Introduction
The study of trauma has historically focused on the individual, emphasizing symptoms such as hypervigilance, intrusive memories, and avoidance. However, clinical and research evidence increasingly suggests that trauma is not confined to those who directly experience it. Instead, its effects reverberate across generations, shaping the psychological, biological, and cultural lives of descendants. This phenomenon, referred to as transgenerational trauma, or intergenerational transmission of trauma, highlights the need for an expanded framework of understanding that integrates neuroscience, psychology, sociology, and cultural studies (Danieli, 1998; Kellermann, 2001).
This paper reviews the origins of the concept, biological and psychosocial mechanisms of transmission, limitations of conventional treatments, and emerging therapeutic modalities. It further considers the cultural and geopolitical contexts that shape collective healing and the possibility of transforming inherited suffering into resilience.
Clinical Origins and Early Observations
The concept of trauma transmission across generations was first formally recognized in the context of Holocaust survivors. In 1966, psychiatrist Vivian Rakoff described children of survivors as experiencing psychiatric symptoms disproportionate to their personal histories. His findings raised the possibility that trauma could be communicated through family dynamics, silence, or unconscious processes (Rakoff, 1966).
Building on this, Yael Danieli (1998) documented patterns of silence, guilt, and unresolved grief within survivor families, noting that children often carried the burden of unspoken suffering. Similarly, Natan Kellermann (2001) described how parental trauma could manifest in children as anxiety, depression, identity disturbances, or difficulties in emotional regulation.
Comparable findings have since been documented among descendants of other groups, including Armenian genocide survivors (Kasparian, 2014), Native American communities affected by colonization and forced assimilation (Brave Heart, 1998), and Indigenous Australians impacted by the “Stolen Generations” policies (Atkinson, 2002). These cross-cultural parallels suggest that transgenerational trauma is not an isolated phenomenon but a universal response to collective violence and oppression.
Biological Mechanisms: Epigenetics and Neurobiology
One of the most significant advances in recent decades has been the identification of epigenetic mechanisms underlying trauma transmission. Rachel Yehuda and colleagues (2016) found that Holocaust survivors and their children displayed altered DNA methylation in the FKBP5 gene, associated with regulation of the hypothalamic-pituitary-adrenal (HPA) stress axis. These epigenetic modifications suggest that trauma can “mark” the genome in ways that influence stress reactivity across generations.
Further research has supported these findings. For example:
- Meaney & Szyf (2005) demonstrated in rodent models that maternal stress could alter offspring stress responses via methylation changes in glucocorticoid receptor genes.
- Serpeloni et al. (2019) reported altered DNA methylation in children of mothers exposed to intimate partner violence.
- Studies of descendants of the Dutch Hunger Winter (1944–45) also revealed intergenerational changes in metabolic and stress-related genes (Heijmans et al., 2008).
Neuroimaging research complements these findings by revealing structural and functional brain alterations in trauma survivors and their children, particularly in regions such as the amygdala (fear processing), hippocampus (memory), and prefrontal cortex (executive regulation) (Yehuda & McFarlane, 1995; van der Kolk, 2014).
Together, these studies highlight a multilayered process: trauma is encoded not only in memory and narrative but also in the body and brain, shaping descendants’ vulnerability to stress-related disorders.
Psychosocial Mechanisms: Silence, Narrative, and Attachment
Biology alone cannot account for the complexity of transgenerational trauma. The psychosocial dimension is equally important. Families affected by massive trauma often transmit unspoken legacies through:
- Silence and secrecy: Children sense unarticulated pain but lack a narrative framework to understand it (Danieli, 1998).
- Parenting and attachment styles: Traumatized parents may oscillate between emotional unavailability and overprotection, shaping insecure attachment patterns in children (Lyons-Ruth & Block, 1996).
- Family myths and narratives: Even when not explicitly discussed, trauma may appear in symbolic forms — in family stories, rituals, or prohibitions (Felsen, 1998).
Maria Yellow Horse Brave Heart (1998) extended this to Indigenous communities, coining the term historical trauma. She emphasized that trauma operates not only within families but across entire populations, where losses such as land dispossession, cultural erasure, and systemic violence are transmitted across generations.
Cultural and Collective Dimensions
Understanding trauma transmission requires attention to collective and cultural contexts. Judith Herman (1992) stressed that trauma recovery cannot occur in isolation; it requires social acknowledgment and justice. Collective recognition, rituals of mourning, and community narratives play a vital role in validating suffering and transforming it into resilience.
The war in Ukraine provides a contemporary illustration. Refugees and survivors not only face immediate losses but also risk passing on unprocessed grief and hypervigilance to their children. Without systemic support for psychological recovery, cycles of inherited suffering may repeat, as they did in post-WWII Europe.
Limitations of Conventional Psychotherapy
Conventional talk therapy often falls short when addressing inherited trauma. Many descendants may understand their amily histories cognitively but continue to embody fear, mistrust, or hyperarousal. Bessel van der Kolk (2014) has argued that trauma is primarily stored in the body, not only in narrative memory, which explains why verbal interventions alone are insufficient.
Moreover, when trauma is collective or historical, purely individualistic approaches may neglect the broader cultural and systemic dimensions. Brave Heart (1998) and Kirmayer et al. (2014) argue that culturally grounded, community-based interventions are essential.
Emerging Approaches: Psychedelic-Assisted Therapy
Among emerging therapies, psychedelic-assisted psychotherapy has shown significant promise. Clinical trials led by Michael and Annie Mithoefer, under the auspices of the Multidisciplinary Association for Psychedelic Studies (MAPS), have demonstrated the efficacy of MDMA-assisted psychotherapy for individuals with chronic PTSD, including war veterans and survivors of childhood trauma (Mithoefer et al., 2011; Mitchell et al., 2021).
MDMA reduces fear responses in the amygdala, increases connectivity between the amygdala and hippocampus, and enhances feelings of trust and connection (Carhart-Harris & Goodwin, 2017). These mechanisms allow patients to revisit traumatic experiences without being overwhelmed, fostering reprocessing and integration.
Beyond MDMA, psilocybin-assisted therapy has shown effectiveness in reducing depression and anxiety in patients with life-threatening illness (Griffiths et al., 2016) and holds promise for trauma-related disorders. Importantly, non-ordinary states of consciousness also open access to implicit memory and facilitate deep emotional processing.
Integrating Somatic and Collective Modalities
Complementing psychedelics, other innovative approaches are gaining traction:
- Somatic experiencing (Peter Levine) focuses on releasing trauma stored in the body.
- Systemic family constellations (Bert Hellinger) explore hidden family dynamics and unspoken transgenerational patterns.
- Community healing practices rooted in Indigenous traditions emphasize ritual, ceremony, and collective acknowledgment.
These approaches resonate with Herman’s (1992) assertion that recovery requires rebuilding both individual selfhood and collective belonging.
From Transmission to Resilience
While much research emphasizes the risks of transgenerational trauma, there is also evidence of post-traumatic growth across generations. Descendants may inherit resilience, activism, or creativity rooted in ancestral survival. For example, second- and third-generation Holocaust descendants often describe a sense of moral responsibility, empathy, and commitment to social justice (Bar-On, 1995).
Thus, the challenge is not only to mitigate the burdens of inherited trauma but also to amplify its potential to inspire strength and transformation.
Conclusion
Transgenerational trauma is a complex, multilayered phenomenon that encompasses biological, psychological, and cultural dimensions. Its recognition compels us to move beyond individualistic frameworks of suffering and to develop integrative approaches that address body, family, and community.
With the convergence of neuroscience, psychotherapy, and culturally informed practices, humanity now has unprecedented tools to break cycles of inherited suffering. Psychedelic-assisted therapies, somatic practices, and community healing all point toward new possibilities of transformation.
The task is urgent: to honor the wounds of the past while ensuring that what we pass on to future generations is not silence or pain, but resilience, compassion, and hope.
References
- Atkinson, J. (2002). Trauma trails: Recreating song lines. Spinifex.
- Bar-On, D. (1995). Fear and hope: Three generations of Holocaust survivors’ families. Harvard University Press.
- Brave Heart, M. Y. H. (1998). The return to the sacred path: Healing from historical trauma and historical unresolved grief. Smith College Studies in Social Work, 68(3), 287–305.
- Carhart-Harris, R., & Goodwin, G. M. (2017). The therapeutic potential of psychedelic drugs: Past, present, and future. Neuropsychopharmacology, 42(11), 2105–2113.
- Danieli, Y. (Ed.). (1998). International handbook of multigenerational legacies of trauma. Springer.
- Felsen, I. (1998). Transgenerational transmission of effects of the Holocaust: The North American research perspective. In Y. Danieli (Ed.), International handbook of multigenerational legacies of trauma (pp. 43–68). Springer.
- Griffiths, R. R., et al. (2016). Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial. Journal of Psychopharmacology, 30(12), 1181–1197.
- Heijmans, B. T., et al. (2008). Persistent epigenetic differences associated with prenatal exposure to famine in humans. Proceedings of the National Academy of Sciences, 105(44), 17046–17049.
- Herman, J. (1992). Trauma and recovery. Basic Books.
- Kasparian, S. (2014). Intergenerational trauma: The Armenian experience. Journal of Loss and Trauma, 19(6), 504–518.
- Kellermann, N. P. (2001). Transmission of Holocaust trauma—An integrative view. Psychiatry, 64(3), 256–267.
- Kirmayer, L. J., et al. (2014). Reclaiming Indigenous voices: The role of cultural continuity in community mental health. Transcultural Psychiatry, 51(3), 299–319.
- Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17(3), 257–275.
- Meaney, M. J., & Szyf, M. (2005). Maternal care as a model for experience-dependent chromatin plasticity? Trends in Neurosciences, 28(9), 456–463.
- Mithoefer, M. C., et al. (2011). The safety and efficacy of ±3,4-methylenedioxymethamphetamine-assisted psychotherapy in subjects with chronic, treatment-resistant posttraumatic stress disorder: The first randomized controlled pilot study. Journal of Psychopharmacology, 25(4), 439–452.
- Mitchell, J. M., et al. (2021). MDMA-assisted therapy for severe PTSD: A randomized, double-blind, placebo-controlled phase 3 study. Nature Medicine, 27(6), 1025–1033.
- Rakoff, V. (1966). Psychiatric effects of the Holocaust in the second generation. Canadian Psychiatric Association Journal, 11(6), 465–471.
- Serpeloni, F., et al. (2019). Violence exposure and DNA methylation in youth. Translational Psychiatry, 9(1), 1–10.
- van der Kolk, B. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.
- Yehuda, R., & McFarlane, A. C. (1995). Conflict between current knowledge about posttraumatic stress disorder and its original conceptual basis. American Journal of Psychiatry, 152(12), 1705–1713.
- Yehuda, R., et al. (2016). Holocaust exposure induced intergenerational effects on FKBP5 methylation. Biological Psychiatry, 80(5), 372–380.

