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Based on in-depth interviews with second-generation parents and their adolescent children, three themes of disorganizing experiences carried across generations were identified: focus on survival issues, lack of emotional resources, and coercion to please the parents and satisfy their needs. These themes reflect the frustration of three basic needs: competence, relatedness, and autonomy, and this frustration becomes disorganizing when it involves stability, potency, incomprehensibility, and helplessness.

The findings shed light on the effect of trauma over the generations and, as such, equip therapists with a greater understanding of the mechanisms involved. Holocaust survivors : the pain behind the agony. Increased prevalence of fibromyalgia among Holocaust survivors. To assess the frequency of fibromyalgia among a population of Holocaust survivors in Israel as well as the occurrence of post-traumatic stress disorder PTSD and concurrent psychiatric symptoms, including depression and anxiety among survivors.

Eighty-three survivors of the Nazi Holocaust and 65 age-matched individuals not exposed to Nazi occupation were recruited. Significantly increased rates of fibromyalgia were identified among Holocaust survivors compared with controls This finding furthers our knowledge regarding the long-term effect of stress on the development of fibromyalgia. Holocaust survivors : three waves of resilience research. Three waves of resilience research have resulted in resilience-enhancing educational and therapeutic interventions. In the first wave of inquiry, researchers explored the traits and environmental characteristics that enabled people to overcome adversity.

In the second wave, researchers investigated the processes related to stress and coping. In the third wave, studies examined how people grow and are transformed following adverse events, often leading to self-actualize, client creativity and spirituality. Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. The Holocaust has become an iconic example of immense human-made catastrophes, and survivors are now coping with normal aging processes.

Childhood trauma may leave the survivors more vulnerable when they are facing stress related to old age, whereas their offspring might have a challenging role of protecting their own parents from further pain. Here we examine the psychological adaptation of Holocaust survivors and their offspring in light of these new challenges, examining satisfaction with life, mental health, cognitive abilities, dissociative symptoms, and physical health. Participants completed several measures of mental and physical health, and their cognitive functioning was examined.

The current study is a follow-up of a previous study conducted 11 years ago with the same participants. Nonetheless, adult offspring of Holocaust survivors showed no differences in their physical, psychological, and cognitive functioning as compared to matched controls. Holocaust survivors still display posttraumatic stress symptoms almost 70 years after the trauma, whereas no intergenerational transmission of trauma was found among the second generation. 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.

DNC leader compares illegal immigrants to Holocaust victims

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. Secondary salutogenic effects in veterans whose parents were Holocaust survivors? Addressing the ongoing controversy over inter-generational transmission of trauma, we examined the impact of the Nazi Holocaust on PTSD course and co-morbid symptoms e. Two samples of Israeli war veterans included Second Generation Holocaust i.

Results indicated that SGH endorsed higher PTSD and co-morbid symptoms criteria rates than not-SGH veterans in the initial post-war years but this pattern was reversed in the long-term, that is, lower rates were evident among SGH in later follow-ups. These findings suggest the development of a complex trauma reaction among offspring of trauma survivors. Possibly there is a transmission of positive trauma outcomes from one generation to the next rather than merely negative ones.

Future studies are therefore warranted to re-evaluate the notion of inter-generational transmission of trauma and examine its components. All rights reserved. Do Holocaust survivors show increased vulnerability or resilience to post- Holocaust cumulative adversity? Prior trauma can hinder coping with additional adversity or inoculate against the effect of recurrent adversity.

The present study further addressed this issue by examining whether a subsample of Holocaust survivors and comparison groups, drawn from the Israeli component of the Survey of Health, Ageing, and Retirement in Europe, were differentially affected by post- Holocaust cumulative adversity. Post- Holocaust cumulative adversity had a stronger effect on the lifetime depression of Holocaust survivors than on that of comparisons. However, comparisons were more negatively affected by post- Holocaust cumulative adversity when examining markers of physical and cognitive functioning.

Our findings suggest that previous trauma can both sensitize and immunize, as Holocaust survivors show general resilience intertwined with specific vulnerability when confronted with additional cumulative adversity. Thoughts on representation in therapy of Holocaust survivors. This paper presents the problems of representation and lack of representation in treating Holocaust survivors , through clinical vignettes and various theoreticians. The years of Nazi persecution and murder brought about a destruction of symbolization and turning inner and external reality into the Thing itself, the concrete, or, in Lacan's words, 'The Thing'.

The paper presents two ideas related to praxis as well as theory in treating Holocaust survivors : the first is related to the therapist's treatment of the Holocaust nightmare expressing the traumatic events just as they happened 63 years previously; the second deals with the attempt at subjectification, in contrast to the objectification forced by the Nazis on their victims.

The aging of Holocaust survivors : myth and reality concerning suicide. The association between the Holocaust experience and suicide has rarely been studied systematically. The dearth of data in this area of old-age psychiatry does not necessarily imply that Holocaust survivors are immune from suicide. Recent work on the aging of survivors seems to suggest that as a group they are at high risk for self-harm. A similar search was performed on the Internet using the Google search engine. Thirteen studies were uncovered, 9 of which addressed the association of suicide and the Holocaust experience and 4 focused on suicide in the concentration camps during the genocide.

Eleven of the 15 studies explicitly reported on the association of suicide, suicidal ideation or death by suicide with the Holocaust experience, or reported findings suggesting such an association. The Internet search yielded three sites clearly describing increased suicide rates in the concentration camps. An increased rate of suicidal ideation and suicide attempts among the elderly who were exposed to the Holocaust experience is confirmed.

There is a need for further study, intervention and resource allocation among the growing numbers of elderly persons who suffered traumatic events in earlier phases of their lives. This is especially critical for Holocaust survivors. Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors.

Directory of Open Access Journals Sweden. Full Text Available Abstract Background Over the past five decades, clinicians and researchers have debated the impact of the Holocaust on the children of its survivors. The transgenerational transmission of trauma has been explored in more than articles, which have failed to reach reliable conclusions that could be generalized. The psychiatric literature shows mixed findings regarding this subject: many clinical studies reported psychopathological findings related to transgenerational transmission of trauma and some empirical research has found no evidence of this phenomenon in offspring of Holocaust survivors.

In-depth individual interviews were conducted with fifteen offspring of Holocaust survivors and sought to analyze experiences, meanings and subjective processes of the participants. A Grounded Theory approach was employed, and constant comparative method was used for analysis of textual data. Results The development of conceptual categories led to the emergence of distinct patterns of communication from parents to their descendants. The qualitative methodology also allowed systematization of the different ways in which offspring can deal with parental trauma, which determine the development of specific mechanisms of traumatic experience or resilience in the second generation.

Conclusions The conceptual categories constructed by the Grounded Theory approach were used to present a possible model of the transgenerational transmission of trauma, showing that not only traumatic experiences, but also resilience patterns can be transmitted to and developed by the second generation. As in all qualitative studies, these conclusions cannot be generalized, but the findings can be tested in other contexts.

Over the past five decades, clinicians and researchers have debated the impact of the Holocaust on the children of its survivors. This qualitative study aims to detect how the second generation perceives transgenerational transmission of their parents' experiences in the Holocaust. The development of conceptual categories led to the emergence of distinct patterns of communication from parents to their descendants. The conceptual categories constructed by the Grounded Theory approach were used to present a possible model of the transgenerational transmission of trauma, showing that not only traumatic experiences, but also resilience patterns can be transmitted to and developed by the second generation.

Holocaust survivors in old age: the Jerusalem Longitudinal Study. To examine the hypothesis that Holocaust exposure during young adulthood negatively affects physical aging, causing greater morbidity, faster deterioration in health parameters, and shorter survival. Community-based home assessments.


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Four hundred fifty-eight subjects of European origin aged 70 at baseline and 77 at follow-up. Comprehensive assessment of physical, functional, and psychosocial domains; biographical history of concentration camp internment Camp , exposure to Nazi occupation during World War II Exposure , or lack thereof Controls ; and 7-year mortality data from the National Death Registry. No other differences in health parameters or physical illnesses were found.

Holocaust survivors had similar rates of deterioration in health and illness parameters over the follow-up period, and 7-year mortality rates were identical.


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  • Proportional hazard models showed that being an elderly Holocaust survivor was not predictive of greater 7-year mortality. Fifty years after their Holocaust trauma, survivors still displayed significant psychosocial and functional impairment, although no evidence was found to support the hypothesis that the delayed effects of the trauma of the Holocaust negatively influence physical health, health trajectories, or mortality. Does intergenerational transmission of trauma skip a generation? No meta-analytic evidence for tertiary traumatization with third generation of Holocaust survivors.

    With regard to third generation traumatization, various reports suggest the presence of intergenerational transmission of trauma. Some scholars argue that intergenerational transmission of trauma might skip a generation. Therefore, we focus in this study on the transmission of trauma to the third generation offspring the grandchildren of the first generation's traumatic Holocaust experiences referred to as "tertiary traumatization" , and we present a narrative review of the pertinent studies. Meta-analytic results of 13 non-clinical samples involving participants showed no evidence for tertiary traumatization in Holocaust survivor families.

    Our previous meta-analytic study on secondary traumatization and the present one on third generation's psychological consequences of the Holocaust indicate a remarkable resilience of profoundly traumatized survivors in their grand- parental roles. Posttraumatic stress disorder and dementia in Holocaust survivors. The incidence of mental and somatic sequelae has been shown to be very high in the group of people damaged by the Holocaust. Within the context of internal research, 93 Holocaust survivors suffering from posttraumatic stress disorder have been examined.

    Patients suffered on average from 4. Evolution of traumatic narratives impact of the Holocaust on children of survivors. Traumas' lessons are embedded in oral narratives of disasters that are transmitted over centuries and incorporated into historical memory; often they are woven into scripture and religious ritual; eventually they become encrypted in the collective unconscious. The story of the Holocaust functions like a map of the world for survivors ' children, whose minds it both constrains and overwhelms, impacting psychological development and construction of reality.

    The focus in this paper is on composites of three Holocaust survivors and their daughters, who exemplify traumatic narratives' evolution as they are transmitted in fragments, sometimes silently and often nonverbally, to the second generation , who live out the stories' dictates consciously and unconsciously as they create and discover a reality into which they are born. The Holocaust lives on in survivors ' current psychological lives, which occur in the wake of catastrophe, in their children's direct experiences of enduring conscious and unconscious reverberations of parental trauma, and in the children's imaginative lives as they reconstruct parental histories to decode emotional memories carried by stories parents tell that stand in place of stories that cannot be told.

    The paper examines daughters' interpretations of mothers' stories as evidenced by the impact on individuation, differentiation, sexuality, the conceptualization of death, and relationships with self, mother, other, and society. Impact of the Holocaust is co-created by an amalgam of historical reality, contemporary lived experience, and fantasy, which leads children to uncover three different traumatic stories--the trauma of disaster, the trauma of the loneliness of survival, and the trauma of collateral damage to witnessing children who transmit their own versions of trauma to the third generation.

    Interpretative engagement and renarration, while injurious, also promote a reparative urge. Psychological vulnerability and resilience of Holocaust survivors engaged in creative art. Although evidence demonstrates that engagement in art promotes favorable coping with trauma, this subject is underexplored among Holocaust survivors. Thus, the present study explored whether Holocaust survivors engaged in art differed from survivors not engaged in art in various markers of psychological vulnerability and resilience.

    The study further included non- Holocaust survivor comparisons, some engaged in art and some not, in order to assess whether engagement in art among Holocaust survivors relates to a unique psychological profile beyond art engagement in general. Holocaust survivors regardless of whether they engaged in art or not reported higher PTSD symptoms relative to comparisons. However, Holocaust survivors who engaged in art reported higher resilience than all other groups survivors not engaged in art and comparisons engaged and not engaged in art.

    To the best of our knowledge, these findings are the first quantitative evidence pointing toward a link between engagement in art and positive coping with the Holocaust. These findings have important implications for clinicians working with Holocaust survivors. Sleep disturbances in survivors of the Nazi Holocaust.

    Sleep disturbances are commonly reported by victims of extraordinary stress and can persist for decades. This study was designed to test the hypothesis that survivors of the Nazi Holocaust would have significantly more and different sleep problems than depressed and healthy comparison subjects and that the severity of the survivors ' problems would be correlated with length of time spent in a concentration camp.

    Forty-two survivors , 37 depressed patients, and 54 healthy subjects of about the same age, all living in the community, described their sleep patterns over the preceding month on the Pittsburgh Sleep Quality Index, a self-rating instrument that inquires about quality, latency, duration, efficiency, and disturbances of sleep, use of sleep medication, and daytime dysfunction. The survivors had significantly greater sleep impairment than the healthy comparison subjects, as measured by all subscales of the index, but had less impairment than the depressed patients except on the sleep disturbances and daytime dysfunction subscales.

    However, for specific items within these subscales, survivors had significantly more frequent awakenings due to bad dreams and had less loss of enthusiasm than the depressed subjects. Sleep disturbances and frequency of nightmares were significantly and positively correlated with the duration of the survivors ' internment in concentration camps. These findings suggest that for some Holocaust survivors , impaired sleep and frequent nightmares are considerable problems even 45 years after liberation. Balancing psychache and resilience in aging Holocaust survivors. Psychache can and does co-exist alongside resilience and coping amongst trauma survivors.

    This has been the center of the a-integrative theory of aging demonstrating an attitude to life based on cognitive and emotional dimensions. Aging of Holocaust survivors HS is especially difficult when focus is brought to the issue of integrating their life history. The present study aimed to investigate the interplay between psychache and resilience amongst aging HS.

    Cross-sectional study of HS and a matched comparison group recruited from the general population was carried out. All underwent a personal interview and endorsed quantifiable psychache and resilience scales. We enrolled elderly participants: HS and comparison participants. Mean age for the participants was Holocaust survivors did not differ in the level of resilience from comparisons mean: 5. The title specificity was studied and discussed for the leukemia L of 5 cases of the second generation who had lived in Osaka Report in comparison with published statistic data of the second generation 's 15 L cases in a life-span investigation and of 5, L cases in a nationwide report The A-bomb survivors were exposed in either Hiroshima or Nagasaki.

    Their parents were exposed to A-bomb directly 2 cases or due to entrance in the city 3 , and 1 father, 3 mothers and 1 couple of parents were exposed. Parent s in the life-span investigation were classified in high dose exposure within 2 km distance from the city and zero exposure 2. Exposure was to their 12 mothers, 4 fathers and 4 both parents.

    The nationwide statistics showed L of second generation , their mothers were mostly exposed relative to fathers, the morbid sex ratio was higher in boys, morbid age was higher than general, and acute myeloid L was more frequent than general. L of the second generation thus seemed to be somehow specific, particularly in the higher age of morbidity and frequency of acute myeloid L. Older adults are underrepresented in medical research for many reasons, including recruitment difficulties. Recruitment of older adults for research studies is often a time-consuming process and can be more challenging when the study involves older adults with unique exposures to traumatic events and from minority groups.

    The current article provides a brief overview of a challenges encountered while recruiting aging women Holocaust survivors for a case control study and b strategies used for meeting those challenges. The case group comprised women Holocaust survivors who were recently diagnosed with breast cancer and the control group comprised healthy women from a Holocaust-survivor community in Israel.

    The case for establishing a Holocaust survivors cohort in Israel. In this issue, Keinan-Boker summarises the main studies that have followed up offspring of women exposed to famine during pregnancy and calls for the establishment of a national cohort of Holocaust survivors and their offspring to study inter-generational effects. She suggests that the study would consolidate the fetal origins theory and lead to translational applications to deal with the inter-generational effects of the Holocaust. The developmental origins hypothesis provides a framework to link genetic, environmental and social factors across the lifecourse and offers a primordial preventive strategy to prevent non-communicable disease.

    Although the famine studies have provided valuable information, the results from various studies are inconsistent. It is perhaps unsurprising given the problems with collecting and interpreting data from famine studies. Survival bias and information bias are key issues. With mortality rates being high, survivors may differ significantly from non- survivors in factors which influence disease development. Most of the data is at ecological level; a lack of individual-level data and poor records make it difficult to identify those affected and assess the severity of effect.

    Confounding is also possible due to the varying periods and degrees of food deprivation, physical punishment and mental stress undergone by famine survivors.

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    Nonetheless, there would be value in setting up a cohort of Holocaust survivors and their offspring and Keinan-Boker correctly argues that they deserve special. This is a review of studies reporting on sleep disturbances and nightmares as primary or secondary outcomes among HSs between and , conducted in various countries and contexts clinical settings, pension claims, community surveys, sleep laboratories. Most studies revealed various sleep disturbances among HSs. Some studies found those disturbances in the absence of clinical disorders. Both men and women reported similar frequencies of sleep disturbances, although posttraumatic stress disorder and depression were more frequent in women.

    Sleep laboratory studies provided the single most direct and detailed sources of information. Findings included a long-standing changes in sleep architecture, for example, decreased rapid eye movement REM sleep, and b contrasting patterns of dreaming and recall among better versus poorly adjusted survivors. These results are of importance to both HSs and their families and for medical and mental health professionals. Aging has been associated with perceived lowering of health, especially in post-traumatic individuals.

    The effects may be more complex or even different for Holocaust survivors as they age due to their inherited resilience and life perspective. A cross-sectional study was conducted of Holocaust survivors and a matched comparison group recruited from the general Israeli population. All participants underwent a personal interview and completed the Cumulative Illness Rating Scale and a survey of subjective Likert-scale questions about perceived health.

    The study comprised older adults: Holocaust survivors and comparison participants; women and men. The mean age for the participants was Holocaust survivors did not differ from comparison subjects in general health measures mean The effect of cancer on suicide among elderly Holocaust survivors.

    Jewish-Israelis of European origin with cancer have higher suicide rates relative to their counterparts in the general population. We investigated whether this effect results from the high proportion of Holocaust survivors among them, due to vulnerabilities arising from the earlier traumas they sustained. The standardized incidence ratios were not significantly different between the exposed and nonexposed groups men: 0. Past exposure to maximum adversity did not increase the suicide risk among persons with cancer.

    A study of sibling leukemia in the second generations of A-bomb survivors. This study was performed on the 8 cases of SL to examine factors concerned with SL morbidity by comparison with SL in families unrelated to A-bomb exposure. Subjects were 4 cases of SL in Osaka, 4 cases in Hiroshima, and comparative 28 cases of age second generations of A-bomb survivors were from exposed mothers, and were mostly myeloid monocyte type leukemia, suggesting the effect of exposure.

    Survivors of the Holocaust are known to suffer more often from mental as well as somatic consequential illness. The assessment of the degree of disability and invalidity due to the persecution complies with the interaction of directly Holocaust -related mental and somatic primary injuries as well as physical, psychical and psychosocial disadvantages and illnesses acquired later on. The presented descriptive as well as multivariate analyses included complete reports expertise, medical records, physicians' assessments, witnessed hand-written notes of the patients of 56 survivors of the Holocaust 36 women and 20 men.

    The disability pension reports of 56 Holocaust survivors 36 women and 20 men were analysed referring to the diagnostic groups and socio-demographic aspects. In The question of an aggravation of psychiatrically relevant and persecution-associated symptomatology is mainly the objective of the expert opinion taking into account endogenous and exogenous factors such as so-called life events.

    Above all, newly acquired somatic diseases seem to be responsible for an aggravation of persecution-associated psychiatric symptoms, at least in the presented sample of Holocaust survivors. The encounter between Holocaust doctor survivors and the Israeli society was part of the whole encounter between Holocaust survivors and the Israeli society. The present thesis aimed at evaluating the integration process of Holocaust doctor survivors in the Israeli health care system from until the end of Between these years about doctors arrived in Israel, the vast majority of them Holocaust survivors.

    Their rapid entrance to work provided the healthcare system with professional manpower, contributing their share during a tough period of the nation's history. The doctors themselves gained the opportunity for rapid professional recovery and social integration, all at the same time. The individual contributions of each of these doctors constitute a significant collective contribution.

    It is an inspiring story of personal and universal human victory. There are similarities between the absorption of all Holocaust survivals in Israel with regard to the motives of immigration and the feelings towards the absorption places and organizations. But Holocaust doctor survivors didn't stay too long and moved out rather quickly. The beginning was difficult. They were absorbed in each of the healthcare fronts, but especially in new clinics established in immigrant-concentrated areas, in hospitals dedicated to lung diseases and in psychiatric hospitals. They started at low professional levels, but as soon as , they could be found in management positions.

    This was indicative of their professional advancement and the willingness of the medical establishment to absorb and promote. Elevated cancer risk in Holocaust survivors residing in Israel: A retrospective cohort study. The purpose of this study was to examine the incidence of malignant diseases among Holocaust survivors in Israel compared with European and American immigrants who did not experience the Holocaust. Study subjects included Holocaust survivors born in European countries under Nazi occupation before , who immigrated to Israel after and were alive as of the year Living survivors were identified based on recognition criteria in accordance with the Holocaust Survivor Benefits Law.

    In multivariable analyses, the rate ratio RR values for males and females were 1. For prostate cancer in males, the RR was 1. The incidence of malignant diseases among Holocaust survivors residing in Israel was higher than that among non- Holocaust survivors. The relationship between loss of parents in the holocaust , intrusive memories, and distress among child survivors.

    The prevalence of intrusive memories of the Holocaust and their relationship to distress was examined among child survivors in Israel. Using attachment theory as a conceptual framework, the authors also examined the effects of type of experience and loss of parents in the Holocaust , psychological resources, other life events, and sociodemographic characteristics on distress and symptomatic behavior.

    Eighty five percent of the participants reported suffering from intrusive memories. Structural equation modeling showed that survivors who lost one or both parents in the Holocaust suffered more distress because of more intrusive memories. These findings suggest that intrusive memories may be part of unfinished mourning processes related to the loss of parents in the Holocaust. In the current study we tested whether "ADRA2B" moderates stress regulation of Holocaust survivors as indexed by their diurnal cortisol secretion and cortisol reactivity to a stressor.

    Salivary cortisol levels of 54 female Holocaust survivors and participants in the comparison group were assessed during a routine day and in response to a…. Lack of awareness among paid carers of the possible late-life consequences of early-life periods of extreme and prolonged traumatization may have negative impacts on the experiences of trauma survivors in receiving care. An interpretive phenomenological approach was used to investigate the lived experience of paid carers in providing care for Jewish Holocaust survivors.

    In total, 70 carers participated in 10 focus group discussions. Credibility of the findings was ensured by methodological triangulation and peer debriefing. Three major themes emerged: a knowing about survivors ' past helps me make sense of who they are, b the trauma adds an extra dimension to caregiving, and c caring for survivors has an emotional impact. Specific knowledge, attitudes, and skills for building positive care relationships with Holocaust survivors were identified.

    The findings offer a starting point for advancing knowledge about the care of older survivors from other refugee backgrounds. As a child of the Holocaust survivors , she tries to deal with the trauma her parents kept experiencing years after WWII had finished. Eisenstein became infected with the suffering and felt it inescapable. Therefore, the text becomes a combination of a memoir, a family story, a philosophical treatise and a comic strip, which all prove unique and enrich the discussion on the Holocaust in literature.

    Catastrophic life events are associated with the occurrence of cardiovascular incidents and worsening of the clinical course followirg-such events. To evaluate the characteristics and long-term prognosis of Holocaust survivors presenting with acute myocardial infarction AMI compared to non- Holocaust survivors. Israeli Jews who were born before and had been admitted to a tertiary medical center due to AMI during the period were studied. Holocaust survivors were compared with non- Holocaust survivor controls using individual age matching.

    Overall age-matched pairs were followed for up to 10 years after AMI. We found a higher prevalence of depression 5. Throughout the follow-up period, similar mortality rates Depression disorder was associated with a Holocaust survivors presenting with AMI were older and had a higher prevalence of depression than controls. Possibly, specific traits that are associated with surviving catastrophic events counter the excess risk of such events following AMI. The impact of resource loss on Holocaust survivors facing war and terrorism in Israel.

    We examined the distress level of Holocaust survivors in Israel during a recent period of continuous exposure of the Israeli population to terror and the threat of missile attack. Based on the Conservation of Resources COR theory, we explored the contribution of losses suffered during the Holocaust and of current loss of resources due to terror attacks on their distress level.

    Twenty one percent of the sample had probable PTSD and high psychological distress levels in general. Our findings support COR theory, which states that traumatic events are associated with ongoing and often rapid loss of resources.

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    Resource loss, in turn, is associated with higher distress levels. Moreover, current loss of resources compounds the impact of earlier resource losses incurred during the Holocaust. Shadows of the past and threats of the future: ISIS anxiety among grandchildren of Holocaust survivors. The current study examined intergenerational transmission of trauma in grandchildren of Holocaust survivors. While many typically do not find evidence for such effects, careful reading of the relevant literature suggests conditions under which such effects may be obtained.

    Following, we made use of three factors. First, we took the number of grandparents exposed to the Holocaust into account. Second, we examined participants who were exposed to present terror and displayed posttraumatic stress disorder PTSD symptoms. Third, we measured anxiety of a future ISIS threat, which in its genocidal nature is reminiscent of the Holocaust. Results reveal that grandchildren having all four grandparents who survived the Holocaust in conjunction with them directly experiencing PTSD symptoms demonstrated greater ISIS anxiety than other groups.

    Results are discussed in reference to various conditions that may determine the likelihood of intergenerational transmission of trauma emerging. Intergenerational families of holocaust survivors : designing and piloting a family resilience template. Researchers from the Templeton study, "Forgiveness, Resiliency, and Survivorship Among Holocaust Survivors ," and the Transcending Trauma Project, combined efforts to examine six transcripts of interviews with survivors of the Nazi Holocaust.

    The researchers focused on the nature of parent-child family dynamics before, during, and after the Holocaust. They refined a Family Resilience Template FRT originally based on an ecological-systems design, adding an attachment theory component and a quantitative methodology. The goal of the research project was to pilot the FRT by further defining terms and adding a Quality of Family Dynamics Paradigm to encompass an intergenerational dimension. The researchers arrived at a consensus of item definitions, establishing the initial face validity of the FRT.

    Erikson's "components of a healthy personality" among Holocaust survivors immediately and 40 years after the war. This study assessed the degree to which Holocaust survivors have dealt successfully with the eight psychosocial crises thought by Erikson to mark important stages in life-span development. In Study 1, 50 autobiographical interviews of survivors videotaped years after the war were subjected to thematic content analysis.

    Relevant passages were coded as representing either a favorable or an unfavorable outcome as defined by Erikson. Survivors described significantly more favorable than unfavorable outcomes for seven of the crises; the exception was Trust vs. In Study 2, audiotaped Holocaust survivor interviews conducted in were scored in the same way and compared with the results of Study 1. There were several significant differences as well as similarities between the two data sets, the later interviews mostly showing changes in the positive direction.

    During the school year, students from Battle Creek, Michigan, high school joined numerous others from across the state in reading holocaust survivor Gerda Klein's memoir, "All But My Life. To investigate methods that older Holocaust survivors and their age peers use in order to maintain the best possible life and to examine associations between these methods and subjective well-being. Participants were older Israelis mean age Measures included sociodemographics and indicators of health and well-being.

    Respondents were asked to answer an open-ended question: "What are the methods you use to maintain the best possible life? Answers were coded into eight categories. Holocaust survivors were significantly less likely to mention methods coded as "Enjoyment" Controlling for sociodemographics and health status, Holocaust survivors still differed from their peers. Our findings may add to the proactivity model of successful aging by suggesting that aging individuals in Israel use both proactive e.

    For permissions, please e-mail: journals. Health and functional status and utilization of health care services among holocaust survivors and their counterparts in Israel.

    Holocaust Survivors and Immigrants: Late Life Adaptations

    To examine differences in health and functional status and in utilization of health services between holocaust survivors and their counterparts; and b to investigate if holocaust survivor status is a significant predictor of health status, functional status, and utilization of health services. The study included respondents of whom were holocaust survivors. Interviews were conducted face-to-face at the respondents' homes. Participants were asked about their health self-rated health and comorbidity and functional ADL and IADL status, utilization of inpatient and outpatient health care services, age, gender, education, marital status, length of residence in Israel, and if they were holocaust survivors.

    Holocaust survivors , who were frailer and more chronically ill compared to their counterparts, visited their family physician and the nurse at the health care clinic more often than their counterparts did, and received more homecare services. Yet, there were no differences between them in the utilization of other health care services such as visits to specialists, emergency department, and hospitalizations. Holocaust survivors are more homebound due to more morbidity and functional limitations and therefore receive more health home care services that offset the utilization of other health services.

    Psychiatric disorders and other health dimensions among Holocaust survivors 6 decades later. No previous community-based epidemiological study has explored psychiatric disorders among those who survived the Holocaust. To examine anxiety and depressive disorders, sleep disturbances, other health problems and use of services among individuals exposed and unexposed to the Holocaust. The interview schedule included the Composite International Diagnostic Interview and other health-related items. The Holocaust survivor group had higher lifetime Fetal programming was suggested as the explanatory mechanism.

    To study the association between being born during WWII in Europe and physical long-term outcomes in child Holocaust survivors. Data on sociodemographic variables, medical diagnoses, medication procurement, laboratory tests and health services utilization were derived from the CHS computerized database and compared between the groups. The exposed also made lower use of health services but used anti-depressive agents more often compared to the non-exposed. The results of this cross-sectional study based on highly validated data identify a high risk group for chronic morbidity.

    A question regarding potential trans-generational effects that may impact the ' second generation ' is also raised. Enduring effects of severe developmental adversity, including nutritional deprivation, on cortisol metabolism in aging Holocaust survivors. In animal models, early life exposure to major environmental challenges such as malnutrition and stress results in persisting cardiometabolic, neuroendocrine and affective effects.

    While such effects have been associated with pathogenesis, the widespread occurrence of 'developmental programming' suggests it has adaptive function. Glucocorticoids may mediate 'programming' and their metabolism is known to be affected by early life events in rodents. To examine these relationships in humans, cortisol metabolism and cardiometabolic disease manifestations were examined in Holocaust survivors in relation to age at exposure and affective dysfunction, notably lifetime posttraumatic stress disorder PTSD.

    Fifty-one Holocaust survivors and 22 controls without Axis I disorder collected h urine samples and were evaluated for psychiatric disorders and cardiometabolic diagnoses. Corticosteroids and their metabolites were assayed by gas chromatography-mass spectroscopy GC-MS ; cortisol was also measured by radioimmunoassay RIA. The latter was associated with lower cortisol metabolism by 5alpha-reductase and 11beta-hydroxysteroid dehydrogenase 11beta-HSD type The greatest decrements were associated with earliest age of Holocaust exposure and less severe PTSD symptomatology.

    Cardiometabolic manifestations were associated with decreased 11beta-HSD-2 activity. In controls, 5alpha-reductase was positively associated with trauma-related symptoms i. Extreme malnutrition and related stress during development is associated with long-lived alterations in specific pathways of glucocorticoid metabolism. These effects may be adaptive and link with lower risks of cardiometabolic and stress-related disorders in later life. Coping and emotional distress during acute hospitalization in older persons with earlier trauma: the case of Holocaust survivors.

    Older persons with earlier trauma are often more vulnerable to stresses of old age. To examine the levels of emotional distress in relation to cognitive appraisal of acute hospitalization and coping strategies in Holocaust survivors compared with an age- and education-matched group of elderly persons without Holocaust experience. This is a cross-sectional study of 63 Holocaust survivors , 65 years and older, hospitalized for an acute illness, and 57 age-, education- and hospital unit-matched people without Holocaust experience. Holocaust survivors reported higher levels of emotional distress, appraised the hospitalization higher as a threat and lower as a challenge, and used more emotion-focused and less problem-focused or support-seeking coping strategies than the comparison group.

    The latter mediated the relation of group variable and challenge appraisal to emotional distress. Health professionals must be aware of the potential impact of the hospital environment on the survivors of Holocaust as well as survivors of other trauma. Being sensitive to their specific needs may reduce the negative impact of hospitalization. Despite abundant research on offspring of Holocaust survivors OHS , it is relatively unknown how they function in middle-age. Transgenerational effects of the Holocaust may be stronger among middle-aged OHS as they previously suffered from early inclement natal and postnatal environment and now face age-related decline.

    Yet, middle-aged OHS may successfully maintain the resilience they demonstrated at younger age. OHS, and especially those with two survivor parents, reported a higher sense of well-being, but more physical health problems than comparisons. The discussion provides possible explanations for this mixed functional profile. The author investigates the effect of retraumatization on the children of Holocaust survivors who have appropriated their parents' trauma through unconscious identification.

    The author proposes that the working through of the real trauma results in a mitigation of the transmitted trauma in the psychic reality and mobilizes the work of mourning that facilitates the mastery of the real as well as the transmitted trauma. Two case examples are cited as illustration. A study of family health in Chareidi second and third generation survivors of the Holocaust. Intergenerational transmission of survivor syndrome places the health of family occupation of Chareidi second and third generation survivors of the Holocaust at risk.

    The purpose of this phenomenological study was to describe the lived experience and capture the essence of family health from the perspective of this cultural group. Guided by phenomenological research design, 5 participants were interviewed. They described their perception of the health of their families and how experiences in Nazi death camps impacted their families' health. Family health is an experience of being together and doing together. Generational transmission of family health was disrupted by the Holocaust. Dysfunction exists in generations that were produced by the survivors.

    Daily effort is required to reverse the effects of the Holocaust and establish connections with subsequent generations. The essence of occupational therapy is described as "being before doing", which is the cornerstone of individual health and well-being; and in this case family health. This study investigates a cultural group who is experiencing intergenerational transmission of trauma that disrupts family health.

    Opportunities to examine family health in all settings and consider implications for interventions should be explored. Somatic diseases in child survivors of the Holocaust with posttraumatic stress disorder: a comparative study. The incidence of mental and somatic sequelae has been shown to be very high in people who survived the Holocaust.

    In the current study, 80 Holocaust survivors with posttraumatic stress disorder were examined based on evaluation of their complete record medical reports, clinical history, medical statements, and handwritten declarations of patients under oath. These survivors were compared with subjects with posttraumatic stress disorder caused by traumata other than the Holocaust. The data were analyzed for the presence of cardiovascular, gastrointestinal, and orthopedic diseases that developed in the time between the earliest medical report expert opinion and the latest expert opinion.

    Analysis revealed an increase in myocardial infarction, chronic degenerative diseases, and cancerous changes in the second expert opinion. No differences between the groups were seen with regard to sex, age at traumatization, or age at examination. Several implications of the data are discussed, including the implication that the survivors examined in this study may comprise a highly resilient group, inasmuch as they had reached an advanced age. About the psychological condition of Holocaust survivors and attitudes of society and therapists]. Their poor public image "soap", "avac adam"--shadow of a man and the Zionist--pioneer attitude of rejecting the "diasporal mentality", led to arrogance and disrespect towards the survivors.

    The attitude of therapists towards the victims has been influenced by the public atmosphere and their problems did not receive the attention they deserved. This fact caused an additional trauma--"secondary victimization", which, in turn, was one of the causes for the "conspiracy of silence". This silence lasted for many years and caused HoLocaust survivors to become more vulnerable at an older age. A review of the complex psychological condition of Holocaust survivors in the community is characterized by a combination of toughness and vulnerability and other aspects such as: the frequency of PTSD among Holocaust survivors and its characteristics as well as therapists' difficulties in coping with the post-traumatic state.

    The sequence of traumatic events in their Lives caused a feeling of vulnerability in some survivors. Furthermore, insult and fear of exposure, that throughout the years prevented them from demanding their rights, was contrary to the normative behaviour in Israeli society. The interest and the number of studies concerning the Holocaust and Holocaust survivors increases as the number of survivors decreases and as we move further in time from the horrors of that war.

    To implement a policy of positive discrimination affirmative action for survivors in the Israeli health system. Results showed that about one third of spouses suffered from some degree of STS symptoms.

    Holocaust Survivors and Immigrants

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