The Psychological Effects of Starvation in the Holocaust: The Dehumanization and Deterioration of its Victims Kelly Young National Collegiate Honors Council Student Interdisciplinary Research March 6, 2013 Young 1 Introduction The many aspects of physical torture experienced by the victims of the Holocaust together reflect the tactics of dehumanization endured by the prisoners within the concentration camps of Germany during World War II. There is an inherent link between this physical and psychological warfare, relating many victims’ visible symptoms to the underlying detrimental psychological state that they represent, and suggesting a psychological reasoning behind the general lack of resistance and stoic submission of the prisoners. Of the numerous tactics of Nazi dehumanization methods, I will focus most specifically upon starvation as a seemingly physical device that caused devastating psychological deterioration for its victims. I will observe that beyond the somatic results, widespread and intense malnutrition among the prisoners led to cognitive decay such as comprehension complications and loss of concentration (including a shift in focus). I will also examine the cognitive and psychological processes that led to acts of desperation such as cannibalism as well as the specifically psychological effects of starvation, including depression, anxiety, apathy or loss of motivation, and feelings of lessening self-worth. I will explore starvation’s role in the Nazi goal of mass extermination and its place in the camp structure, and I will analyze the complications that starvation places upon the formation and maintenance of prisoner relationships. A close study of this method of Nazi dehumanization will directly expose the link between the physical and psychological factors of the concentration camp system and the connection to the lack of resistance and general sense of submission among the prisoners. Throughout my analysis I will often reference The Great Starvation Experiment: Ancel Keys and the Men Who Starved for Science by Todd Tucker. This book details the span of Doctor Ancel Keys’ experiment with men who volunteered to participate in controlled starvation Young 2 at the University of Minnesota Memorial Football Stadium in 1944. Doctor Keys conducted the experiment in hopes of obtaining detailed scientific data on the effects of starvation, as information in this field was lacking in the 1940s. Keys’ goal was to obtain information that could be used to create a scientific approach for the planning of hunger relief programs for the starving people of war devastated countries (Tucker 82). Thus, one might even view this experiment as a response to the Holocaust, which occurred during World War II. If nothing else, the nature of Keys’ experiment suggests recognition of the extremity and severity of starvation’s toll on human life in certain areas under Nazi control, if not a direct response to extermination within the camps themselves. Apart from starvation, aspects of psychological trauma experienced by concentration camp victims were not experienced by the men participating in Doctor Keys’ experiment; unlike Holocaust victims, the subjects of the experiment participated voluntarily and were treated very humanely. I reference this study because it mirrors solely the psychological results of hunger and sheds light on the effects of the starvation endured by Holocaust victims. The concentration camps are infamous for their dire conditions and the effects this environment had upon its victims. The victim’s inability of self-protection and the threats from dangerous and difficult life conditions inevitably lead to feelings of depression, passivity, and helplessness, as well as a shift in “motive hierarchies” that cause self-related goals and preservation to rise above concern for others (Staub 164, 38). This process is the general effect of the concentration camp system upon its victims. Included in this system is starvation. However, the psychological effects of starvation that will be explored in this study overlap with other sources of psychological stress. For example, the numbered tattoos assigned to the concentration camp prisoners caused dehumanization and a decrease in self-esteem. Self- Young 3 perception suffers in humans when one is lumped in with a group and is not able to discriminate as effectively, while deprivation of individuality leads to feelings of passivity (Staub 42, 164165). Additionally, uncertainty faced by prisoners in regards to their fate and Nazi intention will be analyzed later in this study as pertaining to increased submission to the authority of the camp system. It is also logical to infer that victims would have suffered severe psychological deterioration due to Post Traumatic Stress Disorder in the face of rape and the witness of death and brutality. There are obviously psychological implications derived from areas other than starvation. This study does not attribute all psychological traumas of the victims to starvation, nor does it pretend that starvation was the sole cause of every psychological effect herein depicted. Rather, I aim to analyze the psychological effects of starvation with full acknowledgement that these effects could also be caused by other acts of Nazi brutality and dehumanization, and in fact were probably the results of a combination of many sources of stress and cruelty. Each could be explored in detail to uncover and explain the psychological decay that takes place in the face of these situations – but I will not do that here. For the sake of conciseness, in this study I will generally attempt to isolate the analysis to starvation. Starvation is a tactic of dehumanization that would have been experienced by every concentration camp prisoner, therefore a study of this aspect of the brutal camp system will be sure to illuminate the psychological plight of its victims. I will, however, broaden the argument at times to include topics such as the role of starvation in the camp system, mass extermination versus prisoner labor supply, and the production of the survivor interview in order to illuminate some of the complications in this study and portray the connections starvation shares with other components of the camp system and the individual. Young 4 Physical Effects of Starvation In addition to the more obvious emaciated appearance of the victims of starvation in the Holocaust, there were numerous other physical effects. Primarily, rations were extremely small. Dorian Kurz, a survivor of Belsen, remembers her ration of “three-quarters of a liter of watery soup…And three and a half centimeters of bread a day and… some kind of an ersatz coffee” (US Holocaust Memorial Museum). Likewise, Elie Wiesel, a survivor of Buna and Auschwitz, records in his autobiography that he received black coffee in the morning, soup at noon, and “bread and something” in the evening (Wiesel 40). Obviously, this sudden drop in calories, vitamins, and proteins caused extreme weight loss. Doctor Keys’ experimental tests also show that starvation causes the victim’s heart rates and temperatures to drop (Tucker 135). Thus, starvation causes excessive weight loss, malnutrition, and a decrease in pulse and temperature. Additionally, Marasmus Kwashiorkor is another prominent effect of starvation. Marasmas Kwashiorkor is “a condition in which there is a deficiency of both calories and protein, with severe tissue wasting, loss of subcutaneous fat, and usually dehydration” (Dorland’s Medical Dictionary). This extreme malnutrition occurred in Holocaust victims due to lack of protein in the diet. The condition caused fatigue, decreased muscle mass, and increased chance of disease due to a decaying immune system (A.D.A.M. Medical Encyclopedia). Starvation is also linked to countless other diseases, including amenorrhea, or a loss of menstruation in females (Tucker 191), typhus, and dysentery (Robbin 237). In spite of fatigue, weakness, and a decaying immune system, Keys believed that the human body is extremely resilient in the face of starvation (Tucker 182). However, the question remains: is the mind as resilient as the body? As Edith P. states in her testimony, “Physical pain you can stand, but how can you bear the emotional pain?” (Langer 102). Young 5 Cognitive Effects of Starvation Malnutrition has greatly detrimental effects on general cognition. The U.S. National Library of Medicine defines malnutrition as, “the condition that occurs when your body does not get enough nutrients” and refers to starvation as “a form of malnutrition” (A.D.A.M. Medical Encyclopedia). Dr. Ancel Keys, in examining his starving subjects, determined that the intellective performance of the subjects on their specially designed tests did not change during starvation, but that calculations took a longer amount of time to complete (Tucker 150, 180). A reason for the longer time necessary for calculations can be explained by Nevin S. Scrimshaw, Director of Food and Nutrition Programme for Human and Social Development of the United Nations, Tokyo, who states that iron deficiency is to blame for cognitive deterioration (Scrimshaw 8). Additionally, a deprivation of the B-12 vitamin can also cause “cognitive impairment” (C Durand, 2). A lack of B-12 Vitamin absorption can cause pernicious anemia (C Durand 1), which is a decrease in red blood cells. The symptoms of this disease include problems concentrating and confusion (A.D.A.M. Medical Encyclopedia). Perhaps one of the most obvious results of this cognitive impairment during the starvation process is a shift in concentration and focus toward food. Doctor Keys’ starvation experiment shows a drop in sex drive, mental alertness, concentration, and comprehension during the starvation phase, while appetite and hunger drive increased rapidly (Tucker 125). Diminishing concentration gives way to thoughts of food, which become the dominant priority and almost exclusive focus of the starving subject’s mind. In Doctor Keys’ experiment, one of the subjects collected cookbooks and stared at pictures of food “with almost pornographic fascination” (Tucker 123), while another subject describes his actions as determined by an “overbearing perversion to food” (Tucker 139). In the testimony of Dorian Kurz, a prisoner of Young 6 Belsen, the effect of this cognitive shift on the Holocaust victim is illuminated as Kurz remembers how her conversation revolved around food. “Most of our time during the day…was spent talking about food because there was not very much to eat and we were hungry much of the time, almost all the time” (US Holocaust Memorial Museum). Food was the dominant focus of the Holocaust victim’s internal life; starvation shifted focus and rearranged priority so that survival could be the dominant goal. This shift also explains why, in Wiesel’s account, a man crawled for food from the cauldron of soup while the camp was being bombed and all prisoners were commanded to stay in the barracks. According to Wiesel, this man illegally crawled toward the cauldron, risking his life from the bombs and the SS guards who were commanded to shoot any prisoners spotted outside the barracks. (In his account Wiesel explains that this strict order was not meant to protect the prisoners from the bombing, but rather to discourage them from running away: “As it was relatively easy to escape during the bombing – the guards left their lookout posts and the electric current was cut off in the barbed-wire fences – the SS had orders to kill anyone found outside the blocks” (Wiesel 56). I suggest that perhaps the order additionally served to prevent the enemy from seeing the state of the prisoners and thus was a way for the Nazis to keep the brutality and conditions of the camps a secret from the enemy for as long as possible.) Wiesel states that the rest of the men did not attempt to steal food because “terror was stronger than hunger”, but seen through the lens of this argument, we might assume that the crawling man’s starvation was so severe that his priority to avoid hunger overcame his priority to avoid being shot due to the cognitive shift of focus prevalent in starvation victims (Weisel 58-59). This shift in priority became extremely prominent for some. Amery, a prisoner in Auschwitz observes, “I was my body and nothing else: in hunger” (Langer 89). Thus, whereas Young 7 one usually identifies oneself by one’s ideals, thoughts, or personality, (all things involving the mind), with this statement Amery suggests that his identity shifted with his priorities, and that his dominant identity became his body– more specifically, the hunger that consumed his body. Elie Wiesel’s experiences further illuminate this shift when he recalls that he and many men in his barracks decided not to fast for Yom Kippur (Wiesel 66). Therefore, even religion became second to food in this shift of priority. Additionally, the subjects of Doctor Keys’ experiment showed a shift away from concern of world issues such as starving war refugees to the world inside the Memorial Stadium (Tucker 161). This shrinking world proves to be an added complication for victims of the Holocaust, because in some cases their will to survive hinged upon it. For example, one report on the issues of the Holocaust states, “A number of inmates were aided in their survival through a belief in someone or something which existed outside of their immediate circumstances. Although the inmate could not be expected to focus upon his belief with any consistency, it still provided a measure of support” (Robbin 239). A shrinking world or apathy would decrease the support or aid that an outside ideology inspired in the victims. Elie Wiesel recalls a case in which he witnessed this outside belief or focus. A relative named Stein told Wiesel that the only thing that kept him alive inside the camp was the knowledge that his wife and children (whom he knew to be outside the camp) were alive. Stein says, “If it wasn’t for them, I couldn’t keep going” (Wiesel 42). However, the cognitive shift we have explored shows that perhaps not every prisoner was able to direct his concentration as Stein did. The focus with which a prisoner could provide an outside ideal is limited by the diminishing concentration on things other than food caused by the malnutrition intricately connected to hunger. Young 8 Cannibalism in the Holocaust This shift also resulted in acts of cannibalism, as hunger and the priority of survival became more eminent than qualms about civilization. For example, during Doctor Keys’ starvation experiment, the subjects began to have cannibalistic dreams at a point in the starvation stage when the output of energy became greater than the input, or food intake (Tucker 99-100). However, cannibalism doesn’t always stay within the realm of dreams; sometimes hunger drives it toward reality. For example, during the siege of Leningrad in 1941, the people within were starving and turned to human corpses and then living people for food. In some cases, Leningrad citizens cut off and consumed pieces of their own bodies to survive (Tucker 7-9). Cannibalism was present during the Holocaust, as well. Moses S., a prisoner of the concentration camps in Germany, recalls a particular bombing that led to acts of cannibalism, “…we found a hand from the bombing…a human hand…Five of us. Divided. And we were eating it. And somebody died, we cut out a piece – we were eating…human flesh” (Langer 117). Outside of the camp system and starvation few people would consider acts of cannibalism. We can look at this change through the previous argument that hunger affects the cognitive processes of the mind. Focus that might have been placed on social customs or morals would have lessened as focus on food became dominant. It is possible that the dominant focus of food that results from starvation would at least be partially responsible for the victims’ resorting to cannibalism. I suggest that the victims’ participation in cannibalism is partly a result of a shift in concentration, focus, and priority due to malnutrition, deprivation of B-12 Vitamin and iron, and the effects of this deficiency on the cognitive mind. However, there is another shift that helps to explain the adoption of cannibalism, one that is in nature more psychological than cognitive. Young 9 General Psychological Effects of Starvation The path to adopting cannibalism in extreme circumstances is part of a psychological process of a shifting motive hierarchy. The motive hierarchy is a concept adopted and analyzed by Ervin Staub, Professor of Psychology Emeritus at the University of Massachusetts at Amherst and author of numerous works on genocidal psychology. Staub explains that motivational sources of human behavior include biological needs, social customs or standards, self-related goals (which can include biological needs), and other-related goals (Staub 36-37). All needs are originally main motivational sources for human behavior, but when faced with deprivation of these needs, biological needs will often become a stronger drive in the motive hierarchy, causing diminution in the relative importance of other motives (Staub 37). When biological needs increase, social customs or standards will decrease accordingly. As Staub states, “When a custom or rule is strongly established, people will deviate from it only when another strong motivation requires deviation” (Staub 37). We can surmise that the increasing drive to fulfill biological needs dominates social customs or standards that would discourage victims of starvation from cannibalistic acts. A shift in hierarchal motives when life conditions are continuously threatening and grotesque causes self-related goals of preservation and protection (both physical and psychological) to become greater than such other-related goals as concern for moral values and other human beings, which in turn often decrease under threat (Staub 37). “Under persistently difficult life conditions, lasting changes often occur in motive hierarchies. Self-protective and self-related goals become more important, and people become less open to others’ needs” (Staub 38). Holocaust victims were likely concerned with moral or social standards against cannibalism and afraid of desecrating the memories of people by consuming their bodies. The increase in Young 10 self-related goals and biological needs over social standards and the needs of others helps explain the psychological process that allowed the victims of starvation to participate in cannibalism, however unwillingly the act was performed. Once the act was completed and the victim deviated from the social standard, the victim would face the psychological effects of this deviation: guilt, anxiety, and fear (Staub 37). Due to shifts in concentration and shifts in the motive hierarchy, it is evident that hunger has extreme effects on cognitive and psychological impairment. Apart from acts of desperation, starvation has gastronomical effects on the psychological and emotional state of its victims. Malnutrition is a prominent cause in psychological issues, including depression and anxiety. B-12 Vitamin and Vitamin C deficiency are known to cause “psychological abnormalities” including depression, anxiety, mood swings, and personality disorders (C Durand; Depression Linked). In addition to B-12 Vitamin and Vitamin C, other general psychological disorders are caused by deficiencies in iron, protein, calories, and thiamine (Scrimshaw 2,15). One subject of Doctor Keys’ experiment was already prone to psychotic tendencies before being admitted, and once subjected to starvation his neurotic scores soared, signifying greater psychiatric distress (Tucker 181). Doctor Keys noted the “psychological deterioration of the men” as he saw traits of anger and compulsion grow as starvation continued (Tucker 124-125). In fact, two of the volunteers had to be checked into psychiatric wards after cheating during the experiment and being expelled from the program. Once rehabilitated and nourished, their psychotic symptoms disappeared (Tucker 102 and 160). Thus, it is evident that malnutrition causes a serious decay in psychological health. Young 11 Submission of Holocaust Victims There is also a deep connection between these psychological impairments and the discouragement to resist the Nazi oppression within the camps. Submission is an effect of uncertainty and starvation. First we will explore uncertainty’s role in this resignation. The victims were encouraged into submission as a result of the uncertainty they faced in regard to their fate in the concentration camps. As Staub observes, “The Jews’ definition of the situation was crucial in determining their response…Resistance required accurate perception of Nazi intentions…” (Staub 158). Thus, knowledge of the victims’ future inside the camps was a necessary precondition for any effective opposition to the camp system. However, the prisoners were kept in ignorance about their situation. Nazis “did everything possible to camouflage the ultimate fate of Jewish victims…using all possible means to mislead” (Staub 160). In Elie Wiesel’s account, the prisoners deported to Auschwitz didn’t know where they were arriving and had never heard the name of the camp before (Wiesel 24). According to Staub, this uncertainty explains why the victims did not rebel while transported on the cattle trains, or in other instances in which the prisoners were kept in ignorance. 1 Submission is also caused by starvation because the psychological effects of malnutrition include apathy, the enemy of all organized resistance. For example, early in the starvation phase of the experiment, Doctor Keys noted that after physical collapse during a somatically strenuous test a subject showed no signs of anger, frustration, or relief that the test was over. Instead, his expression showed “pure resignation” which Doctor Keys referred to as “pure muscular 1TherewereprisoneruprisingsinTreblinkaandSobiborinAugustandOctober1943, respectively(JewishResistance).However,resistancewasnotcommoninthecamp systemanddoesnotassistthepurposeofthisstudy,inwhichIwillfocusinsteadonthe morecommonandwidespreadsubmissionoftheprisonersasitpertainstothe psychologicaleffectsofstarvation. Young 12 weakness” (Tucker 105). The experiment illuminated a loss of ambition, self-discipline, motivation, and will power among the men once starvation commenced (Tucker 125). Thus, in the absence of all other emotions, Doctor Keys observed the resignation that hunger promotes. This symptom might be explained partially by Marasmus Kwashiorkor, the disease previously mentioned which results from protein deficiency. This disease causes symptoms of apathy and the reduction of voluntary movement. Other conditions of severe malnutrition result in a “decrease…in the level of self-initiated intellectual activities, reflecting a profound change in motivation” (Brozec 166, 170). Additional symptoms of malnutrition include numbness (A.D.A.M. Medical Encyclopedia), being less active (Scrimshaw 6), and a loss of interest (Tucker 141). All of these symptoms are in direct opposition to the motivation and passion needed to incite resistance within the camps. However, according to Doctor Keys’ experiment, as soon as the rehabilitation stage began and the subjects began to receive normal meals, energy, anger, and dissent became visible among the men, and they began petitioning to change the conditions within the stadium that they thought unfair. (Tucker 174-175, 177) This account supports the idea that “hungry people mindlessly follow orders. You feed them enough and right away they demand self-government” (Tucker 178). Therefore, submission is connected to starvation due to the psychological and emotional effects of malnutrition. Dehumanization of Victims and Nazi Awareness The connection of submission to starvation complicates the role that the Nazis played in this submission. Did the Nazis know about the submissive symptoms of the psychological trauma they inflicted by starving their victims and keeping them in ignorance? Staub states that the Nazis were aware of this effect. “The Nazis recognized the importance of making victims Young 13 seem less than human. Inmates were kept hungry and helpless…One purpose was to reduce the will to resist by weakening them physically and destroying their former identity and sense of dignity” (Staub 137). However, Nazis might have had other reasons for inflicting this physical and psychological trauma. Dehumanization of prisoners also psychologically affected the Nazi guards by enabling them to rationalize the killings of the victims. One reason the Nazis kept the prisoners in a state of dehumanization was to “diminish the victims and ‘help’ the SS distance themselves from them” (Staub 137). When a commandant of Treblinka was asked why the victims were humiliated and treated cruelly when they were going to be killed anyway, he replied, “ ‘To condition those who actually had to carry out the policies – to make it possible for them to do what they did’ ” (Staub 137). Dehumanization works through devaluing the victim so that the subject, (the one dehumanizing the victim), feels a sense of superiority. In this process the victim is often identified as a scapegoat and blamed for the hardships of the subject. This enables the brutal harming of the victim to become “retaliation” for the subject, although in reality the victim may or may not have done any harm. This process of devaluation enabled a feeling of justification in the Nazis and created a psychological rationalization for the cruelty with which they treated the camp prisoners (Staub 48-49). However, although the Nazis might have sensed the growing moral ease with which they inflicted pain on the victims, universally they were not necessarily aware of their participation in this process of devaluation: “…devaluation and scapegoating are often non-reflective psychological processes that arise without awareness” although they “make moral equilibrium easier” (Staub148). Thus, even if the Nazis were devaluating prisoners in order to kill them with less moral conflict, they may have been individually unaware that they did so. However, it is Young 14 likely that even if this was not a purposeful Nazi goal in the camps, it was a direct effect of the overall goal of the camp system – namely, extermination. I propose that the motive of dehumanization was to inflict sufficient psychological trauma on the prisoners as to insure their submission, and a psychological means to enable Nazi guards to rationalize the killings of the prisoners, whether consciously or unconsciously developed on an individual level. Thus, the dehumanization of the prisoners was inflicted as much for the psychological state of the Nazis as it was for the psychological state of the prisoners. Regardless of the consciousness of the psychological effects, starvation did cause feelings of dehumanization in its victims. In fact, the feeling of dehumanization is perhaps the most potent psychological effect of starvation. Leon H., a former prisoner of Auschwitz, states, “Human life was like a fly” (Langer 93). But why did the victims feel this way? One answer is linked to malnutrition. The loss of self-worth and the denatured self are interconnected with malnutrition, starvation, and submission. In general, iron deficiency and B-12 Vitamins are linked to “devaluation impressions” (C Durand 1). The “poor physical conditions of the inmates” (including malnutrition) “contributed for many to a lack of self-care or self-worth” (Robbins 237). Furthermore, the acts that hunger inspires, such as cannibalism, “sometimes led to a diminished self-perception” (Langer 82). Therefore, malnutrition, poor conditions, and acts of desperation all led to feelings of dehumanization within the victims. While exploring these psychological implications, we must also recognize that normal logic does not always apply to the internal workings of the concentration camps. It can become contradictory to calculate the will to survive within a system in which the overall purpose and eventual – even seemingly inevitable – goal was mass death. In fact, we might recognize the loss of the will to survive as a dominant Nazi goal supported by the psychological makeup of the Young 15 camps and ghettos. This loss of will can be examined in the inhabitants of the Jewish ghettos during the Holocaust who suffered similar hardships and persecution as the camp victims. Hersh Wasser, a refugee and forced resident of the Warsaw Ghetto during World War II, made a written entry on May 26th, 1942 in which he records the condition of his fellow refugees and victims: “The attitude towards death is quite casual. I venture to say that the dead are objects of envy. Nobody really has the courage to die, but the general opinion is that the dead have already passed through their vale of tears…The living envy the dead” (Wasser). As Wasser observes, the will to live began to diminish while death appeared more tempting in light of such extreme conditions. One might deduce that any will to survive came not from a desire to live as life was therein depicted, yet instead was founded at least partially by a fear of death, or as Wasser puts it, lack of the “courage to die”. In labor camps, only a victim who performed a function was kept alive. Value was determined by output and not by any intrinsic value of being human. Chaim E, a former prisoner of Sobibor, described the situation as making him feel like a robot and not a human, because his worth depended solely on his function (Langer 178). This means of measuring value might be considered the greatest cause of feelings of dehumanization in Holocaust victims. It also introduces the question of starvation’s place in the much larger context of mass extermination and the structure and categories of the concentration camp system. Starvation’s Role in Mass Extermination Mass murder began outside the camps. Falk Pingel, expert on the Nazi and Holocaust era (Falk Pingel), states, “The murder of the mentally ill, of Soviet prisoners of war, and of the Jewish population began outside the concentration camps. The concentration camps were turned into instruments of mass extermination only when the murder had reached such proportions that Young 16 earlier methods were no longer adequate” (Pingel 15). A surplus of prisoners and overcrowding is one reason mass extermination became dominant within the camp system. The mass roundups of Jews during the pogroms of 1938 (Kristallnacht The November 1938 Pogroms) and the intake of foreign prisoners from conquered areas caused a new influx of people to be sent to the camps, causing extreme overcrowding which resulted in dire conditions for the prisoners, whom the camps could not accommodate. This overcrowding led to the early development of methods of mass killing. These methods included “ ‘euthanasia,’ ‘extermination through work’…mass shooting,” and “means of starving…prisoners” (Pingel 5). Thus, from an early point, starvation was a key factor in killing the prisoners. Aharon Weiss, advisor at the Tkuma Center for Holocaust Studies (Accolades), explains that extermination was not the first Nazi approach to ridding Germany of Jews. At first Jews were arrested and sent to camps to encourage Jewish emigration from Germany (Weiss 118). However, after 1939 this attitude changed and the new approach aimed to “solve the Jewish question” by pursuing mass extermination within the camps (Weiss 120). Weiss states that “mass extermination began in the Chelmo camp in December 1941. The concepts and methods that were tested and consolidated at this time were carried out on a wider scale…almost until the end of the war” (Weiss 126). Methods developed at Chelmno quickly spread throughout the larger camp system. Various kinds of camps were transformed “into principal instruments in the execution of the ‘final solution’ ” (Weiss 126), and “Auschwitz and Lublin-Majdanek…became the focus of the mass extermination of the Jewish population” (Pingel 6). Other specific death camps soon included: Chelmno, Belzec, Sobibor, and Treblinka (Weiss 131). These death camps were important for the Nazi approach to the “final solution of the Jewish question” and were established solely for the purpose of mass death (Weiss 131). In the methods of death, prisoners Young 17 were not always left to starve slowly. In many cases, the system “worked methodically and efficiently and in no way allowed the millions who were sent to their deaths to consider what was in store for them or to prepare to resist” (Weiss 131-132). As previously explored, starvation causes psychological effects that inspire submission in the victims. However, even in sudden deaths prisoners were not given time to consider a response or contemplate resistance. In this way, the camp system worked efficiently in ensuring submission and mass extermination. Starvation as a means of mass extermination was not always anticipated by the Nazi regime. For example, in 1944 the Economic and Administrative Main Office of the camps became unable to continue providing the insufficient raw materials that they had sent the camps up to that point. The office no longer allowed the camps to order prisoner supplies and there were serious supply shortages in camps that had never allotted sufficient materials to begin with (Weiss 15). Although in most cases starvation was a tactic deployed by the Nazis to promote mass extermination and dehumanization, in this case severe starvation was not planned by the camp officials. Regardless, starvation struck the prisoners and contributed to mass extermination. Furthermore, mass extermination of the Jews as a Nazi priority leads to an interesting question about the purpose of the camps. Mass Extermination Versus Prisoner Labor Supply The existence of both labor camps and extermination camps within the system seems to suggest an intrinsic paradox. If some prisoners were used for forced labor and not immediately killed, how does this relate to the main purpose of the camp system and the question of the “final solution”, or mass extermination of the Jews? Additionally, why were the prisoners kept in a state of starvation if they were valuable to the war effort? Labor supply became an issue in the Young 18 beginning of World War II. The camps’ intake of new prisoners was now meant to expand the work force in the camps. Pingel explains, “the continuation of essential weapon production could only be achieved if the flow of production and deployment of labor were more closely regulated. With the implementation of forced-labor conditions…the concentration camps assumed an important role” (Pingel 5). Therefore, the concentration camps, in addition to exterminating Jews and enemies of the Nazi state, gained an economic role in the war effort. In response, preparation for war included the expansion of the concentration camp system (Pingel 17). This seems to intimate a shift in the purpose of the camp system from extermination to labor supply. One answer to the questions posed above is that even in the face of war, the main goal of the concentration camp system remained mass extermination. In 1942, in response to arguments concerning the need of man power, “an agreement was reached between the heads of the police and the SS in the General Government and the Armaments Ministry that workers who were needed to produce essential goods for the war effort would be concentrated in camps by the SS” (Weiss 128). Himmler, chief of German police (Pingel 5), approved this agreement but insisted that it was temporary and demanded “that the extermination of the Jews in the General Government must be completed by the end of that year” (Weiss 128). Therefore, while labor supply was a temporary arrangement for prisoners, mass extermination remained the final goal of the concentration camp system. The decisions the Nazis made in response to the war further illuminate their dominant priority of mass extermination as a part of their goal of racial domination. Even in the face of defeat, when using all economic assets for the war effort became a necessity, the Nazis did not relinquish their ultimate goal of Rassenherrschaft, or racial domination. Pingel says that “only with the dismantling of the concentration camps themselves Young 19 did the gassing of Jews cease” (Pingel 6). Weiss also stresses that “economic considerations were of secondary importance, and the Germans’ main goal was to humiliate and mistreat the prisoners and to liquidate them by means of hard labor” (Weiss 119). This mistreatment and humiliation is established through the means of starvation used against the victims, and explains why victims were starved while still being used as labor for the war effort. Testimonies support Weiss’s insistence that the Nazi regime still held mass extermination as the top priority in the camp system. For example, Holocaust survivor Erich Kulka recalls a time in which this Nazi priority was exemplified. Kulka explains that the 80 Jews in the camp Hamburg-Neuengamme were ordered to Auschwitz, but five of these prisoners were part of a team manufacturing submarines for the war and were allowed to stay. However, as soon as Aryan prisoners arrived at the camp, they took the five Jews’ places and the Jews were sent along to Auschwitz. Kulka explains that the transfer of these Jews as soon as Aryans were available to take their place “should be taken as evidence that in every phase the extermination of Jews took precedence in the plans of the Nazis” (Kulka 32). Additionally, Seweryna Szmaglewska, also a Holocaust survivor, remembers an SS commandant who visited Auschwitz and was angered by the sight of veteran prisoners. The commandant insisted that “a prisoner should not survive more than six weeks in a concentration camp” (Karai 35). The commandant’s insistence on a short life span for prisoners of the camps exemplifies the priority of mass extermination within the camps. Starvation was meant to enhance mass extermination, not the exploitation of labor. Even while performing labor of economic value, the ultimate purpose was death, and if the prisoners died from starvation and other extreme conditions while employed in this forced labor, the purpose of the camp system was being efficiently served. The camp continued to develop in two Young 20 ways: “exploitation of labor” and “mass killing of Jews” (Weiss 127). While mass extermination of concentration camp victims was the final goal of Nazi policy, prisoners were temporarily exploited to supply labor to the war effort. Conditions remained dire and prisoners were continuously starved throughout this double objective. In observing the double objective of extermination and labor supply and the role that starvation played in the camp system, we must also recognize the individual categories of concentration camps and the potential difference between labor camps and extermination camps. Categories of Camps Labor camps were specifically designed to exploit the prisoners’ labor power, while extermination camps were designed for death. Some camps, like Auschwitz and Majdanek, were identified as both labor and extermination camps, (a parallelism allowed by the double objective we have just explored). However, in labor camps the conditions were so poor that they also led to mass death (Weiss 116, 124). Specific classification of the camps is difficult when one considers that “they all operated under conditions and a form of regime which resulted in large numbers of victims, despite the names and roles assigned to them” (Weiss 116). Starvation, one of the poor conditions that often resulted in death and made this classification difficult, is one reason why labor camps and extermination camps are not clearly distinctive. Shlomo Aronson, Political Science professor at the Hebrew University of Jerusalem (The Hebrew University of Jerusalem), states that once Theodor Eicke, an SS leader before and during the Holocaust (Theodor Eicke), drew up a pronouncement called “Revolutionary Logic” for implementation in Dachau in 1934 which determined that humans could be judged, hanged, and executed with the final authority resting with himself: “there was really no difference to which Young 21 type of camp people were sent” (Aronson 44). Aronson recognizes that because the SS had the authority to kill prisoners for any reason and did not have to go through a judicial execution system, murder became convenient, and eventually all camps essentially resembled death camps. I suggest that there is no substantial distinction between camps that causes any substantial psychological difference in victims of various areas, as they were all faced with starvation and unavoidable extermination. Altogether, exploration of mass extermination, the double objectives of exploiting labor and extermination, and the categories of the concentration camps help to illuminate the role starvation and its psychological effects played within the camp system. In addition to exploring the calculations of the will to survive in a camp system in which simple logic does not suffice, another observation concerning the perception of death must also be made here: what is life if it is no longer distinguishable from death? As previously mentioned, the physical symptoms of starvation include a slower pulse and drop in temperature (Tucker 135), two signs closely resembling death. This problem is illuminated in Wiesel’s account. For example, while being transported to a new location, the men were forced to sleep outside in extreme wintry conditions, and in the morning Wiesel declares, “I tried to distinguish those who were still alive from those who were gone. But there was no difference” (Wiesel 93). In driving the prisoners to states of near-death, the Nazis were in fact making them resemble death more than life. Thus, the illogical gains morbid logic: life may have lost meaning to some when it was indistinguishable from death. However, in the face of the overwhelmingly numerous reasons to die, many prisoners searched their surroundings for reasons to live. Often, prisoners would form interpersonal relationships in order to gain support and motivation. These relationships are complicated by our study of starvation and its implications. Young 22 Starvation’s Effects on Interpersonal Prisoner Relationships Because starvation psychologically affected prisoners on an individual level, it follows that starvation would also affect prisoner relationships within the camps. To understand this, we must first explore the significance of interpersonal relationships. Henry Krystal, clinical psychoanalyst certified in adult analysis and Professor Emeritus of Psychiatry at Michigan State University (Henry Krystal, MD), survivor of the Holocaust (Henry Krystal), and student of the psychological trauma of the Holocaust (Davidson 7), offers psychological analyses that illuminate the psychological decay in prisoners. Krystal has developed the stages of the process of “catastrophic trauma” which often results when psychological defenses are overpowered. He breaks them down into four parts: I. confrontation with death, II. affective blocking and numbing, III. constriction of cognitive and executive function, and IV. defeat and surrender. This last stage, which often leads to death, references the previously explored apathy and submission that often consumed victims. This final stage was identified among prisoners within the camp system as the “Muselmann state” (Davidson 7). Shamai Davidson, the late head of the Elie Wiesel Chair for the Study of the PsychoSocial Trauma of the Holocaust and Associate Clinical Professor at the School of Medicine of Tel-Aviv University until his death in 1986 (Minski), emphasizes the need for interpersonal relationships among prisoners to mitigate Krystal’s fourth stage. Davidson states, “…interpersonal support, by buffering and protecting the psyche in the face of even catastrophic stress situations, can mitigate the traumatic process, and the progression to the final state of apathetic resignation and surrender may be prevented or even averted” (Davidson 9). Davidson expresses that the will to fight and survive in extreme conditions hinges on social bonding and interpersonal exchange. He believes that “interpersonal bonding, reciprocity and sharing were an Young 23 essential source of strength for ‘adaption’ and survival in many of the victims” (Davidson 2). Davidson develops these thoughts into a general conclusion in which he claims human reciprocity helped avoid death. He states, “human reciprocity in the group and dyadic relations, by sustaining the morale and the motivation to struggle to live on in the Nazi concentration camps, increased the chances of eventual survival” (Davidson 4-5). Testimonies of victims of the Holocaust support Davidson’s conclusion. For example, Helena Birenbaum, survivor of Majdanek, Auschwitz, and Ravensbrueck, expresses that if it were not for the relationship she shared with her sister-in-law, Hela, she would not have survived. Birenbaum says, “Had it not been for Hela, her boundless devotion and constant care, I would have perished after a few days…she shared every bite she acquired with me…she…did everything in her power to make easier my life in the camp…For a long time I could not rouse myself from a state of listlessness. Had it not been for Hela’s efforts I would not have roused myself from my apathy…thanks to her help, I finally joined the fight for life in the camp of death” (Davidson 14). Therefore, Helena attributes her survival to the interpersonal bond she shared with her sister-in-law. An additional point is made in Elie Wiesel’s account. Wiesel recalls two brothers, Yossi and Tibi, whom Wiesel states “lived, body and soul, for each other” (Night 48). Yossi and Tibi lived for each other, or survived because of their interpersonal bond. The study of these personal bonds seems to inaccurately simplify survival within the camps: if forming personal bonds substantially increased chances of survival, why didn’t every prisoner take this approach? This is where our study of starvation complicates the idea of interpersonal relationships: starvation greatly limited the relationships that could be formed or sustained and the ability of these relationships to mitigate Krystal’s fourth stage of defeat and surrender. As previously mentioned, “sharing” is included with interpersonal bonding and identified as an essential source of strength for adaption (Davidson 2). However, starvation greatly limits Young 24 the opportunities to share with someone else because there is already insufficient nutrition for even one person. Physically, sharing food within these relationships in order to sustain another would have caused the “sharer”, (who was already starving to death), to lose more strength. For example, in Helena Birenbaum’s testimony, she states that Hela’s support increased Helena’s chances of survival. But nothing is said about how Hela’s chances of survival are effected through this transaction in which Hela shared “every bite she acquired” with Helena (Davidson 14). It is obvious that Hela’s sacrifice in this relationship would have decreased her physical strength, increased malnutrition, and possibly encouraged even more of the psychological effects of starvation that we have herein explored. Additionally, Wiesel recalls how at times he wished that he could be free of his father so that he wouldn’t have to take care of him. In regards to his father Wiesel thought, “If only I could get rid of this dead weight, so that I could use all my strength to struggle for my own survival, and only worry about myself” (Night 101). Both examples illuminate that in relationships where one prisoner obtained the role of main caregiver, the caregiver’s chance of survival may have actually decreased or at least gained new difficulties. Consequently, there were many instances in which prisoners broke relationships in order to pursue personal nutrition and survival. As previously observed, the motivational hierarchy causes shifts to occur in situations where certain needs take precedence over others (Staub 37). If personal “self-related goals”, (such as hunger), increase, “other-related goals” will decrease. This means that starvation – or the self-related need to gain nutrition, can become priority over the needs of other members of the personal bonds. This shift might cause actions that will lead to the decay of these interpersonal bonds. For example, in Wiesel’s account he recalls a son who kills his father in order to steal and eat his father’s scrap of bread (Night 96). This is a clear example of a situation Young 25 in which a relationship cannot be sustained because the self-related goal of survival via nutrition takes priority over the other-related goal of supporting and sharing with a partner. Wiesel also recalls the head of the prisoner’s block in Buchenwald advising Wiesel against caring for his sick father. The head of the block says, “Don’t forget that you’re in a concentration camp. Here, every man has to fight for himself and not think of anyone else…Here there are no fathers, no brothers, no friends. Everyone lives and dies for himself alone…don’t give your ration of bread and soup to your old father…you’re killing yourself. Instead, you ought to be having two rations of bread, two rations of soup…” (Night 105). This advice is reminiscent of Wiesel’s desire to break free from the bond with his father and focus on his own survival. This man’s advice also reveals something chilling about the concentration camp system: that it was structured through the implications of starvation to discourage interpersonal bonding and that in order to gain enough nutrition to survive, sharing was extremely difficult. This complication extends beyond individual relationships and includes groups of prisoners. For example, Wiesel recalls that when being transported to Buchenwald by cattle train, some German bystanders threw bread into the wagon of starving prisoners who had not been fed for days. He says, “Dozens of starving men fought each other to the death for a few crumbs…Men threw themselves on top of each other, stamping on each other, tearing at each other, biting each other” (Night 95). The effects of starvation and the urgent need for nutrition made food a higher priority than solidarity or the needs of others. Wiesel also recalls an event in which the SS displayed the hanging of a boy. Wiesel explains that when a guard attempted to seize the boy, “two prisoners helped him [the guard] in his task – for two plates of soup” (Night 59). Therefore, some prisoners were willing to assist in the death of another prisoner so that they Young 26 might obtain nutrition for survival. These examples display starvation’s role in the decay of solidarity among prisoners. According to Shamai Davidson, interpersonal relationships increase the possibility of survival. However, an opposing argument can also be made: relationships might actually have the opposite effect in that they complicate a prisoner’s chance of survival. For example, if one prisoner is living for another (as in the case of Yossi and Tibi), and his fate becomes psychologically entwined with his partner, then there are now two people who must live – the prisoner and his partner – in order for the one prisoner to maintain the psychological will to survive. In regard to the motive hierarchy, this poses an interesting question: when do “otherrelated goals” become “self-related goals”? If this equation is possible, it means that at stages in a prisoner’s relationship, in order to meet his self-related needs he must additionally meet the other-related needs of his partner. Davidson illuminates this complication when he explores the relationship between Anne Frank and her sister, Margot. Davidson states, “Women who met Anne Frank in Bergen-Belsen in the month before she died believed that neither the hunger nor the typhus killed her but the death of her sister, Margot. One of these women said: ‘It was frightening to see how easy it was to die for someone who had been left all alone in a concentration camp’ ” (Davidson 5). It is possible that if Margot’s needs were a part of Anne’s self-related needs, Anne’s inability to provide for Margot resulted in the insufficient fulfillment of Anne’s needs. This situation suggests that relationships enhance the chance of survival, but if the partner in one of these relationships succumbs to death, the other partner’s chance of death seems to be significantly increased. Overall, starvation seems to complicate relationships within the concentration camp system in that starvation is the cause for the need of relationships, but it is also one reason that forming and maintaining these relationships becomes extremely difficult. Young 27 However, starvation is not the only factor that went into the complications of relationships in the camp system. Other physical and psychological factors also affected bonds. When general survival conditions worsened, relationships seemed to diminish. For example, Davidson states, “When survival conditions became even more extreme…as on the ‘death marches’ after the evacuation of the camps, it became increasingly difficult to maintain interpersonal bonds in the desperate struggle not to fall behind and be shot” (Davidson 6). One Holocaust survivor, Solomon G, says that during the death march, “we were in such a state that all that mattered is to remain alive. Even about your own brother, one did not think…at the time I wanted to survive myself” (Hass 4). Solomon G illuminates the difficulty of maintaining otherrelated goals during the death march and thus suggests that Davidson is correct when he claims that the harsh conditions of the death march made the maintenance of relationships more difficult. Holocaust survivor Eli Pfefferkorn also validates Davidson’s statement when he recalls that during the death march, “the relationships that I developed in the last camp…rapidly dissolved in the course of the ‘death march’ as the survival conditions became more extreme” (Davidson 6). However, in his testimony, Pfefferkorn also reveals that the relationships he formed at the last camp were “of an expedient nature” (Davidson 6). Although Pfefferkorn does not elaborate on this description of his relationships in the last camp, his point is a powerful one. Even in his brief statement on relationships, Pfefferkorn mentions the extreme survival conditions that affected the relationship as well as the “expedient” nature of the relationship itself. All these factors must be taken into consideration in addition to the effects of starvation on the relationship dynamic. During the death marches, there were other factors such as exhaustion and weakness that would also impact relationships. In some cases, the nature of the Young 28 relationship itself may have impacted its resilience. In the camp system, the natures of relationships varied and starvation was not the only dire condition that prisoners faced; because of this, there is no way to define starvation’s exact and total role in the diminution of prisoner relationships. Other than the extreme conditions and nature of the relationships, there is another factor we should consider when studying the Holocaust, as this factor directly influences the information we analyze: the production of the interview. I would like to make a brief departure from the general argument to address this issue. Production of the Interview By speaking of the “production” of the interview, I do not suggest that the information offered by survivors is not valid, but rather I aim to recognize the factors that influence an interview and testimony so that we might be aware of the effects this might have on the information analyzed throughout this study. For example, Shamai Davidson, whose writings we analyzed earlier when addressing interpersonal prisoner relationships, identifies some of the factors that influence the survivor interview. Davidson recognizes that what events the survivor chooses to tell is affected by the natural tendency to stress the traumatic experiences that most personally affected him or her (Davidson 10). He also explains that when speaking of life in the concentration camps, “survivors stress the negative side of concentration camp existence because their accounts are governed by an obsessive need to ‘tell the world’ of the terrible things they have seen. This determines not only the kind of material they select to record, but also the emphasis they give it” (Davidson 3). Davidson here suggests that other factors, such as the need to convey certain things to people who did not experience the same trauma as the survivor, affect the survivor’s choice of what information is shared. Young 29 He identifies other factors as influential to the survivor’s testimony when he observes that each victim saw only a small part of the collective whole of the camp system, the perception of the survivor’s surroundings hinge upon his psychological and physical state at the time of the trauma, and the events in the survivor’s life after the Holocaust will shape the way in which he looks back upon the traumatic events within the camps and the way in which he synthesizes the experiences (Davidson 10). Each of these factors accounts for the diversity of testimonies and the rhetoric the survivors use to tell them. The pain a survivor might feel in recalling these traumatic experiences also affects the interview. In his analysis, Davidson addresses both “the difficulty involved in recalling and verbalizing the many elements in each individual experience” and “the complexity and pain involved in the process of interviewing” (Davidson 10). Therefore, the difficulty of recalling individual occurrences and the pain involved in remembrance also affect what the survivor tells or how he tells it. This pain often involves survivor guilt. According to Aaron Hass, Professor of Psychology at California State University and author of multiple books and essays on the Holocaust (Professor Explores Holocaust’s Effects), “’survivor guilt’ is the term used to describe the feelings of those who…emerge from disaster which mortally engulfs others. On an irrational level, these individuals wince at their privileged escape from death’s clutches” (Hass 2). Survivors fit into this description because they survived the concentration camp system, which claimed millions of other lives. Consequently, some of the effects of survivor guilt might impact their testimonies. Survivor guilt can impact the survivor by motivating him to commemorate the dead by bearing witness to the stories of the deceased (Hass 2). Guilt may cause survivors to stress a commemoration and memory of the dead in their testimonies; this explains why certain survivors will emphasize different aspects or Young 30 details of their experience. For example, we might consider that in Birenbaum’s testimony, emphasis is given to Hela’s sharing of food because Helena might wish to commemorate the memory of Hela by recalling this act which celebrates a selfless image of Hela. Survivors also feel guilt or shame about the things they did or felt in the extreme conditions of the camps, and the retelling can cause the interviewee grief that discourages talking about his experiences. For example, survivor Solomon G says, “It is difficult to say, [to] talk about feelings. First of all, we were reduced to such an animal level that actually now that I remember those things, I feel more horrible than I felt at the time…It bothers me very much if I was the only one that felt that way, or is that normal in such circumstances to be that way” (Hass 5). Here Solomon explains that it is hard for him to talk about his feelings in regard to the Holocaust. (Whether Solomon’s difficulty is linguistic or emotional is not important in this discussion; our interest is in the difficulty itself.) He also expresses fear that he might be the only one who feels a certain way, and whether or not his feelings are “normal”. I suggest that these factors of fear and difficulty might potentially discourage victims from sharing certain aspects of their testimony, whether consciously or subconsciously. In addition to these elements of the interview, survivors have also been known to exercise “secretiveness”, or avoid speaking of the family members killed in the camps. Hass explains, “When survivors do speak about their Holocaust years with their new families, many fail to mention that they had a previous family, children or a spouse, who were murdered in the Holocaust. To speak of them might have implied albeit irrationally, a question of one’s total devotion or loyalty to one’s present family. The quality of ‘secretiveness’, a word which some members of the second generation have used to describe the atmosphere in their homes while they were growing up, can often be traced back to this issue. Typically, members of the second generation do not discover the existence of a predecessor family until adolescence or young adulthood” (Hass 6). Young 31 Here Hass explains that survivors leave out information for the interest of their relationship with their present families. Hass’ analysis leads us to conclude that there are times in which outside factors encourage survivors to leave out parts of their experiences when giving their testimony. Altogether, we might deduce that survivor guilt and other factors influencing the survivor can impact the production of the interview and thus some of the information we analyze. However, the information from the testimonies and interviews that we do have are still vital sources and are not invalidated or diminished by these factors. Rather, it is important to be aware of these influences so that we might analyze the information we are given with a greater awareness and insight. Conclusion Altogether, the physical methods of Nazi dehumanization during the Holocaust had extensive psychological effects on the victims. As a dominant Nazi tactic, starvation played a significant role in the “final solution” of mass extermination within the concentration camp system which remained the priority of the Nazi mission even while utilizing prisoners for labor supply. Malnutrition caused psychological impairment and deterioration to abound while inspiring acts of desperation within victims. The apathy and feelings of dehumanization or loss of self-worth that resulted from this deterioration allowed and encouraged victims to submit to their oppressors. Dehumanization of the victims also enabled psychological changes in the Nazis and conditioned them in such a way that they carried out brutalities with increasing moral ease. Victims also experienced depression and a cognitive decay most identifiable as a shift in concentration. Starvation even complicated and challenged the possibility of prisoner relationships to provide hope or motivation for survival. The psychological effects of starvation Young 32 via malnutrition are numerous and provide a new understanding of the Holocaust victims’ situation and response. Young 33 Works Cited "Accolades for Dr. Aharon Weiss." Inside JDC's Global Humanitarian Assistance Work: No Passports Required. American Jewish Joint Distribution Committee, 23 July 2010. Web. 07 Apr. 2012. <http://nopassportrequired.wordpress.com/tag/aharon-weiss/>. A.D.A.M. Medical Encylopedia. "Causes, Incidence, and Risk Factors." Pernicious Anemia. U.S. National Library of Medicine, 18 Nov. 0000. Web. 16 Feb. 2012. <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001595/>. Aronson, Shlomo. "SS-Police-Concentration Camp From Dachau to Auschwitz." The Nazi Concentration Camps: Structure and Aims; the Image of the Prisoner; the Jews in the Camps: Proceedings of the Fourth Yad Vashem International Historical Conference, Jerusalem January 1980. Ed. Yisrael Gutman and Avital Saf. Jerusalem: Yad Vashem, 1984. 19-30. Print. Davidson, Shamai. "Human Reciprocity Among the Jewish Prisoners in the Nazi Concentration Camps", The Nazi Concentration Camps, Yad Vashem 1984. C, Durand, Mary S, Brazo P, and Dollfus S. "Psychiatric Manifestations of Vitamin B12 Deficiency: A Case Report." National Center for Biotechnology Information. U.S. National Library of Medicine, 29 Nov. 2003. Web. 14 Feb. 2012. <http://www.ncbi.nlm.nih.gov/pubmed/15029091>. "Depression Linked to Vitamin C Deficiency." The Depression Forums. Jelsoft Enterprises Ltd., Sept. 2010. Web. 14 Feb. 2012. <http://www.takethislife.com/depressionnews/depression-linked-vitamin-c-deficiency-48315/>. Young 34 Dorland's Medical Dictionary for Health Consumers. "Kwashiorkor." TheFreeDictionary.com. Saunders, 2007. Web. 16 Mar. 2012. <http://medicaldictionary.thefreedictionary.com/kwashiorkor>. "Falk Pingel." Georg-Eckert-Institut Fur Internationale Schulbuchforschung. Georg Eckert Institute for International Textbook Research, 2012. Web. 07 Apr. 2012. <http://www.gei.de/en/fellows-and-staff/affiliated-faculty/dr-pingel.html>. Hass, Aaron. "Survivor Guilt in Holocaust ..." Holocaust Education Resources for Teachers. Holocaust Teacher Resource Center. Web. 23 Apr. 2012. <http://www.holocausttrc.org/glbsurv.htm>. "The Hebrew University of Jerusalem - Faculty Research Interests." בירושלים העברית האוניברסיטה. The Hebrew University of Jerusalem. Web. 07 Apr. 2012. <http://www.huji.ac.il/dataj/controller/ihoker/MOP-STAFF_LINK?sno=352815>. "Henry Krystal." Voice/Vision Holocaust Survivor Oral History Archive. Board of Regents University of Michigan-Dearborn, 19 Sept. 1996. Web. 07 Apr. 2012. <http://holocaust.umd.umich.edu/krystal/>. "Henry Krystal, M.D." Michigan Psychoanalytic Institute and Society. Michigan Psychoanalytic Institute and Society, 2003-2011. Web. 07 Apr. 2012. <http://www.mpimps.org/main/directory/krystal.shtml>. Hopler, Whitney. "Psychological Effects of a Vitamin B-12 Deficiency." LIVESTRONG.COM. Demand Media, Inc., 19 Oct. 2010. Web. 14 Feb. 2012. <http://www.livestrong.com/article/284019-psychological-effects-of-a-vitamin-b-12deficiency/>. Young 35 "Jewish Resistance." Jewish Resistance. United States Holocaust Memorial Museum, 6 Jan. 2011. Web. 24 Apr. 2012. <http://www.ushmm.org/wlc/en/article.php?ModuleId=10005213>. Karai, Felicia. "Discussion." The Nazi Concentration Camps: Structure and Aims; the Image of the Prisoner; the Jews in the Camps: Proceedings of the Fourth Yad Vashem International Historical Conference, Jerusalem January 1980. Ed. Yisrael Gutman and Avital Saf. Jerusalem: Yad Vashem, 1984. 35-36. Print. "Kristallnacht The November 1938 Pogroms." United States Holocaust Memorial Museum. United States Holocaust Memorial Museum. Web. 22 Apr. 2012. <http://www.ushmm.org/museum/exhibit/online/kristallnacht/frame.htm>. Kulka, Erich. "Discussion." The Nazi Concentration Camps: Structure and Aims; the Image of the Prisoner; the Jews in the Camps: Proceedings of the Fourth Yad Vashem International Historical Conference, Jerusalem January 1980. Ed. Yisrael Gutman and Avital Saf. Jerusalem: Yad Vashem, 1984. 31-32. Print. Kurz, Doriane. "Personal History." Interview. United States Holocaust Memorial Museum. United States Holocaust Memorial Museum. Web. 12 Jan. 2012. <http://www.ushmm.org/wlc/en/media_oi.php?MediaId=1117>. Langer, Lawrence L. Holocaust Testimonies: The Ruins of Memory. New Haven: Yale UP, 1991. Print. Minski, Louis. "The Psychiatrist." The Psychiatric Bulletin Feb. 1987, Volume II sec. RC Psych. Royal College of Psychiatrists. Web. 7 Apr. 2012. <http://pb.rcpsych.org/content/11/2/73.2.full.pdf>. Young 36 Pingel, Falk. "The Concentration Camps as Part of the Nationalist-Socialist System of Domination." The Nazi Concentration Camps: Structure and Aims; the Image of the Prisoner; the Jews in the Camps: Proceedings of the Fourth Yad Vashem International Historical Conference, Jerusalem January 1980. Ed. Yisrael Gutman and Avital Saf. Jerusalem: Yad Vashem, 1984. 3-17. Print. "Professor Explores Holocaust's Effect on Children of Survivors : Psychology: Aaron Hass' Book and Class Discussions Reflect a Personal, Intimate Knowledge of the Legacy." Los Angeles Times. Los Angeles Times, 23 July 1991. Web. 24 Apr. 2012. <http://articles.latimes.com/1991-07-23/local/me-283_1_aaron-hass>. Robbin, Sheryl. "Life in the Camps: The Psychological Dimension." Genocide, Critical Issues of the Holocaust: A Companion to the Film, Genocide. Ed. Alex Grobman and Daniel Landes. New Jersey: Simon Wiesenthal Center and Rossel, 1983. 236-41. Google Books. Google and Behrman House, Inc. Web. 10 Jan. 2012. <http://books.google.com/books?id=DcdiVs9lwvcC&printsec=frontcover#v=onepage&q &f=false>. Scrimshaw, Nevin S. "Malnutrition, Brain Development, Learning, and Behavior." Nutrition Research 18.2 (1998): 351-79. Science Direct. Elsevier, Inc., 27 Apr. 1998. Web. 16 Jan. 2012. <http://www.sciencedirect.com/science/article/pii/S027153179800027X>. Staub, Ervin. "Ervinstaub.com." Ervinstaub.com. Web. 15 Mar. 2012. <http://www.ervinstaub.com/>. Staub, Ervin. The Roots of Evil: The Origins of Genocide and Other Group Violence. Cambridge [England: Cambridge UP, 1989. Print. Young 37 "Theodor Eicke." Holocaust Education & Archive Research Team. H. E. A. R. T., 2012. Web. 07 Apr. 2012. <http://www.holocaustresearchproject.org/othercamps/eicke.html>. Tucker, Todd. The Great Starvation Experiment: Ancel Keys and the Men Who Starved for Science. Minneapolis: University of Minnesota, 2007. Emerson College Ebrary Reader. Web. 10 Jan. 2012. <http://site.ebrary.com/lib/emerson/docDetail.action?docID=10215796>. Vogel, Michael. "Personal Histories." Interview. United States Holocaust Memorial Museum. United States Holocaust Memorial Museum. Web. 12 Jan. 2012. <http://www.ushmm.org/wlc/en/media_oi.php?ModuleId=10006287&MediaId=1188>. Wasser, Hersh. "Hersh Wasser on Rumors of Extermination of the Jews (1)." Www.yadvashem.org. Yad Vashem the Holocaust Martyrs' and Heroes' Remembrance Authority. Web. 16 Mar. 2012. <http://www1.yadvashem.org/yv/en/holocaust/resource_center/item.asp?GATE=Z&list_t ype=41&TYPE_ID=1&TOTAL=N&pn=3&title=Excerpts%20from%20Diaries,%20Memoirs, %20and%20Letters>. Weiss, Aharon. "Categories of Camps-Their Character and Role in the Execution of the 'Final Solution of the Jewish Question'." The Nazi Concentration Camps: Structure and Aims; the Image of the Prisoner; the Jews in the Camps: Proceedings of the Fourth Yad Vashem International Historical Conference, Jerusalem January 1980. Ed. Yisrael Gutman and Avital Saf. Jerusalem: Yad Vashem, 1984. 115-132. Print. Wiesel, Elie. Night. Toronto: Bantam, 1986. Print.