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Transgenerational trauma is the psychological and physiological effects that the trauma experienced by people has on subsequent generations in that group. The primary mode of transmission is the shared family environment of the infant causing
psychological Psychology is the scientific study of mind and behavior. Its subject matter includes the behavior of humans and nonhumans, both consciousness, conscious and Unconscious mind, unconscious phenomena, and mental processes such as thoughts, feel ...
,
behavior Behavior (American English) or behaviour (British English) is the range of actions of Individual, individuals, organisms, systems or Artificial intelligence, artificial entities in some environment. These systems can include other systems or or ...
al and
social Social organisms, including human(s), live collectively in interacting populations. This interaction is considered social whether they are aware of it or not, and whether the exchange is voluntary or not. Etymology The word "social" derives fro ...
changes in the individual. Collective trauma is when
psychological trauma Psychological trauma (also known as mental trauma, psychiatric trauma, emotional damage, or psychotrauma) is an emotional response caused by severe distressing events, such as Major trauma, bodily injury, Sexual assault, sexual violence, or ot ...
experienced by communities and identity groups is carried on as part of the group's
collective memory Collective memory is the shared pool of memories, knowledge and information of a social group that is significantly associated with the group's identity. The English phrase "collective memory" and the equivalent French phrase "la mémoire collect ...
and shared sense of identity. For example, collective trauma was experienced by Jewish Holocaust survivors and other members of the Jewish community at the time, by the Indigenous Peoples of Canada during the
Canadian Indian residential school system The Canadian Indian residential school system was a network of boarding schools for Indigenous peoples. The network was funded by the Canadian government's Department of Indian Affairs and administered by various Christian churches. The sch ...
and by
African Americans African Americans, also known as Black Americans and formerly also called Afro-Americans, are an American racial and ethnic group that consists of Americans who have total or partial ancestry from any of the Black racial groups of Africa ...
who were enslaved. When this collective trauma affects subsequent generations, it is called transgenerational trauma. For example, if
Jewish people Jews (, , ), or the Jewish people, are an ethnoreligious group and nation, originating from the Israelites of ancient Israel and Judah. They also traditionally adhere to Judaism. Jewish ethnicity, religion, and community are highly inte ...
experience extreme stress or practice
survivalism Survivalism is a social movement of individuals or groups (called survivalists, doomsday preppers or preppers) who proactively prepare for emergencies, such as natural disasters, and other disasters causing disruption to social order (that is, ...
out of fear of another
Holocaust The Holocaust (), known in Hebrew language, Hebrew as the (), was the genocide of History of the Jews in Europe, European Jews during World War II. From 1941 to 1945, Nazi Germany and Collaboration with Nazi Germany and Fascist Italy ...
, despite being born after the Holocaust, then they are experiencing transgenerational trauma. Transgenerational trauma can be a collective experience that affects groups of people who share a
cultural identity Cultural identity is a part of a person's identity (social science), identity, or their self-conception and self-perception, and is related to nationality, ethnicity, religion, social class, generation, Locality (settlement), locality, gender, o ...
(e.g.,
ethnicity An ethnicity or ethnic group is a group of people with shared attributes, which they Collective consciousness, collectively believe to have, and long-term endogamy. Ethnicities share attributes like language, culture, common sets of ancestry, ...
,
nationality Nationality is the legal status of belonging to a particular nation, defined as a group of people organized in one country, under one legal jurisdiction, or as a group of people who are united on the basis of culture. In international law, n ...
, or
religious identity Religious identity is a specific type of identity formation. Particularly, it is the sense of group membership to a religion and the importance of this group membership as it pertains to one's self-concept. Religious identity is not necessarily th ...
). It can also be applied to single families or individual parent–child dyads. For example, survivors of individual
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
and both direct survivors of the collective trauma and members of subsequent generations individually may develop
complex post-traumatic stress disorder Complex post-traumatic stress disorder (CPTSD, cPTSD, or hyphenated C-PTSD) is a stress-related mental disorder generally occurring in response to complex traumas (i.e., commonly prolonged (or repetitive) exposure to a traumatic event (or trau ...
. Examples of this include collective trauma experienced by descendants of the
Atlantic slave trade The Atlantic slave trade or transatlantic slave trade involved the transportation by slave traders of Slavery in Africa, enslaved African people to the Americas. European slave ships regularly used the triangular trade route and its Middle Pass ...
;
segregation Segregation may refer to: Separation of people * Geographical segregation, rates of two or more populations which are not homogenous throughout a defined space * School segregation * Housing segregation * Racial segregation, separation of human ...
and
Jim Crow The Jim Crow laws were state and local laws introduced in the Southern United States in the late 19th and early 20th centuries that enforced racial segregation, " Jim Crow" being a pejorative term for an African American. The last of the ...
laws in the United States;
apartheid Apartheid ( , especially South African English:  , ; , ) was a system of institutionalised racial segregation that existed in South Africa and South West Africa (now Namibia) from 1948 to the early 1990s. It was characterised by an ...
in South Africa; the
Scramble for Africa The Scramble for Africa was the invasion, conquest, and colonialism, colonisation of most of Africa by seven Western European powers driven by the Second Industrial Revolution during the late 19th century and early 20th century in the era of ...
,
Armenian genocide The Armenian genocide was the systematic destruction of the Armenians, Armenian people and identity in the Ottoman Empire during World War I. Spearheaded by the ruling Committee of Union and Progress (CUP), it was implemented primarily t ...
survivors, Jewish Holocaust survivors and other members of the Jewish community at the time;
Bosnian war The Bosnian War ( / Рат у Босни и Херцеговини) was an international armed conflict that took place in Republic of Bosnia and Herzegovina, Bosnia and Herzegovina between 1992 and 1995. Following several earlier violent incid ...
survivors; by the First Peoples of Canada during the
Canadian Indian residential school system The Canadian Indian residential school system was a network of boarding schools for Indigenous peoples. The network was funded by the Canadian government's Department of Indian Affairs and administered by various Christian churches. The sch ...
; by Native Americans when they were forcibly displaced and removed from their land; and in Australia, the
Stolen Generations The Stolen Generations (also known as Stolen Children) were the children of Aboriginal Australians, Australian Aboriginal and Torres Strait Islanders, Torres Strait Islander descent who were removed from their families by the Australian Gover ...
and other hardships inflicted on
Aboriginal and Torres Strait Islander Indigenous Australians are people with familial heritage from, or recognised membership of, the various ethnic groups living within the territory of contemporary Australia prior to History of Australia (1788–1850), British colonisation. The ...
peoples. Descendants of survivors may experience extreme stress, leading to a variety of other consequences. While transgenerational trauma gained attention in recent decades, the hypothesis of an
epigenetic In biology, epigenetics is the study of changes in gene expression that happen without changes to the DNA sequence. The Greek prefix ''epi-'' (ἐπι- "over, outside of, around") in ''epigenetics'' implies features that are "on top of" or "in ...
mechanism remains controversial due to a lack of rigorous experimental results on humans.


History

This field of research is relatively young, but has been expanded since the mid-2000s. Intergenerational trauma was first recognized in the children of Holocaust survivors. In 1966, psychologists began to observe large numbers of children of Holocaust survivors seeking mental help in clinics in Canada. The grandchildren of Holocaust survivors were overrepresented by 300% among the referrals to a psychiatry clinic in comparison with their representation in the general population. Since then, transgenerational trauma has been noted amongst descendants of African-Americans forced into slavery,
Native American genocide The destruction of Native Americans in the United States, Native American peoples, cultures, and languages has been characterized as genocide. Debates are ongoing as to whether the entire process or only specific periods or events meet the genoc ...
survivors, war survivors,
refugee A refugee, according to the United Nations High Commissioner for Refugees (UNHCR), is a person "forced to flee their own country and seek safety in another country. They are unable to return to their own country because of feared persecution as ...
s, survivors of
domestic violence Domestic violence is violence that occurs in a domestic setting, such as in a marriage Marriage, also called matrimony or wedlock, is a culturally and often legally recognised union between people called spouses. It establishes r ...
, and many other groups that have experienced collective distress. Research on possible biological mechanisms for inheritance of trauma began in the late 1990s. It has been suggested that traumatic stress can be passed down to future generations via epigenetics. However, the effect is difficult to separate from environmental and cultural transmission and conclusive evidence that it occurs in humans has yet to be found. Although methylation of stress-related genes in humans may affect development, there is no evidence that these changes in humans are passed on to subsequent generations. Methylation is normally erased when an egg cell is fertilized.


Definitions and description

Transgenerational trauma is a collective experience that affects groups of people because of their
cultural identity Cultural identity is a part of a person's identity (social science), identity, or their self-conception and self-perception, and is related to nationality, ethnicity, religion, social class, generation, Locality (settlement), locality, gender, o ...
(e.g.,
ethnicity An ethnicity or ethnic group is a group of people with shared attributes, which they Collective consciousness, collectively believe to have, and long-term endogamy. Ethnicities share attributes like language, culture, common sets of ancestry, ...
,
nationality Nationality is the legal status of belonging to a particular nation, defined as a group of people organized in one country, under one legal jurisdiction, or as a group of people who are united on the basis of culture. In international law, n ...
, or
religious identity Religious identity is a specific type of identity formation. Particularly, it is the sense of group membership to a religion and the importance of this group membership as it pertains to one's self-concept. Religious identity is not necessarily th ...
). Because of its collective nature, the term is not usually applied to single families or individual parent–child dyads. However, like survivors of individual
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
, individually, both direct survivors of the collective trauma and members of subsequent generations may develop
complex post-traumatic stress disorder Complex post-traumatic stress disorder (CPTSD, cPTSD, or hyphenated C-PTSD) is a stress-related mental disorder generally occurring in response to complex traumas (i.e., commonly prolonged (or repetitive) exposure to a traumatic event (or trau ...
. Trauma may be transmitted socially (e.g., through learned behaviors) or through the effects of stress on development before birth (inc. increased smoking/alcohol use).


Historical trauma

Historical trauma, a sub-type of transgenerational trauma, is the collective devastation of the past that continues to affect populations in the present through inter-generational transmission. Historical trauma results in vulnerability to mental and physical health problems due to ancestral suffering which has been collected throughout generations into "legacies of disability for contemporary descendants". Although the actual traumatic event and affect group(s) are heterogeneous, all historical traumas consist of three elements: a traumatic event, a resulting collective suffering, and a multigenerational impact of that trauma. Over time the trauma and relationship to the victims typically evolve in a similar but more complicated way to genetic anticipation, resulting in a greater loss of identity of the victims and further integration into society. For individual victims, historical trauma often manifests in four ways: depression, hyper-vigilance, traumatic bond formation, and reenactment of the trauma. Building upon the clinical observations by Selma Fraiberg, child trauma researchers such as Byron Egeland, Inge Bretherton, and Daniel Schechter have empirically identified psychological mechanisms that favor intergenerational transmission, including dissociation in the context of attachment, and "communication" of prior traumatic experience as an effect of parental efforts to maintain self-regulation in the context of
post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental disorder that develops from experiencing a Psychological trauma, traumatic event, such as sexual assault, domestic violence, child abuse, warfare and its associated traumas, natural disaster ...
and related alterations in social cognitive processes.


Symptoms

Symptoms of intergenerational trauma always begins with the survivor of a trauma, which tend to manifest as symptoms of
PTSD Post-traumatic stress disorder (PTSD) is a mental disorder that develops from experiencing a traumatic event, such as sexual assault, domestic violence, child abuse, warfare and its associated traumas, natural disaster, traffic collision, ...
. Oftentimes trauma in the second generation is deemed as a traumatic response to parental trauma. Transmission between the parent and child can be broken down into five measures: communication, conflict, family cohesion, parental warmth, and parental involvement. High levels of maternal stress were directly correlated with weak family functioning and indirectly correlated with deviant behavior among children. Common symptoms in children consisted of depression, antisocial behavior, delinquency, and disruptive behavior in school. Some children experienced direct transmission in which their trauma stemmed from the interactions and relationships with their parents, while others experienced indirect transmission in which their trauma was mainly rooted in guilt. Those who were affected through direct transmission were more likely to lash out through their actions, while those who were affected through indirect transmission were more likely to develop depression, anxiety, and guilt. Symptoms also differed based on ethnicity and type of original trauma.
Enslavement Slavery is the ownership of a person as property, especially in regards to their labour. Slavery typically involves compulsory work, with the slave's location of work and residence dictated by the party that holds them in bondage. Enslavemen ...
,
genocide Genocide is violence that targets individuals because of their membership of a group and aims at the destruction of a people. Raphael Lemkin, who first coined the term, defined genocide as "the destruction of a nation or of an ethnic group" by ...
,
domestic violence Domestic violence is violence that occurs in a domestic setting, such as in a marriage Marriage, also called matrimony or wedlock, is a culturally and often legally recognised union between people called spouses. It establishes r ...
,
sexual abuse Sexual abuse or sex abuse is abusive sexual behavior by one person upon another. It is often perpetrated using physical force, or by taking advantage of another. It often consists of a persistent pattern of sexual assaults. The offender is re ...
, and
extreme poverty Extreme poverty is the most severe type of poverty, defined by the United Nations (UN) as "a condition characterized by severe deprivation of basic human needs, including food, safe drinking water, sanitation facilities, health, shelter, ...
are all common sources of trauma that lead to intergenerational trauma. A lack of therapy also worsens symptoms and can lead to transmission. For instance, survivors of
child sexual abuse Child sexual abuse (CSA), also called child molestation, is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include engaging in Human sexual activity, sexual activit ...
may negatively influence future generations due to their past unresolved trauma. This can lead to increased feelings of mistrust, isolation, and loneliness. Descendants of enslaved persons when faced with racism-motivated violence, microaggressions, or outward racism, react as if they were faced with the original trauma that was generationally transmitted to them. There are a variety of stressors in one's life that led to this PTSD-like reaction such as varying racist experiences, daily stressors, major race-related life events, or collective racism or traumas. This also presents itself in parenting styles. Goodman and West-Olatunji proposed potential transgenerational trauma in the aftermath of natural disasters. In a post-
Hurricane Katrina Hurricane Katrina was a powerful, devastating and historic tropical cyclone that caused 1,392 fatalities and damages estimated at $125 billion in late August 2005, particularly in the city of New Orleans and its surrounding area. ...
New Orleans, residents have seen a dramatic increase in interpersonal violence with higher mortality rates. This phenomenon has been also been reported in the descendants of Indigenous students at residential schools, who were removed from their parents and extended family and lacked models for parenting as a result. Being punished for speaking their native language and forbidden from practicing traditional rituals had a traumatic effect on many students, and child abuse was rampant in the schools as well. Symptoms of transgenerational trauma have in recent years been identified among black Americans, in relation to the effects of slavery and racial discrimination. This passing of trauma can be rooted from the family unit itself, or found in society via current discrimination and
oppression Oppression is malicious or unjust treatment of, or exercise of power over, a group of individuals, often in the form of governmental authority. Oppression may be overt or covert, depending on how it is practiced. No universally accepted model ...
. The traumatic event does not need to be individually experienced by all members of a family; the lasting effects can still remain and impact descendants from external factors. For example, black children's internalization of others' reactions to their skin color manifests as a form of lasting trauma originally experienced by their ancestors. This reaction to black skin stems from similar attitudes that led to the traumatizing conditions and enslavement of slaves. Black children and youth are more susceptible to racial trauma because they have not yet acquired the knowledge to have a full understanding of racism and its effects. However, these traumatizing behaviors experienced at such a young age are a reflection of a child's parenting. A White child may learn racist behaviors from their environment, but by the same token a black child can learn to assert their blackness and how to respond to racist remarks and actions from their parents. Traces of trauma have an impact on black and other minority children's success in an educational context. Transgenerational trauma has also been heavily recorded in refugees and their children, which can last through several generations. Such traumas can stem from violence, political persecution, familial instability, as well as the hardships of migration.


Affected groups


Descendants of enslaved people

In general, black Americans who have any mental illness are resistant to receiving treatment due to stigma, negative conceptions, and fear of discrimination. This reduces the number of those affected to seek help. Lack of treatment causes the symptoms to compound leading to further internalization of distress and a worsening of mental health in the individual. Those affected by race-based trauma oftentimes do not seek treatment not only because of stigma but because of fear that the medical professional will not understand their perspective of a disenfranchised minority. Furthermore, the existing stigma of mental health has led to a lack of research and consequently treatment. However, lack of treatment can also be attributed to the misdiagnosis of symptoms. Signs of trauma exhibited in black children are often labeled as behavioral or educational disabilities, allowing the trauma to go untreated. While trauma symptoms often manifest as other mental illnesses such as depression and anxiety, the larger diagnosis often goes untreated.


Koreans

is a concept of an emotion, variously described as some form of grief or resentment, among others, that is said to be an essential element of Korean identity by some, and a modern post-colonial identity by others. Michael D. Shin argues that the central aspect of is loss of identity, and defines ' as "the complex of emotions that result from the traumatic loss of collective identity". ' is most commonly associated with divided families: families who were separated during the
Korean War The Korean War (25 June 1950 – 27 July 1953) was an armed conflict on the Korean Peninsula fought between North Korea (Democratic People's Republic of Korea; DPRK) and South Korea (Republic of Korea; ROK) and their allies. North Korea was s ...
. According to Shin, all Koreans may experience ', or a "constant feeling of being less than whole", because of not having a collective identity as a result of the continued
division of Korea The division of Korea began at the end of World War II on 2 September 1945, with the establishment of a Soviet occupation zone and a US occupation zone. These zones developed into separate governments, named the Democratic People's Republic of ...
. Furthermore, new generations of Koreans seemingly inherit it because of growing up in a divided country.


Refugees

Refugees are often at risk of experiencing transgenerational trauma. While many refugees experience some sort of loss and trauma, war-related trauma has been documented to have longer-lasting effects on
mental health Mental health is often mistakenly equated with the absence of mental illness. However, mental health refers to a person's overall emotional, psychological, and social well-being. It influences how individuals think, feel, and behave, and how t ...
and span through more generations. Children are especially prone to the trauma of resettling, as their childhood may have been disrupted by migration to a new country. Additionally, they often face the difficulty of learning a new language, adapting to a new environment, and navigating the school's social system in their host country. Normal caregiving is disrupted by the process of fleeing from their original home, and it may continue to be disrupted by their parents' PTSD symptoms and challenges faced in their new home. Furthermore, many host countries do not provide adequate
mental health Mental health is often mistakenly equated with the absence of mental illness. However, mental health refers to a person's overall emotional, psychological, and social well-being. It influences how individuals think, feel, and behave, and how t ...
care systems to refugees, which can worsen symptoms and lead to transmission of trauma. In general, children of refugees exhibited higher overall levels of depression, PTSD,
anxiety Anxiety is an emotion characterised by an unpleasant state of inner wikt:turmoil, turmoil and includes feelings of dread over Anticipation, anticipated events. Anxiety is different from fear in that fear is defined as the emotional response ...
, attention deficiency, stress, and other psychological issues. Most refugees who flee from their homes do so to escape war, conflict, or natural disasters. More often times than not the wellness of refugees' homeland does not improve which causes continuous exposure to the originating trauma. This can be described as secondhand trauma and can be experienced by many. However, the offspring who have both transgenerational trauma and intergenerational trauma may experience secondhand trauma and a greater scale.


Vietnam war refugees

Since 1975, the US has accepted many refugees from Vietnam, Cambodia, Thailand, and Laos. As a result of the
Vietnam War The Vietnam War (1 November 1955 – 30 April 1975) was an armed conflict in Vietnam, Laos, and Cambodia fought between North Vietnam (Democratic Republic of Vietnam) and South Vietnam (Republic of Vietnam) and their allies. North Vietnam w ...
, many of these Southeast Asian refugees are at high risk of experiencing transgenerational trauma. Factors occurring both before and after immigration to America could contribute to traumatization in these groups. Being forced to witness and flee violence and war was a uniquely traumatic occurrence, resulting in high levels of psychological distress. Upon arriving in the United States, Vietnamese Americans struggled to adapt to their new environment, resulting in limited
social mobility Social mobility is the movement of individuals, families, households or other categories of people within or between social strata in a society. It is a change in social status relative to one's current social location within a given socie ...
, high rates of poverty within the community, and exposure to community violence. Exposure to these stressors is correlated with higher trauma symptoms in first-generation Vietnamese-American refugees. In turn, these traumatic experiences impacted the ways that refugees raised their children since they internalized notions of being outsiders in a new country and emphasized success in the face of their many sacrifices. This cultural and familial transmission of trauma has led second-generation Vietnamese Americans to face their own forms of intergenerational trauma. These unique forms of mental health and stress are often not addressed due to socio-cultural standards of silence and refusal to seek treatment. While a majority of these groups were fleeing war and poverty, Cambodian refugees were also fleeing a genocide from the
Khmer Rouge The Khmer Rouge is the name that was popularly given to members of the Communist Party of Kampuchea (CPK), and by extension to Democratic Kampuchea, which ruled Cambodia between 1975 and 1979. The name was coined in the 1960s by Norodom Sihano ...
. The atrocities of violence, starvation, and torture were common themes experienced by these refugees. Many Cambodian refugee families refused to talk about their trauma which created an isolating environment for the child. This led to a transmission of trauma through the continuing pattern of silence and refusal to acknowledge an issue or seek treatment. There has also been data showing that the children of survivors from regions with higher rates of violence and mortality displayed stronger overall symptoms. The parenting style of caregivers may also contribute to the rate of impact among children of Khmer Rouge survivors. A 2013 study found that among Khmer Rouge survivors with PTSD who engage in role-reversal parenting, a form of parenting where the parent looks to the child for emotional support, there may be higher rates of anxiety and depression in the children.


Indigenous Australians

Many
Aboriginal Australian Aboriginal Australians are the various indigenous peoples of the Australian mainland and many of its islands, excluding the ethnically distinct people of the Torres Strait Islands. Humans first migrated to Australia 50,000 to 65,000 year ...
and
Torres Strait Islander Torres Strait Islanders ( ) are the Indigenous Melanesians, Melanesian people of the Torres Strait Islands, which are part of the state of Queensland, Australia. Ethnically distinct from the Aboriginal Australians, Aboriginal peoples of the res ...
children were forcibly removed from their parents and placed in Aboriginal reserves and missions in the late 19th and first half of the 20th century. Some were subsequently placed with white families, and this practice continued after people were no longer forcibly removed to reserves. These people became known as the
Stolen Generations The Stolen Generations (also known as Stolen Children) were the children of Aboriginal Australians, Australian Aboriginal and Torres Strait Islanders, Torres Strait Islander descent who were removed from their families by the Australian Gover ...
, and successive generations suffer from intergenerational trauma as a result of this as well as other issues related to the
colonisation of Australia 475px, Map of the year each country achieved List of sovereign states by date of formation, independence. Colonization (British English: colonisation) is a process of establishing occupation of or control over foreign territories or peoples f ...
, such as dispossession of land, loss of language, etc. Many Aboriginal Australians often face discrimination and resistance when trying to access many services including legal, health, housing, and education.Kendall, S., Lighton, S., Sherwood, J. ''et al.'' Incarcerated Aboriginal women’s experiences of accessing healthcare and the limitations of the ‘equal treatment’ principle. ''Int J Equity Health'' 19, 48 (2020). It was found that in 2019, 28% of the total prison population consisted of Aboriginal Australians and Torres Strait Islanders. As of 2022, this percentage has increased to 32% of all prisoners. A study consisting of 43 Aboriginal women found that Aboriginal women often face more struggles when incarcerated compared to their peers. With these struggles Aboriginal Australians face, the trauma is often passed down to their offspring as they are on the receiving end of the discrimination, often are targeted themselves as children, or grow up to face similar of not the same struggles as their family members.


Native/Indigenous Peoples of the Americas

Settler-colonization encompasses a wide range of practices: war, displacement, forced labor, removal of children, relocation, destruction, massacre, genocide, slavery, unintentional and intentional spread of deadly diseases, banning of indigenous language, regulation of marriage, assimilation, eradication of culture, social and spiritual practices. European colonization has, in some instances, involved subjugation of the indigenous peoples of the Americas through violence, ethnic cleansing, forced assimilation, and acculturation. Indian reservations, and harmful policies excluding and oppressing Natives evoked similar responses to trauma as the descendants of Holocaust survivors. In a similar way we find transgenerational trauma in Holocaust survivors we find the same patterns and effects in Indigenous populations and their children and grandchildren. Due to the effects of settler colonialism, oppression, racism, and other aversive events, Native Americans disproportionately experience adverse childhood experiences as well as health disparities, including high rates of posttraumatic stress, depression, substance abuse, diabetes, and other psychiatric disorders.


Military personnel and their families

Transgenerational trauma is also commonly known as secondary trauma due to the transmission of symptoms that can take place between individuals in close proximity (i.e., children, spouses/partners, and other family members). Transgenerational trauma affects everyone, including those in the military and their families. Patterns of transgenerational trauma can be recognized through the use of a genogram, a family tree that provides a visual representation of hereditary patterns. Specifically, a trauma-focused genogram can be used with those who suffer from
acute stress disorder Acute stress reaction (ASR), also known as psychological shock, mental shock, or simply shock, as well as acute stress disorder (ASD), is a psychological response to a terrifying, traumatic, or surprising experience. The reactions may include ...
(ASD) and posttraumatic stress disorder (PTSD). Traumatic family patterns could include things such as sexual abuse, domestic violence, and even things such as natural disasters. This type of genogram is inclusive to military personnel in that it takes into consideration the servicemembers' experiences. Some of these considerations include taking into account how long the servicemember served, what their role was, if they were a prisoner of war and if they witnessed the death or injury of others. However, not all military personnel pass down intergenerational trauma. Military personnel who have seen or participated in abusive acts of violence have been found to transmit the trauma they experienced to their children. Children of these veterans have been found to suffer from behavioral disturbances such as aggression, hyperactivity, and delinquency. Children whose parent was diagnosed with PTSD had a higher rate of anxiety as well as aggression when compared to children of civilians or non-veterans. These children can also have increased depressive symptoms and other PTSD symptoms. However, it has been found that spouses and partners of military veterans can help to buffer the effects of the transmission of trauma symptomology. This type of intergenerational trauma can be experienced and transmitted not only to children of veterans but also to their spouses/partners, ultimately affecting the whole family unit. Veterans who experienced PTSD or wartime
combat stress reaction Combat stress reaction (CSR) is acute behavioral disorganization as a direct result of the trauma of war. Also known as "combat fatigue", "battle fatigue", "operational exhaustion", or "battle/war neurosis", it has some overlap with the diagnosis ...
(CSR) had spouses/partners who experienced increased psychiatric symptoms. These symptoms included feelings of loneliness and having impaired relationships within the family unit and marriage. Much like veterans who suffer from PTSD, their spouses or partners can suffer from many of the same symptoms as well. Spouses or partners of military veterans can experience the avoidance of thoughts, behaviors, and emotions. Spouses or partners may also experience intrusions such as unwanted cognitions and images that may remind them of the negative experiences of their spouse or partner. Common symptoms of emotional distress that spouses may experience are depression and anxiety. These symptoms are intergenerational trauma symptoms that are being passed down from the veteran to the spouse. Intergenerational trauma can sometimes go unrecognized by the spouse or partner suffering from the transmission of trauma. It sometimes can be difficult for those suffering from intergenerational trauma to recognize that they are emotionally affected, and thus difficult for these individuals to find treatment. Resources such as a genogram can be an excellent way in which an individual can recognize the trauma that has been passed down to them. When it comes to transgenerational trauma, it can be transmitted quite quickly and can affect many people in which the servicemember has encountered. This also includes mental health workers and primary care physicians with whom the servicemember may be working. Mental health workers and primary care physicians asked to take a survey entitled “Secondary Traumatic Stress Scale” reported that they had trouble sleeping, feeling emotionally numb, and having
intrusive thought An intrusive thought is an unwelcome, involuntary thought, image, or unpleasant idea that may become an obsession, is upsetting or distressing, and can feel difficult to manage or eliminate. When such thoughts are paired with obsessive–compulsi ...
s about clients.


Treatment

Mental health workers who are considering working with veterans who suffer from PTSD and other traumatic experiences should have experience working with veterans and servicemembers.
Cultural sensitivity Cultural sensitivity, also referred to as cross-cultural sensitivity or cultural awareness, is the knowledge, awareness, and acceptance of other cultures and others' cultural identities. It is related to cultural competence (the skills needed fo ...
is another aspect to consider when working with this population. Understanding the military culture and lifestyle is informative when developing the therapeutic relationship and treatment plans. Another cultural consideration is the family component. This can include the servicemember's actual family or their chosen family. The military can bring on a lot of stress when it comes to the servicemember and his family. These include, moving to different places on short notice, deployment plans constantly changing, difficulty transitioning when coming back from deployment, and many other stressors. Therefore, it is crucial that a mental health worker truly understands military life. In the case of PTSD, in order to prevent or minimize intergenerational trauma, it is important that the family also seek mental health services. A spouse/partner who is receiving mental health services and is at a better place in their life because of these interventions can help the family unit overall. In a military family, the roles are constantly changing due to the servicemember being on deployment and other factors. The family, as a unit, needs to adjust to the servicemember coming into and out of their lives. With a healthy family unit, the spouse/partner becomes a predicting factor of soldier retention and a functioning family unit. Resiliency can also play a role in this dynamic. A few things can contribute to resiliency in a family unit. These include flexibility/organizational style, the family's belief system, and the communication process. These are important things to look for and identify as they can help in the treatment of intergenerational trauma. Making the family unit strong can help to empower each individual member of the family, and together they can overcome intergenerational trauma within the family. Understanding military culture can help aid families through the process of overcoming intergenerational trauma. In addition to the genograms, solution-focused brief therapy (SFBT) has been found to be successful with military families. It uses an emphasis on the client's successes and creating small steps that are attainable for the client. This type of therapy uses the client's language and experience to address things systematically within the family. SFBT, together with the genograms, can be informative to both the client and clinician and can help to inform the future of practice. As the genograms can help to give a clear picture as to what the trauma patterns are in the family, SFBT can help to change these patterns and provide the family with a healthier way of living and functioning. This specific type of therapy can help to educate the client and their family as to what exactly has been passed down from previous generations. It can also inform the family as to what is now beginning to be transmitted and can help to change the trajectory in the future and change the family dynamic principles.


Transmission

There are many current transgenerational studies that have been done on adults that have experienced natural disasters or adversities. One study found that the children of torture victims showed more symptoms of anxiety, depression, post-traumatic stress, attention deficits, and behavioral disorders than the comparison group of those who had not experienced the specific trauma. A qualitative study was done on the Brazilian children of Holocaust survivors and proposed a supported model of the transgenerational transmission of traumatic experiences but also one of resilience patterns, which can be transmitted in between generations and developed within generations. According to Froma Walsh, resilience theory suggests that individuals' and families' responses to traumatic experiences is an ever-changing process that involves both exposure to challenges and the development of coping mechanisms that aide in one's ability to overcome such challenges. Regardless of risk, there are also opportunities for the development of resilience via exposure to meaningful resources that support one's ability to overcome adversity. The researchers Cowan, Callaghan, and Richardson studied the impact of early-life adversities on individuals and their descendants. Their research was also consistent with the transmission theory in which their findings revealed that the stress phenotype that was expressed in individuals who experienced the adversity was also observed in children and even grandchildren. The oppression that black people experienced through slavery and racism has a psychological impact on how they view achievement. In terms of the social aspects, that seems to make it difficult for black people to surpass a certain
socioeconomic status Socioeconomic status (SES) is a measurement used by economics, economists and sociology, sociologsts. The measurement combines a person's work experience and their or their family's access to economic resources and social position in relation t ...
threshold, escape a certain neighborhood, or move beyond a certain lifestyle or status. For Native Americans, past government policy and internal displacements are theorized to have an effect even generations later. The social enforcement of their ostracization causes them to be generally removed from society, to be powerless and uninvited in government, and to be left to fend for themselves. The transgenerational transmission of colonial trauma is also considered a contributing factor in the high rates of mental health difficulties that Native Canadian communities experience. Displacement and maltreatment during colonization had led to negative effects in the children of those who survived such experiences. This is passed down generationally via ongoing social marginalization and lateral violence. The loss of cultures and resulting lack of community cohesion poses a further challenge for groups in resolving transgenerational trauma. The fetal environment is influenced by the maternal diet. This environmental history can cause the fetal developmental response to change to produce a metabolic phenotype that suits the anticipated environment. It has been suggested that a mother's mood may influence the fetus, though studies on this have mixed results. It is unclear whether any of the effects persist after birth.


Treatment

Because transgenerational trauma is a form of indirect traumatic exposure, it often goes unrecognized or is misdiagnosed by clinicians. A lack of treatment accessibility can have several consequences such as health, behavioral, and social issues that may persist across an individual's lifespan. The experience of traumatic stress can modify cognitive, behavioral, and physiological functions, which can increase susceptibility to both mental and physical health issues. Because transgenerational trauma is a form of traumatic stress, it can increase risk for developing psychological disorders such as post-traumatic stress disorder,
major depressive disorder Major depressive disorder (MDD), also known as clinical depression, is a mental disorder characterized by at least two weeks of pervasive depression (mood), low mood, low self-esteem, and anhedonia, loss of interest or pleasure in normally ...
,
generalized anxiety disorder Generalized anxiety disorder (GAD) is an anxiety disorder characterized by excessive, uncontrollable and often irrational worry about events or activities. Worry often interferes with daily functioning. Individuals with GAD are often overly con ...
,
schizophrenia Schizophrenia () is a mental disorder characterized variously by hallucinations (typically, Auditory hallucination#Schizophrenia, hearing voices), delusions, thought disorder, disorganized thinking and behavior, and Reduced affect display, f ...
,
autism Autism, also known as autism spectrum disorder (ASD), is a neurodevelopmental disorder characterized by differences or difficulties in social communication and interaction, a preference for predictability and routine, sensory processing d ...
, and
substance use disorder Substance use disorder (SUD) is the persistent use of drugs despite substantial harm and adverse consequences to self and others. Related terms include ''substance use problems'' and ''problematic drug or alcohol use''. Along with substance-ind ...
s. Several therapy modalities have been found to be effective in treating various trauma and stress disorders, such as
cognitive behavioral therapy Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD, and anxiety disorders. Cognitive behavioral therapy focuses on challenging and chang ...
, cognitive processing therapy, prolonged exposure, compassion focused therapy,
dialectical behavior therapy Dialectical behavior therapy (DBT) is an evidence-based psychotherapy that began with efforts to treat personality disorders and interpersonal conflicts. Evidence suggests that DBT can be useful in treating mood disorders and suicidal ideati ...
, and
narrative therapy Narrative therapy (or narrative practice) is a form of psychotherapy that seeks to help patients identify their values and the skills associated with them. It provides the patient with knowledge of their ability to embody these values so they ca ...
. Each of these therapies share similar components that are useful in addressing trauma, such as psychoeducation, emotion regulation and processing, cognitive processing and reconstruction, and trauma processing. Given that transgenerational trauma is a unique form of traumatic exposure, such therapy modalities can be effective in reducing its negative long-term effects. However, there are specific components of transgenerational trauma that must be addressed directly despite the modality of therapy chosen. Because the attachment relationship between parent or caregiver and child is a dominant mechanism through which transgenerational trauma is transmitted, treatment should focus on the importance familial and interpersonal patterns relative to the client, and utilize attachment-focused interventions. Effective treatment for those experiencing transgenerational trauma also focuses on exploring, developing, and maintaining protective factors that can reduce the negative impact of transgenerational trauma. Some protective factors include fostering secure attachment between parent and child, as well as having access to several sources of support (i.e., family, peers, community). One treatment model that places focus on the parent-child relationship is the Intergenerational Trauma Treatment Model (ITTM). The model incorporates several features from existing empirically supported methods of treatment, such as trauma exposure, cognitive processing and reframing, stress management, and parent education. ITTM gives specific attention to the intergenerational nature of traumatic experiences and targets the parent's or caregiver's ability to respond to a child's traumatic experiences. Fostering secure attachment and a supportive home environment can mitigate the potential negative impact of transgenerational trauma. Other less conventional modalities of therapy have also been found useful in addressing the negative impact of transgenerational trauma.
Music therapy Music therapy, an allied health profession, "is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music t ...
has been found to be an effective form of treatment for those who have witnessed or experienced a traumatic event. For example, music therapy has been successfully implemented with military personnel, traumatized refugees, and Holocaust survivors. Specifically, analytic music therapy (AMT) was found to be effective in facilitating a degree of healing through self-exploration that mitigates the negative impact of transgenerational trauma. Trauma healing stories have been suggested as a form of therapy. Outside the treatment modalities described, several tools and techniques were also found to be helpful in bringing awareness to the effects of transgenerational trauma, as well as decreasing its psychological impact. For example, the Transgenerational Script Questionnaire (TSQ) has been used to compliment psychotherapy sessions as a means of helping to develop consciousness of both the internal and external family system. The TSQ targets transgenerational scripts, which are unconscious systemic patterns that persist in families and groups, and are perpetuated through emotions, beliefs, and behaviors. These scripts are then used to explore a client's implicit and explicit perceptions about their family dynamic and system. In using the TSQ, the clinician can guide the client to separate their ancestors' experiences from their own. In more complex cases of intergenerational trauma, the Transgenerational Trauma and Resilience Genogram (TTRG) can help guide clinicians to better understand and assess the impact of such trauma. The TTRG targets the various components that contribute to the maintenance of transgenerational trauma by implementing an ecosystemic view of trauma, as well as attention to specific sociopolitical concerns. The TTRG maps out the family unit, marking those who have experienced trauma and their experience, as well as relationships between individuals, and patterns of functioning. This process allows for clinicians to better assess the origins and maintaining factors of an individual's experience of transgenerational trauma, which ultimately contributes to a more comprehensive conceptualization of treatment. In conceptualizing treatment for individuals experiencing transgenerational trauma, it is critical to take into account the ways in which various cultural factors impact how different treatments may be received or perceived. Although the mechanisms through which transgenerational trauma are consistent across cultures, there are variations in the degree of salience regarding sociocultural factors that may exacerbate the effects of transgenerational trauma in different marginalized communities. Additionally, therapists must incorporate a culturally responsive perspective to whichever modality of therapy they chose to implement. It is imperative for therapists to focus on establishing a concrete basis of trust and safety within the therapeutic relationship, as several minoritized groups who have transgenerational trauma may have developed significant mistrust within interpersonal interactions, as well as mistrust of larger organizations or institutions.


Criticism of inherited trauma via epigenetics

One proposed model suggests that a parent's trauma could be inherited through an
epigenetic In biology, epigenetics is the study of changes in gene expression that happen without changes to the DNA sequence. The Greek prefix ''epi-'' (ἐπι- "over, outside of, around") in ''epigenetics'' implies features that are "on top of" or "in ...
biological mechanism. Although the idea has been widely touted in the media, it is not supported by robust evidence. Research in rodents suggests that epigenetic changes can be observed in genes associated with the hypothalamic-pituitary-adrenal (HPA) axis, which coordinates the body's stress response system. Non-heritable stress-related epigenetic changes have also been studied in monkeys. However, most epigenetic effects are not transmitted to the next generation, and most transfer of information across generations does not involve epigenetic inheritance. According to geneticist Kevin Mitchell, "these are, in fact, extraordinary claims, and they are being advanced on less than ordinary evidence." He says "This is a malady in modern science: the more extraordinary and sensational and apparently revolutionary the claim, the lower the bar for the evidence on which it is based, when the opposite should be true." Mitchell adds that many have looked at it as a "get out of genetics free card" and adds, "I think people don't like the idea, some people anyway, that we are born with certain predispositions that are hard to change." He says that experiences are expressed through changes in human neuroanatomy, not patterns of gene expression and says that scientists in this area have contributed to the misleading research in this area: "There is a hype industry around science, which I think is corrosive. And I think scientists are willing participants in it in a way that I find more and more distasteful the older I get, because it does a massive disservice cumulatively to how science is understood by the general public because we have this constant hype." The biologist Ewan Birney specifically criticized a paper which used a sample size of 32 people to back its claim that children of Holocaust survivors showed evidence of inherited stress. He argues that the mechanism for epigenetic inheritance in humans remains elusive due to the many other influencing factors including "complex societal forces that persist over time", and the fact that human developing females already have all their eggs as a foetus in the womb, and lastly that throughout one individual's life epigenetic influences remain so influential that "epigenetic cell memory" is what cause our genetically identical cells to differentiate into their specific forms. Further, even in mice, where these confounding influences can be controlled, "true trans-generational epigenetic inheritance is extremely rare."


See also

* American Indian boarding schools * Intergenerationality *
National memory National memory is a form of collective memory defined by shared experiences and culture. It is an integral part to national identity. It represents one specific form of cultural memory, which makes an essential contribution to national group c ...
* '' Post Traumatic Slave Syndrome'' *
Seasoning (slavery) Seasoning, or the Seasoning, was the Acclimatization, period of adjustment that slave traders and slaveholders subjected African slaves to following their arrival in the New World, Americas. While modern scholarship has occasionally applied this ...
*
Slave health on plantations in the United States The health of slaves on American plantations was a matter of concern to both slaves and their owners. Slavery had associated with it the health problems commonly associated with poverty. It was to the economic advantage of owners to keep their wo ...
*
Slavery hypertension hypothesis The slavery hypertension hypothesis proposes that disproportionately high rates of hypertension among black people in the New World are due to selective pressure preferring individuals who retain more sodium among black slaves during the Middle Pa ...
*
Transgenerational epigenetic inheritance Transgenerational epigenetic inheritance is the proposed transmission of epigenetic markers and modifications from one generation to multiple subsequent generations without altering the primary structure of DNA. Thus, the regulation of genes via ...
*
Weathering hypothesis Arline Geronimus wrote about the weathering hypothesis the early 1990s to account for health disparities of newborn babies and birth mothers due to decades and generations of racism and social, economic, and political oppression. It is well docum ...


References


Further reading

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External links


Video by Leila Levinson
child of an American witness of concentration camp and author of ''Gated Grief''.

by a supervisor of Master's and Doctoral students specialising in trauma counselling, Wentzel Coetzer.
Healing Collective Trauma
a website with resources on collective, historical, and transgenerational trauma.
Maria Yellow Horse Brave Heart
on intergenerational trauma in Native Americans {{DEFAULTSORT:Transgenerational trauma Post-traumatic stress disorder Victimology Cultural generations Collective intelligence Trauma types Adverse childhood experiences