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At the heart of traumatic stress studies is a recognition that trauma occurs within social, economic, and political contexts. Judith Herman, one of the pioneers of the traumatic stress field, has even stated that the systematic study of psychological trauma depends on the support of a political movement. Regardless of whether the focus has been on combat veterans, Holocaust survivors, victims of crime, disaster, or terrorism, or victims of family violence in all of its forms, it has been impossible to separate the external events that cause or precipitate the traumatic experience from the person who experiences the trauma. The concept of trauma-organized systems has been applied at individual, family, organizational, and societal levels as a way of describing the complex and interactive impact of exposure to trauma and adversity over time.

At its core, the study of traumatic stress is a study of systems. General systems theory first emerged in other areas of science, and for the better part of the 20th century, systems thinking dominated much of psychiatric and psychological practice. The main premises were that every individual component of any system influences and is influenced by every other component; thus, human behavior can only be understood by understanding these component parts and the complex interactions that emerge from those interactions.

As a result of general systems theory, the mental health professions recognized that individuals could be understood and helped only in the context of understanding their family system, their cultural framework for constructing reality, and the larger systems within which they live and work—school, workplace, friendship patterns—as well as the network of connections that composes each individual's personal and cultural history. Family therapists such as Virginia Satir, Salvador Minuchin, Jay Haley, Murray Bowen, Carl Whitaker, and many others used systems theory to design and implement approaches to whole family systems and even extended networks.

Trauma-Organized Families

Beginning in the early 1990s, Arnon Bentovim, a British psychoanalyst, family therapist, and child psychiatrist, described trauma-organized systems as a conceptual way of understanding physical and sexual abuse within families. He derived the idea of “organized systems” from previous work that introduced the notion of “problem-organized systems,” meaning social action systems defined by those actively involved in communication about a particular problem so that the way of communicating in turn becomes the problem. He also drew on the work of Murray A. Straus and Richard J. Gelles on abusive families that observed the process of interlocking emotional responses by which individuals with complementary difficulties come together and the resulting reciprocal nature of abusive interaction in family life. As Bentovim saw it, relationships in such situations are “organized” by traumatic events and become “mindless action systems” that come to dominate family life because of secrecy, loyalty, and patterns of trauma and violence that are repeated in family relationships. Referring to the concept of the traumagenic dynamics in the family system, Bentovim described how physical and sexual abuse organize and create the personality style of the abused child and thus help determine the subsequent choice of partners, family life, parenting patterns, and then the reenactment of traumatic abuse in the next generation.

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