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Your trusted guide to value yourself and break the patterns of codependency Codependency For Dummies, 2nd Edition is the most comprehensive book on the topic to date. Written in plain English and packed with sensitive, authoritative information, it describes the history, symptoms, causes, and relationship dynamics of codependency. The majority of the book is devoted to healing and lays out a clear plan for recovery with exercises, practical advice, and daily reminders to help you know, honor, protect, and express yourself. New to this edition are chapters on working the Twelve Steps to recover from codependency and how therapists/coaches/nurses are affected by codependency. Codependence is primarily a learned behavior from our family of origin. Some cultures have it to a greater degree than others--some still see it as a normal way of living. Yet the costs of codependence can include distrust, faulty expectations, passive-aggressiveness, control, self-neglect, over-focus on others, manipulation, intimacy issues, and a slew of other harmful traits. Codependence causes serious pain and affects the majority of Americans--not just women and loved ones of addicts. Codependency For Dummies, 2nd Edition offers authoritative and trusted guidance on ways to raise your self-esteem, detach and let go, set boundaries, recognize healthy vs. dysfunctional relationships, overcome guilt and resentment, and much more. * Helps you break the pattern of conduct that keeps you in harmful relationships * Provides trusted guidance to create healthy boundaries, coping skills, and expectations * Offers advice for eliminating feelings of guilt, blame, and feeling overly responsible * Explains the difference between care-giving and codependent care-taking If you're trapped in the cycle of codependency and looking for help, Codependency For Dummies, 2nd Edition offers trusted advice and a clear plan for recovery.
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Codependency For Dummies®, 2nd Edition
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Library of Congress Control Number: 2014951024
ISBN 978-1-118-98208-2 (pbk); ISBN 978-1-118- 98209-9 (ebk); ISBN 978-1-118- 98210-5 (ebk)
Cover
Title Page
Introduction
About This Book
Foolish Assumptions
Icons Used in This Book
Beyond the Book
Where to Go from Here
Part I: Getting Started on Overcoming Codependency
Chapter 1: Codependency Hurts
What Is Codependency?
Reviewing the History
The Spectrum of Codependency
The Stages of Codependency and Recovery
Goals of Recovery
Chapter 2: Somebody Please Tell Me What Codependency Is
Defining Codependency
The Core of Codependency — A Lost Self
What Codependency Isn’t
Chapter 3: Symptoms of Codependency
Hidden Shame
What Are My Rights and Limits?
Depending on Someone Too Much
Lack of Assertiveness
Control and Caretaking
Denial
Painful Emotions
Physical Symptoms
Chapter 4: Crossing De-Nile to Recovery
The Purpose of Denial
Forms of Denial
Types of Denial
Recovery Builds Self-Awareness
Chapter 5: So, Are You Codependent?
Codependency Assessments
Do You Exhibit Codependent Patterns?
Have You Been Affected by Addiction?
Part II: Breakthrough to Recovery — Healing Yourself
Chapter 6: Getting Started in Recovery
It’s Your Recovery
Seeking Help and Support
Be Patient with Yourself
Must You Believe in God?
Telling Others about Your Recovery
Chapter 7: What Made You Codependent?
Were You Loved for Who You Are? — A Psychodynamic View
You’re in the Majority
What Makes a Family Healthy or Not — A Family Systems View
Chapter 8: Healing Your Wounds — Freeing Your Self
The Wounded Child
Grieving Losses – Feel to Heal
Confrontations
Healing Trauma
Chapter 9: Welcome to the Real You
Building an Internal Guidance System
Getting to Know Yourself
Being Your Authentic Self
Chapter 10: Building Self-Esteem and Self-Love
The Tyrannical Trio — the Critic, Pusher, and Perfectionist
Feeling Good about You
Self-Compassion and Self-Love
Chapter 11: Finding Pleasure
The Mind-Body Connection
Play and Rejuvenate
Uplift and Calm Your Spirit
Meet Your Social Needs
Part III: Healing Your Relationships with Others
Chapter 12: Letting Go and Nonattachment
Over-Involvement versus Nonattachment
Self-Responsibility
Helping Too Much
Getting Triggered and Reacting
Worrying and Obsessing
Accepting Reality
Tools for Letting Go
Expect Pushback
Chapter 13: Speaking Up
Communicating Effectively
Setting Boundaries
Handling Conflict
Chapter 14: Relating to Your Family, Friends, and Lovers
Changing Your Dance
Relating to Family Members
Relating to Friends
Becoming Counter-Dependent
Dating
Codependency and Sex
Chapter 15: Making Relationships Work
Recipe for Healthy Relationships
Navigating Autonomy and Intimacy
Intimacy
Coping with Loneliness
Part IV: Moving On and Maintaining Recovery
Chapter 16: Following Your Bliss
Author Your Life
Manifest Your Passions
Set Goals
Chapter 17: Where to Get Help
Twelve Step Meetings and Support Groups
Psychotherapy
Recommended Reading
Emergency Numbers
Chapter 18: Working the Twelve Steps
Step One — Accepting Powerlessness
Step Two — Finding Hope
Step Three — Letting Go
Step Four — Examining Ourselves
Step Five — Sharing Our Shame
Step Six — Accepting Ourselves
Step Seven — Humbling Ourselves
Step Eight — Identifying Who You’ve Harmed
Step Nine— Making Amends
Step Ten — Cleaning the Slate Daily
Step Eleven — Staying Close to Your Higher Power
Step Twelve — Practicing These Principles
Chapter 19: Maintaining Recovery
Recovery Is a Life Journey
Getting Triggered
Crossovers and Sequels
Handling Slips
Part V: The Part of Tens
Chapter 20: Ten Ways to Love Yourself
Have a Spiritual Practice
Receive Support
Meet Your Needs
Have Fun
Protect Yourself
Accept Yourself
Gentle Yourself
Encourage Yourself
Express Yourself
Pursue Your Passions
Chapter 21: Ten Daily Reminders
Do Focus on Yourself
Do Let Go
Do Trust Your Experience
Do Honor Your Feelings
Do Be Yourself
Don’t React
Don’t Hurry
Don’t Worry
Don’t Try to be Perfect
Don’t Isolate
About the Author
Author’s Acknowledgments
Cheat Sheet
Connect with Dummies
End User License Agreement
Cover
Table of Contents
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If you’re reading this book because you wonder whether you may be codependent, you’re not alone. Some think the majority of Americans are codependent. The term codependency has been used since the 1970s. The newer perspective is that codependency applies to many more people than originally thought. Different types of people and personalities may be codependent or behave in a codependent manner. Codependence varies in degree and severity. Not all codependents are unhappy, while others live in pain or quiet desperation. Here are examples of people who may be codependent:
An older couple,
Manny and Faye
are happily married for many years. Faye calls Manny “Daddy,” and Manny calls Faye “Mother.” Faye defers to her husband, who frequently corrects her. They agree about most everything and that Manny comes first. If you ask Faye her opinion, she quotes her husband.
Sid and Ina
have lived together for several years, but their relationship lacks passion and intimacy. Sid is having an affair with
Myra
and is unsure about marrying Ina, whom he claims lacks Myra’s wildness. He feels trapped. He can’t commit to either woman. He fears both leaving and getting closer to Ina.
Sean
is a compulsive overeater. His wife,
Sonja,
nags him and tries to control his food intake.
Melissa
is an accomplished film director. Men find her attractive, and she’s had several intense, brief relationships that end when the passion subsides or she begins to feel like she’s losing her independence.
Budd
is a senior executive at a major corporation and supervises more than 100 workers. He’s considered powerful and assertive by his colleagues. At home, he complies with his wife’s demands, avoids intimacy, and is unable to talk about feelings or express his needs.
Thomas
is a single dad and very close with his adult son, who lives with him. Thomas thinks of his son as his best friend and can’t say no to whatever his son asks of him. It’s been many years since Thomas’s divorce, but Thomas hasn’t been able to find the “right” woman.
Walter
is successful at work but gets drunk at home each night. Nights when he goes out, his wife waits up and worries, then berates him when he returns, and often calls in sick for him the next day.
Connie
is intimidated by her violent husband, Mikhail. She’s humiliated but loves him anyway. He apologizes and romances her, and she forgives him, believing his promises that he’ll never hit her again.
Codependents are attracted to codependents, so there’s little chance of having a healthy relationship. The good news is the symptoms of codependency are reversible. It requires commitment, work, and support. Even so, sometimes the symptoms can sneak up on you and affect your thinking and behavior when you least notice it. Codependency isn’t something you heal from and are forever done with, but you can one day enjoy yourself, your life, and your relationships. Should you choose to embark on recovery, you’re beginning an exciting and empowering journey. A new way of living and seeing the world opens up. I hope you decide to join me on this amazing journey.
Not all codependents are in a relationship with someone who suffers from an addiction. Whether or not you are, this book is for you as you relate to your loved one. If you’re recovering from an addiction to a substance or process, such as alcohol, eating, hoarding, shopping, working, sex, gambling — the list goes on — and are ready to work on your issues revolving around codependency, then this book is an ideal place to start. However, the focus of this book is not on overcoming those addictions, but on your relationships. (When I refer to “addict,” I mean not only a drug addict, but also a person with any type of addiction. Sometimes, I specify alcoholics.)
Although a book is linear and compartmentalized — you read a sentence or paragraph that discusses one thing at a time — people exist through four dimensions of space/time, and codependency is holographic, affecting everything in the way you live your life. It’s neither linear nor three-dimensional. Every trait affects every other. This book breaks down codependency into parts in order to discuss its various aspects, but that’s not how you experience codependency. For instance, just answering yes or no to a question is impacted by your self-esteem, values, boundaries, feelings, and reactivity — all at once. On top of that, there are things from your past or the present about which you may be unconscious and in denial. They, too, affect everything you say and do. Even when you understand all the moving variables, the process is impossible to understandably explain in a few sentences.
This book is very comprehensive and details everything you need to know about codependency in one place. It provides tools you can implement to take an active role in your recovery. I reorganized this second edition to follow the way you’d experience recovery — first understanding the definition, symptoms, and causes, and then engaging in the evolving process of changing and healing. However, feel free to jump around and read it in any order that you choose. There are cross references to other chapters that are relevant to the topic being discussed. A new chapter has been added to explain the process of working the Twelve Steps, which is an important means of recovery. An additional Part of Tens chapter for professionals is available online to help clinicians avoid codependent behavior.
There are self-discovery exercises, which are an important part of the book. If you’re a professional, feel free to copy and use these exercises with your clients. If you’re tempted to skip the exercises, you miss out on a major feature, which is included for your benefit to help you change. One strategy is to read through the book, and then go back and do the exercises at your leisure. After you do them, you can also repeat an exercise you find helpful months or years from now and will most likely acquire new knowledge about yourself. Some exercises are meant to be repeated, and like any exercise, every time you do it, you benefit.
Those new to codependency probably won’t be able to implement advice found in later chapters. If that happens, don’t be dismayed. If you begin recovery and pick up this book down the road, you may read it with different eyes and glean new insights and understanding.
Because denial operates at an unconscious level, you may not relate to it unless you read how other people experience it. Therefore, I’ve included a number of examples that are composites of clients and people I’ve known, including myself; any resemblance to a real person is coincidental, as specific details and facts have been changed. The names are made up and appear in boldface.
Not knowing your familiarity with codependency, in writing this book, I assumed you may be totally new to the concept, someone already in recovery, or a mental health professional who is seeking more information. I’ve tried to write so that nonprofessionals are able to understand all the concepts; however, some ideas are profound and written for the person who wants to comprehend the deeper psychology underlying codependency. It’s certainly not written for dummies.
What’s cool about For Dummies books is that there are icons throughout letting you know what’s really important and what you can skip. Here are the icons used in this book:
This icon marks information that is especially important. Although all the information in the chapter is important, these paragraphs stand out as information you should continue to think about.
The Tip icon appears beside valuable suggestions you can put into practice in overcoming codependency.
This icon accompanies information that is technical psychological stuff, which you may not be interested in. Read it if you want a more in-depth understanding about codependency.
Look out for this icon, which alerts you to pitfalls of codependency or beginning treatment.
This icon highlights exercises or suggestions for healing work that you can do on your own at home.
This icon alerts you to examples that illustrate a principle or concept discussed in the previous paragraph.
In addition to the material in the print or e-book you’re reading right now, this product also comes with some access-anywhere goodies on the web. You can access this additional free, valuable information on the Dummies website:
A Cheat Sheet for handy reference that you can quickly turn to at
http://www.dummies.com/cheatsheet/codependency
A number of extra articles that you will find helpful in your path to recovery at
http://www.dummies.com/extras/codependency
Where you start reading depends on how much you know about codependency. If you’re just beginning to investigate codependency, begin in Part I. If you’re ready to begin recovery, I recommend that you get a journal to take notes, write about yourself, and do the many exercises that are designed to enlighten you and further your recovery.
Remember, reading is only a beginning. It opens your mind to the problem. It takes time, work, and support to overcome codependency. So read all you can, talk to other recovering codependents, and find a sponsor in a Twelve Step program or a professional coach or mental health professional to help guide you on your journey. For specific information on getting outside support and where to find it, go to Chapters 6 and 17.
Part I
Visit www.dummies.com for great Dummies content online.
In this part . . .
Learn the definition and characteristics of codependency
Assess whether you exhibit any of codependency’s six core symptoms, including denial, shame and low self-esteem, and dysfunctional boundaries and communication patterns
Answer questions that help you assess your level of codependency
Chapter 1
Although mental health clinicians recognize codependency when they see it, the definition of codependency and who has it has been debated for decades. (I devote an entire chapter — Chapter 2 — to explaining what codependency is.) Experts agree that codependent patterns are passed on from one generation to another and that they can be unlearned — with help.
Therapists and counselors see people with an array of symptoms, such as depression, anxiety, addiction, or intimacy and relationships issues. Clients are hurting and often believe the cause is something outside of themselves, like their partner, a troubled child, or a job.
On closer examination, however, they (and many readers of the first edition of this book) start to see that, despite whatever else may be going on, their behavior and thinking patterns are adding to their problems — that is to say, their patterns are dysfunctional. These patterns have an addictive, compulsive quality, meaning that they take on a life of their own, despite their destructive consequences. The root problem is usually codependency.
Along with comfort and pleasure, intimate relationships especially evoke all your hopes, fears, and yearnings. You want to feel secure and be loved, appreciated, and taken care of. Dependence upon those closest to you further magnifies your emotional needs and vulnerability to being rejected, judged, and seen at your worst.
Codependency is a particular kind of dependence. It’s insidious and powerful. It robs you of joy, peace of mind, and the ability to have sustained, loving relationships. It affects your relationship with yourself and limits your flexibility and the natural flow of relationships with others, including giving and receiving love and support and the ability to communicate, compromise, and problem-solve.
All the symptoms I outline in Chapter 3 work together to not only deprive codependents of the benefits possible in relationships, but they also create problems that wouldn’t have otherwise existed. For example, shame and low self-esteem make you insecure, anxious, and dependent upon others’ acceptance and validation. You may feel uncomfortable being yourself and be hypersensitive to perceived criticism or abandonment (even where neither exists). You may attempt to control or manipulate people to maintain a relationship and to be liked. Some codependents require repeated reassurances or are afraid to be direct and honest, which is necessary for effective communication and real intimacy.
Childhood shame and trauma conceal their real, core self, which they can’t access. Instead, codependents develop a persona in the world that reacts to others, to their own self-criticism, and to their imagined ideal of who they should be. To be acceptable to others and to themselves, you hide who you are and become who you aren’t. You may not even be aware of how self-critical you are but suffer the “tyranny of the should’s” — a phrase coined by psychoanalyst Karen Horney (pronounced “Horn-eye”). Even though you may not relate to this, it still operates beneath your conscious awareness. You may only be aware of your persona illustrated in Figure 1-1 and nothing on the inner circles.
By Darlene Lancer
Figure 1-1: Self in confusion.
All relationships require boundaries. Love is not safe without them. Yet many codependents tolerate being treated without respect, because they lack self-worth. They don’t feel entitled to compliments, to be truly loved, or to set limits. They might do more than their share at work or in a relationship to earn acceptance, but they end up feeling unappreciated, used, or resentful. In reading this book, ask yourself whether your relationships feed you or drain you.
Shame can also cause codependents to deny or discount their feelings and needs, both to themselves and in their relationships. To cope, they sometimes disregard what’s actually happening, ruminate with worry or resentment, or finally explode. Their denial and confusion about their boundaries and responsibilities to themselves and to others create problems with intimacy and communication. Instead of bringing couples closer, frequently communication is avoided, is used to manipulate, or is highly reactive, leading to escalating conflict and/or withdrawal. Nothing gets resolved. They end up feeling trapped and unhappy because their symptoms paralyze them with fear of rejection and loneliness.
The symptoms of codependency are all interwoven. They lead to painful emotions and self-sabotaging behaviors that produce negative feedback loops. This book helps you untangle and free yourself from them and create positive, healing feedback loops.
Although codependency has only relatively recently been recognized as an illness (dating from the 1970s), the characteristics were described as neurotic traits by Karen Horney 75 years ago. The term itself evolved out of family therapy with alcoholics, following the founding of Alcoholics Anonymous (AA) in 1935 by Bill Wilson to help alcoholics find sobriety.
In the late 1930s and early 1940s, leading neo-Freudians and humanists began focusing on the development of personality. Karen Horney, referred to as the first feminist psychoanalyst, was one of the leading proponents for self-actualization.
Horney broke with Freud on many issues and believed that children have a fundamentally good “real self,” which thrives in a healthy, empathic, and supportive environment. Natural striving to actualize their true nature can be thwarted due to poor parenting and cultural influences; however, self-awareness can go a long way to unshackle the real self from those negative influences, allowing it to flourish. Horney conceptualized a compliant personality alienated from the real self that today resembles typical traits of codependents. Some of her other personality categories may be codependent, too. Her influence is apparent in the writings of humanist psychologists Abraham Maslow and Carl Rogers in the mid-20th century.
Horney described three personality styles that people develop in order to cope with self-alienation and the fear, helplessness, and isolation of childhood. Underneath brew feelings of anxiety, hostility, and unworthiness that are repressed to varying degrees. The first group is made up of individuals who believe they can only feel loved and secure if they’re passive and comply. The second includes those who view life as a struggle and conclude they must be aggressive and in control, while the third group ensures their safety by withdrawing emotionally from interactions.
Horney identified ten neurotic trends or needs that underlie these three styles. Although the needs may overlap and remind you of normal needs, they’re neurotic because they’re compulsive, driven by anxiety, and out of proportion to reality. They’re inappropriate and indiscriminate in application. It’s normal to want to please your boss, but wanting to please everyone is neurotic. Several of these trends describe codependents:
The first style — Neurotic compliance
The need for affection and approvalThe need for a partner, believing that love will make you happy and that your partner will fulfill your expectations and responsibilitiesThe need to restrict your behavior and expectations within narrow borders, underestimating your potential and living an inconspicuous lifeThe second style — Neurotic aggression
The need for power and domination of others, with contempt for weaknessThe need to exploit and manipulate others, viewing them as objects to be usedThe need for social recognition or prestigeThe need for admiration of your ideal selfThe need for personal achievement combined with resentment when others don’t recognize youThe third style — Neurotic withdrawal
The need for self-sufficiency and independence to the extent that you avoid close relationshipsThe need for perfection, worrying about possible errors and defects, and feeling superior to othersThe need to restrict your behavior and expectations within narrow borders, underestimating your potential and living an inconspicuous lifeCodependents repress their real Self and authentic feelings and develop deep, shame-based beliefs about who they are and their rights, needs, and lovability. This happens in reaction to dysfunctional parenting in childhood (such as critical, indifferent, rigid, invasive, inconsistent, or rejecting parents). Sometimes their beliefs are due to abuse, and sometimes they’re inferred from the behavior of emotionally unavailable parents. Shame is also the result of the anger they have turned against themselves because they couldn’t direct it toward parents they looked up to and relied upon for survival. (See Chapter 7.)
To get by, many codependents learned to comply and measure up to an imagined ideal (refer to Figure 1-1). Others withdrew or rebelled. As adults, some codependents constantly feel inadequate, whereas others identify with their ideal self and think they have high self-esteem. Many become perfectionists to balance the self-hatred they feel inside. They may strive to be loving, good, beautiful, accomplished, or successful in an effort to prove their worth and/or to be independent and never again need anyone. Yet the more they try, the more depressed they become, because they’re abandoning the real self that wasn’t nurtured by their original caretakers. Some enter therapy because of an addiction or relationship problem, while others go to understand why they’re depressed even though everything in their life is working.
Family system theories emerged from the study of cybernetics, systems theory, and systems psychology. In the mental health field, theorists and therapists were increasingly viewing mental illness in a family context. In clinics, counselors noticed that some patients improved, but when they returned to their families, their symptomatic behavior returned. The counselors deduced that the family dynamics were maintaining or even causing the illness and began focusing on family interactions.
Therapists who worked with alcoholics observed repetitive patterns among the spouses and families of the alcoholics that reinforced drinking behavior. They saw husbands and wives who reproached and tried to manage an alcoholic, unaware that they were trying to control an uncontrollable illness. The family members displayed dysfunctional characteristics and were initially referred to as co-alcoholics. From years of disappointments and submergence of their personality, they had become empty shells. Their self-esteem and despair were as low as that of the alcoholics.
Surprisingly, clinicians discovered that many of the problems in the family persisted even after the alcoholics found sobriety. They found that their spouses’ dysfunctional patterns predated the alcoholic marriage and continued into new sober relationships. They realized that the co-alcoholics had to recover independently of the person and relationship that brought them to Al-Anon, the Twelve Step program for families of alcoholics. Still later, it was observed that those patterns appeared in others who weren’t involved with an addict but had grown up in dysfunctional families (see Chapter 7). All of their findings thus validated and converged with psychoanalytic theory.
The term codependency was born in the late 1970s and by the 1980s was being applied to addicts and their relatives, family members of someone with chronic mental or physical illness, and caregiving professionals.
Soon after AA was founded, Bill Wilson’s wife, Lois, saw that the spouses, mostly wives at that time, needed support. She started holding meetings in members’ homes. These meetings expanded to include all relatives and friends of alcoholics, and Al-Anon was born. In the 1950s, a main office was established in New York City to coordinate groups that had spread nationwide and today worldwide.
Other Twelve Step anonymous programs began to form based on the model of AA, which had proven so effective. Soon these programs proliferated. After Al-Anon founded its headquarters, Narcotics Anonymous began in 1953, followed by Overeaters Anonymous in l960 and Gamblers Anonymous in 1961. The 1970s saw the arrival of Emotional Health Anonymous, Sex Addicts Anonymous, Sex and Love Addicts Anonymous, Debtors Anonymous, and Adult Children of Alcoholics. The list grew in the 1980s to include, among others, Workaholics Anonymous, Nicotine Anonymous, Clutterers Anonymous, Cocaine Anonymous, Marijuana Anonymous, and Sexual Compulsions Anonymous.
Eventually in 1986, the self-help program Co-Dependents Anonymous (referred to as CoDA) was founded by two therapists, Ken and Mary, who both grew up in dysfunctional, abusive families and had histories of addiction. CoDA was also modeled on the Twelve Steps of AA. Unlike Al-Anon, membership wasn’t linked to having a relationship with an alcoholic. The only requirement, as stated in its preamble, “is a desire for healthy and loving relationships.” The meeting of the First National Conference on Co-dependency was held in 1989.
As the awareness of addiction grew, more habits and compulsions began being characterized as addictions, and increasingly people seemed to have codependent traits that compromised their relationships, both among addicts and those close to them. Family systems author and theorist Virginia Satir commented that of the 10,000 families she’d studied, 96 percent exhibited codependent thoughts and behaviors. By the late 1980s, former psychotherapist Anne Wilson Schaef called America an addictive society in her 1988 book, When Society Becomes an Addict (HarperOne).
It may be that all the focus on relationships is the sign of the times, reflected in the growth of family therapy, and the women’s sexual liberation and human potential movements. In prior generations, intimacy was left to novels, poetry, and fantasy, because the focus was on survival and productivity, but today it’s considered a need. It’s no coincidence that the codependency movement arose in America, the champion of independence and romantic love — with the highest divorce rate. Americans want romance to work! Whatever the reason, just about everyone wants a fulfilling intimate relationship — something that seems to elude codependents.
The controversy around codependency is divided into two camps — for and against. At one end are mental health professionals who advocate that codependency is a widespread and treatable disease. On the other is an array of critics of codependency, who argue that it’s merely a social or cultural phenomenon, is over-diagnosed, or is an aspect of relationships that doesn’t need to change. Those in the “against” camp state that it’s natural to need and depend upon others. They claim that you only really thrive in an intimate relationship and believe that the codependency movement has hurt people and relationships by encouraging too much independence and a false-sense of self-sufficiency, which can pose health risks associated with isolation.
Other naysayers disparage the construct of codependency as being merely an outgrowth of Western ideals of individualism and independence, which have harmed people by diminishing their need for connection to others. Feminists also criticized the concept of codependency as sexist and pejorative against women, stating that women are traditionally nurturers and historically have been in a nondominant role due to economic, political, and cultural reasons. Investment in their relationships and partner isn’t a disorder, but has been necessary for self-preservation. Still others quarrel with Twelve Step programs in general, saying that they promote dependency on a group and a victim mentality.
Committees have lobbied for codependency to be recognized as a mental disorder by the American Psychiatric Association, which would allow insurance coverage for treatment. A major obstacle is the lack of consensus about the definition of codependency and diagnostic criteria. For insurance purposes, clinicians usually diagnose patients with anxiety or depression, which are symptoms of codependency.
Here are some things to think about, to help put the naysayers’ points in perspective:
Codependency’s detractors are correct to claim that people are meant to need, love, and care for others. Yet, when you look at codependent relationships up close, you discover that many of the benefits of healthy, intimate relationships elude codependents due to their dysfunctional patterns of interacting. Instead of feeling supported and enhanced by relationships, the symptoms and consequences of codependency provoke anxiety in relationships and cause pain. Codependents complain of feeling lonely and unhappy
in
their relationships. Similarly, a “false sense of self-sufficiency” is part of codependency. Codependents ignore their needs and depend upon others and frequently self-sacrifice to an unhealthy degree. They care for others in a way that leads to control, resentment, and conflict. The concept of codependency isn’t to blame for the increase in divorce, loneliness, and unhappiness.
Codependency itself limits our ability to have satisfactory intimate relationships
.
Some recovering codependents choose to leave an abusive or painful relationship as an act of self-preservation. Remaining in such a relationship may also pose health risks from the chronic stress. Separation doesn’t have to lead to isolation. It’s untreated codependency that can cause people to isolate. In contrast, recovery helps individuals cope with loneliness in healthy ways by reaching out to others. The goal is to create healthy, nurturing, interdependent relationships. Thus, recovery from codependency doesn’t necessitate ending a relationship to become independent. The aim is to be able to function better and to enjoy more intimacy and independence
in
your relationships. I’ve worked with many codependent individuals and couples whose relationships benefited when they became more autonomous and assertive. Calling codependency what it is doesn’t create the problem.
Finally, I agree that the term
codependency
shouldn’t be used to judge people. It arose out of Western socio-political thought and should be considered in a cultural and ethnic context. There may be instances where codependency is adaptive, and change would be disruptive. This poses a problem as American and European ideas spread to Asia, the Middle East, and Africa. I’ve received correspondence from men and women who feel conflicted between their eager desire for independence and the oppressive restraints of their religion and culture. Many don’t have the institutional or cultural support necessary for change that exists in the West.
Maybe you’re wondering whether you’re codependent. It may be hard to tell at first, because, unless you’re already in recovery, denial is a symptom of codependency, as I explain in Chapter 4. Whether or not you identify as codependent, you can still benefit from alleviating any symptoms you recognize. You will function better in your life. Recovery helps you to be authentic, feel good about yourself, and have more honest, open, and intimate relationships.
Like most things, codependency varies on a scale from minimal to severe. When you’re under stress, symptoms flare. Some individuals show only slight symptoms, while others have all the typical characteristics (Chapter 3 outlines the symptoms of codependency). As you read this book, some traits and examples may sound foreign, while you can relate to others. The severity of codependency varies depending on a number of things, such as the following:
Your genetics
Your culture, including your religious beliefs
Your family’s dynamics
Your experience of trauma
Your role models
Your addictions or use of drugs
Intimate relationships you may have or had with addicts
If you’re codependent, generally symptoms show up to some extent in all your relationships and in intimate ones to a greater degree. Or codependency may affect your interaction with only one person — a spouse or romantic partner, a parent, sibling, or child, or someone at work. Codependency may not affect you as much at work if you’ve had effective role models or learned interpersonal skills that help you manage. Maybe you weren’t having a problem until a particular relationship, boss, or work environment triggered you. One explanation may be that the parent has a difficult personality or the child has special needs, and the couple has adjusted to their roles and to one another, but avoids intimacy.
The spectrum of codependency is illustrated in Figure 1-2. The horizontal vector shows how opposite codependent personality traits can manifest in a relationship. Individuals may reverse roles. For example, you may be the pursuer in one relationship and a distancer in another, or flip back and forth in the same relationship. In an alcoholic marriage, the sober spouse may scold and blame the irresponsible, needy alcoholic, who behaves like a victim. Then their roles switch, and the alcoholic dominates and controls his or her partner. Sometimes the spouse who acts needy or “crazy” gets well, and the self-sufficient, invulnerable partner breaks down.
By Darlene Lancer
Figure 1-2: The continuum of codependency.
Both the disease and recovery exist on a scale represented by the vertical vector in Figure 1-2. Codependent behavior and symptoms improve with recovery, described at the top, but if you don’t take steps to change, they become worse in the late stage, indicated at the bottom.
As you get better acquainted with the symptoms and characteristics of codependents, you may see yourself. If you feel overwhelmed by the thought of having codependency, instead focus on the patterns and behaviors you want to change. If you’re committed to change, it really doesn’t matter whether or not you consider yourself a codependent. However, it’s important to realize that codependency won’t get better or go away by itself. Support is essential, because you won’t be able to make permanent changes on your own.
Counselors treating alcoholic families considered codependency to be a chronic disease like other addictions (see Chapter 2), because they observed that codependency was progressive. Addiction counselors noticed that the addicts’ spouses showed progressively worsening symptoms that paralleled those of alcoholics. In the later stages, both had serious mental and/or physical problems. Left untreated, codependency spiraled downward, just like alcoholism did. However, both markedly improved when treatment began and shared a similar trajectory of recovery.
You can commence recovery at any time to reverse codependency’s adverse progression — the sooner, the easier. This section generally summarizes significant characteristics of the early, middle, and late stages of codependency and recovery as they apply to relationships. As you read the tables in this section — Tables 1-1, 1-2, and 1-3 — keep these things in mind:
Notice that over time the symptoms on the left side of the tables get progressively worse, while the symptoms on the right side improve.
References to addicts and other addictions only apply if you’re involved with an addict, in which case, symptoms and progression are more pronounced. There’s more dysfunction, feelings of helplessness, and conflict.
You may relate solely to symptoms in the early stage or only a few of the symptoms. If you start making changes now, you can turn things around more quickly.
Table 1-1 Early Stage of Codependency and Recovery
Progression of Codependency
Recovery from Codependency
Attracted to needy person; offers help, gifts, meals
Hits bottom and reaches out for help for self
Attempts to please the person
Learns about codependency and addiction
Obsessed with the person and his or her behavior
Joins Twelve Step program and/or therapy
Rationalizes and doubts own perceptions
Begins to have hope
Denial about addiction, but concern grows
Comes out of denial
Gives up own activities to be with the person
Learns recovery is for self
Family and social life affected
Refocuses on self
Increasingly emotionally dependent on the person
Begins to build own identity
Table 1-2 Middle Stage of Codependency and Recovery
Progression of Codependency
Recovery from Codependency
Denies/Minimizes painful aspects of relationship
Understands powerlessness
Hides painful aspects of relationship from others
Begins reliance on a spiritual source
Anxiety, guilt, and self-blame increase
Begins to detach
Self-esteem lessens
Self-awareness grows
Withdraws from outside family and friends
Makes new friends
Obsessively watches the person and addiction
Develops outside activities
Tries to control by nagging, blaming, manipulation
Stops enabling and controlling
Anger and disappointment due to broken promises grows
Learns assertiveness
Feels resentment at inability to control the person
Takes responsibility for own self
Mood swings and increased conflict and violence occur
Increases self-care and self-esteem
Enables and manages the person’s responsibilities
Sets boundaries and becomes less reactive
Hides family secret (or addiction)
Has more emotional independence
Uses food, alcohol, drugs, shopping, or work to cope
Heals childhood wounds
Table 1-3 Late Stage of Codependency and Recovery
Progression of Codependency
Recovery from Codependency
Develops physical symptoms
Happiness doesn’t depend on others
Feels angry, hopeless, and depressed
Self-esteem and confidence return
Obsessive-compulsive behavior, addictions
Has own power and pursues goals
Further decline in self-esteem
Is expansive, creative, spontaneous
Despair and lack of self-care
Experiences self-love
Increased conflicts
Capacity for interdependency and intimacy
The early stage of codependency begins by becoming attached to someone and ends with unhealthy dependency on him or her. In recovery, the early stage ends with starting to reclaim yourself.
You may be attracted to a needy person or be overly involved with a family member and naturally want to help or please him or her. Gradually, you become increasingly emotionally dependent upon and obsessed with that person to the extent that you lose focus on yourself and start to give up personal friends and activities.
You begin coming out of denial (see Chapter 4), which means you squarely confront the problem and acknowledge reality — a prerequisite to changing it. This shift may be inspired by someone else’s recovery or by reading this book. More likely, it’s triggered by an event — a wakeup call, referred to as hitting bottom. Change becomes imperative. Instead of ignoring or minimizing the facts, you recognize them as difficult and painful, but true. You may not like them, but you see them as they are.
Beginning recovery starts with getting information and reaching out for help. By reading this book, you’ve already begun searching for new answers and options. Many people start psychotherapy or join a Twelve Step program, which gives them hope and starts the process of rebuilding their identity. Table 1-1 shows the progressive stages of early codependency and recovery.
The important middle stage of codependency is where denial, painful emotions, and obsessive-compulsive behavioral patterns are prevalent. You increase attempts to control, while feeling more out of control. When in recovery, you reclaim independence, balance, and greater peace of mind.
Without support, denial and isolation continue, and problems get worse. You may minimize and hide from yourself and other painful aspects of your relationship and withdraw from outside activities and friends. Meanwhile, your obsession with the relationship or addiction and accompanying anxiety, resentment, and guilt increase. You do more to help, enable, and control the other person or his or her addiction, and may even take over responsibilities that are not your own (see Chapter 4). As mood swings and conflict increase, some codependents turn to drugs, food, spending, or other addictive behavior to cope.
The middle stage is where most of the work of recovery takes place. You begin to practice nonattachment and grasp your powerlessness over others and your addiction (see Chapter 9). As the focus on yourself grows, so do self-responsibility, self-awareness, and self-examination, which are part of psychotherapy as well as Twelve Step programs. AA emphasizes that an alcoholic’s success in recovery is based upon rigorous self-honesty. This is also true for codependents and one of the Twelve Steps of CoDA.
Blaming others and external circumstances denies your power to effect change and achieve happiness. Even if you’re a victim of abuse, you find the power to change your circumstances and responses when the center of control shifts from the perpetrator to yourself. Self-examination also includes working through childhood issues that may have led to your codependency, as I explain in Chapters 7 and 8.
Although insight about your behavior is necessary, it’s insufficient for change. Decisions, actions, and risk-taking are required during the middle stage (see Chapter 16). They happen when you’re ready, and they can’t be forced. It’s hard to change even when you know things would improve, like taking a better job or moving to a desirable area. Taking risks where the outcome is uncertain requires courage — courage to venture from discomfort that’s familiar into new territory. This is one reason why support is essential; see Chapters 6 and 18.
During the middle stage, you make new friends, participate in outside activities, and are able to be assertive and set boundaries (see Chapters 13 and 11). As you become more emotionally independent, you take better care of yourself, and reactivity, enabling, and controlling behavior diminish.
Table 1-2 shows the progression of codependency and recovery in the middle stage.
In the late stage of codependency and recovery, the contrast between disease and health are most pronounced. The untreated codependent’s world has significantly narrowed, and his or her levels of health and functioning have severely declined, while the recovered codependent’s world has expanded to include greater risk-taking, relationships, and new goals.
As the disease progresses, anger and conflicts are more common, and self-esteem and self-care further decline. Hopelessness, emptiness, and depression prevail. The chronic stress of codependency manifests in new symptoms, such as stress-related health problems (see Chapter 3) and new or more-progressed obsessive-compulsive behaviors and addictions. These behaviors and addictions may include monitoring the addict, enabling, cleaning house, dieting, overeating, having affairs, exercising, spending, or using legal or illegal drugs.
In the late stage of recovery, your self-esteem and confidence return. You’re empowered to pursue your own goals and are more expansive, creative, and spontaneous (see Chapter 16). You desire to fully express yourself for the sheer joy and freedom of it. As your focus shifts away from someone outside yourself, you fully understand that your happiness doesn’t depend upon others, and you no longer have a desperate need to be in a relationship. At the same time, you’re more desirous and capable of authentic intimacy (see Chapter 15).
Table 1-3 shows the progression of codependency in the late stage if you do nothing and the rewards you reap if you stick with recovery.
Recovery from codependency requires ongoing maintenance in or out of a relationship. This is why people continue in Twelve Step programs after they’ve left an addict or addiction behind. Only after a number of years do the changes and tools of recovery and health become part of you.
The overall goal of recovery is to become a full-functioning individual who is able to live an authentic life. That means that your feelings, values, and behavior are congruent and that you’re at ease on your own as well as in intimate relationships.
Your journey to recovery (and this book’s organization) roughly follows these steps:
Building self-awareness
To build self-awareness, you gain information and come out of denial.
Healing your relationship with yourself
To heal your relationship with yourself, you get to know yourself, heal shame and past wounds, build self-esteem, and find pleasure — developing hobbies, for example.
Healing your relationships with others
To heal your relationships with others, you let go of focusing on others (this is also a prerequisite for Step 2), learn to be assertive, establish boundaries, and have healthy relationships.
Expanding your relationship with the world
Recovery entails knowing, valuing, trusting, and freely expressing yourself congruently with your feelings and values. To that aim, this book addresses learning new skills, attitudes, and habits with respect to your thoughts, feelings, actions, and self-esteem, as listed in this section. Consider tracking your progress as you work through the coming chapters and continue to grow in recovery. Add your own goals as you go along.
The first priority is to heighten your awareness, thinking, and understanding of codependency and addiction and how each has and continues to affect your family and your life. Specific cognitive goals include understanding your separateness from others, letting go, and giving others the dignity to be responsible for themselves while taking responsibility for yourself. Ongoing goals are developing awareness of your thoughts, values, beliefs, needs, and behavior and reducing obsessive, repetitive worries and negative self-talk. Your list may include the following:
Understanding codependency (see especially
Chapters 2
,
3
, and
4
)
Understanding addiction and your family dynamics (see
Chapters 4
,
7
, and
14
)
Understanding how addiction may have affected you (see
Chapter 7
)
Coming out of denial (see
Chapter 4
)
Accepting your powerlessness over addiction (see
Chapter 12
)
Understanding and practicing the concept of nonattachment (see
Chapter 12
)
Becoming aware of boundaries with others (see
Chapters 3
,
14
, and
15
)
Gaining awareness of thoughts, including judgments of yourself and others (see
Chapter 10
); worries and fears (see
Chapter 12
); rationalizations (see
Chapter 4
); and fantasies and obsessions (see
Chapters 4
and
12
)
Identifying your needs and how to meet them (see
Chapters 3
,
8
,
9
, and
10
)
Gaining awareness of beliefs and values (see
Chapter 9
)
Testing your thoughts and beliefs against reality (see
Chapters 4
,
7
, and
9
)
Developing decision-making skills (see
Chapter 16
)
Gaining awareness of codependent behavior (see
Chapter 3
), including pleasing (also
Chapter 2
), manipulating, controlling (also
Chapter 9
), and enabling
Because you weren’t taught to identify your feelings or your childhood environment prevented their free expression, it’s likely that you’re not often aware of your feelings. Having emotion is different. Codependents can cry and rage but aren’t able to name a feeling or know why they’re upset. Typically, codependents feel guilty for other people’s negative feelings and think other people make them feel guilty or angry.
Taking responsibility for your feelings and not those of others is a gradual, but essential, learning process. Important goals are to be able to identify, name, and express your feelings openly. This may be a challenge if you’re not used to crying or feeling vulnerable, but this is a healthy step in healing. People who are overwhelmed with feelings need to contain and understand them. Down the line, you want to be able to appropriately express your feelings to others. Your goals may include these:
Replacing despair with hope (see
Chapters 6
,
11
, and
17
)
Identifying and accepting your feelings (see
Chapter 9
)
Identifying and accepting feelings about your work and others (see
Chapter 9
)
Journaling feelings (see
Chapter 9
)
Connecting thoughts, needs, feelings and actions (see
Chapter 9
)
Distinguishing your feelings from other people’s feelings (see
Chapters 3
and
12
)
Taking responsibility for your feelings (see
Chapters 3
,
9
,
10
, and
12
)
Not taking responsibility for other people’s feelings (see
Chapters 3
and
12
)
Sharing feelings in a group or with a therapist (see
Chapters 6
and
17
)
Taking charge of your anger (see
Chapter 3
,
8
, and
11
)
Grieving your losses (see
Chapter 8
)
Sharing your feelings in safe, personal relationships (see
Chapters 14
and
15
)
Comforting yourself when you have negative feelings (see
Chapters 8
,
10
, and
11
)
Your self-esteem reflects how you feel about yourself. It enhances or impairs your relationships, your professional success, your moods, and your sense of well-being. Replacing shame and low self-esteem with self-respect and self-worth is the cornerstone of recovery (see Chapter 10). Pursuing all of the goals outlined in this chapter improves your self-esteem, but you can benefit by giving specific attention to the following:
Confronting negative self-talk (see
Chapter 10
)
Healing shame (see
Chapters 3
,
7
, and
8
)
Being kind to yourself (see
Chapters 8
and
10
)
Taking responsibility for your actions (see
Chapters 9
,
10
,
12
, and
19
)
Affirming yourself (see
Chapters 10
and
16
)
Accepting yourself (see
Chapters 9
and
10
)
Reducing guilt and forgiving yourself (see
Chapters 10
and
19
)
Meeting your needs (see
Chapters 5
,
8
, and
9
)
Sharing in Twelve Step meetings and in therapy (see
Chapters 6
and
18
)
Trusting and loving yourself (see
Chapter 10
)
Pursuing goals (
Chapter 16
)
Nurturing and giving yourself pleasure (see
Chapters 8
and
11
)
Practicing assertive communication improves your relationships and builds self-esteem. Your goals may include these, which are covered in Chapter 13, as well as the other chapters indicated:
Being honest and direct
Making “I” statements
Taking positions
Learning not to react (also
Chapter 12
)
Becoming aware of abusive communication (also
Chapter 3
)
Setting boundaries and saying no
Being able to problem-solve in your relationships
Handling conflict
There’s a maxim in AA: “Take action, and the feelings will follow.” Your thoughts and feelings determine how you behave, but actions also change your thoughts, beliefs, and feelings. Reading about and understanding codependency and how you came to be codependent are important, but taking risks and behaving differently actualizes your understanding and changes you. Taking action doesn’t mean jumping in to “fix” a problem. That complicates matters and prevents things from working themselves out naturally. There’s another — almost opposite saying in Al-Anon: “Don’t just do something, sit there.” It requires courage and strength to do the opposite of what you ordinarily do and to refrain from habitual behavior. Action goals include communicating differently and setting boundaries. They also include the following:
Journaling (
Chapter 9
)
Attending Twelve Step meetings and/or counseling (see
Chapters 6
and
18
)
Not enabling (see
Chapters 3
and
12
)
Practicing nonattachment and minding your own business (see
Chapter 12
)
Creating a spiritual practice (see
Chapter 11
)
Developing interdependent behavior (see
Chapters 14
and
15
)
Developing hobbies and interests (see
Chapters 11
and
16
)
Taking action to meet your needs (see
Chapters 8
,
9
, and
12
)
Setting and pursuing goals (see
Chapter 16
)
Building supportive relationships (see
Chapters 6
,
11
, and
17
)
Reaching out when you’re in pain (see
Chapters 6
and
17
)
Don’t be discouraged if you’re unable to achieve some of these goals. Many manifest in the middle and later stages of recovery. You’re on a journey — a wonderful, sometimes painful, but joyous adventure of self-discovery.