The effects of co-dependence on physicians and nurses.
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Codependency, Psychological↗
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Contrasting effects of self-schema priming on lexical decisions and interpersonal stroop task performance: evidence for a cognitive/interactionist model of interpersonal dependency.
Four experiments tested a key tenet of Bornstein's (1992, 1993) cognitive/interactionist (C/I) model of interpersonal dependency: that priming the helpless self-schema (HSS) alters processing of dependency-related information in dependent--but not nondependent--individuals. Experiments 1 and 2 assessed the effects of subliminal lexical priming and an emotional priming manipulation on lexical decision (LD) judgments for dependency-related words and control words. Experiments 3 and 4 assessed the effects of these same priming procedures on Interpersonal Stroop Task (IST) performance. As predicted, priming the HSS produced contrasting effects on different outcome measures, decreasing LD latencies, but increasing IST response times. Results are discussed in the context of the C/I model, and suggestions for future studies are offered.
Adult↗
Family of origin and current relationship influences on codependency.
This study investigated codependency in Caucasian individuals within the framework of Bowen's Family Systems Theory. The sample consisted of a group of couples, in which one member of the couple was a recovering alcoholic in an aftercare program, and a group of matched, comparison couples. Participants completed a demographic questionnaire, the Friel Codependency Assessment Inventory, and the Personal Authority in the Family System (PAFS) Questionnaire. The findings confirmed that codependency levels were higher in clinical than in comparison couples. Moreover, within the clinical group, there was little difference between alcoholics and their spouses with respect to dysfunction in their families of origin, current families, or their codependency levels. The findings further suggested that the etiology and function of codependency are different in clinical and nonclinical families. In the clinical sample, the family of origin and current relationship characteristics were related to codependency in patterns consistent with previous theory and research. For the nonclinical sample, however, the findings contradicted conventional codependency theory. The findings suggest that, in contrast to clinical populations, codependency in nonclinical populations has some links with favorable characteristics of family functioning.
Adult↗
Attachment, mastery, and interdependence: a model of parenting processes.
A democratic nation needs an interdependent citizenry who are not only competent but who also can live together cooperatively with an eye toward what will benefit the whole as well as the self. In this article, the concept of interdependence is adopted as the central goal of parenting. The Parenting Processes Model is then presented, specifying how caregivers help children develop this interdependence. This work draws upon and integrates the work of a number of theoreticians, researchers, and clinicians, with the central focus on the work of John Bowlby, Alfred Adler, and Lev Vygotsky.
Adolescent↗
Serotonergic function in mothers of opioid addicts: correlation with comorbid depression.
The serotonergic (5-HT) function of 36 mothers of heroin addicts, of whom 16 subjects were without psychopathological features (group A) and 20 subjects had major depressive disorders (group B), as well as 10 age- and sex-matched healthy controls, was examined by L-D-fenfluramine stimulation of secretion of prolactin (PRL) and cortisol. The subjects' addict relatives were also tested for personality features and hormonal responses to L-D-fenfluramine. The PRL and cortisol responses to the stimulus were normal in mothers of group A, and blunted in mothers of group B. A high frequency (70%) of heroin addicts with comorbid depression was found among the sons of group B mothers. The sons of depressed mothers showed reduced PRL and cortisol responses to fenfluramine. A significant direct correlation has been demonstrated between the PRL areas under curves (AUC) of mothers and sons in response to the 5-HT agonist. Our data suggest that genetic 5-HT impairment is not involved in the pathogenesis of heroin addiction or codependence per se, and is probably linked to the presence of familial depression in comorbidity with the addictive disorder.
Adult↗
A women's issue: HIV/AIDS.
Women have recently been designated as the "at risk" group for HIV/AIDS infection. The author describes the advantages of doing health education with codependent women in group therapy to change risk behaviors. The assumption is made that as women take their learning home, share it with family and friends, and integrate safe sex practices into their lifestyles, the epidemic growth of HIV/AIDS can be undermined.
Adult↗
Impaired personal boundaries: a proposed nursing diagnosis.
TOPIC: How impaired personal boundaries play a significant role in mental illnesses and co-dependency. PURPOSE: To demonstrate the value of having a formal nursing diagnosis of "impaired personal boundaries." SOURCE: A concept analysis of personal boundaries, which describes the physical, emotional, intellectual, and spiritual dimensions of personal boundaries. CONCLUSION: The author recommends a new nursing diagnosis of "impaired personal boundaries," which provides a basis for the plan of care for clients with this difficulty.
Assertiveness↗
Validation study for impaired personal boundaries, proposed nursing diagnosis.
The authors propose a new nursing diagnosis of impaired personal boundaries based on their experience in psychiatric nursing, a concept analysis of the literature and diagnostic content validation by a panel of experts. Impaired personal boundaries are common in a number of mental disorders including, schizophrenia, borderline personality, substance abuse and enabling. Recognition of this patient problem has implications for further research and nursing interventions.
Codependency, Psychological↗
Codependency: characteristics, risks, progression, and strategies for healing.
Codependency and caring are issues concerning nurses practicing in the 1990s. Questions about "caring" and "caring too much" at one's own expense are examined. Characteristics, roles, and risk factors for codependency are identified. Strategies for healing are suggested for nurses who "care too much."
Birth Order↗
Nursing: caring or codependent?
Can nurses practice caring within a healthcare system that promotes codependency? Caring promotes mutual empowerment of all participants while codependent caring disempowers. Nurses are expected to practice caring with clients, The authors contend, however, that nursing, as historically and currently practiced within bureaucratic/patriarchal organizations, is founded on a value system that fosters codependency. Until nursing is practiced within the context of caring organizations and a caring healthcare system, nurses will continue to be powerless to shape their own practice as carers and burnout will continue to be a problem.
Burnout, Professional↗
Differential treatment: considerations for the female alcoholic.
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Adult↗
Programmed writing and therapy with symbiotically enmeshed patients.
This paper illustrates how programmed writing lessons to be completed as homework assignments can be used in conjunction with traditional verbal psychotherapy. Each patient was involved in a symbolically enmeshed relationship. Special benefits for patients from the combination of programmed writing lessong with traditional psychotherapy were: (1) increased couple communication; (2) possibly more rapid change; (3) possibly shorter-term therapy; (4) increased forgotten trauma discovery; (5) and increased explicit and specific instructions. Patients were informed from the outset that the use of programmed writing lessons would or might: (1) help the therapist get a better idea of what was going on in regard to the development, values, rules, etc. of their symbiotic relationships; (2) decrease the time spent in therapy, and (3) encourage self-realization through self-directed assignments between sessions. For psychotherapists there are advantages of: (1) putting the responsibility for change on the shoulders of patients rather than on themselves; (2) using programs of theoretical and therapeutic approaches that may not be well known to the therapist; (3) reducing the frequency of sessions and administering written homework assignments when the therapist is on vacation; and (4) increasing the number of patients that can be seen for unit of therapist's time.
Adolescent↗
The impact of cobedding on sleep patterns in preterm twins.
Interest in cobedding multiple-gestation infants has grown as focus has increased on the developmental approach to the care of the neonate. Little data, however, exist on the infants' response to cobedding. It is important to evaluate the safety, efficacy, and physiologic impact of this practice. Cobedding was offered to parents of twin infants < 37 weeks gestation, without arterial lines or ventilator requirements, by the health care team according to standard practice in our nursery. After parental informed consent, infants were placed on an event-recording cardiorespiratory monitor for 12 hours before cobedding and for the first 12 hours of cobedding. Recordings were evaluated by an investigator blinded to the bedding status of the infant. Apnea (a pause of respiration > 10 seconds, central apnea), bradycardia (a decline in heart rate to < 80 beats per minute), periodic breathing (a respiratory pattern in which there are > or = 3 pauses in respiration of > or = 3 seconds with < 20 seconds of breathing between pauses), adverse events (changes in medication, changes in oxygen requirements, temperature instability, the need for sepsis evaluation, or death) were evaluated. Other physiologic parameters were obtained through the use of standard bedside monitoring. Eleven sets of preterm infants, n = 22, with a mean gestation of 31.8+/-2.9 weeks and a mean birth weight of 1,698.7+/-552.0 grams were studied. Infants were evaluated at a corrected gestational age of 33.5+/-1.9 weeks and a mean weight of 1,713.2+/-484.0 grams. The number of events of central apnea before cobedding (57) was greater than those recorded during cobedding (18), p<0.05. There was no difference found in any of the other parameters compared. The numbers of events recorded before and during cobedding were compared by Student's t-test and significance was determined by p < 0.05. No adverse events (AE) were noted, and all infants remained cobedded throughout the study. This preliminary study suggests that cobedding of healthy preterm twins showed no increase in adverse events. Of the physiologic parameters studied, only the occurrence of central apnea changed with cobedding. This decrease in central apnea may reflect a change in sleep pattern due to more frequent arousal by the twin. Alternatively, a more regular breathing pattern may reflect a positive physiological response to contact between twins.
Beds↗
Biographic and psychobehavioral influences on body mass index in a nursing sample.
The purpose of this study was to investigate the direct influences of age, ethnicity, education, and number of children and the indirect influences of codependency and binge eating on increased body mass index (BMI). In this secondary analysis, data were collected from a convenience sample of 511 nurses who completed a codependency instrument and a personal inventory profile assessing the predictors included in the current path analysis study. The five predictors retained in the final BMI model demonstrated that binge eating, age, and Black ethnicity were positively correlated with BMI and that Asian ethnicity was negatively correlated with BMI. The relationship between binge eating and BMI was augmented by codependency but reduced by Black ethnicity. It was concluded that the path analysis supported hypotheses that Black nurses were overweight for reasons other than binge eating and that participants who scored high on the codependency instrument were more likely to binge eat.
Black or African American↗
Adult children of alcoholics in treatment programs for anxiety disorders and substance abuse.
Studies of the first-degree relatives of patients with alcoholism and anxiety disorders have identified a significant overlap of these disorders. Forty percent of the patients in an outpatient anxiety disorder program were adult children of alcoholics (ACOA), a proportion similar to that found in the substance abuse program. The ACOAs in both programs were younger, had higher co-dependency scores and were younger when they had their first psychiatric contact than the controls. The adult children of alcoholics who had anxiety disorders were more likely to be female and their alcoholic parents were less likely to have had psychiatric antecedents to alcoholism. Aside from substance abuse, similarities in sociodemographic variables and the impact of the parents' alcoholism were noted, reinforcing the hypothesis that vulnerabilities to anxiety disorders and alcoholism overlap.
Adult↗
MMPI profiles of women in codependency treatment.
The Minnesota Multiphasic Personality Inventory (MMPI) profiles of 73 women presenting themselves for treatment of codependency in a 10-day residential setting were examined. Results suggest a significant amount of psychopathology to be present in this population. More than 50% of these individuals produced clinically significant elevations of five or more scales, and 38% produced elevations on six or more scales.
Adult↗
Implicit and self-attributed dependency needs in dependent and histrionic personality disorders.
Theorists speculate that dependent personality disorder (DPD) and histrionic personality disorder (HPD) are both associated with high levels of implicit (i.e., unconscious) dependency needs but speculate that only DPD is associated with high levels of self-attributed (i.e., conscious) dependency needs. To test this hypothesis, 444 undergraduates (236 women and 208 men) completed the Personality Diagnostic Questionnaire-Revised (PDQ-R), along with widely used measures of implicit dependency needs (the Rorschach Oral Dependency Scale; ROD), and self-attributed dependency needs (the Interpersonal Dependency Inventory; IDI). Correlational analyses and comparisons of IDI and ROD scores in participants scoring above and below the PDQ-R DPD and HPD thresholds supported theorists' speculations regarding implicit and self-attributed dependency needs in DPD and HPD. Implications of these results are discussed, and suggestions for future studies are offered.
Adolescent↗
Entitlement in codependency: developmental and therapeutic considerations.
The purpose of this article is to explore the way in which narcissism is manifest within codependent individuals. Although codependent clients present themselves as needy, self-effacing, and overly deferent to others, many of their behavior patterns are actually a manifestation of a subtle form of narcissistic entitlement. Codependents see others as extensions of themselves, rather than as individuals in their own right, and frequently have unrealistic expectations about their relationships. Successful treatment must include an understanding of the developmental underpinnings of their symptoms. Effective psychotherapy also involves maintaining a difficult balance-holding out the expectation of mature adult functioning while simultaneously understanding and accepting clients' initial inability to relate in such a fashion.
Adult↗