Thursday, October 4, 2012

Dependent Personality Disorder Origins


How Does a Person Become A People-Pleaser?

Those who exhibit the Pleaser pattern are likely to enjoy an idyllic first year or so of life. By receiving consistently warm care, they form an expectation that they will be nurtured and develop an implicit trust in those they live with to meet all of their needs.

But when the toddler begins to show a desire for autonomy, the parent does not allow it. Instead, the parent continues nurturing the toddler in babying ways. The parent discourages exploration, overly protects, and immediately relieves any frustration the toddler experiences. This continues during preschool and school age years. An example is a mother who insisted on remaining with her son every day of his first week of kindergarten. 

The smothering parenting style is one of pervasive control. It does not occur to the parent that there will be any other response but compliance. The consequence of relentless nurturance is dedicated submission. These children experience difficulty in developing a sense of competence and dignity when parents discourage their autonomy and peers tease them about their immaturity and undue sensitivity.

Pleaser dependency can also develop in the context of aggressive parenting that exaggerates anger to intimidate the child. In this case, Pleasers fear for their self-preservation and evolve a dependent-compliant response to avoid parental anger or displeasure. In other words, because the parent is stuck with aggression on the Assertion compass point on their Self Compass, the child learns not only to decommission this compass point in their own development, but undergoes generational reversal by adopting a Love-oriented Self Compass fixated on being a good boy or good girl


Consequently, they neglect inner interests, talents, and feelings in favor of attending to what their parent expects and demands. They are given the impression that inner direction is selfish and inconsiderate. This impoverished self-determination accounts for the feelings of depression and emptiness that Pleasers secretly harbor, despite their efforts to appear happy.

Another origin of the Pleaser pattern stems from early deprivation due to the loss of a warm and supportive mother by death or illness, or its equivalent: the emotional absence of a nurturing parent. A parent who is physically absent, suffers from depression, or is emotionally shutdown can leave the child with nagging insecurities. 
  
Clinical Literature

The dependent pattern is widely recognized in clinical literature. Both Freud’s and Abraham’s concept of an “oral character” views the pattern as exhibiting many traits of infancy: total dependency, lack of assertion, a tendency to cling to others, separation anxiety, and insatiable needs for constant care, affection, and support. Fenichel aptly describes the oral dependent as a “love addict.”


Horney describes the “compliant type” as a person who chronically “moves toward people” with pleasing and placating behaviors. Fromm sees the dependent pattern as creating a “receptive orientation” characterized by interpersonal naiveté and Pollyannaish gullibility. Tyrer agrees that there is a Pollyanna-like view of the world that makes them regard duplicitous motives of manipulative individuals with imperceptive childlike trust. 

How does a therapist help the dependent pleaser grow out of this pattern? Have a look at: