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The terror of concentration camp experiences and Nazi persecution may lead to the following reactions in survivors: 1, pervasive depressive moods which contain periods of apathy and brief angry outbursts; 2, a severe guilt complex; 3, many varieties of somatization; 4, anxiety and agitation states; 5, more or less
radical personality changes; 6, psychotic or psychoticlike disturbances. The postliberation period may be relatively symptom free as the guilt of the survivor is repressed for a time, especially with the aid of the magical hope that some of the dead family members may return. When there is eruption of guilt into consciousness, there may be depression, mental pain, and feelings of persecution.