Skip to main content
Top
Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Research article

Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors

Authors: Luciana Lorens Braga, Marcelo Feijó Mello, José Paulo Fiks

Published in: BMC Psychiatry | Issue 1/2012

Login to get access

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 500 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.

Method

This qualitative study aims to detect how the second generation perceives transgenerational transmission of their parents’ experiences in the Holocaust. 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.
Literature
1.
go back to reference Starman H: Generations of Trauma: Victimhood and the Perpetuation of Abuse in Holocaust Survivors. Hist Anthropol. 2006, 17 (4): 327-338. 10.1080/02757200600916172.CrossRef Starman H: Generations of Trauma: Victimhood and the Perpetuation of Abuse in Holocaust Survivors. Hist Anthropol. 2006, 17 (4): 327-338. 10.1080/02757200600916172.CrossRef
2.
go back to reference Danieli Y: Intergenerational handbook of multigenerational legacies of trauma. 1998, Plenum Press, New YorkCrossRef Danieli Y: Intergenerational handbook of multigenerational legacies of trauma. 1998, Plenum Press, New YorkCrossRef
3.
go back to reference Daud A, Skoglund DA, Rydelius P-A: Children in families of torture victims: Transgenerational transmission of parents’ traumatic experiences to their children. Int J Soc Welf. 2005, 14: 23-32. 10.1111/j.1468-2397.2005.00336.x.CrossRef Daud A, Skoglund DA, Rydelius P-A: Children in families of torture victims: Transgenerational transmission of parents’ traumatic experiences to their children. Int J Soc Welf. 2005, 14: 23-32. 10.1111/j.1468-2397.2005.00336.x.CrossRef
4.
go back to reference Epstein H: Children of the Holocaust: conversations with sons and daughters of survivors. 1979, Penguin, New York Epstein H: Children of the Holocaust: conversations with sons and daughters of survivors. 1979, Penguin, New York
5.
go back to reference Rakoff V, Sigal JJ, Epstein NB: Children and families of concentration camp survivors. Can Ment Health. 1967, 14: 24-26. Rakoff V, Sigal JJ, Epstein NB: Children and families of concentration camp survivors. Can Ment Health. 1967, 14: 24-26.
6.
go back to reference Trossman B: Adolescent children of concentration camp survivors. J Can Psychiatr Assoc. 1968, 13: 121-131. Trossman B: Adolescent children of concentration camp survivors. J Can Psychiatr Assoc. 1968, 13: 121-131.
7.
go back to reference Sigal JJ: Second Generation Effects of Massive Psychic Trauma. Int Psychiatr Clin. 1971, 8: 55-65. Sigal JJ: Second Generation Effects of Massive Psychic Trauma. Int Psychiatr Clin. 1971, 8: 55-65.
8.
go back to reference Niederland WG: Clinical observations on the “Survivor Syndrome”. Int J Psychoanal. 1968, 49: 313-315.PubMed Niederland WG: Clinical observations on the “Survivor Syndrome”. Int J Psychoanal. 1968, 49: 313-315.PubMed
9.
go back to reference Barocas HA, Barocas CB: Manifestations of concentration camp effects on the second generation. Am J Psychiatry. 1973, 130: 820-821.CrossRefPubMed Barocas HA, Barocas CB: Manifestations of concentration camp effects on the second generation. Am J Psychiatry. 1973, 130: 820-821.CrossRefPubMed
10.
go back to reference Barocas HA, Barocas CB: Wounds of the fathers: The next generation of holocaust victims. Int Rev Psycho Anal. 1979, 6: 331-340. Barocas HA, Barocas CB: Wounds of the fathers: The next generation of holocaust victims. Int Rev Psycho Anal. 1979, 6: 331-340.
11.
go back to reference Freyberg JT: Difficulties in separation – individuation as experienced by offspring of Nazi Holocaust survivors. Am J Orthopsychiatry. 1980, 50: 87-95.CrossRefPubMed Freyberg JT: Difficulties in separation – individuation as experienced by offspring of Nazi Holocaust survivors. Am J Orthopsychiatry. 1980, 50: 87-95.CrossRefPubMed
12.
go back to reference Fogelman E, Savran B: Brief group therapy with offspring of Holocaust survivors. Am J Orthopsychiatry. 1980, 50: 96-108.CrossRefPubMed Fogelman E, Savran B: Brief group therapy with offspring of Holocaust survivors. Am J Orthopsychiatry. 1980, 50: 96-108.CrossRefPubMed
13.
go back to reference Danieli Y: Differing adaptational styles in families of survivors of the Nazi Holocaust: some implications for treatment. Child Today. 1981, 10 (6-10): 34-35. Danieli Y: Differing adaptational styles in families of survivors of the Nazi Holocaust: some implications for treatment. Child Today. 1981, 10 (6-10): 34-35.
14.
go back to reference Solkoff N: Children of survivors of Nazi holocaust: A critical review. Am J Orthopsychiatry. 1992, 62: 342-358.CrossRefPubMed Solkoff N: Children of survivors of Nazi holocaust: A critical review. Am J Orthopsychiatry. 1992, 62: 342-358.CrossRefPubMed
15.
go back to reference Sorscher N, Cohen LJ: Trauma in children of Holocaust survivors: transgenerational effects. Am J Orthopsychiatry. 1997, 67: 493-500.CrossRefPubMed Sorscher N, Cohen LJ: Trauma in children of Holocaust survivors: transgenerational effects. Am J Orthopsychiatry. 1997, 67: 493-500.CrossRefPubMed
16.
go back to reference Yehuda R, Schmeidler J, Wainberg M, Binder-Brynes K, Duvdevani T: Vulnerability to posttraumatic stress disorder in adult offspring of Holocaust survivors. Am J Psychiatry. 1998, 155: 1163-1171.CrossRefPubMed Yehuda R, Schmeidler J, Wainberg M, Binder-Brynes K, Duvdevani T: Vulnerability to posttraumatic stress disorder in adult offspring of Holocaust survivors. Am J Psychiatry. 1998, 155: 1163-1171.CrossRefPubMed
17.
go back to reference Yehuda R, Halligan SL, Grossman R: Childhood trauma and risk for PTSD: Relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Dev Psychopathol. 2001, 13: 733-753. 10.1017/S0954579401003170.CrossRefPubMed Yehuda R, Halligan SL, Grossman R: Childhood trauma and risk for PTSD: Relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Dev Psychopathol. 2001, 13: 733-753. 10.1017/S0954579401003170.CrossRefPubMed
18.
go back to reference Leon GR, Butcher JN, Kleinman M, Goldberg A, Almagor M: Survivors of the Holocaust and their children: current status and adjustment. J Pers Soc Psychol. 1981, 41: 502-516.CrossRef Leon GR, Butcher JN, Kleinman M, Goldberg A, Almagor M: Survivors of the Holocaust and their children: current status and adjustment. J Pers Soc Psychol. 1981, 41: 502-516.CrossRef
19.
go back to reference Rieck M: The psychological state of Holocaust survivors’ offspring: An epidemiological and psycho-diagnostic study. Int J Behav Dev. 1994, 17: 649-667.CrossRef Rieck M: The psychological state of Holocaust survivors’ offspring: An epidemiological and psycho-diagnostic study. Int J Behav Dev. 1994, 17: 649-667.CrossRef
20.
go back to reference Magids DM: Personality comparison between children of hidden Holocaust survivors and American Jewish parents. J Psychol. 1998, 132: 245-254. 10.1080/00223989809599164.CrossRefPubMed Magids DM: Personality comparison between children of hidden Holocaust survivors and American Jewish parents. J Psychol. 1998, 132: 245-254. 10.1080/00223989809599164.CrossRefPubMed
21.
go back to reference Nadler A, Kav-Venaki S, Gleitman B: Transgenerational effects of the Holocaust: externalization of aggression in second-generation of Holocaust survivors. J Consult Clin Psychol. 1985, 53: 365-369.CrossRefPubMed Nadler A, Kav-Venaki S, Gleitman B: Transgenerational effects of the Holocaust: externalization of aggression in second-generation of Holocaust survivors. J Consult Clin Psychol. 1985, 53: 365-369.CrossRefPubMed
22.
go back to reference Felsen I: Erlich: Identification patterns of offspring of Holocaust survivors with their parents. Am J Orthopsychiatry. 1990, 60: 506-520.CrossRefPubMed Felsen I: Erlich: Identification patterns of offspring of Holocaust survivors with their parents. Am J Orthopsychiatry. 1990, 60: 506-520.CrossRefPubMed
23.
go back to reference Lichtman H: Parental communication of Holocaust experiences and personality characteristics among second-generation survivors. J Clin Psychol. 1984, 40: 914-924. 10.1002/1097-4679(198407)40:4<914::AID-JCLP2270400408>3.0.CO;2-U.CrossRefPubMed Lichtman H: Parental communication of Holocaust experiences and personality characteristics among second-generation survivors. J Clin Psychol. 1984, 40: 914-924. 10.1002/1097-4679(198407)40:4<914::AID-JCLP2270400408>3.0.CO;2-U.CrossRefPubMed
24.
go back to reference Wiseman H, Barber JP, Raz A, Yam I, Foltz C, Livne-Snir S: Parental communication of Holocaust experiences and interpersonal patterns in offspring of Holocaust survivors. Int J Behav Dev. 2002, 26: 371-381. 10.1080/01650250143000346.CrossRef Wiseman H, Barber JP, Raz A, Yam I, Foltz C, Livne-Snir S: Parental communication of Holocaust experiences and interpersonal patterns in offspring of Holocaust survivors. Int J Behav Dev. 2002, 26: 371-381. 10.1080/01650250143000346.CrossRef
25.
go back to reference Baron L, Reznikoff M, Glenwick DS: Narcisism, interpersonal adjustment and coping in children of Holocaust survivors. J Psychol. 1993, 127: 257-269. 10.1080/00223980.1993.9915560.CrossRefPubMed Baron L, Reznikoff M, Glenwick DS: Narcisism, interpersonal adjustment and coping in children of Holocaust survivors. J Psychol. 1993, 127: 257-269. 10.1080/00223980.1993.9915560.CrossRefPubMed
26.
go back to reference Sagi-Schwartz A, van IJzendoorn MH, Grossmann K, Joels T, Grossmann K, Scharf M, Koren-Karie N, Alkalay S: Attachment and traumatic stress in female Holocaust child survivors and their daughters. Am J Psychiatry. 2003, 160: 1086-1092. 10.1176/appi.ajp.160.6.1086.CrossRefPubMed Sagi-Schwartz A, van IJzendoorn MH, Grossmann K, Joels T, Grossmann K, Scharf M, Koren-Karie N, Alkalay S: Attachment and traumatic stress in female Holocaust child survivors and their daughters. Am J Psychiatry. 2003, 160: 1086-1092. 10.1176/appi.ajp.160.6.1086.CrossRefPubMed
27.
go back to reference Van IJzendoorn MH, Bakermans-Kranenburg MJ, Sagi-Schwartz A: Are children of Holocaust survivors less well-adapted? No meta-analytic evidence for secondary traumatization. J Trauma Stress. 2003, 16: 459-469. 10.1023/A:1025706427300.CrossRefPubMed Van IJzendoorn MH, Bakermans-Kranenburg MJ, Sagi-Schwartz A: Are children of Holocaust survivors less well-adapted? No meta-analytic evidence for secondary traumatization. J Trauma Stress. 2003, 16: 459-469. 10.1023/A:1025706427300.CrossRefPubMed
28.
go back to reference Sagi-Schwartz A, van IJzendoorn MH, Bakermans-Kranenburg MJ: Does intergenerational transmission of trauma skip a generation? No meta-analytic evidence for tertiary traumatization with the third generation of Holocaust survivors. Attach Hum Dev. 2008, 10: 105-121. 10.1080/14616730802113661.CrossRefPubMed Sagi-Schwartz A, van IJzendoorn MH, Bakermans-Kranenburg MJ: Does intergenerational transmission of trauma skip a generation? No meta-analytic evidence for tertiary traumatization with the third generation of Holocaust survivors. Attach Hum Dev. 2008, 10: 105-121. 10.1080/14616730802113661.CrossRefPubMed
30.
go back to reference Lee TY, Cheung CK, Kwong WM: Resilience as a positive youth development construct: a conceptual review. Sci World J. 2012, 390450: 9-10.1100/2012/390450. Lee TY, Cheung CK, Kwong WM: Resilience as a positive youth development construct: a conceptual review. Sci World J. 2012, 390450: 9-10.1100/2012/390450.
31.
go back to reference Bar-On D, Eland J, Kleber RJ, Krell R, Moore Y, Sagi A, Soriano E, Suedfeld P, Van der Velden PG, van IJzendoorn MH: Multigenerational perspectives on coping with the holocaust experience: An attachment perspective for understanding the developmental sequelae of trauma across generations. Int J Behav Dev. 1998, 22: 315-338. 10.1080/016502598384397.CrossRef Bar-On D, Eland J, Kleber RJ, Krell R, Moore Y, Sagi A, Soriano E, Suedfeld P, Van der Velden PG, van IJzendoorn MH: Multigenerational perspectives on coping with the holocaust experience: An attachment perspective for understanding the developmental sequelae of trauma across generations. Int J Behav Dev. 1998, 22: 315-338. 10.1080/016502598384397.CrossRef
32.
go back to reference Levav I, Kohn R, Schwartz S: The psychiatric after-effects of the Holocaust on the second generation [Editorial]. Psychol Med. 1998, 28: 755-760. 10.1017/S0033291797005813.CrossRefPubMed Levav I, Kohn R, Schwartz S: The psychiatric after-effects of the Holocaust on the second generation [Editorial]. Psychol Med. 1998, 28: 755-760. 10.1017/S0033291797005813.CrossRefPubMed
33.
go back to reference Phillips RE: Impact of Nazi Holocaust on children of survivors. Am J Psychother. 1978, 32: 370-378.PubMed Phillips RE: Impact of Nazi Holocaust on children of survivors. Am J Psychother. 1978, 32: 370-378.PubMed
34.
go back to reference Baider L, Peretz T, Hadani PE, Perry S, Avramov R, De Nour AK: Transmission of response to trauma? Second-generation Holocaust survivors’ reaction to cancer. Am J Psychiatry. 2000, 157: 904-910. 10.1176/appi.ajp.157.6.904.CrossRefPubMed Baider L, Peretz T, Hadani PE, Perry S, Avramov R, De Nour AK: Transmission of response to trauma? Second-generation Holocaust survivors’ reaction to cancer. Am J Psychiatry. 2000, 157: 904-910. 10.1176/appi.ajp.157.6.904.CrossRefPubMed
35.
go back to reference Solomon Z, Kotler M, Mikulincer M: Combat-related posttraumatic stress disorder among 2ndgeneration Holocaust survivors. Preliminary findings. Am J Psychiatry. 1988, 145: 865-868.CrossRefPubMed Solomon Z, Kotler M, Mikulincer M: Combat-related posttraumatic stress disorder among 2ndgeneration Holocaust survivors. Preliminary findings. Am J Psychiatry. 1988, 145: 865-868.CrossRefPubMed
36.
go back to reference Chaitin J: Facing the Holocaust in generations of families of survivors: the case of partial relevance and interpersonal values. Contemp Fam Ther. 2000, 22: 289-313. 10.1023/A:1007860507611.CrossRef Chaitin J: Facing the Holocaust in generations of families of survivors: the case of partial relevance and interpersonal values. Contemp Fam Ther. 2000, 22: 289-313. 10.1023/A:1007860507611.CrossRef
37.
go back to reference Chaitin J: Issues and interpersonal values among three generations in families of Holocaust survivors. J Soc Pers Relat. 2002, 19: 379-402. 10.1177/0265407502193005.CrossRef Chaitin J: Issues and interpersonal values among three generations in families of Holocaust survivors. J Soc Pers Relat. 2002, 19: 379-402. 10.1177/0265407502193005.CrossRef
38.
go back to reference Lev-Wiesel R: Intergenerational transmission of trauma across three generations: a preliminary study. Qual Soc Work. 2007, 6: 75-94. 10.1177/1473325007074167.CrossRef Lev-Wiesel R: Intergenerational transmission of trauma across three generations: a preliminary study. Qual Soc Work. 2007, 6: 75-94. 10.1177/1473325007074167.CrossRef
39.
go back to reference Braga LL, Fiks JP, Mari JJ, Mello MF: The importance of the concepts of disaster, catastrophe, violence, trauma and barbarism in defining posttraumatic stress disorder in clinical practice. BMC Psychiatry. 2008, 12: 68-75.CrossRef Braga LL, Fiks JP, Mari JJ, Mello MF: The importance of the concepts of disaster, catastrophe, violence, trauma and barbarism in defining posttraumatic stress disorder in clinical practice. BMC Psychiatry. 2008, 12: 68-75.CrossRef
40.
go back to reference Landau R, Litwin H: The effects of extreme early stress in very old age. J Trauma Stress. 2000, 13: 473-487. 10.1023/A:1007737425260.CrossRefPubMed Landau R, Litwin H: The effects of extreme early stress in very old age. J Trauma Stress. 2000, 13: 473-487. 10.1023/A:1007737425260.CrossRefPubMed
41.
go back to reference Glaser BG, Strauss A: A discovery of Grounded Theory. 1967, Strategies for Qualitative Research, Sociology Press Glaser BG, Strauss A: A discovery of Grounded Theory. 1967, Strategies for Qualitative Research, Sociology Press
42.
go back to reference Miles MB, Huberman AM: Qualitative Data Analysis: An expanded sourcebook. 1994, Sage, London & Thousand Oaks, California, 2 Miles MB, Huberman AM: Qualitative Data Analysis: An expanded sourcebook. 1994, Sage, London & Thousand Oaks, California, 2
43.
go back to reference Walker D, Myrick F: Grounded Theory: an exploration process and procedure. Qual Health Res. 2006, 16: 547-559. 10.1177/1049732305285972.CrossRefPubMed Walker D, Myrick F: Grounded Theory: an exploration process and procedure. Qual Health Res. 2006, 16: 547-559. 10.1177/1049732305285972.CrossRefPubMed
44.
go back to reference Strauss A, Corbin J: Basics of qualitative research: techniques and procedures for developing Grounded Theory. 1998, Sage Publications, Thousand Oaks, 2 Strauss A, Corbin J: Basics of qualitative research: techniques and procedures for developing Grounded Theory. 1998, Sage Publications, Thousand Oaks, 2
45.
go back to reference Shrira A, Palgi Y, Ben-Ezra M: Transgerational effects of trauma in midlife: evidence for for resilience and vulnerability in offspring of Holocaust survivors. Psychol Trauma Theory Res Pract Police. 2011, 3 (4): 394-402.CrossRef Shrira A, Palgi Y, Ben-Ezra M: Transgerational effects of trauma in midlife: evidence for for resilience and vulnerability in offspring of Holocaust survivors. Psychol Trauma Theory Res Pract Police. 2011, 3 (4): 394-402.CrossRef
46.
go back to reference Dekel R, Goldblatt H: Is there transgenerational transmission of trauma? The case of combat veteran’s children. Am J Orthopsychiatry. 2008, 78 (3): 281-289.CrossRefPubMed Dekel R, Goldblatt H: Is there transgenerational transmission of trauma? The case of combat veteran’s children. Am J Orthopsychiatry. 2008, 78 (3): 281-289.CrossRefPubMed
47.
go back to reference Fridman A, Bakermans-Kranenburg MJ, Sagi-Schwartz A, Van IJzendoorn MH: Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. Aging Ment Health. 2011, 15 (2): 232-242. 10.1080/13607863.2010.505232.CrossRefPubMed Fridman A, Bakermans-Kranenburg MJ, Sagi-Schwartz A, Van IJzendoorn MH: Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. Aging Ment Health. 2011, 15 (2): 232-242. 10.1080/13607863.2010.505232.CrossRefPubMed
48.
go back to reference Oppenheim-Gluckman H, Oppenheim D: Transmission de l’histoire familiale et des references identitaires dans les familles qui ont connu l’exil et la Shoah. L’Evolution Psychiatrique. 2008, 73: 145-57. 10.1016/j.evopsy.2007.11.002.CrossRef Oppenheim-Gluckman H, Oppenheim D: Transmission de l’histoire familiale et des references identitaires dans les familles qui ont connu l’exil et la Shoah. L’Evolution Psychiatrique. 2008, 73: 145-57. 10.1016/j.evopsy.2007.11.002.CrossRef
49.
go back to reference Wiseman H: On failed intersubjetivity: recollections of loneliness experiences in offspring of Holocaust survivors. Am J Orthopsychiatry. 2008, 78 (3): 350-358.CrossRefPubMed Wiseman H: On failed intersubjetivity: recollections of loneliness experiences in offspring of Holocaust survivors. Am J Orthopsychiatry. 2008, 78 (3): 350-358.CrossRefPubMed
50.
go back to reference Weiss E, O’Connell AG, Siiter R: Comparisons of second-generation Holocaust survivors, immigrants and nonimmigrants on measures of mental health. J Pers Soc Psychol. 1986, 50: 828-831.CrossRefPubMed Weiss E, O’Connell AG, Siiter R: Comparisons of second-generation Holocaust survivors, immigrants and nonimmigrants on measures of mental health. J Pers Soc Psychol. 1986, 50: 828-831.CrossRefPubMed
51.
go back to reference Ben-Ezra M, Palgi Y, Soffer Y, Shrira A: Mental health consequences of the 2011 Fukushima nuclear disaster: are the grandchildren of people living in Hiroshima and Nagasaki during the drop of the atomic bomb more vulnerable?. World Psychiatry. 2012, 11 (2): 133-10.1016/j.wpsyc.2012.05.011.CrossRefPubMedPubMedCentral Ben-Ezra M, Palgi Y, Soffer Y, Shrira A: Mental health consequences of the 2011 Fukushima nuclear disaster: are the grandchildren of people living in Hiroshima and Nagasaki during the drop of the atomic bomb more vulnerable?. World Psychiatry. 2012, 11 (2): 133-10.1016/j.wpsyc.2012.05.011.CrossRefPubMedPubMedCentral
Metadata
Title
Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors
Authors
Luciana Lorens Braga
Marcelo Feijó Mello
José Paulo Fiks
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-134

Other articles of this Issue 1/2012

BMC Psychiatry 1/2012 Go to the issue