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  Visible wounds of invisible repression: A perspective on the importance of investigating the biological and psychological impact of political repression

Marheinecke, R., Strauss, B., & Engert, V. (2023). Visible wounds of invisible repression: A perspective on the importance of investigating the biological and psychological impact of political repression. Psychological Trauma: Theory, Research, Practice, and Policy. doi:10.1037/tra0001548.

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 Creators:
Marheinecke, Ruth1, Author
Strauss, Bernhard1, Author
Engert, Veronika1, Author                 
Affiliations:
1Institute of Psychosocial Medicine, Psychotherapy, and Psycho-Oncology, Jena University Hospital, Germany, ou_persistent22              

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 Abstract:

Objective: Exposure to psychological trauma is a well-accepted risk factor for the development of mental and somatic diseases. However, chronic stressors not fulfilling the criteria of traumatic experience can have similarly adverse health consequences. While the harmful impact of chronic stressors is generally recognized among researchers, there is a lack of acknowledgment within clinical, political, and societal entities. This becomes evident in the experiences of victims of political repression in the former German Democratic Republic (GDR), an authoritarian state in East Germany. Repression in the GDR included covert measures, such as "Zersetzung" (engl: disintegration), consisting of wiretapping, spreading rumors, or provoking failure in professional and social domains. It aimed to systematically undermine the psychosocial integrity of individuals, inducing anxiety, social isolation, and confusion.

Method: This article integrates findings on repression in the GDR with existing trauma and chronic stress literature.

Results: "Zersetzung" shares key features with severe psychosocial chronic stressors. Like trauma, experiencing "Zersetzung" likely dysregulated the biological stress systems, thereby predisposing victims to the health consequences they frequently experience to the present day.

Conclusion: Certain severe chronic stressors, such as "Zersetzung," do not appear to differ in their negative health consequences from Criterion A traumatic events. Identifying the biological and psychological impact of political repression techniques is essential, not only for public acknowledgment, and proper health care of victims of GDR repression, but also for those individuals suffering from similar repression methods today.

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Language(s): eng - English
 Dates: 2023-08-03
 Publication Status: Published online
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: -
 Identifiers: DOI: 10.1037/tra0001548
Other: online ahead of print
PMID: 37535535
 Degree: -

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Title: Psychological Trauma: Theory, Research, Practice, and Policy
Source Genre: Journal
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Publ. Info: Washington, DC : American Psychological Association
Pages: - Volume / Issue: - Sequence Number: - Start / End Page: - Identifier: ISSN: 1942-969X
CoNE: https://pure.mpg.de/cone/journals/resource/1942-969X