Codependence

Codependence (or codependency) is a popular psychology concept popularized by Twelve-Step program advocates. A "codependent" is loosely defined as someone who exhibits too much, and often inappropriate, caring for persons who depend on him or her. A "codependent" is one side of a relationship between mutually needy people. The dependent, or obviously needy party(s) may have emotional, physical, financial difficulties, or addictions they seemingly are unable to surmount. The "codependent" party exhibits behaviour which controls, makes excuses for, pities, and takes other actions to perpetuate the obviously needy party's condition, because of their desire to be needed and fear of doing anything that would change the relationship.

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Symptoms

Symptoms of codependence are controlling behavior, distrust, perfectionism, avoidance of feelings, problems with intimacy, excessive caretaking, hypervigilance or physical illness related to stress. Codependence is often accompanied by clinical depression, as the codependent person succumbs to feelings of frustration or sadness over an inability to improve the situation.

Codependence can also be a set of maladaptive, compulsive behaviors learned by family members in order to survive in a family which is experiencing great emotional pain and stress caused, for example, by a family member's alcoholism or other addiction, sexual or other abuse within the family, a family member's chronic illness, or forces external to the family, such as poverty.

Codependency advocates claim that a codependent may feel shame about, or try to change, private thoughts and feelings if they conflict with those of another person. An example would be a wife making excuses for her husband's excessive drinking and perhaps running interference for him by calling in sick for him when he is hung over. Such behaviors, which may well lessen conflict and ease tension within the family in the short term, are counterproductive in the long term, since, in this case, the wife is actually supporting ("enabling") the husband's drinking behavior. So, sometimes, the codependent is referred to as an "enabler." It is also worth noting that since the wife in this case is dependent on the husband's alcoholic behavior, she may actually feel disturbed, disoriented or threatened if she sees clearly that he is emerging from his dependence; the threat to her position as a confidante and needed loved one might lead her unconsciously to resist the husband's steps towards recovery. Similarly, a codependent parent might resist a child's steps toward independence; whether early or late in life.

Codependent people have a greater tendency to enter into relationships with people who are emotionally unavailable or needy. The codependent tries to control a relationship without directly identifying and addressing their own needs and desires. This invariably means that codependents set themselves up for continued unfulfillment. Codependents always feel that they are acting in another person's best interest, making it difficult for them to see the controlling nature of their own behavior.

Treatment

Individuals who are suffering from codependence may seek assistance through various therapies, sometimes accompanied by chemical therapy for accompanying depression.

In addition, there exist support groups for codependency; some of these are Co-Dependents Anonymous (CoDA) and Al-Anon/Alateen, Celebrate Recovery, and Adult Children of Alcoholics (ACoA), which are based on the 12-Step model of Alcoholics Anonymous.

Many books have been written on the subject of codependence. Melody Beattie was one of the first to describe such behaviors. She is the author of Codependent No More among many other volumes.

Controversy

• Caring for an individual with a physical addiction is not synonymous with pathology. To name the caregiver as a co-alcoholic responsible for the endurance of their partner's alcoholism for example, pathologises caring behaviour. The caregiver may only require assertiveness training skills and the addict accountability in taking responsibility for managing their addiction, or not^{[1] [2]}.
• Not all mental health professionals agree about codependence or its standard methods of treatment ^[3]. It is not listed in the DSM-IV-TR diagnostic manual. Stan Katz & Liu, in "The Codependency Conspiracy: How to Break the Recovery Habit and Take Charge of Your Life," feel that codependence is over-diagnosed, and that many people who could be helped with shorter-term treatments instead become dependent on long-term self-help programs.
• Some believe that codependency is not a negative trait, and does not need to be treated, as it is more likely a healthy personality trait taken to excess. Codependency in nonclinical populations has some links with favorable characteristics of family functioning ^[4].
• The language of symptoms of and treatment for codependence derive from the medical model suggesting a disease process underlies the behaviour. There is no evidence that codependence is caused by a disease process, communicable or otherwise.
• Not everything promoted by recovery agencies is a demonstrable scientific fact, some of it is based on fashion and faith alone ^{[5] [6]}.
• People who have experienced natural disasters, life threatening illness or accident, and personal and community tragedy have been found to perceive a benefit from the ordeal such as positive personality changes, changes in priorities and enhanced family relationships ^[7]. Caring for survivors serves a worthwhile ethic of empowerment—both for the caregiver and the survivors.

See also

• Obsessive Love
• Dependent personality disorder
• Covert incest
• Dysfunctional family
• Karpman Drama Triangle

References

1. ^ Affleck, G., Tennan, H., Croog, S., & Levine, S. (1987) "Causal Attribution, perceived benefits, and morbidity following a heart attack". Journal of Consulting and Clinical Psychology, 55, 29–35.
2. ^ Moos, R.H., Finney, J.W., & Cronkite, R.C. (1990) Alcoholism treatment: Process and outcome. New York: Oxford University Press.
3. ^ Gomberg, E.L. (1989). "On terms used and abused: The concept of codependecy". Drugs and Society, 3, 113–132.
4. ^ Layne A. Prest, Mark J. Benson, Howard O. Protinsky, "Family of Origin and Current Relationship Influences on Codependency", Family Process Volume 37, Issue 4 (December 1998), page 513–528.
5. ^ Gordon, J.R., Barrett, K.(1993) "The Codependency Movement: Issues of Context and Differentiation". In Baer, J.S, Marlatt, A. & McMahon, R.J. (eds.) Addictive Behaviors Across the Life Span. Newburry Park: Sage.
6. ^ Kaminer, W. (1992). I'm Dysfunctional, You're Dysfunctional: The Recovery Movement and other Self- Help Fashions. New York: Vintage.
7. ^ Affleck, G., Tennen, H. & Rowe, J. (1991) Infants in crisis: How parents cope with newborn intensive care and its aftermath. New York: Springer-Verlag.

• "A Brief History of Codependence and a Look at the Psychological Literature", in: P. Mellody e.a., Facing Codependence, New York etc.: HarperSanFrancisco, 1989, ISBN 0-06-250589-0, 207–217 (= Appendix).
• "Cluster C Personality Disorders", in: Diagnostical and Statistical Manual of Mental Disorders DSM-IV, Washington: American Psychiatric Association, 4th ed. 1994, ISBN 0-89042-062-9, 662–673.
• "Codependence", in: Benjamin J. Sadock & Virginia A. Sadock (eds), Kaplan & Sadock's Comprehensive Textbook of Psychiatry on CD, Philadelphia: Lippincott Williams & Wilkins, 7th ed. 2000, ISBN 0-7817-2141-5, 20703–20707.
• Co-Dependents Anonymous, Phoenix: Co-Dependents Anonymous, 1st ed. 1999, ISBN 0-9647105-0-1, 3–6.
• Confusing Love with Obsession, 2006, Moore, J. 3rd ed. Hazelden, ISBN 1592853560