Codependence
Encyclopedia
Codependency is unhealthy love and a tendency to behave in overly passive or excessively caretaking ways that negatively impact one's relationships
Interpersonal relationship
An interpersonal relationship is an association between two or more people that may range from fleeting to enduring. This association may be based on limerence, love, solidarity, regular business interactions, or some other type of social commitment. Interpersonal relationships are formed in the...

 and quality of life
Quality of life
The term quality of life is used to evaluate the general well-being of individuals and societies. The term is used in a wide range of contexts, including the fields of international development, healthcare, and politics. Quality of life should not be confused with the concept of standard of...

. It also often involves placing a lower priority on one's own needs, while being excessively preoccupied with the needs of others. Codependency can occur in any type of relationship, including in families, at work, in friendships, and also in romantic, peer or community relationships. Codependency may also be characterized by denial
Denial
Denial is a defense mechanism postulated by Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.The subject may use:* simple denial: deny the reality of the...

, low self-esteem
Self-esteem
Self-esteem is a term in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs and emotions such as triumph, despair, pride and shame: some would distinguish how 'the self-concept is what we think about the self; self-esteem, the...

, excessive compliance
Compliance (psychology)
Compliance refers to a response — specifically, a submission — made in reaction to a request. The request may be explicit or implicit . The target may or may not recognize that he or she is being urged to act in a particular way.Social psychology is centered on the idea of social influence...

, or control
Self control
Self control is the ability to control one's emotions, behavior and desires in order to obtain some reward later. In psychology it is sometimes called self-regulation...

 patterns. Narcissists are considered to be natural magnets for the codependent.

Development and scope of concept

Historically, the concept of codependence "comes directly out of Alcoholics Anonymous
Alcoholics Anonymous
Alcoholics Anonymous is an international mutual aid movement which says its "primary purpose is to stay sober and help other alcoholics achieve sobriety." Now claiming more than 2 million members, AA was founded in 1935 by Bill Wilson and Dr. Bob Smith in Akron, Ohio...

, part of a dawning realization that the problem was not solely the addict, but also the family and friends who constitute a network for the alcoholic." It was subsequently broadened to cover the way "that the codependent person is fixated on another person for approval, sustenance, and so on." As such, the concept overlaps with, but developed in the main independently from, the older psychoanalytic concept of the 'passive dependent personality' ... attaching himself to a stronger personality."

Some would retain the stricter, narrower dictionary definition of codependency, which requires one person to be physically or psychologically addicted, such as to heroin, and the second person to be psychologically dependent on that behavior.

Patterns and characteristics

Codependency describes behaviors, thoughts and feelings that go beyond normal kinds of self-sacrifice or caretaking. For example parenting is a role that requires a certain amount of self-sacrifice and giving a child's needs a high priority, although a parent could nevertheless still be codependent towards their own children if the caretaking or parental sacrifice reached unhealthy or destructive levels. Generally a parent who takes care of their own needs (emotional and physical) in a healthy way will be a better caretaker, whereas a codependent parent may be less effective, or may even do harm to a child.

People who are codependent often take on the role as a martyr; they constantly put other's needs before their own and in doing so forget to take care of themselves. This creates a sense that they are "needed"; they cannot stand the thought of being alone and no one needing them. Codependent people are constantly in search of acceptance. When it comes to arguments, codependent people also tend to set themselves up as the "victim". When they DO stand up for themselves, they feel guilty.

Codependency does not refer to all caring behavior or feelings, but only those that are excessive to an unhealthy degree. Indeed, from the standpoint of Attachment theory
Attachment theory
Attachment theory describes the dynamics of long-term relationships between humans. Its most important tenet is that an infant needs to develop a relationship with at least one primary caregiver for social and emotional development to occur normally. Attachment theory is an interdisciplinary study...

 or Object relations theory
Object relations theory
Object relations theory is a psychodynamic theory within psychoanalytic psychology. The theory describes the process of developing a mind as one grows in relation to others in the environment....

, "to risk becoming dependent" may be for the compulsively self-reliant a psychological advance, and "depending on a source outside oneself ... successful, or tolerable, dependence" may be valorized accordingly.

Co-Dependents Anonymous
Co-Dependents Anonymous
Co-Dependents Anonymous is a twelve-step program for people who share a common desire to develop functional and healthy relationships. CoDA was founded in 1986 in Phoenix, Arizona...

 offers these patterns and characteristics as a tool to aid in self-evaluation.
Denial
Denial
Denial is a defense mechanism postulated by Sigmund Freud, in which a person is faced with a fact that is too uncomfortable to accept and rejects it instead, insisting that it is not true despite what may be overwhelming evidence.The subject may use:* simple denial: deny the reality of the...

 patterns:
  • I have difficulty identifying what I am feeling.
  • I minimize, alter or deny how I truly feel.
  • I perceive myself as completely unselfish and dedicated to the well-being of others.
  • I lack empathy
    Empathy
    Empathy is the capacity to recognize and, to some extent, share feelings that are being experienced by another sapient or semi-sapient being. Someone may need to have a certain amount of empathy before they are able to feel compassion. The English word was coined in 1909 by E.B...

     for the feelings and needs of others.
  • I label others with my negative traits.
  • I can take care of myself without any help from others.
  • I mask my pain in various ways such as anger, humor, or isolation.
  • I express negativity or aggression in indirect and passive ways.
  • I do not recognize the unavailability of those people to whom I am attracted.


Low self-esteem patterns:
  • I have difficulty making decisions.
  • I judge everything I think, say or do harshly, as never "good enough."
  • I am embarrassed to receive recognition and praise
    Praise
    Praise is the act of making positive statements about a person, object or idea, either in public or privately. Praise is typically, but not exclusively, earned relative to achievement and accomplishment...

     or gifts.
  • I do not ask others to meet my needs or desires
    Desire (emotion)
    Desire is a sense of longing for a person or object or hoping for an outcome. Desire is the fire that sets action aflame. The same sense is expressed by emotions such as "craving" or "hankering". When a person desires something or someone, their sense of longing is excited by the enjoyment or the...

    .
  • I value others' approval of my thinking, feelings and behavior over my own.
  • I do not perceive myself as a lovable or worthwhile person.
  • I constantly seek recognition that I think I deserve.
  • I am jealous of the relationships between others I would like to have as my own.
  • I have difficulty admitting that I made a mistake.
  • I need to appear to be right in the eyes of others and will even lie to look good.
  • I perceive myself as superior to others.
  • I look to others to provide my sense of safety.
  • I have difficulty getting started, meeting deadlines, and completing projects.
  • I have trouble setting healthy priorities.


Avoidance patterns:
  • I act in ways that invite others to reject, shame, or express anger toward me.
  • I judge harshly what others think, say, or do.
  • I avoid emotional, physical, or sexual intimacy as a means of maintaining distance.
  • I allow my addictions to people, places, and things to distract me from achieving intimacy in relationships.
  • I use indirect and evasive communication to avoid conflict or confrontation.
  • I diminish my capacity to have healthy relationships by declining to use all the tools of recovery.
  • I suppress my feelings or needs to avoid feeling vulnerable.
  • I pull people toward me, but when they get close, I push them away.
  • I refuse to give up my self-will to avoid surrendering to a power that is greater than myself.
  • I believe displays of emotion are a sign of weakness.
  • I withhold expressions of appreciation.

Compliance
Compliance (psychology)
Compliance refers to a response — specifically, a submission — made in reaction to a request. The request may be explicit or implicit . The target may or may not recognize that he or she is being urged to act in a particular way.Social psychology is centered on the idea of social influence...

 patterns:
  • I compromise my own values and integrity to avoid rejection
    Social rejection
    Social rejection occurs when an individual is deliberately excluded from a social relationship or social interaction. The topic includes both interpersonal rejection and romantic rejection. A person can be rejected on an individual basis or by an entire group of people...

     or others' anger
    Anger
    Anger is an automatic response to ill treatment. It is the way a person indicates he or she will not tolerate certain types of behaviour. It is a feedback mechanism in which an unpleasant stimulus is met with an unpleasant response....

    .
  • I am very sensitive
    Highly sensitive person
    A highly sensitive person is a person having the innate trait of high psychological sensitivity . According to Elaine N...

     to how others are feeling and feel the same.
  • I am extremely loyal
    Loyalty
    Loyalty is faithfulness or a devotion to a person, country, group, or cause There are many aspects to...

    , remaining in harmful situations too long.
  • I value others' opinions and feelings more than my own and am afraid to express differing opinions and feelings of my own.
  • I put aside my own interests and hobbies in order to do what others want.
  • I accept sex and/or sexual attention when I want love.
  • I am afraid to express my beliefs, opinions, and feelings when they differ from those of others.
  • I make decisions without regard to the consequences.
  • I give up my truth to gain the approval of others or to avoid change.


Control patterns:
  • I believe most other people are incapable of taking care of themselves.
  • I attempt to convince others of what they "should" think and how they "truly" feel.
  • I become resentful when others will not let me help them.
  • I freely offer others advice and directions without being asked.
  • I lavish gifts and favors on those I care about.
  • I use sex to gain approval and acceptance.
  • I have to be "needed" in order to have a relationship with others.
  • I demand that my needs be met by others.
  • I use charm and charisma
    Charisma
    The term charisma has two senses: 1) compelling attractiveness or charm that can inspire devotion in others, 2) a divinely conferred power or talent. For some theological usages the term is rendered charism, with a meaning the same as sense 2...

     to convince others of my capacity to be caring and compassionate.
  • I use blame
    Blame
    Blame is the act of censuring, holding responsible, making negative statements about an individual or group that their action or actions are socially or morally irresponsible, the opposite of praise. When someone is morally responsible for doing something wrong their action is blameworthy...

     and shame
    Shame
    Shame is, variously, an affect, emotion, cognition, state, or condition. The roots of the word shame are thought to derive from an older word meaning to cover; as such, covering oneself, literally or figuratively, is a natural expression of shame....

     to emotionally exploit
    Exploit
    Exploit can mean:*Exploit *Exploit *Exploit *Exploit *Exploit, a 2009 Adobe Flash game by Gregory Weir*The Exploits River, the longest river on the island of Newfoundland-See also:...

     others.
  • I refuse to cooperate, compromise, or negotiate.
  • I adopt an attitude of indifference, helplessness, authority, or rage
    Rage
    Rage may refer to:* Rage , an intense form of anger- Games :* Rage , a 2011 first-person shooter and racing video game developed by id Software* Rage Software Limited, a defunct game developer...

     to manipulate
    Psychological manipulation
    Psychological manipulation is a type of social influence that aims to change the perception or behavior of others through underhanded, deceptive, or even abusive tactics. By advancing the interests of the manipulator, often at the other's expense, such methods could be considered exploitative,...

     outcomes.
  • I have obsessive, compulsive thinking patterns and cannot focus on daily activities.
  • I use terms of recovery in an attempt to control the behavior of others.
  • I pretend to agree with others to get what I want.

Narcissism

Narcissists, with their ability to "get others to buy into their vision and help them make it a reality," are natural magnets for the co-dependent' ... [with] the tendency to put others' need before their own". Sam Vaknin
Sam Vaknin
Shmuel Ben David "Sam" Vaknin is an Israeli writer. He is the author and publisher of Malignant Self Love: Narcissism Revisited , editor-in-chief of the website Global Politician, and runs a website about narcissistic personality disorder .Race, Tim. , The New York Times, July 29, 2002, p...

 considered that codependents, as "the Watsons
John Watson (Sherlock Holmes)
John H. Watson, M.D. , known as Dr. Watson, is a character in the Sherlock Holmes stories by Sir Arthur Conan Doyle. Watson is Sherlock Holmes's friend, assistant and sometime flatmate, and is the first person narrator of all but four stories in the Sherlock Holmes canon.-Name:Doctor Watson's first...

 of this world, 'provide the narcissist with an obsequious, unthreatening audience ... the perfect backdrop. Among the reciprocally locking interactions of the pair, are the way "the narcissist has an overpowering need to feel important and special, and the co-dependent has a strong need to help others feel that way. ... The narcissist overdoes self-caring and demands it from others, while the co-dependent underdoes or may even do almost no self-caring."

In psychoanalytic terms, the narcissist "who manifests such 'omnipotent' behaviour and who seems to be especially 'independent' exerts an especially fascinating effect on all ... dependent persons ... [who] struggle to participate in the 'omnipotent' narcissist's power": narcissist and codependent "participate together in a form of an ego-defense system called projective identification
Projective identification
Projective Identification is 'a term first used by Melanie Klein to describe a process whereby parts of the ego are thought of as forced into another person who is then expected to become identified with whatever has been projected'....

."

Rappoport identifies codependents of narcissists as "co-narcissists.": "the codependent narcissist gives up his or her own needs to feed and fuel the needs of the other."

Inverted narcissists

Vaknin—"a self-help
Self-help
Self-help, or self-improvement, is a self-guided improvement—economically, intellectually, or emotionally—often with a substantial psychological basis. There are many different self-help movements and each has its own focus, techniques, associated beliefs, proponents and in some cases, leaders...

 author who openly discusses his experiences as a person with narcissistic personality disorder
Narcissistic personality disorder
Narcissistic personality disorder is a personality disorder in which the individual is described as being excessively preoccupied with issues of personal adequacy, power, prestige and vanity...

"—has identified a special sub-class of such codependents as "inverted narcissists."

Inverted or "covert" narcissists are people who are "intensely attuned to others' needs, but only in so far as it relates to [their] own need to perform the requisite sacrifice"—an "inverted narcissist, who ensures that with compulsive care-giving, supplies of gratitude, love and attention will always be readily available ... [pseudo-]saintly." Vaknin considered that "the inverted narcissist is a person who grew up enthralled by the narcissistic parent ... the child becomes a masterful provider of Narcissistic Supply
Narcissistic supply
Narcissistic supply is a concept in some psychoanalytic theories which describes a type of admiration, interpersonal support or sustenance drawn by an individual from his or her environment ....

, a perfect match to the parent's personality."

In everyday life, the inverted narcissist "demands anonymity ... uncomfortable with any attention being paid to him ... [with] praise that cannot be deflected." Recovery means the ability to recognize the self-destructive elements in one's character structure, and to "develop strategies to minimize the harm to yourself."

Recovery

There are various recovery
Recovery model
The Recovery Model as it applies to mental health is an approach to mental disorder or substance dependence that emphasizes and supports each individual's potential for recovery...

 paths for individuals who struggle with codependency.

For example, some may choose behavioral psychotherapy
Psychotherapy
Psychotherapy is a general term referring to any form of therapeutic interaction or treatment contracted between a trained professional and a client or patient; family, couple or group...

, sometimes accompanied by chemical therapy for accompanying depression.

There also exist support groups for codependency, such as Celebrate Recovery
Celebrate Recovery
Celebrate Recovery was founded in 1991 by Pastor John Baker of Saddleback Church with the goal of overcoming life's issues with a twelve-step program based on Christian principles. This recovery program addresses all types of habits, hurts and hang-ups. Other churches and some prisons implemented...

 a Christian, Bible-based group, Co-Dependents Anonymous
Co-Dependents Anonymous
Co-Dependents Anonymous is a twelve-step program for people who share a common desire to develop functional and healthy relationships. CoDA was founded in 1986 in Phoenix, Arizona...

 (CoDA) and Al-Anon/Alateen
Al-Anon/Alateen
Al-Anon/Alateen, known as Al-Anon Family Groups, is an international "fellowship of relatives and friends of alcoholicswho share their experience, strength, and hope in order to solve their common problems." They "help families of alcoholics by practicing the Twelve Steps, by welcoming and giving...

, Nar-Anon
Nar-Anon
Nar-Anon is a twelve-step program for friends and family members of drug addicts. Nar-Anon is complementary to, but separate from, Narcotics Anonymous , analogous to Al-Anon with respect to Alcoholics Anonymous; Nar-Anon's traditions state that it should "always cooperate with Narcotics Anonymous."...

, and Adult Children of Alcoholics (ACoA), which are based on the twelve-step program
Twelve-step program
A Twelve-Step Program is a set of guiding principles outlining a course of action for recovery from addiction, compulsion, or other behavioral problems...

 model of Alcoholics Anonymous
Alcoholics Anonymous
Alcoholics Anonymous is an international mutual aid movement which says its "primary purpose is to stay sober and help other alcoholics achieve sobriety." Now claiming more than 2 million members, AA was founded in 1935 by Bill Wilson and Dr. Bob Smith in Akron, Ohio...

. Although the term codependency originated outside of twelve-step groups, it is now a common concept in many of them.

Often an important result of a Family Intervention is to highlight codependent behaviors of various family members. This is sometimes a great help in encouraging the codependent person to accept help.

Many self-help guides have been written on the subject of codependency. One of the first was Codependent No More
Codependent No More
Codependent No More was the debut book of self-help author Melody Beattie. It was originally published in 1987 by the publishing division of the Hazelden Foundation, and became a phenomenon of the self-help movement, going on to sell over eight million copies, six million copies of them in the...

by Melody Beattie
Melody Beattie
Melody Beattie is the author of Codependent No More, published in 1987 by the Hazelden Foundation. The book was successful and influential within the self-help movement, selling over eight million copies and introducing the word codependent to the general public.Following the success of Codependent...

, published in 1987. Beattie has since written several other books on the subject. Other authors include Pia Melody (Facing Co-dependence) and Shirley Smith (Set Yourself Free).

Harmful effects of unaddressed codependency

Unresolved patterns of codependency can lead to more serious problems like alcoholism
Alcoholism
Alcoholism is a broad term for problems with alcohol, and is generally used to mean compulsive and uncontrolled consumption of alcoholic beverages, usually to the detriment of the drinker's health, personal relationships, and social standing...

, drug addiction, eating disorders, sex addiction, and other self-destructive or self-defeating behaviors
Self-defeating personality disorder
Self-defeating personality disorder is a personality disorder that was never formally admitted into the Diagnostic and Statistical Manual of Mental Disorders . It was discussed in an appendix of the manual's revised third edition...

. People with codependency are also more likely to attract further abuse from aggressive individuals, more likely to stay in stressful jobs or relationships, less likely to seek medical attention when needed and are also less likely to get promotions and tend to earn less money than those without codependency patterns.

For some, the social insecurity caused by codependency can progress into full-blown social anxiety
Social anxiety
Social anxiety is anxiety about social situations, interactions with others, and being evaluated or scrutinized by other people...

 disorders like social phobia
Specific social phobia
Mental health professionals often distinguish between generalized social phobia and specific social phobia. People with generalized social phobia have great distress in a wide range of social situations. Those with specific social phobia may experience anxiety only in a few situations...

, avoidant personality disorder
Avoidant personality disorder
Avoidant personality disorder is a personality disorder recognized in the Diagnostic and Statistical Manual of Mental Disorders handbook in a person characterized by a pervasive pattern of social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation, and avoidance of...

 or painful shyness
Shyness
In humans, shyness is a social psychology term used to describe the feeling of apprehension, lack of comfort, or awkwardness experienced when a person is in proximity to, approaching, or being approached by other people, especially in new situations or with unfamiliar people...

. Other stress-related disorders like panic disorder
Panic disorder
Panic disorder is an anxiety disorder characterized by recurring severe panic attacks. It may also include significant behavioral change lasting at least a month and of ongoing worry about the implications or concern about having other attacks. The latter are called anticipatory attacks...

, depression or PTSD may also be present.

Controversies

  • Going from one extreme to the other. Sometimes an individual can, in attempts to recover from codependency, go from being overly passive or overly giving to being overly aggressive
    Aggressive
    “Aggressive” is a New York-based Grammy award-winning music video and commercial directing team of Alex Topaller and Daniel Shapiro.Aggressive has been described by Movie Creation Mag as “having a fascination with the wonderful, in the likes of the surrealist Rafal Olbinski” and “tenacious about...

     or excessively selfish. Many therapists maintain that finding a balance through healthy assertiveness
    Assertiveness
    Assertiveness is a particular mode of communication. Dorland's Medical Dictionary defines assertiveness as:During the second half of the 20th century, assertiveness was increasingly singled out as a behavioral skill taught by many personal development experts, behavior therapists, and cognitive...

     (which leaves room for being a caring person and also engaging in healthy caring behavior), is true recovery from codependency and that becoming extremely selfish, a bully, or an otherwise conflict-addicted person, is not.
  • Victim mentality. According to this perspective, developing a permanent stance of being a victim (having a "victim mentality") would also not constitute true recovery from codependency and could be another example of going from one extreme to another. A victim mentality could also be seen as a part of one's original state of codependency (lack of empowerment causing one to feel like the "subject" of events rather than being an empowered actor). Someone truly recovered from codependency would feel empowered and like an author of their life and actions rather than being at the mercy of outside forces. A victim mentality may also occur in combination with passive–aggressive control issues. From the perspective of moving beyond victim-hood, the capacity to forgive and let go (with exception of cases of very severe abuse) could also be signs of real recovery from codependency, but the willingness to endure further abuse would not.
  • Caring for an individual with a physical addiction is not necessarily synonymous with pathology. To name the caregiver as a co-alcoholic responsible for the endurance of their partner's alcoholism for example, pathologizes caring behavior. The caregiver may only require assertiveness
    Assertiveness
    Assertiveness is a particular mode of communication. Dorland's Medical Dictionary defines assertiveness as:During the second half of the 20th century, assertiveness was increasingly singled out as a behavioral skill taught by many personal development experts, behavior therapists, and cognitive...

     skills and the ability to place responsibility for the addiction on the other.
  • Not all mental health
    Mental health
    Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...

     professionals agree about codependence or its standard methods of treatment. It is not listed in the DSM-IV-TR. Stan Katz
    Stan Katz
    Dr Stan J Katz is an American clinical and forensic psychologist. A critic of the codependency movement, Katz co-authored The Codependency Conspiracy: How to Break the Recovery Habit and Take Charge of Your Life...

     & 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.
  • The language of symptoms of and treatment for codependence derive from the medical model
    Medical model
    Medical model is the term cited by psychiatrist Ronald D. Laing in his The Politics of the Family and Other Essays , for the "set of procedures in which all doctors are trained." This set includes complaint, history, physical examination, ancillary tests if needed, diagnosis, treatment, and...

     suggesting a disease
    Disease
    A disease is an abnormal condition affecting the body of an organism. It is often construed to be a medical condition associated with specific symptoms and signs. It may be caused by external factors, such as infectious disease, or it may be caused by internal dysfunctions, such as autoimmune...

     process underlies the behavior. There is no evidence that codependence is caused by a disease process, communicable or otherwise.
  • Some frequent users of the codependency concept use the word as an alternative to use the concept dysfunctional families, without statements that classify it as a disease.
  • Not everything promoted by recovery agencies is a demonstrable scientific fact, some of it is based on fashion
    Fashion
    Fashion, a general term for a currently popular style or practice, especially in clothing, foot wear, or accessories. Fashion references to anything that is the current trend in look and dress up of a person...

     and faith
    Faith
    Faith is confidence or trust in a person or thing, or a belief that is not based on proof. In religion, faith is a belief in a transcendent reality, a religious teacher, a set of teachings or a Supreme Being. Generally speaking, it is offered as a means by which the truth of the proposition,...

     alone.

See also


Further reading

  • "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.
  • Anonymous Co-Dependents Anonymous, Phoenix: Co-Dependents Anonymous, 1st ed. 1999, ISBN 0-9647105-0-1, 3-6.
  • Aday, J.B., Jr. (1995). An analysis of codependency in adult males: A comparison of adult males from chemically dependent families with adult males from nonchemically dependent families. Dissertation Abstracts International: Section B: The Sciences and Engineering.
  • Robert Hemfelt, Frank Minirith, Paul Meier (1989) Love is a choice: The definition book on letting go of unhealthy relationships
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