Knapek Eva, Kuritárné Szabó Ildikó
DEOEC, Nepegeszsegugyi Kar, Magatartastudomanyi Intezet, Debrecen, Hungary, E-mail:
Psychiatr Hung. 2014;29(1):56-64.
The concept of codependency stems from the field of chemical dependency. Initially, codependent individuals meant women who dominated their partners and took care of them, while women actually were dependent upon their husbands. Nowadays, it has been recognized that men can become codependent as well, and its presence is not limited only to the relationship. This paper reviews the various interpretations of codependency and the empirical researches on the etiological factors of codependency. The explanatory models of codependency can be placed on a continuum of severity: psychopathology on the level of personality disorder, behavioural addiction, or excessive feminine behaviour. The etiology is mutifactorical: biological, psychological and social elements are also listed among etiology factors. The individual variability of the predisposition to care, failure of prefrontal cortex to inhibit empathic responses, a multitude of aversive experiences in a dysfunctional family (e.g. parental conflicts, emotional abuse, neglect and parentification), changes in the perception of women's role, and the emergence of substance abuse in the family could play a role in the development of codependency. Codependency is often unrecognized. Codependent individuals visit the health care system with stress-related or depressive symptoms which can mask the underlying causes, thus, it is possible that they will only receive symptomatic treatment. Through its trans-generational nature, codependency endangers children growing up in the family.
相互依赖的概念源于化学成瘾领域。最初,相互依赖的个体指的是那些支配伴侣并照顾他们的女性,而实际上这些女性依赖于她们的丈夫。如今,人们已经认识到男性也可能变得相互依赖,而且这种情况不仅限于人际关系。本文回顾了对相互依赖的各种解释以及关于相互依赖病因的实证研究。相互依赖的解释模型可以置于一个严重程度的连续体上:人格障碍层面的精神病理学、行为成瘾或过度的女性化行为。其病因是多因素的:病因因素中还包括生物、心理和社会因素。照顾倾向的个体差异、前额叶皮质抑制共情反应的失败、功能失调家庭中的大量厌恶经历(如父母冲突、情感虐待、忽视和角色倒置)、女性角色认知的变化以及家庭中药物滥用的出现都可能在相互依赖的发展中起作用。相互依赖常常未被识别。相互依赖的个体带着与压力相关或抑郁的症状去医疗保健系统就诊,这些症状可能掩盖潜在病因,因此,他们可能只会接受对症治疗。由于其跨代性质,相互依赖危及在家庭中成长的儿童。