Skip to main content

Diagnosis and Treatment of Survivor Guilt

The Bad Penny Syndrome

  • Chapter

Part of the book series: The Springer Series on Stress and Coping ((SSSO))

Abstract

After seeing over 2,000 trauma victims, it appears to me that the ones who do not improve in treatment are those who have not resolved their survivor guilt. At the Post-Trauma Treatment Center, we call this the “bad penny syndrome,” because these clients tend to return to treatment periodically and do not seem to resolve their traumatic experiences. The DSM-III omits survivor guilt as a diagnostic criterion because some believe that it does not fit with psychically reliving behavioral symptoms or autonomic responses, but many clinicians working with trauma groups report that some form of survivor guilt is indeed a major concern for both diagnosis and treatment of trauma survivors.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bard, M., & Sangrey, D. (1986). The crime victim’s book. New York: Brunner/Mazel.

    Google Scholar 

  • Capps, W. (1982). The unfinished war: Vietnam and the American conscience. Boston: Beacon Press.

    Google Scholar 

  • Cobb, S., & Lindemann, E. (1947). Neuropsychiatric observations. Annals of Surgery, 177, 814–824.

    Google Scholar 

  • Horowitz, M. J. (1986). Stress response syndromes (2nd ed.). New York: Jason Aronson.

    Google Scholar 

  • Wilson, J. P. (1983). Vietnam veteran on trial: Relationship of post traumatic stress disorder to criminal behavior. Behavioral Sciences and the Law, 3, 69–84.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer Science+Business Media New York

About this chapter

Cite this chapter

Williams, T. (1988). Diagnosis and Treatment of Survivor Guilt. In: Wilson, J.P., Harel, Z., Kahana, B. (eds) Human Adaptation to Extreme Stress. The Springer Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0786-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0786-8_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0788-2

  • Online ISBN: 978-1-4899-0786-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics