The legacy is loss

Psychotherapy with the second generation of Holocaust Survivors involves understanding that the Survivors and their offsprings are not a homogeneous group. Numerous variables, such as the age of the Survivor during the Holocaust period, the nature of the experiences, and the length of time the Survivor was imprisoned, all affect the Survivor's adaptive or maladaptive reactions. Recommendations for treating the second generation of Survivors include ascertaining the extent of loss experienced by the parents and their preoccupation with depression and mourning. It is also important to elicit whether the parents were overinvested in their children, affectively impoverished, excessively anxious and overprotective, or able to separate from the Holocaust and invest anew in their new life and family. Further suggestions for treatment are the therapist's need to be aware of countertransference reactions that may duplicate Survivor reactions to their offspring. Flexibility in treating the second generation is also indicated and may call for playing the role of auxiliary ego or, at times, even parent surrogate.