ABSTRACT
This chapter presents a conceptual framework of dependency disorders as an organizing principle for understanding such patterns. It discusses the etiology of the patterns, their behavioral manifestations, and effective treatment strategies. An understanding of dependency disorder can help clinicians utilize effective psychotherapeutic interventions for treatment of the coexisting problems of identity disorders and intimacy dysfunctions. Dependency disorders include both identity disorders and intimacy dysfunctions. Identity disorders are also characterized by developmental deficits which preclude, interrupt, or distort optimal identity formation and/or development. Intimacy dysfunctions are characterized by patterns of behavior wherein attachment and separation are out of balance. Identity disorders and intimacy dysfunctions interact to form a self-perpetuating cycle. Patterns involving over-separation and/or over-attachment can be identified by affective, behavioral, and cognitive components. The relationship between affective expressiveness and the development of over-attachment or over-separation behaviors can be better understood by examination of specific patterns of behavior in males.
