sexuality, though less frequently discussed by psychoanalysis in recent decades, has received renewed attention for some years. The intention of this paper is to share some reflections around the role of infantile sexuality in our thinking, how we encounter it in our work with patients and in clinical material. Through reference to questions put forward by Freud (1905) in Three Essays, this paper takes into consideration some areas of the debate that has developed on the subject of infantile sexuality, starting from Freud's original intuition, including various hypotheses on the genesis of the sexual drive. The author will concentrate on two specific points. Firstly, how infantile sexuality – as a permanent dimension of the subject's existence – unfolds in the relationship and is deeply influenced by it. And that is how in childhood and adolescence, infantile sexuality ushers in parental sexuality – just as, in the case of our patients, infantile sexuality ushers in the analyst's sexuality. The second point pertains to the temporal dimension within which infantile sexuality is inscribed. The hypothesis that the author proposes is that infantile sexuality may be understood in the specific time of psychoanalysis [Nachträglichkeit], distinct and different with respect to the linear, evolutionary dimension.