IMPORTANCE OF PSYCHODYNAMIC REFERENCE FACTORS IN PSYCHOPATHOGENESIS IN PERSONS PERSECUTED BY THE NAZI REGIME IN CHILDHOOD

This study focusses on psychiatric disorders following extreme traumatisation experienced by children born during the Holocaust in World War II. According to numerous epidemiological investigations and case studies on survivors who lived through the Holocaust as children or in adulthood, these traumatic experiences are associated with a higher risk for various psychiatric disturbances during the entire life span. Besides the extreme psychological and physical distress during persecution and following traumatisation (parent-child-separation, discrimination while living in other countries) the coping with the trauma and the development of autonomy and ego-strength is additionally impaired by the specific psychodynamics of families with psychologically altered and disturbed parents. Objective: What sort of psychodynamic parent-child relationships developed during traumatisation and after the war in subjects currently suffering from chronical impairment of mental health? Method: Retrospective analysis of 22 cases with applications for pensions of invalids evaluated by diagnostic categories. Results: The implicit pressure on the children to be sensitive to the needs of their deprived parents places a sense of guilt on their attempts to develop autonomy. The parents were experienced as restrictive or overprotective on the one hand or liable to be rejected or to be intolerant on the other. The suffering and trauma continues to be perceived in family communication to the extent that coping with loss of relatives and the development of independence are impaired. Conclusion: The results are discussed critically in terms of current procedures for expertising on pension applications.