This volume comprehensively explores the life trajectories of nine child/adolescent Holocaust concentration camp survivors as recollected when the subjects were elders. Based on extensive face to face interview material, enduring psychological and symptomatic effects were evident. Survivors retained vivid recollections of the horror of internment and expressed ongoing grief for the multiple losses they had experienced. Unresolved grief contributed to a sense of existential loneliness, particularly prominent in their late life reflections. Despite indications of resilience and life productivity, a ‘Trauma Trilogy’ of inter-linked catastrophic grief, anger, and survivor guilt contributed to a sense of pain and struggle in negotiating Erikson’s final life task of Integrity versus Despair.