"They're not mentally ill, their lives are just shit": Stakeholders' understanding of deaths of despair in a deindustrialised community in North East England

The rise in mortality in high-income countries from drug, suicide, and alcohol specific causes, referred to collectively as 'deaths of despair', has received growing interest from researchers. In both the US and UK, mortality rates from deaths of despair are higher in deprived, deindustrialised communities. In this qualitative study, we sought to learn how stakeholders working with vulnerable populations in Middlesbrough, a deindustrialised town in North East England with above average mortality from deaths of despair, understand and explain the prevalence of deaths from these causes in their area. Participants identified a number of structural and socio-cultural determinants that they believe drive deaths of despair in their community, including the effects of austerity, deindustrialisation, communal identity, and collective trauma; we argue that these determinants are themselves a product of structural violence.

The prevalence of PTSD and coping strategies among Palestinian mental health professionals during political violence and wartime

Background

In times of war, mental health professionals are at an increased risk of developing psychological problems, including posttraumatic stress disorder (PTSD). The effects of conflicts or wars on mental health professionals in Palestine and their coping methods of dealing with these challenges remain unknown. This study aimed to assess the prevalence of PTSD symptoms and strategies for coping among mental health professionals in Palestine, in light of the ongoing Gaza war and political violence.

Methods

The study utilized a cross-sectional research design. Self-reported questionnaires, including the PCL-5 and Brief COPE scales, were used to gather data. The relationship between the research variables and PTSD symptoms was investigated using frequencies, percentages, bivariate analysis, Pearson correlation, and Pearson's chi-square test.

Results

A total of 514 participants were recruited, with an estimated prevalence of PTSD of 38.7%. Furthermore, the multivariate analysis revealed that having a prior history of trauma and feeling disabled or unable to deal with your patients during the current Gaza war and Israeli-Palestinian political violence increases the likelihood of developing PTSD symptoms. In addition, using venting, self-blame, and behavioral disengagement as coping strategies increases the likelihood of developing symptoms of PTSD. Moreover, using acceptance and substance use as coping strategies reduces the risk of developing PTSD symptoms.

Conclusion

The findings revealed a high prevalence of PTSD symptoms among mental health professionals during wartime and political violence. As a result, mental health professionals need immediate assistance in enhancing their mental wellbeing through supervision, psychotherapy, and comprehensive and continuous training.

'Measuring' Collective Trauma: a Quantum Social Science Approach

In the twenty-first century the world faces the stark reality that's far from any visions of an ideal world, accompanied by an epidemic of social inequality and global injustice. Many social and global issues such as the refugee crisis, climate injustice, racism, whitism, and terrorism are rooted in serious, untreated historical traumata. These traumata have been experienced by one or more members of a family, group, or community, and may have been passed down from one generation to the next through epigenetic factors. Phenomena of collective trauma can be described more understandably through its interpretation by the quantum social science of Wendt (2016). This interpretation provides a social pathology that offers methodological recommendations (methods of treatment) for social therapy. One potential example is the collective trauma integration process (CTIP) developed by Thomas Hübl (Hübl, T. (2020). Healing Collective Trauma: a process for integrating our intergenerational and cultural wounds. Boulder: Sounds True.), which is a method to restore fragmentation by addressing and integrating individual, ancestral and collective trauma. This paper focuses on one methodological consideration for building a new culture through the integration of collective and intergenerational trauma, which is a framework based on collective trauma research in psychology, sociology, and quantum social science.

In our own words: key terms and trends in psychoanalytic history

Inspired by the work of Fonagy (2008) and Dent and Christian (2019), this study applies a form of quantitative textual analysis to 300 terms of psychoanalytic interest in the PEP archives by tracking their historical prevalence in five-year increments using the aggregate number of articles featuring each term in the field's journals. Our results confirm some of the more well-known inflection points in the history and application of psychoanalytic theory, while also revealing some intriguing surprises. Psychoanalysis remains fundamentally a depth psychology, yet it has increasingly acknowledged the external causes of distress and trauma. Changes in the prevalence of terminology around psychopathology, defense mechanisms, development, gender and sexuality, and psychoanalytic technique are discussed.

The Narcissistic dynamics of submission: the attraction of the powerless to authoritarian leaders

Ferenczi's conception of identification with the aggressor, which describes children's typical response to traumatic assaults by family members, provides a remarkably good framework to understand mass social and economic trauma. In the moment of trauma, children instinctively submit and comply with what abusers want-not just in behavior but in their perceptions, thoughts, and emotions-in order to survive the assault; afterwards they often continue to comply, out of fear that the family will turn its back on them. Notably, a persistent tendency to identify with the aggressor is also typical in children who have been emotionally abandoned by narcissistically self-preoccupied parents, even when there has not been gross trauma. Similarly, large groups of people who are economically or culturally dispossessed by changes in their society typically respond by submitting and complying with the expectations of a powerful figure or group, hoping they can continue to belong-just like children who are emotionally abandoned by their families. Not surprisingly, emotional abandonment, both in individual lives and on a mass scale, is typically felt as humiliating; and it undermines the sense that life is meaningful and valuable.But the intolerable loss of belonging and of the feeling of being a valuable person often trigger exciting, aggressive, compensatory fantasies of specialness and entitlement. On the large scale, these fantasies are generally authoritarian in nature, with three main dynamics-sadomasochism, paranoid-schizoid organization, and the manic defense-plus a fourth element: the feeling of emotional truth that follows narcissistic injury, that infuses the other dynamics with a sense of emotional power and righteousness. Ironically, the angry attempt to reassert one's entitlements ends up facilitating compliance with one's oppressors and undermining the thoughtful, effective pursuit of realistic goals.

The Representation of the Holocaust in Israeli Society and Its Implications on Conceptions of Democracy and Human Rights of “Others”

Much has been written about the representation of the Holocaust in Israel, but there is less awareness to its effects on attitudes toward democracy and the universal meaning of human rights. Representations of the Holocaust by Israeli socialization agents usually focus on hatred toward Jews, disregarding the broader theoretical-ideological context. This tendency is typical to groups that suffered such severe traumas in their past. Nonetheless, we argue that it does not allow a healing process and fosters a reduced perspective on the essential principles of democracy. It also particularizes the concept of human rights, thus excluding those of “others,” such as Palestinians. We further argue that a more extensive perspective on the Holocaust, which includes an understanding of Nazism within an ideological mosaic that denies democratic principles and humanity, may strengthen Israelis’ identification with democratic principles and universal human rights. We analyze the different approaches to teaching the Holocaust in the context of the collective trauma and explore their impact on society’s sense of victimhood and moral injury. The paper ends with a suggestion for further research that will explore the possibility that a school curriculum that emphasizes universal lessons will enable the memorialization of the Holocaust without succumbing to nationalistic perceptions.

Christian Nationalism and Political Violence: Victimhood, Racial Identity, Conspiracy, and Support for the Capitol Attacks

What explains popular support for political violence in the contemporary United States, particularly the anti-institutional mob that attacked the U.S. Capitol in January 2021? Recent scholarship gives reason to suspect that a constellation of beliefs known as "Christian nationalism" may be associated with support for such violence. We build on this work, arguing that religious ideologies like Christian nationalism should be associated with support for violence, conditional on several individual characteristics that can be inflamed by elite cues. We turn to three such factors long-studied by scholars of political violence: perceived victimhood, reinforcing racial and religious identities, and support for conspiratorial information sources. Each can be exacerbated by elite cues, thus translating individual beliefs in Christian nationalism into support for political violence. We test this approach with original survey data collected in the wake of the Capitol attacks. We find that all the identified factors are positively related to each other and support for the Capitol riot; moreover, the relationship between Christian nationalism and support for political violence is sharply conditioned by white identity, perceived victimhood, and support for the QAnon movement. These results suggest that religion's role in contemporary right-wing violence is embedded with non-religious factors that deserve further scholarly attention in making sense of support for political violence.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s11109-021-09758-y.

The structure of PTSD. Development of the Post Traumatic Symptom scale from a clinician-based perspective

BACKGROUND

Nations marked by a Marxist-Leninist ideology have suffered greatly due to a culture of abuse emphasized by the absolute absence of psychology, thus contributing to a diminished ability in recognizing the consequences of traumatic experiences.

OBJECTIVE

To improve the assessment of the presence and severity of posttraumatic stress disorder (PTSD) in such a cultural context, our paper aimed at developing an alternative self-report measure for PTSD - the Post Traumatic Symptom Scale (PTSs), developed by clinicians with wide relevant expertise, based on the natural language people use to describe its subjective experience. This research used multiple samples consistent with the corresponding objectives. Mokken Scale Analysis and the Classical Test Theory were both employed. The proposed scale was tested against five competing PTSD models, whilst also investigating the symptoms' clusters in two different samples by using, to our knowledge, a network analysis approach for the first time.

METHOD

The results indicated excellent psychometric properties regarding internal consistency and temporal reliability, as well as convergent and discriminant validity. The results of MSA showed that the scale fully conforms to the assumptions of the monotone homogeneity model, interpreted as positive evidence for its use in clinical purposes. The factor analyses pointed that the newer models outperformed the standard DSM-5 model, with bifactor models displaying better fit indexes than second-order models. Finally, a distinct pattern of symptom activation in the high-risk group (i.e. first-responders) was found, bringing support for symptoms overlapping between PTSD and affective disorders, thus reinforcing the idea of bridge symptoms which has significant clinical implications.

RESULTS

This study presents an alternative sound instrument for measuring PTSD symptomatology focused on how people naturally describe their subjective experiences. Theoretical and practical implications are discussed alongside limitations.

HIGHLIGHTS

The construction of PTSs encompasses cultural trauma and one's subjective experience.PTSs was tested against the five major competing models of PTSD.Network analyses suggest different patterns in a student sample vs. a first-responders one, with the accent on the negative alterations in cognitions and mood (NACM) model.

Return after 500 years? Spanish and Portuguese repatriation laws and the reconstruction of Sephardic identity

In a gesture of reconciliation, Spain and Portugal in 2015 passed bills inviting the descendants of Sephardic Jews – expelled 500 years earlier – to acquire citizenship. Applicants are to ascertain their Sephardic heritage through family trees, evidence of belonging to a religious community, language skills and/or retained links with the homeland. This article explores applicants’ motivations to request citizenship and the ways in which legal provisions, religious associations, and the migration industry become gatekeepers of and (re)shape what it means to be Sephardic. Based on interviews with applicants and other actors involved, the article discusses how states, religious associations, applicants themselves and businesses facilitate and define the process towards citizenship. It also points to how the repatriation laws have spurred identification with – but also alienation from – Spain and Portugal, by making it possible to gain an attractive EU passport, while encouraging the revisiting of a painful past.

Dynamics of leadership styles within the Ogoni and Ijaw movements in the Niger Delta

Much of the literature on the Niger Delta deals with the Ogoni and Ijaw groups together, as having common lived experiences within a shared geographical location. However, the nature of the leaderships led the two movements to adopt distinct strategies in their struggles against the Nigerian state and multinational oil companies. Successful collective action is often ascribed to effective leadership and to the employment of social identity to drive collective group behaviour. Building on the Comparative Case Studies approach, this article compares the nature of leadership within the two movements, and particularly the choices that led Ogoni leaders to preach nonviolence and Ijaw leaders to advocate violence. The article analyses the role of the leaders in determining the strategies adopted by the movements, and examines the importance of the psychological drivers of the collective narratives developed by the two groups of leaders in accounting for the different trajectories. These issues are investigated within the social and political psychological context utilising three axes of comparison — vertical, horizontal and transversal. Findings suggest that strategic choices are frequently based on charismatic leadership, particularly when group leaders are able to utilise a heightened awareness of identity, and on conscious and unconscious fears linking past and current threats.

Psychodynamic Group Therapy with Hispanic Migrants: Interpersonal, Relational Constructs in Treating Complex Trauma, Dissociation, and Enactments

This article introduces an interpersonal, relational approach to group therapy for Hispanic migrants with significant histories of violence, abuse, multiple losses, and recurrent trauma. Psychodynamic group psychotherapy may help to address trauma symptoms, insecure/disorganized attachment, grief, and isolation with newly arrived migrants. How the relational paradigm in group psychotherapy is contributing to current theories of complex trauma and dissociation is reviewed. Using this modality conveys the importance of examining trauma-driven enactments, dissociation and symbolization involving the members of the group, the group-as-a-whole, and the group leader. Clinical examples and group therapy interventions used to address powerful dissociative enactments are discussed.

Inclusivity of past collective trauma and its implications for current intractable conflict: The mediating role of moral lessons

How are perceptions of past collective trauma related to moral lessons derived, and how are those in turn associated with conflict-related policy preferences of those presently involved in intractable conflict? We hypothesized that inclusive conceptions of past trauma will be positively associated with moral obligations and negatively with moral entitlement, and that moral obligations will be positively associated with humanitarian policies and negatively with militaristic policies, while moral entitlement will be positively associated with militaristic policies and negatively with humanitarian policies. In a cross-sectional study with a representative sample of Jewish Israelis (N = 504), moral obligations mediated the association between higher inclusivity of past collective trauma and humanitarian policy support, while moral entitlement mediated between lower inclusivity and increased militant policy support. Inclusive perceptions of past trauma and its moral lessons may play a critical role in advancing conflict resolution in intractable conflicts settings unrelated to the initial trauma.

Collective Traumas and the Development of Leader Values: A Currently Omitted, but Increasingly Urgent, Research Area

The number of worldwide traumatic events is significant, yet the literature pays little attention to their implications for leader development. This article calls for a consideration of how collective trauma such as genocide and the Holocaust can shape the values of leaders, who are second- and third-generation descendants. Drawing on research on the transgenerational transmission of collective trauma and leader values, we show how collective trauma resides in (1) cultural rituals and artifacts, (2) community events and commemorations, and (3) family narratives is transmitted to leader descendants through at least three channels: social learning, social identity, and psychodynamics. We also offer propositions that recommend ways in which the transmission of these repositories can shape certain leader values that guide leader behaviors. Our conceptual review suggests that the transmission of collective trauma on leader development and leader values remains under-researched, offering prospects for new research and learning on the origins and seeds of leader development.

Beyond Anti-thinking: Psychoanalysis as Politics

This paper discusses the political nature of psychoanalytic audacity in an era of fake news and disinformation as receptive populations accustom themselves to societal and political misrepresentations of anti-thinking. Against the aggressive rise of anti-thinking that cauterizes individual and societal registration of precarity, the ideological foundation of psychoanalytic inquiry is in the freeing of that which emotionally and ideationally, has felt to be impenetrable, making such contents and expressions available for clarification within the consensual understandings between two very different individuals. Psychoanalysis, in its dyadic pairing, its regularity of meetings, and its continuous action of recognizing what is obscure or hidden, is the heir to the Enlightenment motto, "aude sapere" the ongoing act of daring to question (Kant, 1784). Operating against defensive foreclosure, psychoanalysis conditions the toleration of painful states of mind toward contingent consideration of the causes and effects from which productive future action might be considered. The dyadic engagement of psychoanalytic participants operates as a unitary political organization in witness of the human condition, from within which what was unthinkable becomes nameable, and what is named becomes spoken in clarification of anti-thinking's foreclosures.

Holding History: Undoing Racial Unconsciousness in Groups

This article examines the history of racism in American society and its sequelae for African Americans, from enslavement and lynching through contemporary manifestations. It describes the consequences of systemic oppression in the form of "color-blindness," the denial of racial stereotypes and biases carried both in the larger social sphere and within psychotherapy groups. Using clinical examples, the authors address the difficulty for White therapists of becoming "woke" to their own unconscious racism. Failing to do so, the authors suggest, creates conditions for reenacting traumas of invisibility, exclusion, and more profound injury. It is proposed that sharing in communal mourning for the injury to African Americans holds promise for healing when undertaken with the awareness that doing so entails therapists and group members exposing themselves to the pain of others.

Cultural trauma and epigenetic inheritance

The question of whether and how the effects of cultural trauma can be transmitted intergenerationally from parents to offspring, or even to later generations, has evoked interest and controversy in academic and popular forums. Recent methodological advances have spurred investigations of potential epigenetic mechanisms for this inheritance, representing an exciting area of emergent research. Epigenetics has been described as the means through which environmental influences “get under the skin,” directing transcriptional activity and influencing the expression or suppression of genes. Over the past decade, this complex environment–biology interface has shown increasing promise as a potential pathway for the intergenerational transmission of the effects of trauma. This article reviews challenges facing research on cultural trauma, biological findings in trauma and posttraumatic stress disorder, and putative epigenetic mechanisms for transmission of trauma effects, including through social, intrauterine, and gametic pathways. Implications for transmission of cultural trauma effects are discussed, focused on the relevance of cultural narratives and the possibilities of resilience and adaptivity.

READING WILLY WONKA IN THE ERA OF ANTI-THINKING

Whether encountered as a movie or novel, Roald Dahl's Charlie and the Chocolate Factory is a childhood staple of postwar Anglophone culture. Originally published in 1964, Dahl's story of "Willie Wonka" is a morality tale for our times addressed by the present essay in relation to the precariousness, violence, intergenerational faith, and materialist fantasies reflective of contemporary life in the early twenty-first century. Compensating for the precarity of contemporary life's impoverishment as assumptions of societal stability are overthrown, this chronicle of the Bucket family details: envious desire validated by large group chosen trauma; authoritarian enslavement of inferior, colonized peoples with murderous, industrial-level human experimentation; toward gratification of the greedy fantasy of unlimited sweetness under the sway of lethal identification with the aggressor.

Fostering trust and forgiveness through the acknowledgment of others’ past victimization

The present work examines the acknowledgment of past ingroup victimization by adversary outgroup leaders as an effective means to promote intergroup trust. More specifically, through an experimental study we demonstrated that Israeli-Jewish participants who were exposed to Palestinian leaders’ messages acknowledging the Jews’ suffering from anti-Semitic persecutions (past victimization condition) displayed more trust toward outgroup leaders than participants who were exposed to messages acknowledging the Jews’ sufferings from the ongoing conflict (present victimization condition) and participants who were exposed to a control message condition. Further, trust mediated the relationship between acknowledgment of past victimization by rivals and forgiveness toward the outgroup as a whole. The implications of these results for restoring fractured intergroup relations are discussed.

Variations on the Migratory Theme: Immigrants or Exiles, Refugees or Asylees

When a country is engulfed in war, or overrun by a dictator who begins killing, its citizens are forced to flee. In such situations, the only compassionate response is to take people in. With the ongoing mass migration to Europe, these refugees pay smugglers to take them to safety, but there is no safe place to go since nobody wants them. They leave in a rush to save their lives and their families due to political and religious fear, death threats, rape of women, or forced labor. They do not have time to mourn the losses, there is no time for "ideal migration" where destination countries can choose whom they will take in. The initial hope and dream to escape to a safe "haven" is transformed into a nightmare of humiliation and fear. These asylum seekers will be or already are suffering from PTSD due to massive psychic trauma.

The Social Unconscious: A Post-Foulkesian Perspective

The paper begins with a critique of orthodox renditions of the social unconscious which (a) retain divisions between a personal sphere and a social sphere, and (b) which are said to be in conflict with each other The ways in which these are instituted in various psychoanalytic and group-analytic theorizations are briefly delineated. Next, the two versions of the social unconscious (an orthodox and a radical) that are found in Foulkes are described. Elias's notion of process reduction is then used to deconstruct the philosophical basis of the orthodox version of the social unconscious. The thoughts of Radical Foulkes are extended by drawing on Elias and Matte-Blanco, bringing the notion of power into the theoretical schema. This is followed by an examinantion of the impact of the notion of power on Foulkes's conception of the communicational field. Finally, the article describes the consequences of the impact of power on the construction of the psyches of individuals as well as interpersonal relations.

So What is this Social Unconscious Anyway?

Although the concept of the Social Unconscious has increased in importance in the group analytic literature recently, there are still many misconceptions and misunderstandings about it and its practical applications. While some papers define the term, there are no papers explaining the basics of the social unconscious and what it includes. The purpose of this article is to address the misconceptions, describe the basic building blocks of the social unconscious, and develop a working definition for this complex term.

Positive weighing of the other's collective narrative among Jewish and Bedouin-Palestinian teachers in Israel and its correlates

Teachers play a pivotal role in the educational discourse around collective narratives, and especially the other's narrative. The study assumed that members of groups entangled in a conflict approach the different modules of the other's narrative distinctively. Jewish and Palestinian teachers, Israeli citizens, answered questionnaires dealing with the narrative of the other, readiness for interethnic contact, negative between-group emotions and preferences for resolutions of the Israeli-Palestinian (I-P) conflict. Positive weighing of the other's narrative among Jewish teachers correlated with high levels of readiness for interethnic contact and low levels of negative between-group emotions, across the various modules of the Palestinian narrative. Preferences for a peaceful resolution of the I-P conflict and rejection of a violent one were noted in two of the modules. Among Palestinian teachers, positive weighing of the other's collective narrative was exclusively noted for the Israeli narrative of the Holocaust, and this stance negatively related to negative between-group emotions and preference for a violent solution of the I-P conflict, and positively related to readiness for interethnic contact and preference of a peaceful resolution of the conflict. Practical implications of these findings for peace education are discussed.

RACE AND RECOGNITION: THE TIME OF OUR SINGING

Literature affords the opportunity to consider the racial fear, hatred and hostility that can flare in moments when the otherness in the human face occludes the common bonds that join us together. Richard Powers' (2003) compelling novel, The Time of Our Singing, highlights ways in which racial tensions continue to haunt us, impeding the efforts of successive generations to heal the wounds and move forward. In the novel, the parents' efforts to move "beyond race" leave their children utterly unprepared for the ways in which race informs and obstruct their experience, as what has been denied returns to haunt them.

"To Enter One's Skin": The Concrete and Symbolic Functions of the Skin in the Social Unconscious, as Expressed in Fairy Tales and Group Therapy

ABTRACTThis article deals with different modes of skin-related experiences in the social unconscious as expressed in two social products: fairy tales and group therapy processes. The phenomenon of the realization of a skin-related idiomatic expression that appears in fairy tales will be analyzed in order to touch upon the relations between concrete and symbolic modes of expressions in the social unconscious. This is based on previous works, showing that fairy tales reside along the seam line between thinking in words and thinking in images. A vignette from a therapy group shows its relevance to group psychotherapy.

Ashes of Remembrance: Reconfiguring the Phoenix

Literature affords the possibility of diverse perspectives, inviting the reader to try a character or experience on for size and to consider ways in which culture affects the narrative. What it means to be a person and then to become an adult within one's own ancestral tradition is inherited directly, through being with others and also through the stories that are passed along from parent to child, through which one finds one's place in the social world. Whatever the conscious intention of the author, traumatic texts are uniquely colored by the heritage that gives rise to them. Traumatic tales offer us bits and fragments from dream and fantasy, present and past, through which the reader can begin to see how meanings coalesce and cohere around signs that become symbols as we gain greater facility in reading them. In this article, I consider three threads of traumatic tales and their similarities and differences, hoping that the reader will be able to recognize both commonalities and differences, ways in which richness and texture might be added to our lives if we can recognize consciously what otherwise might haunt us.

Rashomon Revisited: A Re-analysis of the Film and Implications for Mass Psychology

The author notes that the title of the film has been used to identify a social-psychological concept that has been widely applied in the literature. The author gives a synopsis of the film. In order to debunk the standard interpretation of the film and provide a new one, the author places the making of the film in an historical context. This requires an explication of the absorption of the samurai into modernized Japan and the country's history before, during, and immediately after World War II. The perception of the Emperor as a deity and his de-deification are central to understanding the culture and the problem of managing aggression in that society. The social structure of the society can be described as massification. The effects of these sociocultural issues on psychotherapy in Japan are discussed along with the implications for group psychotherapy.