Judith Lewis Herman

Last updated
Judith Lewis Herman
Born1942 (age 8081)
Nationality American
Alma mater Radcliffe College
Harvard Medical School [1]
Known forResearch on complex post-traumatic stress disorder and incest
Scientific career
Fields Psychiatry

Judith Lewis Herman (born 1942) is an American psychiatrist, researcher, teacher, and author who has focused on the understanding and treatment of incest and traumatic stress.

Contents

Herman is Professor of Psychiatry at Harvard Medical School, Director of Training at the Victims of Violence Program in the Department of Psychiatry at the Cambridge Health Alliance in Cambridge, Massachusetts, and a founding member of the Women's Mental Health Collective.

She was the recipient of the 1996 Lifetime Achievement Award from the International Society for Traumatic Stress Studies and the 2000 Woman in Science Award from the American Medical Women's Association. In 2003, she was named a Distinguished Fellow of the American Psychiatric Association.

Career

Judith Herman is best known for her contributions to the understanding of trauma and its victims, as set out in her second book, Trauma and Recovery. [2] There she distinguishes between single-incident traumas – one-off events – which she termed Type I traumas, and complex or repeated traumas (Type II). [3] Type I trauma, according to the United States Veterans Administration's Center for Post Traumatic Stress Disorder, "accurately describes the symptoms that result when a person experiences a short-lived psychological trauma". [4] Type II – the concept of complex post-traumatic stress disorder (CPTSD) – includes "the syndrome that follows upon prolonged, repeated trauma". [5] Although not yet accepted by DSM-IV as a separate diagnostic category, the notion of complex traumas has been found useful in clinical practice, [6] although the eleventh revision of ICD (ICD-11), released in 2018, now includes that diagnosis for the first time. [7]

Herman equally influentially set out a three-stage sequence of trauma treatment and recovery. The first and most important involved the establishment of safety, which might be especially difficult for people in abusive relationships. [8] The second phase involved active work upon the trauma, fostered by that secure base, and employing any of a range of psychological techniques. [9] The final stage was represented by an advance to a new post-traumatic life, [10] possibly broadened by the experience of surviving the trauma and all it involved. [11]

Herman was interviewed by Harry Kreisler, Executive Director of the Institute of International Studies at the University of California at Berkeley, for his ongoing series Conversations with History at the Institute of International Studies, UC Berkeley. [12] She is currently working on a study about the effects of the justice system on victims of sexual violence to discover a better way for victims of crimes to interact with what she perceives as an 'adversarial' system of crime and punishment in the U.S. [13]

Early life

Judith Herman was born in New York City to Helen Block Lewis, who was a psychologist and psychoanalyst and taught at Yale, and Naphtali Lewis, who worked as a professor of Classics at City University of New York. [14] Judith Herman received her education at Radcliffe College and Harvard Medical School. [15]

Publications

Books

Book chapters

Articles

Related Research Articles

Dissociative identity disorder (DID), formerly known as multiple personality disorder, and commonly referred to as split personality disorder or dissociative personality disorder, is a member of the family of dissociative disorders classified by the DSM-5, DSM-5-TR, ICD-10, ICD-11, and Merck Manual for diagnosis. It remains a controversial diagnosis.

Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event. Young children are less likely to show distress but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.

<span class="mw-page-title-main">Dialectical behavior therapy</span> Psychotherapy for emotional dysregulation

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 ideation, as well as for changing behavioral patterns such as self-harm and substance use. DBT evolved into a process in which the therapist and client work with acceptance and change-oriented strategies, and ultimately balance and synthesize them—comparable to the philosophical dialectical process of thesis and antithesis followed by synthesis.

Dissociation is a concept that has been developed over time and which concerns a wide array of experiences, ranging from a mild emotional detachment from the immediate surroundings, to a more severe disconnection from physical and emotional experiences. The major characteristic of all dissociative phenomena involves a detachment from reality, rather than a loss of reality as in psychosis.

Psychological trauma is an emotional response caused by severe distressing events such as accidents, violence, rape, terror, or sensory overload.

Adjustment disorder is a maladaptive response to a psychosocial stressor. It is classified as a mental disorder. The maladaptive response usually involves otherwise normal emotional and behavioral reactions that manifest more intensely than usual, causing marked distress, preoccupation with the stressor and its consequences, and functional impairment.

Dissociative disorders (DD) are conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception. People with dissociative disorders use dissociation as a defense mechanism, pathologically and involuntarily. The individual experiences these dissociations to protect themselves. Some dissociative disorders are triggered by psychological trauma, but depersonalization-derealization disorder may be preceded only by stress, psychoactive substances, or no identifiable trigger at all.

<span class="mw-page-title-main">Complex post-traumatic stress disorder</span> Psychological disorder

Complex post-traumatic stress disorder (CPTSD) is a stress-related mental disorder generally occurring in response to complex traumas, i.e. commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive few or no chance to escape.

Frank Ochberg, is a psychiatrist, a pioneer in trauma science, an educator and the editor of the first text on the treatment of post-traumatic stress disorder (PTSD). He is one of the founding fathers of modern psychotraumatology and served on the committee that defined PTSD. He is a graduate of Harvard and of Johns Hopkins Medical School.

Childhood trauma is often described as serious adverse childhood experiences (ACEs). Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children whose mothers have experienced traumatic or stressful events during pregnancy have an increased risk of mental health disorders and other neurodevelopmental disorders.

A trauma trigger is a psychological stimulus that prompts involuntary recall of a previous traumatic experience. The stimulus itself need not be frightening or traumatic and may be only indirectly or superficially reminiscent of an earlier traumatic incident, such as a scent or a piece of clothing. Triggers can be subtle, individual, and difficult for others to predict. A trauma trigger may also be called a trauma stimulus, a trauma stressor or a trauma reminder.

Memory and trauma is the deleterious effects that physical or psychological trauma has on memory.

Bessel van der Kolk is a psychiatrist, author, researcher and educator based in Boston, United States. Since the 1970s his research has been in the area of post-traumatic stress. He is the author of The New York Times best seller, The Body Keeps the Score. Van der Kolk formerly served as president of the International Society for Traumatic Stress Studies, and is a former co-director of the National Child Traumatic Stress Network. He is a professor of psychiatry at Boston University School of Medicine and president of the Trauma Research Foundation in Brookline, Massachusetts.

<span class="mw-page-title-main">Transgenerational trauma</span> Psychological trauma

Transgenerational trauma is the psychological and physiological effects that the trauma experienced by people has on subsequent generations in that group. The primary modes of transmission are the uterine environment during pregnancy causing epigenetic changes in the developing embryo, and the shared family environment of the infant causing psychological, behavioral and social changes in the individual. The term intergenerational transmission refers to instances whereby the traumatic effects are passed down from the directly traumatized generation [F0] to their offspring [F1], and transgenerational transmission is when the offspring [F1] then pass the effects down to descendants who have not been exposed to the initial traumatic event - at least the grandchildren [F2] of the original sufferer for males, and their great-grandchildren [F3] for females.

Trauma focused cognitive behavioral therapy (TF-CBT) is an evidence-based psychotherapy or counselling that aims at addressing the needs of children and adolescents with post traumatic stress disorder (PTSD) and other difficulties related to traumatic life events. This treatment was developed and proposed by Drs. Anthony Mannarino, Judith Cohen, and Esther Deblinger in 2006. The goal of TF-CBT is to provide psychoeducation to both the child and non-offending caregivers, then help them identify, cope, and re-regulate maladaptive emotions, thoughts, and behaviors. Research has shown TF-CBT to be effective in treating childhood PTSD and with children who have experienced or witnessed traumatic events, including but not limited to physical or sexual victimization, child maltreatment, domestic violence, community violence, accidents, natural disasters, and war.

<span class="mw-page-title-main">UCLA PTSD Index</span>

The University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index for DSM-5 is a psychiatric assessment tool used to assess symptoms of PTSD in children and adolescents. This assessment battery includes four measures: the Child/Adolescent Self-Report version; the Parent/Caregiver Report version; the Parent/Caregiver Report version for Children Age 6 and Younger; and a Brief Screen for Trauma and PTSD. Questions may differ among the indexes depending on the target age, however the indexes are identical in format. The target age groups for this assessment are children and adolescents between 7-18 and children age 6 and younger. Versions of the UCLA PTSD Reaction Index for DSM-5 have been translated into many languages, including Spanish, Japanese, Simplified Chinese, Korean, German, and Arabic. The DSM-IV version of the UCLA PTSD Reaction Index Index has been updated for DSM-5.

Andreas Maercker is a German clinical psychologist and international expert in traumatic stress-related mental disorders who works in Switzerland. He also contributed to lifespan and sociocultural aspects of trauma sequelae, e.g. the Janus-Face model of posttraumatic growth.

<span class="mw-page-title-main">Post-traumatic stress disorder after World War II</span>

Post-traumatic stress disorder (PTSD) results after experiencing or witnessing a terrifying event which later leads to mental health problems. This disorder has always existed but has only been recognized as a psychological disorder within the past forty years. Before receiving its official diagnosis in 1980, when it was published in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-lll), Post-traumatic stress disorder was more commonly known as soldier's heart, irritable heart, or shell shock. Shell shock and war neuroses were coined during World War I when symptoms began to be more commonly recognized among many of the soldiers that had experienced similar traumas. By World War II, these symptoms were identified as combat stress reaction or battle fatigue. In the first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-I), post-traumatic stress disorder was called gross stress reaction which was explained as prolonged stress due to a traumatic event. Upon further study of this disorder in World War II veterans, psychologists realized that their symptoms were long-lasting and went beyond an anxiety disorder. Thus, through the effects of World War II, post-traumatic stress disorder was eventually recognized as an official disorder in 1980.

Religious trauma syndrome (RTS) is not present in the Diagnostic and Statistical Manual (DSM-5) or any DSM-5TR materials, nor is it represented in the ICD-10, but it has been recognized by individual psychologists and psychotherapists as a set of symptoms, ranging in severity, experienced by those who have participated in or left behind authoritarian, dogmatic, and controlling religious groups and belief systems. Symptoms include cognitive, affective, functional, and social/cultural issues as well as developmental delays.

Being exposed to traumatic events such as war, violence, disasters, loss, injury or illness can cause trauma. Additionally, the most common diagnostic instruments such as the ICD-11 and the DSM-5 expand on this definition of trauma to include perceived threat to death, injury, or sexual violence to self or a loved one. Even after the situation has passed, the experience can bring up a sense of vulnerability, hopelessness, anger and fear.

References

  1. "Judith Herman". harvard.edu. 16 March 2012. Retrieved 19 April 2018.
  2. John Marzillier, To Hell and Back (2012) p 302
  3. John Marzillier, To Hell and Back (2012) p 12 and p 02
  4. Whealin,Ph.D., Julia M.; Slone,Ph.D., Laurie (22 May 2007). "National Center for PTSD Fact Sheet: Complex PTSD". National Center for PTSD, United States Department of Veterans Affairs. Archived from the original on 16 February 2008. Retrieved 15 March 2008.
  5. Herman, Judith Lewis (1997) [1992], "A new diagnosis", in Herman, Judith Lewis (ed.), Trauma and recovery: the aftermath of violence - from domestic abuse to political terror, New York: BasicBooks, p.  119, ISBN   978-0-465-08730-3.
  6. John Marzillier, To Hell and Back (2012) p. 304
  7. Cloitre, Marylène (2020). "ICD-11 complex post-traumatic stress disorder: Simplifying diagnosis in trauma populations". The British Journal of Psychiatry. 216 (3): 129–131. doi: 10.1192/bjp.2020.43 . PMID   32345416. S2CID   213910628.
  8. J.L. Herman, https://onlinelibrary.wiley.com/doi/full/10.1046/j.1440-1819.1998.0520s5S145.x
  9. John Marzillier, To Hell and Back (2012) p. 182
  10. D. Goleman, Emotional Intelligence (1996) p. 213
  11. John Marzillier, To Hell and Back (2012) p. 256
  12. "Conversation with History; Dr. Judith Lewis Herman". Conversations with History: Institute of International Studies. UC Berkeley. Retrieved December 22, 2007.
  13. "Center for the Humanities-War: 2009/2010". deimos3.apple.com. Archived from the original on 2016-03-04. Retrieved 2014-02-23.
  14. "Judith Herman". Jewish Women's Archive. Retrieved 2022-02-10.
  15. "Judith Herman". Jewish Women's Archive. Retrieved 2022-02-10.
  16. Kenneally, Christine (2023-03-14). "What Should Justice Look Like for Trauma Survivors? Ask Them". The New York Times. ISSN   0362-4331 . Retrieved 2023-06-23.