On failed intersubjectivity: Recollections of loneliness experiences in offspring of Holocaust survivors

Intergenerational consequences of extensive trauma experienced by parents for the loneliness experienced by their children were explored in 52 adults (26 men and 26 women) who grew up in Holocaust survivor families. These adults, children of mothers who had survived Nazi concentration camps, were recruited from a random nonclinical Israeli sample. A narrative analysis of their recollected accounts of loneliness in childhood and adolescence yielded 4 major categories of loneliness experiences in the context of growing up in Holocaust survivor families: (a) echoes of parental intrusive traumatic memories; (b) echoes of parental numbing and detachment; (c) perceived parents' caregiving style; and (d) social comparison with other families, in particular the lack of grandparents. The echoes of the parental trauma in the recollected loneliness accounts are conceptualized as representing a sense of failed intersubjectivity in these interpersonal processes. The experiences of not being understood by others, not understanding others, and the lack of shared understanding involved in failed intersubjectivity are discussed and related to the importance of opening lines of communication between survivors and their descendents.

Remembering historical victimization: collective guilt for current ingroup transgressions

The authors examined the consequences of remembering historical victimization for emotional reactions to a current adversary. In Experiment 1, Jewish Canadians who were reminded of the Holocaust accepted less collective guilt for their group's harmful actions toward the Palestinians than those not reminded of their ingroup's past victimization. The extent to which the conflict was perceived to be due to Palestinian terrorism mediated this effect. Experiment 2 illustrated that reminding Jewish people, but not non-Jewish people, of the Holocaust decreased collective guilt for current harm doing compared with when the reminder concerned genocide committed against another group (i.e., Cambodians). In Experiments 3 and 4, Americans experienced less collective guilt for their group's harm doing in Iraq following reminders of either the attacks on September 11th, 2001 or the 1941 Japanese attack on Pearl Harbor compared with a historical victimization reminder that was irrelevant to the ingroup. The authors discuss why remembering the ingroup's past affects responses to outgroups in the present.

[Neuroscientists in the Third Reich]

INTRODUCTION

This article analyzes the effects that the arrival of the nazis to power as well as the participation of the neuroscientists in the programs developed by nazi medicine had on german neurology.

METHODS

Review of the literature related with medicine in the times of the nazis, placing special attention on the role played by the neuroscientists.

RESULTS

The physicians were the professional group that joined the nazi party the most. Many neurologists, psychiatrists and neuropathologists participated in the sterilization, euthanasia and experimenting programs in humans. Based on the experience acquired in these projects, some were chosen as personnel in charge of extermination in the concentration camps. Eminent neurologists such as Hallervorden, Spatz and Schaltenbrand took advantage of the scientific possibilities offered by the euthanasia and experimentation projects in humans with no harm being done to their careers after the war. Many Jewish neurologist or dissidents were driven out of their work, required to go into exile or, in the worst of the cases, were jailed and assassinated.

CONCLUSIONS

The nazi government had two outstanding effects on german neurology. On the one hand, many neurologists were harmed due to racial or political reasons. On the other, outstanding neurologists participated in programs of nazi medicine. This reminds us of the perverse role that politics may play in medicine and that scientific knowledge should not forget ethics.

Medical ethics in the wake of the Holocaust: departing from a postwar paper by Ludwik Fleck

In 1948 Ludwik Fleck published a paper in Polish discussing the use of humans in medical experiments, thereby addressing his peers. Though the paper has so far not been translated or studied, it has been taken to indicate Fleck's deep commitment to ethical questions, notably the question of informed consent. In being written by a former victim of the Nazi policy and a survivor of the Holocaust also acting as an expert witness in the trial of the IG Farben in Nuremberg, the paper is of interest. A scrutiny of Fleck's text and related sources discloses, however, not only the complexity of the issue at the centre of the Nuremberg trial, but also Fleck's unexpected stance in seemingly adducing his arguments from both the German defendants and the prosecution, heavily informed by US scientists. Further, the contentious discussion of the past in Fleck's paper reveals its links to modern bioethical discussion. Though sometimes oblivious of that past, it still faces the same questions.

Beyond the Banality of Evil: Three Dynamics of an Interactionist Social Psychology of Tyranny

Carnahan and McFarland critique the situationist account of the Stanford prison experiment by arguing that understanding extreme action requires consideration of individual characteristics and the interaction between person and situation. Haslam and Reicher develop this argument in two ways. First, they reappraise historical and psychological evidence that supports the broader “banality of evil” thesis—the idea that ordinary people commit atrocities without awareness, care, or choice. Counter to this thesis, they show that perpetrators act thoughtfully, creatively, and with conviction. Second, drawing from this evidence and the BBC [British Broadcasting Corporation] Prison Study, they make the case for an interactionist approach to tyranny that explains how people are (a) initially drawn to extreme and oppressive groups, (b) transformed by membership in those groups, and (c) able to gain influence over others and hence normalize oppression. These dynamics can make evil appear banal but are far from banal themselves.

Psychopathology and other health dimensions among the offspring of Holocaust survivors: results from the Israel National Health Survey

BACKGROUND

Holocaust survivors show long-lasting psychopathological wounds and scars. The experiences they endured during WWII were thought to impair their parental functioning. A trans-generational transmission of the trauma has been reported by clinicians and by researchers exploring the vulnerability of the adult offspring when facing major stressful events. However, the two previous epidemiological studies conducted so far failed to show enhanced psychopathology when the children of the Holocaust survivors were compared with suitable controls.

METHODS

In the Israel-component of the World Mental Health Survey offspring of Holocaust survivors were identified (N=430) and compared to offspring of Europe-born parents who did not reside in Nazi-occupied countries (N=417) on several measures of psychopathology and physical health dimensions that have a marked psychological components, and on health and mental health help-seeking practices.

RESULTS

No statistical differences were elicited between both groups on all those domains.

CONCLUSIONS

Apparently, Holocaust survivor parents succeeded to spare their children from the untoward consequences of the psychological wounds and scars of their traumatic past. Survivors strived to secure a better and safer life for their children as evidenced by the relatively higher level of education that the offspring of the survivors were able to achieve than the comparison group, although their own educational career was truncated. Also, separations from parents until the end of adolescence of the children did not differ between the two

Memories of the holocaust

As Alpha Omegans, we are united not only by our profession but also by a mission to educate ourselves, and others, about preserving our Jewish heritage. It was with this mission in mind that the Alpha Omegan invited me to share with my fraters a very personal, and painful, account of my boyhood in Poland, where I survived the Holocaust. Among the many gruesome episodes I encountered during the war, two remain vivid in my memories. Although this is not an easy story for me to tell, it is one that ultimately gives me great strength, especially as I prepare to disclose it among my dear friends and colleagues of Alpha Omega. May we never forget what some of us lost, what we regained and why we have chosen to build our personal and professional lives in ways that honor our history.

Contextualizing salutogenesis and Antonovsky in public health development

More than 20 years have passed since the American-Israeli medical sociologist Aaron Antonovsky introduced his salutogenic theory 'sense of coherence' as a global orientation to view the world, claiming that the way people view their life has a positive influence on their health. Sense of coherence explains why people in stressful situations stay well and even are able to improve their health. The origin of salutogenesis derives from the interviews of Israeli women with experiences from the concentration camps of the Second World War who in spite of this stayed healthy. Sixty years after the Holocaust this paper aim to shed light on the salutogenic theory in the context of public health and health promotion. In addition, other approaches with salutogenic elements for the explanation of health are considered. A potential direction for public health of the early 21st century is proposed. The historical paradox is to honour the victims of the Holocaust and see the birth of post-modern public health and the salutogenic framework through the experience of its survivors in the ashes of Modernity.

The myth of creating an integrative story: the therapeutic experience of Holocaust survivors

In this article, the authors explore how Holocaust survivors experience therapy. The qualitative method by which the authors illuminate the therapeutic experience is in-depth interviews with 11 survivors. They base their analysis on the phenomenological tradition and use psychodynamic perspective as a heuristic device, generating five main themes: (a) knowing and not knowing the story of the trauma, (b) therapy as a reproduction of the trauma and its aftermath, (c) the fight to keep the therapist as a split object, (d) the perception of therapy as interminable, and (e) creating alternative narratives. Overall, the findings contradict the traditional perception, in which the goal of therapy is defined as one of integrating the traumatic narrative with the entire life story. Successful therapy, as was found in the present study, is often experienced when the traumatic narrative is put into a capsule separated from other parts of the life story.

[Late morbidity among Holocaust survivors: myth or fact?]

The harsh life in the ghettos and concentration/extermination camps during the Holocaust was characterized by hunger, exposure to extreme cold temperatures, continuous threats, infectious diseases and injuries with acute or permanent disabilities and extreme psychological stress. There is no definite scientific evidence that the Holocaust survivors are exposed to premature aging or premature appearance of various physical diseases. These aspects were thoroughly investigated in other populations: ex-prisoners of war, ex-displaced persons, prisoners and survivors of torture. Famine, disabilities, diseases and stress, particularly at the beginning of or during puberty, were found to increase vulnerability to later morbidity, especially hypertensive and cardiovascular disease and to increased mortality. This article discusses the possibility of premature aging among Holocaust survivors as a late effect of their life conditions during the Holocaust.

An ethics of testimony: prisoner nurses at Auschwitz

This historical research report presents and analyzes 2 recently identified narratives of women who underwent sterilization experiments at the Auschwitz concentration camp during World War II. A description of the historical and contextual background is presented in which involvement of the prisoner nurse occurred in the sterilization experiments. Using a critical feminist perspective, the ethics of nursing involvement are discussed in these experiments, with an emphasis on the political dimension. Salient implications are explored for contemporary nursing.

Some ethical dilemmas faced by Jewish doctors during the Holocaust

The discourse on physicians and ethics in the Nazi regime usually refers to the violation of medical ethics by Nazi doctors who as a guild and as individuals applied their professional knowledge, training and status in order to facilitate murder and medical "experimentation". In the introduction to this article I will give a brief outline of this vast subject. In the main article I wish to bear witness to the Jewish physicians in the ghettos and the camps who tried to the best of their ability to apply their professional training according to ethical principles in order to prolong life as best as they could, despite being forced to exist and work under the most appalling conditions. These prisoner doctors were faced with impossible existential, ethical and moral dilemmas that they had not encountered beforehand. This paper addresses some of these ethical quandaries that these prisoner doctors had to deal with in trying to help their patients despite the extreme situations they found themselves in. This is an overview of some of these ethical predicaments and does not delve into each one separately for lack of space, but rather gives the reader food for thought. Each dilemma discussed deserves an analysis of its own in the context of professionalism and medical ethics today.

[The origin of informed consent]

The principle of informed consent, aimed at the lawfulness of health assistance, tends to reflect the concept of autonomy and of decisional autodetermination of the person requiring and requesting medical and/or surgical interventions. This legal formula, over the last few years, has gained not only considerable space but also importance in the doctrinal elaboration and approaches, as well as juridical interpretations, thereby influencing the everyday activities of the medical profession. Informed consent is still the object of continuous explorations, not only asfar as concerns the already confirmed theoretical profile but, instead, the ambiguous practical and consequential aspect. Analysing how the concept and role of consensus was born and developed with the more adequate and reasonable excursions to make it valid and obtain it, it is impossible not to take into consideration, on the one hand, the very ancient philosophical origins and, on the other, the fact that it was conditioned by religion with the moral aspects and the accelerated deontological evolution with pathways parallel to the needs and the progress offered by new forms of treatment and novel biotechnological applications. The principle of consent is a relatively new condition. In fact, already in the times of not only the Egyptian civilisation, but also the Greek and Roman, documents have been found which show how the doctor's intervention had, in some way, first to be approved by the patient. Plato (law IV) had already foreseen the problems, the procedures and the modes of information which are, in synthesis, at the root of the principles of the present formula of informed consent and correlated the practice of the information and consensus with the quality and social position of the patient. The only guarantee that the patient might have, derived from a fundamental principle of medicine of all times: "in disease, focus on two aims, to improve and not to cause damage". A figure can be recognised, in the Hippocratic physician, that cared about the patient's suffering, but never neglected looking after his own outcome, endeavouring to avoid becoming involved in lack of success and death of a patient. The concept of consensus is inexistent, albeit, there is an awareness of the presence of precautious and preventive information. In the behaviour of doctors, in ancient times, it is not difficult to recognize the true motives and the real reasons that, already in those days, give rise to the necessary "defensive medicine" particularly as far as concerns the social status of the patient. Already from the early origins, continuing the Hippocratic tradition, the relationship between doctor and patient was consolidated, based upon two very definite criteria, represented, on the one hand, by the professional duty of the physician to do what is bestfor the patient and, on the other, the duty of the patient to completely accept the physician's decisions and intervention. The Hippocratic physician respected a principle of professional responsibility which was more religious and of a moral type, but, from a legal point of view, very weak inasmuch as it depended upon regulations elaborated by human beings. The conviction and certainty that the physician acted, in the interest of his patient's well-being, has been passed down over the centuries endowing the physician with moral authority and a kind of legal impunity, conditions which corresponded, in an almost reflection-likefashion, with the duty of obedience and subjection, on the part of the patient. Christianity was grafted into this consolidated vision of the sacral character of medicine and medical practice, which did not substantially change the Hippocratic type of ethical behaviour. Non only the population but also the Christian physician was aware of the religious importance of his intense activity as a mission and compared to a special kind of priesthood in safe-guarding health, considered as a gift of God. Therefore, invested with this authority which derived from his professional role and from his very work, he felt it his duty to guide the patient, deciding and for him. The patient is an ignorant person who does not have the knowledge, the intellectual capacity or moral authority to oppose or disagree with the wishes and decisions of the physician who, instead, on account of his doctrine, knows exactly what is goodfor him. In this regard, if we were to speak of consensus concerning the physician's intervention, he would be considered useless in as much as obvious and understood when seeking help. The attitude of the patient towards the physician has always tended to one of strong faith and characterized by psychological subjection borne out by traditions thousands of years old. A patient who was sick, again, as an attitude of respect and gratitude, followed the treatment but never asked for any explanations regarding the therapeutic effects and the physician refrained from taking any initiative to inform the patient or his/her family. Each phenomenon, therefore, has a precise origin, a well-defined history and when its importance tends to significantly condition the activities concerning Man, a desire emerges to learn the origin and the history. As is well known, a trial commenced in Nuremberg, on December 19, 1946, of Nazi doctors and a code was defined in which the judges, all Americans, clearly emphasized a view of medical research and technology: science should never transform or consider human beings as an instrument to be employed for scientific purposes. In actual fact, documents exist providing evidence that a few decades before the drawing up of the Nuremberg Code, the need had been expressed, in Germany itself to somehow make medical interventions and actions legal by means of the use and practice of consensus. The moral and ethical principles in those documents, even if not available as bibliographic references in the English literature, certainly merit, from a historical viewpoint to be considered as conceptual elements and doctrinal and socio-cultural products, even if at that time, of little practical importance, which belong to the European culture and, in particular, and almost paradoxically, in the light of what happened, to the German culture. The United States of America is held to be the country of origin of informed consent, the initial aim of which was make sure that the correct dignity of the patient's independence be reserved at the time of decision making and choice of medical options. Reports on this topic, in fact, first appeared in the USA, at the beginning of the 18th Century, with problems focusing on and limited to only the simple rights of the patient in giving his/her approval of the health intervention later to be conceptually developed, along the lines of an itinerary with, at intervals, famous legal actions, until in the 20th Century, informed consent was reached, a criterion that, as is well known, foresees and includes not only the important and fundamental autonomy of the patient to decide, which stems ones personal rights, but also the essential objective element, which is, information. The expression informed consent has simply been transposed in Italian and roughly translated in an ambiguous fashion into "consenso informato" when, on the contrary, it should be referred to as "informazione per il consenso" "information for consensus" not only to respect the concept but, surely, for a more correct deciphering and a more precise interpretation related to the numerous concepts it presupposes and implies. Information and consent may be compared to the two sides of the same coin. These are the two important pillars that coincide and are joined giving weight to the medical responsibility, as far as concerns consent to the health intervention: on the one hand, having obtained consent,following correct and sincere information interpreted and deciphered as an important phase and an essential indicator of correct, scrupulous medico-professional procedure and, on the other, the consensus itself conceived as a duty aiming at the maximum respect of the rights to autodetermination, independence and autonomy of the patient, as a person. At the beginning of the Nineties, as we have seen, we were made aware of a series of legal actions regarding medical responsibility which was greatly conditioned by the Anglosaxon influence which initially induced many Italian magistrates and forensic physicians to adopt an extremely rigid attitude with no attempt to comply, in any way, with the culture and traditions of our country and our tradition which has always been inspired by good common sense, both medical and human. The American experience has been very rapidly adopted, by some, without a profound, complete and necessary historical and evolutional analysis aimed at those intertwined principles that have been motifs that have gradually led to the legal references in those emblematic cases referred to, the conclusions of which continue to attract a great deal of attention. In Italy, the legal and doctrinal evolution of informed consent, even if following a little more rapidly the traces, steps, problems and interpretations of the various aspects drawn up, characterized and applied in the United States, has not only occurred at a later time, but, despite reaching the same meaningful objectives, the same considerations, the same importance, and, unfortunately, the same inconveniences, has had quite different aims, approaches and articulations. In this respect, it is enough to focus attention on the different cultural traditions and religious routes, on the different doctrinal background, the particular historical origins and the individual legal aspects, all extremely different one from the other. (ABSTRACT TRUNCATED)

The reception of Holocaust research in the world of psychology

After having spoken to lay and professional audiences in Germany, Switzerland, Austria, England, France and in the United States on the effects of the Shoah on people in psychotherapy today and found varying reactions, I decided to pursue the question in a more consequential way. I devised a questionnaire which I sent to a large number of international psychoanalytic societies. My initial impressions were confirmed: Freudian societies generally devote more work to the topic. Some Jungian societies with especially interested individuals have also devoted a substantial amount of work to the Shoah and its aftermaths. The Jungian hesitancy has to do with our often more archetypal approach and with shame about Jung's statements on the Jewish archetype. On the collective level, the presence of a survivor population seems to make research on the topic more difficult. A certain amount of time must evolve before a society (be it professional, individual or political) deals with collective trauma, be it the Shoah or political oppression. On the personal level, intimacy (also in future, adult relationships) seems blocked when fantasies about parents' implications in the Shoah prevail. The bottom line of both phenomena is taboo, a prohibition against touching tameh. I propose that the IAAP supports research projects on the Shoah. They could also, as the Freudians do, offer a special prize at each international conference for the best piece of research on the topic of collective trauma.

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 (1959) to mark important stages in life-span development. In Study 1, 50 autobiographical interviews of survivors videotaped 30-50 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. Mistrust. In Study 2, audiotaped Holocaust survivor interviews conducted in 1946 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.

Forgiveness and collective guilt assignment to historical perpetrator groups depend on level of social category inclusiveness

The authors examined how categorization influences victimized group members' responses to contemporary members of a historical perpetrator group. Specifically, the authors tested whether increasing category inclusiveness--from the intergroup level to the maximally inclusive human level--leads to greater forgiveness of a historical perpetrator group and decreased collective guilt assignment for its harmdoing. Among Jewish North Americans (Experiments 1, 2, and 4) and Native Canadians (Experiment 3) human-level categorization resulted in more positive responses toward Germans and White Canadians, respectively, by decreasing the uniqueness of their past harmful actions toward the in-group. Increasing the inclusiveness of categorization led to greater forgiveness and lessened expectations that former out-group members should experience collective guilt compared with when categorization was at the intergroup level. Discussion focuses on obstacles that are likely to be encountered on the road to reconciliation between groups that have a history of conflictual relations.

Forgiveness and collective guilt assignment to historical perpetrator groups depend on level of social category inclusiveness

The authors examined how categorization influences victimized group members' responses to contemporary members of a historical perpetrator group. Specifically, the authors tested whether increasing category inclusiveness--from the intergroup level to the maximally inclusive human level--leads to greater forgiveness of a historical perpetrator group and decreased collective guilt assignment for its harmdoing. Among Jewish North Americans (Experiments 1, 2, and 4) and Native Canadians (Experiment 3) human-level categorization resulted in more positive responses toward Germans and White Canadians, respectively, by decreasing the uniqueness of their past harmful actions toward the in-group. Increasing the inclusiveness of categorization led to greater forgiveness and lessened expectations that former out-group members should experience collective guilt compared with when categorization was at the intergroup level. Discussion focuses on obstacles that are likely to be encountered on the road to reconciliation between groups that have a history of conflictual relations.

Evidence-based practice: a deconstruction and postmodern critique: book review article

This paper discusses the significance of postmodernism for healthcare practice, specifically the discourse known as 'evidence-based practice'. It considers two texts, both of which present postmodern analyses of contemporary issues. One text presents a deconstruction of evidence-based practice in an attempt to reveal its 'true' nature, which is portrayed as one that does not respect research paradigms other than the randomised controlled trial, merely pays lip service to expertise and fails to connect with the real nature of clinical practice. The second text considers the accusation that absolute relativism implied by postmodern approaches may permit an 'anything goes' mentality and provide succour to those advocating unacceptable practices. A 'defence' of postmodernism in relation to the accusation that it encourages holocaust denial is used to consider further the nature and limitations of postmodern critiques of evidence-based practice. This review concludes that postmodernism fundamentally challenges the apparent 'objectivity' of evidence-based practice but it does not challenge the fundamental rules for acquiring and testing evidence. Rather it is the selection of questions to be asked and answered by evidence-based practice/practitioners that is the true limitation. This is the ground upon which fruitful argument can be had about the significance of evidence without undermining the requirement that there be evidence and standards to judge such evidence.

Health status and mortality in Holocaust survivors living in Jerusalem 40-50 years later

The long-term health sequelae of the Holocaust were assessed 40-50 years later in the framework of a Jerusalem community health study. Holocaust survivors (N = 288, mean age = 67.6 years) and European-born Jews, not exposed to the Holocaust (N = 486, mean age = 68.9 years), were studied in 1985-87. Our objective was to compare psychobehavioral factors, clinical variables, and mortality outcomes. The comparisons revealed higher emotional distress scores in female Holocaust survivors than in unexposed women and poorer self-appraised health status in male Holocaust survivors than unexposed men. A 10-year mortality follow-up that terminated in April 1996 showed no significant association with Holocaust exposure. Long-term Holocaust survivors may represent a selective resilient group.

[Emotional development - what determines it - what disturbs it?]

By asking for the determining factors in developmental psychology we exemplify the vicissitudes of scientific perspectives during the past century, in which the factors viewed as primarily responsible (for development) changed several times - depending on the "zeitgeist". In actual fact one must assume a continuous interaction of genetics, externally caused alterations and milieu effects. To this science can only contribute by means of statistical probability, which in a single case would have to be translated into no more than a statement of risks and chances.

[The sequential traumatisation of a Sinti-child Holocaust-survivor]

The subject of this case-report is the life-history, nosogenesis and history of compensation claims of a 64-years old Sinti-woman, who survived Nazi-persecution and WWII as a child. She and her mother spent 3 years in a concentration camp. At the end of the war she witnessed her mothers death. Her life is characterised by psychosomatic symptoms, disorders of psychosexual development, including infertility, and a chronic Post Traumatic Stress Disorder. The non-treated course of the Holocaust survivor syndrom, described by Niederland, which was mostly denied in Germany, could be now shown by detailed exploration and the reanalysis of former expert reports of her symptoms. Furthermore, this case report presents the internationally described characteristics of long-term effects in children that have survived the Holocaust. These symptoms are typical of cases that were not been treated throughout life. The former lack of acceptance in Germany of these long-term effects has - like in this and other cases - lead to development into a chronic disorder.

Learning and memory in Holocaust survivors with posttraumatic stress disorder

BACKGROUND

Impairments in explicit memory have been observed in Holocaust survivors with posttraumatic stress disorder.

METHODS

To evaluate which memory components are preferentially affected, the California Verbal Learning Test was administered to Holocaust survivors with (n = 36) and without (n = 26) posttraumatic stress disorder, and subjects not exposed to the Holocaust (n = 40).

RESULTS

Posttraumatic stress disorder subjects showed impairments in learning and short-term and delayed retention compared to nonexposed subjects; survivors without posttraumatic stress disorder did not. Impairments in learning, but not retention, were retained after controlling for intelligence quotient. Older age was associated with poorer learning and memory performance in the posttraumatic stress disorder group only.

CONCLUSIONS

The most robust impairment observed in posttraumatic stress disorder was in verbal learning, which may be a risk factor for or consequence of chronic posttraumatic stress disorder. The negative association between performance and age may reflect accelerated cognitive decline in posttraumatic stress disorder.

The Heroism of Women and Men

Heroism consists of actions undertaken to help others, despite the possibility that they may result in the helper's death or injury. The authors examine heroism by women and men in 2 extremely dangerous settings: the emergency situations in which Carnegie medalists rescued others and the holocaust in which some non-Jews risked their lives to rescue Jews. The authors also consider 3 risky but less dangerous prosocial actions: living kidney donations, volunteering for the Peace Corps, and volunteering for Doctors of the World. Although the Carnegie medalists were disproportionately men, the other actions yielded representations of women that were at least equal to and in most cases higher than those of men. These findings have important implications for the psychology of heroism and of gender.

[Dental practice in the camps of the Third Reich]

In the Concentration Camps, the Nazis made a mixing of National Socialism ideology, anti-Semitism and war effort. After the arrival of trains in the camps the Nazis selected the weakest inmates for the gas chambers, as far as they considered them to be "useless mouths". The heathly grownups were kept for productive use. However a person suffering from bad tooth was not profitable. Thus some inmate dentists were in position to give dental cares to a few prisoners as they had been allowed by the Nazis to work in precarious circumstances. On the 23rd of September 1940 Himmler ordered to pull out the dental gold from the alive prisoners or at their exit of gas chambers. The decree was reinforced on the 23rd December 1942. The product of gold became a mean to support war effort. On the other hand few dental experiments have been performed by the SS doctors.

Long-term coping of Holocaust survivors: a typology

BACKGROUND

The nature of long-range impairment resulting from exposure to the atrocities of the Holocaust has been studied extensively. Some survivors reported a high level of psychological distress, while others, who were exposed to similar experiences, reported little, if any, symptoms. The present study aimed to validate Danieli's (1-3) typology of differentiated patterns of long-term coping and adaptation among Holocaust survivors in an Israeli sample.

METHOD

A sample of 150 Holocaust survivors participated in this study. Data were gathered as part of a larger study that assessed long-term coping styles of elderly Holocaust survivors when confronted with another life-threatening event, namely cancer.

RESULTS

The results point to the heterogeneous coping styles of Holocaust survivors and enable the formulation of a Survivor's Typology describing three types of adaptation: The "Victim," the "Fighter" and "Those Who Made It." The "Victim" type was found to be the most vulnerable. The "Fighter" and "Those Who Made It" types, who comprised over 80% of the sample, reported successful adaptation in the aftermath of the Holocaust.

Henri Tajfel's 'cognitive aspects of prejudice' and the psychology of bigotry

This paper pays tribute to Tajfel's classic article 'Cognitive aspects of prejudice' and re-examines its central arguments. Tajfel's paper is important for outlining a social cognitive approach to the study of prejudice and also for refuting of what Tajfel called the 'blood-and-guts' approach. Taking Tajfel's proposition that social psychology is not value-free, the current paper examines the moral and political view of 'Cognitive aspects' and also the gaps in its approach to the study of prejudice. It is suggested that this cognitive approach has difficulty in accounting for extreme bigotry, at least without recourse to the motivational themes that the approach seeks to exclude. In particular, there would be limitations in applying this approach in order to understand the Holocaust. Indeed, Tajfel did not attempt to do so, for reasons that are discussed. Tajfel's Social Identity Theory (SIT) has similar limitations. The paper also examines Tajfel's use of the term 'depersonalization', which he described as a 'milder' form of dehumanization of out-groups. Later social identity theorists have tended to use 'depersonalization' differently, shifting their attention to in-groups. Their perspective moves away from understanding the topic of prejudice in the way that can be found in Tajfel's 'Cognitive aspects of prejudice'. Finally, the present paper suggests how extreme prejudice might be studied without returning to the motivational 'blood-and-guts' approach that Tajfel so cogently criticized.

Childhood trauma and risk for PTSD: relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion

Among the adverse mental health consequences of childhood trauma is the risk related to the development of posttraumatic stress disorder (PTSD) in adulthood. Other risk factors for PTSD. including parental trauma exposure and parental PTSD, can also contribute to the experience of child trauma. We examined associations between childhood trauma and PTSD in 51 adult children of Holocaust survivors and 41 comparison subjects. in consideration of parental trauma exposure and parental PTSD. We also examined these variables in relation to 24-hr urinary cortisol levels. Adult offspring of Holocaust survivors showed significantly higher levels of self-reported childhood trauma, particularly emotional abuse and neglect. relative to comparison subjects. The difference was largely attributable to parental PTSD. Self-reported childhood trauma was also related to severity of PTSD in subjects, and emotional abuse was significantly associated with 24-hr mean urinary cortisol secretion. We conclude that the experience of childhood trauma may be an important factor in the transmission of PTSD from parent to child.

[Not Available]

In the forties, the life of Hungarian analysts was broken by two historical turning points. Both critical periods follow first an ascending, then an abruptly falling line. During faschism, psychoanalysis had in Hungary the longest life. At the end of 1944, one quarter of Hungarian analysts became victims of the Hungarian nazis. The year 1945 started with a hope of revival, with the social acceptance of psychoanalysis. After a couple of years, the communist regime disolved the Society, and forced the members into an inner emigration of 15 years.