Saturday, October 27, 2012

Dependent Personality Disorder, Emotions & Body Language

Dependent Pattern Emotions

A therapist can build counselee trust by foretelling the most frequently experienced emotions that Pleasers are prone to feel. In terms of DSM this dependent personality disorder may exist at a lesser level of intensity as a nagging need for approval and support. Compass Therapy predicts that Pleasers are secretly haunted by anxiety, guilt, and doubt because dependency exaggerates both the Love and the adjacent Weakness compass points


The dependent Pleaser’s anxiety stems from the fear of disapproval, particularly if they think they have upset someone. Guilt constantly invades because they fear they haven’t done enough. Doubt dogs their days because there is no inner center of gravity, no way of saying to one’s self and other people: this is my choice (or my feeling, preference, or opinion) whether you like it or not. A relentless insecurity pervades their relationships with spouse, children, relatives, and co-workers. Even the Pleaser pattern’s affability is riddled with a sense of inadequacy, the fear of not coming across just right.

An ironic consequence of the pattern makes Pleasers disown the very approval they seek from others.  Someone says, “You sure are a great mother,” and the dependent person replies, “Oh no, I just do what any mother does.” Or the boss presents a Certificate of Achievement at a company banquet, and the dependent response is, “I haven’t done anything to deserve this.”


While feelings of anxiety, guilt, and doubt abound, there is one emotion the Pleaser altogether denies from consciousness: anger. Assertive feelings like anger might disrupt one’s security and acceptance. Therefore, anger, annoyance, or irritation are summarily repressed, and if accidentally expressed, apologized for profusely because they threaten the very nature of one’s dependency on others for support.

Body Language

For Pleaser counselees, there is no “there” there. The therapist does well to realize how completely body awareness and sensorimotor activity is suppressed by the lifelong habit of looking outward to others for how they should feel and act. This outer-directed “radar” readily picks up external signals but is not attuned to the person’s emotional and somatic functioning. Thus, rather than feeling like “some-body,” they instead feel more like a “no-body.” 

Breathing shallowly from the thorax contributes to somatic anxiety that can leave them breathless when under stress. The lack of relaxed abdominal breathing deprives the brain and body of oxygenated red blood cells. Such a devitalized state interferes with cognition and promotes panicky feelings. Hyperventilation can occur during times of tension or conflict. For this reason relaxation techniques and training in abdominal breathing are powerful therapeutic allies for helping dependent counselees transform their incessant undercurrent of uneasiness into a solid foundation of visceral and psychological serenity.


The body language of counselees stuck in the dependent pattern reveals that interpersonal contact is made largely through the top third of the body, particularly the face and arms. The pattern’s ready smiles, soft-spoken voice, and friendly eyes evince appeals for love and support. Not wanting to give the impression that they are in any way critical or confronting, a confident gaze is avoided. In contrast to the torso, the legs seem limp and unsteady. This works against “standing up for one’s self” or challenging unfairness in the world. A tendency for slumped posture owes in part to an underdeveloped muscular system and the inner psychological habit of leaning on others for support

For a multifaceted treatment plan to successfully heal the codependency of the dependent personality disorder, read: