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The Candidate is one of the most masterful, psychologically penetrating novels in Armenian diaspora literature. Published in 1967 at a time of political awakening among the descendants of survivors of the Armenian genocide, the novel explores themes of trauma, forgiveness, reconciliation, friendship, and sacrifice, and examines the relationship between victim and perpetrator. The book opens in 1927 in Paris after Minas has found his friend Vahakn's body on the floor of the apartment they share. In a fragmentary way, Minas tells of his meeting Vahakn in the cafés of the Latin Quarter; the friendship that joins them; their conversations with Ziya, a Turkish student in Paris; Vahakn's murder of Ziya; and Vahakn's suicide. At the core of the novel is the note Vahakn leaves Minas to explain the enigma of Ziya's murder and his own suicide. The letter recounts Vahakn's and his mother's deportation from their village in the Ottoman Empire; his mother's death and Vahakn's adoption by a Turkish woman, Fatma, who rapes and abuses him; his feelings of alienation and self-estrangement in France; and his inability to adapt to life after trauma. Known for his innovation of the Western Armenian novel, Vorpouni challenges the narrative elements of the conventional novel by playing with subjectivity and linearity. His melding of contemporary French literary and intellectual currents produces a literary and cultural hybrid unique in Western Armenian literature.

A groundbreaking and profoundly moving exploration of the Armenian genocide, told through the traces left in the memories and on the bodies of its women survivors. Foremost among the images of the Armenian Genocide is the specter of tattooed Islamized Armenian women. Blue tribal tattoos that covered face and body signified assimilation into Muslim Bedouin and Kurdish households. Among Armenians, the tattooed survivor was seen as a living ethnomartyr or, alternatively, a national stain, and the bodies of women and children figured centrally within the Armenian communal memory and humanitarian imaginary. In Remnants, these tattooed and scar-bearing bodies reveal a larger history, as the lived trauma of genocide is understood through bodies, skin, and—in what remains of those lives a century afterward—bones. With this book, Elyse Semerdjian offers a feminist reading of the Armenian Genocide. She explores how the Ottoman Armenian communal body was dis-membered, disfigured, and later re-membered by the survivor community. Gathering individual memories and archival fragments, she writes a deeply personal history, and issues a call to break open the archival record in order to embrace affect and memory. Traces of women and children rescued during and after the war are reconstructed to center the quietest voices in the historical record. This daring work embraces physical and archival remnants, the imprinted negatives of once living bodies, as a space of radical possibility within Armenian prosthetic memory and a necessary way to recognize the absence that remains.

Background: Dissemination of psychotherapeutic modules to local counselors seems a key requirement for coping with mental health disasters in conflict regions. We tested a train-the-trainer (TTT) dissemination model for the treatment of posttraumatic stress disorder (PTSD). Methods: We randomly assigned widowed or orphaned survivors of the 1994 Rwandan genocide with a PTSD diagnosis to narrative exposure therapy (NET) treatment (NET-1, n = 38) or to a 6-month waiting list (WL) condition to be followed by treatment (WL/NET-2, n = 38). Expert therapists trained a first dissemination generation of local Rwandan psychologists in NET complemented by 2 sessions of interpersonal psychotherapy modules. Under the supervision of the experts, these Rwandan psychologists (a) provided NET to the NET-1 participants and (b) subsequently trained and supervised a second generation of local psychologists. This second dissemination generation provided treatment to the WL/NET-2 group. The primary outcome measure was the Clinician-Administered PTSD Scale total score before therapy and at 3- and 12-month follow-ups. Results: At the 3-month follow-up, the NET-1 participants suffered significantly and substantially less from PTSD symptoms than the participants in the WL group. The treatment gains of NET-1 were maintained and increased at follow-up, with a within-group effect size of Cohen's d = 1.47 at the 12-month follow-up. After treatment by the second dissemination generation of therapists, the WL/NET-2 participants improved to an extent similar to that of the NET-1 group at follow-ups, with an effect size of Cohen's d = 1.37 at the 12-month follow-up. Conclusions: A TTT model of PTSD treatment dissemination can be effective in resource-poor postconflict societies.

Collective traumas, such as war, genocide, natural disasters, and systemic oppression, have profound and lasting effects, not only on survivors but also on their descendants. Understanding how these traumas are transmitted across generations is essential to inform effective interventions and policy responses. This systematic review aimed to synthesize quantitative evidence on the physiological and psychological outcomes observed in second-generation descendants of individuals exposed to collective trauma. We included English-language, peer-reviewed quantitative studies published between 1997 and 2022 that investigated intergenerational trauma among second-generation descendants of survivors of collective trauma. Exclusion criteria included qualitative studies, and those that involved third-generation descendants. We conducted a comprehensive search across six databases: PsycINFO, PsycARTICLES, MEDLINE, Web of Science Core Collection, Embase, and PubMed. The final search was completed in December 2022. Search terms included keywords such as “intergenerational trauma,” “transgenerational trauma,” “collective trauma,” and “historical trauma.” Two independent reviewers screened titles and abstracts, followed by full-text assessments for eligibility. Discrepancies were resolved through discussion. Study quality was evaluated using the Critical Appraisal Skills Programme (CASP) checklist. Each study was assessed independently by two reviewers, with disagreements resolved by consensus. A narrative synthesis was conducted. Out of 3,904 records identified, 18 studies met the inclusion criteria. The findings revealed that physiological changes in stress regulation and brain structure suggest biological embedding of trauma across generations. Socially, intergenerational trauma shaped relationships and identity, often fostering mistrust and emotional restraint. Psychologically, descendants showed elevated distress and trauma symptoms, with parental PTSD as a key predictor. The overall quality of evidence was limited by small sample sizes, cross-sectional designs, reliance on self-reported measures, and inadequate control for confounding factors. More longitudinal and methodologically rigorous studies are needed to better understand the pathways of trauma transmission and inform prevention and intervention strategies. This review was registered with PROSPERO (CRD42023433181).

Researchers must support and elevate the voices of Rwanda’s scholars and survivors. Researchers must support and elevate the voices of Rwanda’s scholars and survivors.

No evidence exists on the association between genocide and the incidence of schizophrenia. This study aims to identify critical periods of exposure to genocide on the risk of schizophrenia. This population-based study comprised of all subjects born in European nations where the Holocaust occurred from 1928 to 1945, who immigrated to Israel by 1965 and were indexed in the Population Register (N = 113 932). Subjects were followed for schizophrenia disorder in the National Psychiatric Case Registry from 1950 to 2014. The population was disaggregated to compare groups that immigrated before (indirect exposure: n = 8886, 7.8%) or after (direct exposure: n = 105 046, 92.2%) the Nazi or fascist era of persecutions began. The latter group was further disaggregated to examine likely initial prenatal or postnatal genocide exposures. Cox regression modelling was computed to compare the risk of schizophrenia between the groups, adjusting for confounders. The likely direct group was at a statistically (p < 0.05) greater risk of schizophrenia (hazard ratio = 1.27, 95% confidence interval 1.06-1.51) than the indirect group. Also, the likely combined in utero and postnatal, and late postnatal (over age 2 years) exposure subgroups were statistically at greater risk of schizophrenia than the indirect group (p < 0.05). The likely in utero only and early postnatal (up to age 2 years) exposure subgroups compared with the indirect exposure group did not significantly differ. These results were replicated across three sensitivity analyses. This study showed that genocide exposure elevated the risk of schizophrenia, and identified in utero and postnatal (combined) and late postnatal (age over 2 years) exposures as critical periods of risk.

Background The concept of Prolonged Grief Disorder (PGD) has been defined in recent years by Prigerson and co-workers, who have developed and empirically tested consensus and diagnostic criteria for PGD. Using these most recent criteria defining PGD, the aim of this study was to determine rates of and risks for PGD in survivors of the 1994 Rwandan genocide who had lost a parent and/or the husband before, during or after the 1994 events. Methods The PG-13 was administered to 206 orphans or half orphans and to 194 widows. A regression analysis was carried out to examine risk factors of PGD. Results 8.0% ( n = 32) of the sample met criteria for PGD with an average of 12 years post-loss. All but one person had faced multiple losses and the majority indicated that their grief-related loss was due to violent death (70%). Grief was predicted mainly by time since the loss, by the violent nature of the loss, the severity of symptoms of posttraumatic stress disorder (PTSD) and the importance given to religious/spiritual beliefs. By contrast, gender, age at the time of bereavement, bereavement status (widow versus orphan), the number of different types of losses reported and participation in the funeral ceremony did not impact the severity of prolonged grief reactions. Conclusions A significant portion of the interviewed sample continues to experience grief over interpersonal losses and unresolved grief may endure over time if not addressed by clinical intervention. Severity of grief reactions may be associated with a set of distinct risk factors. Subjects who lose someone through violent death seem to be at special risk as they have to deal with the loss experience as such and the traumatic aspects of the loss. Symptoms of PTSD may hinder the completion of the mourning process. Religious beliefs may facilitate the mourning process and help to find meaning in the loss. These aspects need to be considered in the treatment of PGD.

Research into the psychological consequences of rape on women in war and warlike situations is limited. The aims of this study were (a) to describe the prevalence and the nature of PTSD symptoms among Yazidi women reporting rape during IS captivity, (b) to describe comorbidity of other psychological disorders, and (c) to examine the risk factors associated with posttraumatic stress disorder.The study included 296 Yazidi women survivors of rape and has been conducted in Germany since January 2016 as part of a special-quota project in the German region of Baden-Wuerttemberg, designed to support the women and children who have escaped after being held hostage by IS.The survivors were recruited into a retrospective, cross-sectional study. Interviews in Germany were done through trained personnel to evaluate the mental health status of raped women.All the investigated women had been raped many times during IS captivity. About 82% of the women were also physically tortured. Of the sample, 67% suffered from somatoform disorder, 53% suffered from depression, 39% from anxiety, and 28% from dissociation. The prevalence of PTSD in those with rape events of more than 20 times was 57% (95% CI = 35.1–65.9%), less than 20 times was 41% (95%, CI = 28.7–4.8% and less than 10 times 39% [95% CI = 28.2–41.8%], respectively.The IS captivity and wartime rapes had deep immediate and long-term consequences on the mental health of women survivors. The high prevalence of PTSD emphasizes the need for culturally sensitive diagnostic and therapeutic services to address the intermediate and long-term consequences of wartime rape.

The Yezidis who represent a religious minority living in Northern Iraq were particularly affected by the persecution by ISIS (Islamic state of Iraq and Syria, syn.: ISIL—Islamic state of Iraq and the Levant) that gained power after 2013. This paper gives an overview of the events and the mental health consequences on the Yezidi community as well as associated influences on affected female Yezidis. Based on a systematic literature search, the aspects of “Persecution by ISIS and actual situation of the Yezidi community”, “Gender-specific aspects of the persecution and its consequences”, “Mental health of the affected women”, and “Cultural–historical and religious context” are worked out. Research indicates a high burden of health strain and mental health problems in the surviving Yezidi women, especially post-traumatic stress disorders (PTSD) and depression. Concerning transgenerational trauma, the recent genocide has revived past experiences in the history of the community. Like the narrow cultural and religious rules of the community, this can be both a resource and a burden. The actual extent of the attacks is neither predictable for the affected individuals nor for the community, consequences could also be passed onto descendants. Long-term care and support of the affected persons, their descendants, and the Yezidi community seems indispensable.