This paper explores an aspect of "enactment" often seen in Holocaust survivors' offspring: the compulsion to re-create their parents' experiences in their own lives through concrete acts. At the core of this compulsion is a psychic hole, a gap in the child's emotional understanding, stemming from identification with the parents on one hand, and the parents' denial or repression of the trauma on the other. The compulsion to enact can be transformed into a cognitive mode when such offspring are helped to find the meaning of the trauma in their parents' lives, as is illustrated here by clinical examples.
The role of the analyst in psychoanalytic treatment during periods of chronic crises is illustrated with material from two case studies. The first clinical vignette shows an analyst able to stay with fears evoked in the patient by the traumatic external reality, even as the analyst tried to explore with the patient an inner universe that handled this reality in unique ways. The second case study focuses on how the analyst's countertransference during this period of chronic crises, which she was experiencing along with the patient, made it difficult for her to contain the patient's fears and anxieties, because of the threat to her own existence, as well as to her identity as an analyst. In this second case the analyst, out of denial of the external situation, focused blindly on the patient's internal reality in order to counteract her own sense of passivity and helplessness in the confrontation with death and destruction. She clung to "classical" analysis by trying to analyze the patient's defenses, work them through, etc., thus making so-called analytic interpretations rather than staying with the patient's fear, as well as her own, and helping the patient more directly. A turning point came with the birth of the analyst's granddaughter; fear for the new arrival's safety made the analyst sharply aware that it is impossible to ignore external reality, that it must be given a place both in everyday life and in analysis. This awareness enabled the analyst to contain the patients' fears, which helped him feel more supported and facilitated change.
This paper explores the link between anti-Semitism and xenophobia from a psychoanalytic prism. The author claims that anti-Semitism is a particular form of xenophobia directed against Jews, with some unique characteristics. She first introduces some basic notions about xenophobia, and then discusses the origins of anti-Semitism as they are viewed in early psychoanalytic thinking and in contemporary psychoanalysis. The article explores the nature of anti-Semitism in society today, and presents some reflections on the interplay between anti-Semitism and other kinds of xenophobia.
Violent behavior in correctional facilities is common and differs substantially in type, target, implication, and trigger. Research on frequency and characteristics of violent behavior in correctional facilities and psychiatric hospitals is limited. Results from recent research suggest that comorbidity of severe mental disorder, personality disorder, and diagnosis of substance abuse is related to a higher risk of violent behavior. In the Berlin prison hospital, a database was created to collect data from all violent incidences (n=210) between 1997 and 2006 and between 2010 and 2016. In a retrospective, case-control study, we analyzed specific socioeconomic data and psychiatric diagnosis and compared the group of prisoners with violent behavior with randomly selected prisoners of the same department without violent behavior (n = 210). Diagnosis of schizophrenia, non-German nationality, no use of an interpreter, no children, and no previous sentence remained significantly associated with the dependent variable violent behavior. There were no significant differences regarding age and legal statuses. Practical implications for clinical work are discussed.
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