Timmen L. Cermak - Diagnosing and Treating Co-Dependence: A Guide for Professionals Who Work with Chemical Dependents, Their Spouses, and Children (Professional Series)
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Diagnosing and Treating Co-Dependence: A Guide for Professionals Who Work with Chemical Dependents, Their Spouses, and Children (Professional Series)
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A guide for professionals who work with chemical dependents, their spouses and children. With so many definitions of co-dependence ,it can be hard to tell which is most valid. In diagnosing and treating co-dependence, timmen cermak not only presents clear diagnostic criteria that correspond directly with accepted psychiatric/psychological concepts but also describes ways of treating co-dependence that extend far beyond current approaches.
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Diagnosing and Treating Co-dependence : A Guide for Professionals Who Work With Chemical Dependents, Their Spouses and Children Professional Series (Minneapolis, Minn.)
A guide for professionals who work with chemical dependents, their spouses and children
Timmen L. Cermak, M.D.
Johnson Institute Books Professional Series
JOHNSON INSTITUTE HAZELDEN
Page ii
Copyright 1986 Hazelden Foundation. Previously published 1986 Johnson Institute. First published 1998 by Hazelden. All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system without express permission in writing from the publisher.
Hazelden Center City, MN 55012 1-800-328-9000 www.hazelden.org
Library of Congress Cataloging-in-Publication Data
Cermak, Timmen L. Diagnosing and treating co-dependence.
Includes bibliographies and index.
1. Substance abusePatientsFamily relationships. 2. Family Mental health. I. Title. [DNLM: 1. Family. 2. Substance Dependencediagnosis. 3. Substance Dependencetherapy. WM 270 C415d] RC564.C45 1986 616.86 86-16119 ISBN 0-935908-32-3
Edited by Pamela Espeland.
Printed in the United States of America
10 9
Page iii
ACKNOWLEDGMENTS
Foremost is Stephanie Brown, Ph.D., whose vision helped open my eyes. I also wish to acknowledge my friends and colleagues on the Board of the National Association for Children of Alcoholics (NACoA). They have supported and challenged me as only a healthy family can.
Finally, I want to thank Carole Remboldt and the Johnson Institute for recognizing the need to advance the debate about co-dependence. Their support, and the editorial help of Pamela Espeland, have helped clarify my thinking throughout this book.
Page v
CONTENTS
Preface
vii
Introduction: A New Look at Narcissus and Echo
ix
Part One: Defining Co-Dependence
1
Levels of Meaning
2
Competing Theoretical Frameworks
4
Part Two: Diagnosing Co-Dependence
9
Diagnostic Criteria for Co-Dependent Personality Disorder
11
Co-Dependent Variants
36
Clinical Examples and Transgenerational Diagrams
40
"Co-ing" vs. Helping
50
Special Concerns with Children and Adult Children of Alcoholics
54
Part Three: Treating Co-Dependence
61
General Considerations
62
The Stages of Recovery
68
Treatment for the Survival Stage (Stage I)
77
Treatment for the Re-identification Stage (Stage II)
81
Treatment for the Core Issues Stage (Stage III)
84
Treatment for the Re-integration Stage (Stage IV)
90
The Co-Dependent Professional
93
Page vi
Part Four: The Future Of Co-Dependence
99
Afterword
105
Index
107
Page vii
PREFACE
Co-dependence is both a legitimate psychological concept and an important human disorder. It represents a fascinating effort to understand a type of dysfunctional human behavior which is disturbingly prevalent. Therapists and other helping professionals in the chemical dependence (CD) field have found it to be a valuable framework for evaluating and treating the family dysfunction surrounding many chemically dependent clients.
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