A Delphi Study Exploring Psychotherapeutic Priorities for Third and Fourth Generation Holocaust Survivors

ABSTRACTBackgroundThe intergenerational effects of the Holocaust have been far‐reaching, with recent research demonstrating effects with regard to the survivors' grandchildren (third generation) and great‐grandchildren (fourth generation). However, little is known about how these effects should be broached by mental health clinicians.AimsThis study aimed to develop a preliminary consensus around the Holocaust‐related areas most prioritised for discussion by third and fourth generation members in a psychotherapeutic context.Materials and MethodsA two‐round online Delphi survey was used to facilitate this, and 29 third and fourth generation descendants participated. In round one, participants responded to open‐ended questions concerning how the intergenerational impacts of the Holocaust might be explored in therapy. In round two, participants rated statements derived from round one data in terms of their perceived importance.ResultsTen therapeutic priorities were identified, revolving around a need for clinicians to explore the potential for intergenerational traumatisation and fears relating to experiencing antisemitism.Discussion and ConclusionThe study's results indicate that the spectre of the Holocaust remains a prominent fixture in the lives of third and fourth generation descendants, requiring clinicians working with them to have particular skills and knowledge.