Category Archives: Parents

Codependency is a Relationship Addiction

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Melissa Killeen

Codependent was a term used to describe the partner or spouse of an addict. The reasoning was a person had to be codependent to tolerate the destructive behaviors and actions of an addict in a relationship. But this definition has changed.

What is codependency?

Codependency is known as a “relationship addiction” because people with codependency often form or maintain relationships that are one-sided, emotionally destructive and/or abusive. The disorder was first identified over twenty years ago as the result of years of studying interpersonal relationships in families of alcoholics. Codependent relationships are a type of dysfunctional helping relationship where one person supports or enables another person’s addiction, poor mental health, immaturity, irresponsibility, or under-achievement.

When someone is codependent they tend to spend the majority of their effort in their relationship, monitoring, controlling and attempting to enhance the feelings of someone they love. If a person is in a codependent relationship, there exists an imbalance that is both unhealthy, and ultimately destructive to the codependent whose self esteem, needs and self worth are sacrificed for that of the other person’s. A codependent relationship can be with a child, a parent, spouse or even with a non-addict.

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Nuclear Family Emotional Process, Projection Process and Multigenerational Transmission Process

This week’s blog is a guest post by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY.

“The problem a patient or couple or family walks in with is less important than the relationship obstacles that keep them from working to resolve it”. — Guerin & Fogarty

What is it about family gatherings, holidays and life cycle celebrations that often bring out the worst in their participants? Where do the unspoken rules of family togetherness behavior that we reflexively adhere to, or reactively reject without due consideration of what conscious responses would be in our own best interest, come from? How do they thwart “growing in the ability to be fully responsible for my own life while being committed to growing closer to those I love”?

To begin to answer these questions, we turn to three more of Murray Bowen’s eight interlocking concepts, Nuclear Family Emotional Process, Family Projection Process and Multigenerational Transmission Process. The former addresses systemic patterns of response to marital “we-ness,” while the latter traces this process vertically through the generations. Family Projection Process connects the two as it is the only one of the four nuclear family patterns that crosses generational boundaries, and is the foundation upon which the Multigenerational Transmission Process develops historically from generation to generation.

Nuclear Family Emotional Process develops family distress in one or more of the following four patterns:

    1. Emotional Distance
    2. Marital Conflict
    3. Problems in a partner’s functioning
    4. Transmission of the problem to a child

Family Projection Process describes the mechanism whereby parental anxiety is transmitted to children. Initially children are passive recipients. As they grow older, they quickly become participants.

The Multigenerational Transmission Process describes how the Family Projection Process operates from generation to generation. “Any set of parents, however, is merely the current embodiment of forces or processes that have been active for many generations before them” (Papero 1990). Over time and through multiple generations, small differences may progress to significant divergence in functioning and solid self amongst descendent lines.

Awareness of these natural processes helps calm anxiety and improve self-focus which in turn leads to decreased emotional reactivity and more productive decision making, thereby increasing the probability of higher social, emotional and physical functioning.

Attention to one’s own level of self-differentiation helps us modify and change our behavior at times of family life cycle transitions and unexpected crises. The task is about resolution of unique one-to-one relationships with each and every family member. This in turn leads to larger system-wide changes in family functioning.

Maintaining both autonomy and emotional connectivity is the both/and (Yin/Yang) goal. Whether you are fused and enmeshed, or conflicted, distant, cut-off and non-communicative, you remained undifferentiated and out of control. If your behavior is reactive, whether positively or negatively, you are not self-directed.

When seemingly inescapably caught in reciprocal family processes remember, “What you resist, persists.”

Rather recognition, acceptance and attention to improving functional levels are life sustaining and enhancing.

When all else fails, consultation with a well-trained Bowen Family Systems Theory coach or therapist can help keep the process moving forward in a positive direction.

Best of luck on your unfolding journey of a lifetime.

 

This post was written by Ronald B Cohen, MD, a Psychiatrist and Marriage and Family Therapist from Great Neck, NY. Dr. Cohen is a Fellow of the American Psychiatric Association and an Affiliate Member of the American Academy of Marital and Family Therapy. As a consultant specialist, Dr. Cohen provides clinical supervision, and confers with individual therapists and other health care professionals and organizations to help them consider how adding family therapy sessions to the treatment program is both restorative and proactive as improvement is long lasting.

Dr. Ronald B. Cohen graduated summa cum laude, from Brandeis University and The Albert Einstein College of Medicine. In addition to his psychiatric residency training, Dr. Cohen was educated at the Psychiatric Epidemiology Program of the Columbia University Joseph L. Mailman School of Public Health. Subsequently Dr. Cohen completed the four-year core postgraduate training program in Family Systems Theory and Therapy at The Family Institute of Westchester

Please feel free to comment, request more information and/or schedule an initial consultation contact Dr Cohen at: http://www.familyfocusedsolutions.com/contact/

Or email him at:

RBCohenMD@FamilyFocusedSolutions.com

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Angry Birds—Part 2- The conflict between a young adult and her mother in recovery

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Melissa Killeen

In my last post, I touched on the subject of how a mother in recovery can cope with the conflict and rage her 21-year-old young adult daughter expressed during a family holiday get-together. In this post, I am exploring the difficulty parents of emerging adults have coping with their separation. I must admit that I am a parent of an emerging adult, a 25-year-old son, so as you read this post, you will see I use the term “we” quite often, we meaning parents like me. Laurence Steinberg, a psychologist at Temple University, is one of the country’s foremost authorities on the transitions of young adults. Based on a longitudinal study he conducted of more than 200 families, he found forty percent of his parent sample suffered a decline in their mental health once their first child entered adolescence and young adulthood. Parents reported feelings of rejection and low self-worth; a decline in their sex lives; and increases in physical symptoms of distress. It may be tempting to dismiss these findings as by-products of a midlife crisis rather than the presence of young adults in the house. But Steinberg’s results don’t seem to suggest it. Steinberg’s research was better able to predict what the parent was going through psychologically, by looking at the age of his or her child, rather than by knowing the parent’s age.

Young adults who are attempting to launch are especially rough on parents who don’t have an outside interest, whether it’s a job they love or a hobby to absorb their attention. Parents who have been planning that perfect wedding or expect their child will be a doctor or a Nobel laureate, since the kid’s bar (bat) mitzvah, need to stop that. It is time to separate what they ‘make up in their heads’ with the reality of the situation. I may over emphasize this a tad, but for every parent there is this overarching desire for their kids to fulfil the American Dream: to do better than their parents. Today, post the Great Recession, this may be a bit difficult to achieve for most 20 to 30 something’s. It also raises the bar for these launching young adults who already have too many goals to realize during this decade. These goals include: separating from their family, leaving the childhood home, attending college, finding a job, moving into a new home, excelling in that job and finding a mate.

There are more responsibilities laid at the feet of a 20-30 year old in this decade of emerging adulthood than in any other decade preceding or following this age. A person might expect that sitting, chilling out and playing a video game can take some pressure off of the emerging adult, wouldn’t you think? Knowledge that wasn’t around twenty years ago, when most parents were rocking out to The Police or Nirvana, attests that the prefrontal cortex, the part of the brain that governs so much of our higher executive function—including the ability to reason and control our impulses—is still undergoing structural changes up until the age of 25. Complicating matters more, dopamine, the hormone that signals pleasure, is very active in young adults, which is why they assign a greater value to the reward they get from taking risks than older adults do. Of course, in the face of observing such risk taking, our first parental response is to step in, control and make things right.

As their parents, we see these risky choices based on youth and stupidity rather the researched-based facts of being part of a developmental process. It’s precarious being someone’s prefrontal cortex by proxy. Yet modern culture tells us that that’s one of the primary responsibilities of being a parent. In addition to decisions by proxy, we carry unresolved problems from our past with us into our current situations. At times of disagreement or unexpected crises, conflict and dysregulation arise. Wikipedia describes manifestations of emotional dysregulation as angry outbursts such as yelling, destroying or throwing objects, aggression towards others, and use of all capital letters in text messages (I added that last entry). Regarding the mother and daughter issue referred to in the my last blog, I went to my “go to guy”, Bowen Family Systems psychiatrist, Ronald Cohen and he offered these questions:

(1) What can you do to help resolve the conflict, reduce stress and anxiety, improve communication, and promote active problem solving and healing?

(2) How do you maintain both your autonomy and the connections with the emotionally important person in your  life?

(3) Which behaviors will help make things better no matter what the emerging adult does?

(4) How do you deal with differences without losing connection?

The end-goal is differentiation of self,  the capacity for the individual to function autonomously by making their own choices, while remaining emotionally connected to family. For the for my client, the recovering mother and for the emerging adult, her daughter, this is a goal they both can agree on. This goal will allow the daughter to engage the process of partially freeing herself from the emotional entrapment of her mother. Differentiation can release the mother from her care giver role and all of her past roles as a parent of a young child that are no longer required. In doing so, the young adult daughter may recognize that running away from her mother won’t achieve liberty, but in fact by running away, she will become as emotionally dependent as the emerging adult who never leaves home. More will follow with next week’s post.

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