I think too many are conveniently labeled co dependent. Here's an interesting article by Greg Dear.
Codependency Model: An Overview<p>The Codependency Model: An Overview<p>The early literature on women with alcoholic husbands outlined a predominantly
negative view of these women. Such women were seen as neurotic, poor copers
who were obsessed with controlling their husbands drinking. They were seen to
have partnered alcoholic men in order to satisfy their own pathological needs
(Kalashian 1959; Whalen 1953). It was further asserted that some women would
sabotage the drinker’s attempts to abstain in order to continue meeting these
needs (Futterman 1953). Edwards, Harvey & Whitehead (1973) termed such
notions the disturbed personality theory. They criticised the lack of empirical
support for such notions and cite a number of research findings which support
the alternative view: that it is the stress created by the drinking which affects the
partner’s psychological functioning. Subsequent reviews cite further research
supporting the stress model and refuting the disturbed personality model (Finney,
Moos, Cronkite & Gamble 1983; Gomberg 1989; Watts, Bush & Wilson 1994;
O’Farrell, Harrison & Cutter 1981).286
The central theme of the vast literature on codependency is that all members
of any family in which one member has a drinking problem are psychologically
disturbed and in need of treatment. There is no doubt expressed by any of the
proponents of the codependency model that there exists a distinct syndrome of
maladjustive coping behaviours and that this can be observed within every
family in which a drinking problem exists. Some writers are explicit in
describing codependency as a personality disorder (for example, Cermak 1986)
and others go so far as to describe it as a disease (for example, Schaef 1986;
Young 1987).
The term has been further generalised to also refer to the partners of anyone
with any form of major behaviour problem (excessive gamblers, violent and
abusive men, workaholics, psychiatrically disturbed individuals, etc.) and to
anyone who had grown up in a family affected by any major disturbance
(Bradshaw 1988; Schaef 1986; Subby & Friel 1984).
Treatment programs for codependents have been developed and hundreds of
self-help books on codependency have been published. Typically these books
comprise discussions of the characteristics of the codependent person,
disclosures of personal experience, case histories of codependents, explanations
of why long-term therapy is seen to be required, and advice on self-change
strategies. Such books sell extremely well and an entire industry has developed
around them. Leading writers tour the world conducting workshops and
seminars, therapists advertise that they provide treatment for codependency, and
numerous support groups and family counselling services have developed
programs based on the codependency model.
Such developments have all taken place in the absence of any research
support for the model and the lack of an accepted formal definition for the
proposed syndrome. A number of other criticisms of the model have also been
raised:
· that the model is incorrect in asserting that there is a distinct coping
pattern found among the partners of problem drinkers (Gierymski &
Williams 1986; Gomberg 1989; Haaken 1990; Hands & Dear 1994).
· that the model is at odds with the research on family coping in that it
promotes the notion that most family members adopt ineffective and
pathological coping responses (Gomberg 1989; Haaken 1990; Hands &
Dear 1994; Raven 1994; Watts et al. 1994).
· that the model is demeaning to women in that it describes socially
sanctioned feminine role behaviours as evidence of personal inadequacy
and dysfunction (Appel 1991; Haaken 1990; Hagan 1989; Hands & Dear
1994; Krestan & Bepko 1990).287
One area where the codependency model has recently gained some degree of
acceptance is in the development of counselling services for women who have
been physically abused by a partner or other family member. Domestic violence
is specifically listed by a number of the leading writers on codependency as a
relevant clinical area for applying the concept (for example, Bradshaw 1988;
Cermak 1986). Cermak (1986, p.33) states that ‘One of the most reliable
symptoms of codependence is the inability to leave a chronically abusive
relationship behind’.
This use of the codependency model in the area of domestic violence is of
considerable concern. The notion that all women who have difficulty leaving
violent and abusive men have some form of personality disturbance is dangerous
because it blames the victim for not being able to prevent, avoid or cope with the
violence (McIntyre 1984; Queensland Domestic Violence Task Force 1988;
Roxburgh 1991). Moreover, blaming the victim further undermines her ability to
take action against the violence (Dobash & Dobash 1987; Roxburgh 1991). As
Roxburgh (1991, p.143) explains, blaming the victim:
reinforces the abused woman’ s low self-esteem . . . ; can contradict her
interpretation of the violent situation and distort her version of what is happening
. . . ; can weaken her resolve to act because she feels responsible for and
therefore deserving of the violence; makes her feel undeserving of other
assistance; diminishes the capacity of the service provider to offer assistance
which will be of real benefit to the woman; and is untrue.
Orr (1991, p. 120) concludes her review of the various theories put forward
to explain family violence by stating that an ‘understanding of the differences in
the gendered identity of men and women is crucial to elucidating why family
violence occurs, and to replacing the common myths about the causes of family
violence with a stronger knowledge of who benefits from its continual
perpetration’. The Queensland Domestic Violence Task Force (1988) also
emphasised the importance of such an approach to understanding family
violence. The codependency literature, however, comprehensively fails to
examine sociocultural processes and gender related power issues and hence leads
to an incomplete understanding of the dynamics of family violence.
Norwood (1985), for example, writes of the women ‘who love too much’.
She avoids examining the cultural processes which obstruct domestic violence
victims from obtaining a position of safety and empowerment. Rather she
analyses intrapersonal processes in order to explain their lack of power. Hagan
(1989) has strongly criticised this approach. She argues that the concept involves
‘a classic reversal: women are at fault again, this time for loving—what we’ve
been reared to do—too much’ (p. 9). She is highly critical of the lack of socialanalysis which only serves to maintain the processes that enable domestic
violence to thrive.
As Roxburgh (1991, p. 130) explains, family violence ‘isolates the victim
from assistance, a consequence the perpetrator frequently seeks to maintain’.
Self-help books which promote concepts of personal inadequacy and disorder
could be expected to instil a sense of personal responsibility for preventing the
violence and hence further isolate the victim from those services which may
provide a more realistic solution.
Victims of domestic violence need to have their feelings of fear and trauma
legitimised (Queensland Domestic Violence Task Force 1988). They need clear
messages which counter the myth that they are in any way responsible for being
abused. They need to be able to explore their fears and anxieties and discuss the
difficulty they experience in removing or protecting themselves without feeling
that this indicates there is anything wrong with them. It is questionable whether a
model which employs notions of personal inadequacy can be made consistent
with such aims.
The codependency model does not provide any meaningful contribution to
the understanding of domestic violence. Given this, and the extensive problems
inherent in the model, there is no justification for using it in family violence
programs. To do so is in fact unnecessary, given that there are more established
models of stress and coping which can be used as the basis for developing
positive counselling programs for families (for example, Lazarus & Folkman
1984, Orford 1987, Roth & Newman 1991). Such counselling programs need to
be coordinated with other supportive and refuge services, and they need to be
philosophically consistent with these other services (Dobash & Dobash 1987;
Roxburgh 1991).
Counselling programs for survivors of family violence need to help
participants understand that they are coping as best they can under difficult
circumstances and that with appropriate support, and an opportunity to learn
more effective coping strategies, they can minimise the trauma they experience
and improve the quality of their future life. It is also important for these
programs to provide participants with an opportunity to examine how gender-based
power issues have impacted and continue to impact on their lives. The aim
is to empower participants to develop more self-protective and self-fulfilling
social roles. While this aim is also the declared aim of the codependency
movement, the manner in which this objective is addressed within the
codependency model is likely to be counter-productive.
Apart from the conceptual arguments against applying the codependency
model within the domestic violence field, the lack of research support for the
model dictates against such a move.<p>[ May 30, 2002: Message edited by: roseyhue37 ]</p>