Intergenerational transmission of trauma: what we have learned from our work with mother and infants affected by the trauma of 9/11.
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Female↗
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Intergenerational transmission of trauma: recent contributions from the literature of family systems approaches to treatment.
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Adult↗
The transmission of trauma across generations: identification with parental trauma in children of Holocaust survivors.
OBJECTIVE: This study examines the phenomenology of intergenerational transmission of trauma with the aim of elucidating the interactional process of transmission within an object relations framework. METHOD: The method consisted of systematic textual analysis of semi-structured interviews with six Jewish women born after the war who were children of concentration camp interned Holocaust survivors. RESULTS: Four superordinate themes were identified: heightened awareness of parents' Holocaust survivor status, parenting style, overidentification with parents' experiences and transmission of fear and mistrust. These were found despite the variation in parental communication. CONCLUSIONS: The data suggest that unconscious processes are at least partially involved in the transmission of trauma. A form of projective identification is proposed as an explanatory mechanism which brings together diverse aspects of the observed phenomena: projection by the parent of Holocaust-related feelings and anxieties into the child; introjection by the child as if she herself had experienced the concentration camps; and return of this input by the child in the form of compliant and solicitous behaviour associated with enmeshment and individuation problems. Further research may establish these phenomena as a particular form of Secondary Traumatic Stress Disorder.
Adult↗
The American Indian Holocaust: healing historical unresolved grief.
American Indians experienced massive losses of lives, land, and culture from European contact and colonization resulting in a long legacy of chronic trauma and unresolved grief across generations. This phenomenon, labeled historical unresolved grief, contributes to the current social pathology of high rates of suicide, homicide, domestic violence, child abuse, alcoholism and other social problems among American Indians. The present paper describes the concept of historical unresolved grief and historical trauma among American Indians, outlining the historical as well as present social and political forces which exacerbate it. The abundant literature on Jewish Holocaust survivors and their children is used to delineate the intergenerational transmission of trauma, grief, and the survivor's child complex. Interventions based on traditional American Indian ceremonies and modern western treatment modalities for grieving and healing of those losses are described.
Acculturation↗
Head start is too late: integrating and applying infant observation studies, and attachment, trauma, and neurobiological research to groups with pregnant and new mothers.
In this paper new knowledge generated from theoretical and empirical work in infant observation studies and attachment, trauma, and neurobiology research is integrated and applied to the development of a group for pregnant and new mothers. The purposes of this group were to (1) promote the establishment of a secure base for each baby through optimum self and dyadic affect regulation, the repair of ruptures, and the emergence of positive heightened affective moments; (2) to facilitate secure attachment between mother and infant by helping mothers mentalize the experiences of their babies; (3) to build affiliative bonds between group members and; at the very least, (4) to prevent insecure disorganized attachments. The group interactions also were thought to prevent new psychopathology from developing, as well as to minimize the intergenerational transmission of trauma. A discussion of how this group came out of gestation and birthed itself in a community setting is included.
Child, Preschool↗
How do women with a history of childhood sexual abuse experience the preconception and perinatal period? A qualitative systematic review.
CONTEXT: Child sexual abuse (CSA) is a public health issue that predominantly affects women and has both short- and long-term consequences. The perinatal period can represent a challenge, but also an opportunity to identify a history of CSA and to provide sensitive care that may help prevent the intergenerational transmission of trauma. AIM: To describe and understand the experiences and coping strategies of women who are survivors of child sexual abuse and are transitioning to motherhood. METHOD: We conducted a systematic review of qualitative studies according to a protocol registered in PROSPERO, following methodological standards and reporting the results according to the ENTREQ guideline. A search was conducted on five databases up to July 2025. Two authors independently selected the articles and assessed their methodological quality. Data were analysed using thematic synthesis and the confidence in the findings was evaluated according to GRADE-CERQual. RESULTS: We included 21 qualitative studies that resulted in six themes. The findings reveal how women who experienced child sexual abuse and are transitioning to motherhood may experience this stage with ambivalence-ranging from revictimisation to identity reconstruction-where perinatal care emerges as a potential healing vehicle throughout this process. CONCLUSIONS: The perinatal period becomes a window of opportunity to heal deep wounds, with perinatal care playing a key role. The findings support trauma-informed perinatal care, underpinned by reflective practice and a holistic approach. Further work is needed to improve the identification of child sexual abuse, enhance professional training and review current practices to ensure sensitive care.
Humans↗
Gender in linear and nonlinear history.
In response to Helen Gediman's notion of premodern, modern, and postmodern eras in the study of gender, an argument is made for a non-linear approach to this history and for situating it in the context of other historical developments-social, personal, intellectual, and institutional. Differences among modern and postmodern positions in the matter of the role of the body and of social construction are discussed. The impact of transgender and intersex communities and voices on psychoanalytic thinking is examined, as are the elements of intergenerational transmission of trauma on gender experience both conscious and unconscious.
Female↗
Development of dissociation: examining the relationship between parenting, maternal trauma and child dissociation.
While many studies have demonstrated relationships between trauma and dissociation, relatively little is known about other factors that may increase children's risk for developing dissociative symptoms. Drawing on betrayal trauma theory and Discrete Behavioral States frameworks, the current study examined the contributions of maternal factors (including mothers' dissociation, betrayal trauma experiences, and inconsistent parenting) to children's dissociation. Seventy-two mother-child dyads completed self-report questionnaires. Maternal dissociation was found to relate positively to maternal betrayal trauma history. Additionally, both mothers' and children's betrayal trauma history were found to significantly predict children's dissociation. Implications for the intergenerational transmission of betrayal trauma and dissociation are discussed.
Adult↗
Psychotrauma and reconciliation.
Our goal was to analyze the phenomenon of intergenerational transmission of trauma-related feelings and propose a way to alleviate this process through reconciliation of conflicted groups. The genesis of psychotrauma, with respect to the organism's defensive barrier being pierced by too strong external impulses, is discussed in terms of activation of the death instinct or by reactivation of childhood trauma. Genesis of the group trauma is explained in terms of chosen trauma, ie, activation of ancient national or other large group traumas, leading to the creation of malignant prejudices and hyper-activation of the social unconscious. Development of hatred, guilt, shame, and a need for revenge is illustrated with a number of examples from the 1991-1995 war in Croatia and the Holocaust, together with the influence they bear on an individual and a group. Therapy of psychotrauma could be a possible means of prevention of intergenerational transmission of traumatic emotions. Special attention is given to the retraumatization of Croatian war veterans in terms of the influence it exerts on future generations. A therapeutic model developed on the basis of eight years of clinical experience, designed specifically for veterans with posttraumatic stress disorder, is presented. The mechanism of intergenerational transmission of traumatic emotions as understood mainly through clinical experience in work with second-generation Holocaust victims is discussed.
Adaptation, Psychological↗
Maternal mental representations of the child in an inner-city clinical sample: violence-related posttraumatic stress and reflective functioning.
Parental mental representations of the child have been described in the clinical literature as potentially useful risk-indicators for the intergenerational transmission of violent trauma. This study explored factors associated with the quality and content of maternal mental representations of her child and relationship with her child within an inner-city sample of referred, traumatized mothers. Specifically, it examined factors that have been hypothesized to support versus interfere with maternal self- and mutual-regulation of affect: posttraumatic stress disorder (PTSD) and maternal reflective functioning (RF). More severe PTSD, irrespective of level of RF, was significantly associated with the distorted classification of non-balanced mental representations on the Working Model of the Child Interview (WMCI) within this traumatized sample. Higher Levels of RF, irrespective of PTSD severity, were significantly associated with the balanced classification of maternal mental representations on the WMCI. Level of maternal reflective functioning and severity of PTSD were not significantly correlated in this sample. Clinical implications are discussed.
Adolescent↗
Putting into words, putting to rest and putting aside the ancestors. How an analysand who was heir to the Armenian genocide of 1915 worked through mourning.
The author discusses the intergenerational psychic transmission of collective trauma on the basis of her personal experience as a descendant of victims of the Armenian genocide of 1915. She shows how the processes of transmission are encumbered within a diaspora community such as hers by the incorporation of objects in the throes of mourning, the invalidation of prohibitions by murder-become-law, and lack of differentiation between the sexes. A parallel is drawn between the characteristic secrecy of the genocidal project on the part of the perpetrators and the sense of illegitimacy of the victims' descendants, exacerbated in the case of the Armenian catastrophe by the refusal of the state that inherited the genocide to confess to it and consequently its erasure from Western consciousness. The author describes how she was enabled to emerge from confinement in the trauma by her French schooling and her analysis, and subsequently became able to work through mourning and writing, by divulging the secret and in particular the publication of her father's deportation diary. The written text is seen as a shroud in which the dead can finally be interred. Presenting an episode from her schooldays, she demonstrates the importance of her immersion in French culture in allowing her to achieve the necessary linguistic and psychic distance from her heritage.
Armenia↗
Mediators of the Association Between a Parent's Experience of Trauma and Their Children's Well-Being: A Systematic Review.
At present, our understanding of trauma's complexity is underdeveloped, particularly with regard to intergenerational effects. In this paper, we review peer-reviewed literature on parental trauma and child well-being, focusing on mediating factors. We conducted a global systematic review of longitudinal, observational studies assessing mediators between a parent's traumatic exposure and their children's well-being. The primary outcome of the review was quantitative measures of child well-being (physical and psycho-social) assessed when the child was 18 years or under. We considered the following experiences as trauma exposures: intimate partner violence, rape, sexual assault, victimization during violent crime, childhood abuse, and exposure to direct, immediate threats to personal survival during war, political unrest, natural disasters, and sudden, critical injury/illness. Thirty-two studies met our inclusion criteria. The two most common mediator categories were caregiver mental health (n = 13) and parenting behavior (n = 10). Other studies measured aspects of the parent-child relationship (n = 9), maternal stress factors (n = 5), parental physical health (n = 2), and child-level factors (n = 6) as mediators. Almost all included studies (n = 28) detected a mediation effect. The majority of studies (n = 21) cited robust theoretical frameworks to support their mediator and outcome choices. Studies varied in quality, but most used appropriate, formal mediation analyses. Several study designs could be enhanced by methods to improve precision and reduce bias. Currently, there is little consistency in how similar constructs are measured between mediation studies. We did not locate any studies in low-income countries, and few studies examined aspects of family dynamics, physical health, environmental characteristics, or paternal factors.
Humans↗
Narcissism, interpersonal adjustment, and coping in children of Holocaust survivors.
We tested the theory of intergenerational transmission, which suggests that the Holocaust trauma, combined with circumstances in the survivors' lives (early loss of a parent, was a child survivor, had a hiding experience) and circumstances in their children's lives (having a father who survived, being the first-born or only child, and not participating in a children of survivors group) would result in poorer interpersonal adjustment and coping and greater narcissism than in children of survivors without these circumstances and children of parents who imigrated from Europe before World War II. Three hundred fifty children (241 children of Holocaust survivors and 109 children o escaped European-born partners) completed four scales of the California Psychological Inventory (Gough, 1988), the O'Brien Multiphasic Narcissism Inventory (O'Brien, 1987), and the Hardiness scale (Kobasa & Puccetti, 1983). The results failed to support the attribution of adjustment and personality differences in children of survivors to survivor status.
Adaptation, Psychological↗
Secondary trauma: assessing inter-generational transmission of war experiences with a modified Stroop procedure.
Intergenerational transmission of war experiences was assessed using a modified Stroop task. Adult children of war veterans and those of nonveterans named the colors in which war related words were printed. They also named the colors of neutral, positive, and OCD related words in addition to color naming a series of zeros contained on a control card. All participants completed the MMPI-II PTSD Scale, the Impact of Event Scale, and a demographic questionnaire. A statistically significant difference between the children of veterans and nonveterans was found only on the Stroop card containing war related words. Results suggest that the modified Stroop task is a sensitive measure that may have value in assessing transmission of war experiences from parents to children.
Adolescent↗
Childhood experiences of trauma and loss have different relations to maternal Unresolved and Hostile-Helpless states of mind on the AAI.
This study of 45 high-risk mothers and infants examined the current indirect effects model of intergenerational transmission of disorganized attachment, which posits that maternal childhood experiences of loss or trauma contribute to maternal states of mind on the AAI which in turn contribute to infant disorganization. The severity of experiences of both abuse and loss were examined in relation to both Unresolved states of mind and Hostile-Helpless states of mind on the AAI and to infant disorganization at both 12 and 18 months. Neither the experience of parental death in childhood nor the severity of abuse in childhood was related to Unresolved states of mind on the AAI. Instead, an Unresolved state of mind and the experience of parental death contributed independently and additively to the prediction of infant disorganization at 12 months. At 18 months, an indirect effects model was supported in relation to Hostile-Helpless but not Unresolved states of mind, in that severity of trauma had no direct relation to infant disorganization but severity of trauma was related to Hostile-Helpless states of mind which in turn predicted infant disorganization. Unresolved states of mind and experiences of parental loss did not add to prediction of disorganization at 18 months. The findings suggest that the influence of maternal trauma on infant attachment may become more prominent at 18 months as the infant makes the transition to toddlerhood. The results also suggest that a more complex etiologic model may be needed of the aspects of early experience that contribute to adult Unresolved states of mind on the AAI.
Child Behavior Disorders↗
[Early appearance and intergenerational transmission of maternal traumatization within the context of mother-infant interaction].
At the age of 9 weeks a girl was presented by her mother because of intolerable hysterical attacks' triggering maternal impulses of abuse. Maternal perception of her infant was distorted to the extent that the mother was reexperiencing encounters with her own intrusive and traumatizing mother in the face of her screaming child. She also perceived the infant's motor impulses as physical transgressions against herself and expressed intense anxieties about her daughter's future aggressive potential. The infant was viewed by her mother as extraordinarily and dangerously greedy. Even neutral infantile vocalizations were perceived as manipulating and sadistic. She tried to ward off these anxieties by employing a rigid scheme of rules and obsessively controlling the father's and grandmother's interaction with the child. The mother feared to be overwhelmed by the infant's needs if she'd yield to them in a flexible way. A background of early neglect and trauma experienced by the mother is illustrated considering recent literature about early intergenerational transmission of traumatic experiences in order to demonstrate treatment modalities in view of protective and risk factors.
Adult↗
Parent-Child Communication after Parental Exposure to Potentially Traumatic Events: A Systematic Review.
Intergenerational traumatization poses a risk for the well-being of children whose parents have been exposed to potentially traumatic events (PTEs). Previous research has implied that parent-child communication may significantly contribute to the transmission of trauma across generations, but findings remain limited and inconclusive, particularly regarding the mechanisms and factors that could underlie this process. Therefore, the present paper performed a mixed methods systematic literature review to methodically map how PTE-exposed parents communicate with their children-both in general and about parental PTEs-and how such communication may contribute to trauma transmission. Five electronic databases were accessed to conduct keyword-led searches, yielding a final inclusion of 31 peer-reviewed, empirical studies that investigated parent-child communication among PTE-exposed parents and/or their nonexposed children. Parental PTE exposure was found to have a negative impact on general parent-child communication, often due to the presence of parental anger, irritability, and withdrawal. Conversations about parental PTEs showed substantial diversity in their frequency, content and style, with strategies of partial/modulated disclosure appearing most common. How parents approached PTE communication frequently stemmed from a desire to keep their children safe and unburdened by their previous experiences. Finally, both general communication and PTE communication were implied to contribute to trauma transmission, revealing a significant impact of parent-child communication on child functioning, identity, and well-being. Based on these key findings, the authors discuss meaningful implications for future research (i.e., prospective directions, addressing methodological concerns) and formulate suggestions for clinicians and policymakers surrounding the treatment of PTE-exposed parents and their offspring.
Humans↗
Psychobiological dysregulation in violence-exposed mothers: salivary cortisol of mothers with very young children pre- and post-separation stress.
UNLABELLED: To understand the determinants of frightening/frightened and other atypical maternal behavior, the authors studied a sample of 41 inner-city mothers of very young children (ages 8-50 months), the mothers of whom had lifetime histories of interpersonal violent trauma (i.e., physical or sexual abuse, and domestic violence) and related posttraumatic stress. METHOD: The authors measured (1) maternal salivary cortisol levels before and 30 minutes after a videotaped play paradigm with their children, involving two separations and reunions; and (2) cortisol reactivity 30 minutes after separation stress. Data were analyzed using Pearson bivariate correlations, ANOVA, and multiple linear regressions. RESULTS: Salivary cortisol "baseline" values were significantly negatively correlated with childhood interpersonal violent trauma severity (i.e., trauma severity prior to age 16). However, cortisol reactivity was not significantly correlated with interpersonal violent trauma severity at this level of analysis. Although baseline salivary cortisol values were not significantly correlated with current overall psychiatric or depressive symptoms, they were negatively correlated with severity of current posttraumatic stress symptoms (PTSS) and with dissociative symptoms. Neither dimensions of negativity nor distortion of maternal attributions showed any significant association with prestress or poststress salivary cortisol levels. Salivary cortisol baseline was negatively correlated with atypical maternal behavior via measurement of the level of disrupted communication, at a trend-level of significance. CONCLUSIONS: Violent trauma-associated dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis may be a marker for increased risk for intergenerational transmission via parenting behavior with young children. Low salivary cortisol prior to separation stress and blunted cortisol reactivity to separation may also be markers for posttraumatic stress.
Adult↗