This article may be too technical for most readers to understand.(January 2024) |
Enmeshment is a concept in psychology and psychotherapy introduced by Salvador Minuchin to describe families where personal boundaries are diffused, sub-systems undifferentiated, and over-concern for others leads to a loss of autonomous development. [1] According to this hypothesis, by being enmeshed in parental needs, trapped in a discrepant role function, [2] a child may lose their capacity for self-direction; [3] their own distinctiveness, under the weight of "psychic incest"; [4] and, if family pressures increase, may end up becoming the identified patient or family scapegoat. [5]
Enmeshment was also used by John Bradshaw to describe a state of cross-generational bonding within a family, whereby a child (normally of the opposite sex) becomes a surrogate spouse for their mother or father. [6]
The term is sometimes applied to engulfing codependent relationships, [7] where an unhealthy symbiosis is in existence. [8]
Others suggest that for the toxically enmeshed child, the adult's carried feelings may be the only ones they know, outweighing and eclipsing their own. [9]
There are important cultural differences in how "enmeshment" would be experienced or conceptualized, however. One study found that "enmeshed" adults in the United Kingdom experienced more depression than those in Italy, because of cultural expectations in more individualistic versus more collectivist cultures. [10]
Further, feminist family therapy critics have argued [11] [12] that the very concept of enmeshment may "reflect prototypically male standards of self and relationships, which contribute to the common practice of labeling women's preferred interactional styles as pathological or dysfunctional". [13] Empirical research in this critical feminist tradition has found that young women with the strongest sense of family cohesion have the highest social self-esteem, despite exhibiting what could be pathologized as "enmeshment". [14]
Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience.
Self-esteem is confidence in one's own worth, abilities, or morals. Self-esteem encompasses beliefs about oneself as well as emotional states, such as triumph, despair, pride, and shame. Smith and Mackie define it by saying "The self-concept is what we think about the self; self-esteem, is the positive or negative evaluations of the self, as in how we feel about it ."
In psychology, codependency is a theory that attempts to explain imbalanced relationships where one person enables another person's self-destructive behavior such as addiction, poor mental health, immaturity, irresponsibility, or under-achievement.
In some schools of popular psychology and analytical psychology, the inner child is an individual's childlike aspect. It includes what a person learned as a child before puberty. The inner child is often conceived as a semi-independent subpersonality subordinate to the waking conscious mind. The term has therapeutic applications in counseling and health settings. The concept became known to a broader audience through books by John Bradshaw and others.
A dysfunctional family is a family in which conflict, misbehavior and often child neglect or abuse on the part of individual parents occur continuously and regularly. Children that grow up in such families may think such a situation is normal. Dysfunctional families are primarily a result of two adults, one typically overtly abusive and the other codependent, and may also be affected by substance abuse or other forms of addiction, or sometimes by an untreated mental illness. Parents having grown up in a dysfunctional family may over-correct or emulate their own parents. In some cases, the dominant parent will abuse or neglect their children and the other parent will not object, misleading a child to assume blame.
The Internal Family Systems Model (IFS) is an integrative approach to individual psychotherapy developed by Richard C. Schwartz in the 1980s. It combines systems thinking with the view that the mind is made up of relatively discrete subpersonalities, each with its own unique viewpoint and qualities. IFS uses systems psychology, particularly as developed for family therapy, to understand how these collections of subpersonalities are organized.
The Courage to Heal: A Guide for Women Survivors of Child Sexual Abuse is a self-help book by poet Ellen Bass and Laura Davis that focuses on recovery from child sexual abuse and has been called "controversial and polarizing".
Complex post-traumatic stress disorder is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.
Diana Adile Kirschner is an American psychologist and author. Early in her career she was involved in the field of integrative psychotherapy, a movement that seeks to find the best practices from among the major schools of therapy. Kirschner's work involved integrating individual therapy, couples therapy, and family therapy into an approach called Comprehensive Family Therapy. The book she coauthored, Comprehensive Family Therapy, was nominated by the American Psychological Association as one of the 100 most important books on family psychology.
Covert incest is a form of non-physical sexual abuse. The term could also refer to enmeshment, although the failure to separate the two have been pointed out as problematic.
The developmental needs meeting strategy (DNMS) is a psychotherapy approach developed by Shirley Jean Schmidt. It is designed to treat adults with psychological trauma wounds and with attachment wounds. The DNMS is an ego state therapy based on the assumption that the degree to which developmental needs were not adequately met is the degree to which a client may be stuck in childhood. This model aims to identify ego states that are stuck in the past and help them get unstuck by remediating those unmet developmental needs. The processing starts with the DNMS therapist guiding a patient to mobilize three internal Resource ego states: a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. The therapist then guides these three Resources to gently help wounded child ego states get unstuck from the past by meeting their unmet developmental needs, helping them process through painful emotions, and by establishing an emotional bond. The relationship wounded child parts have with these Resources is considered the primary agent for change.
Genealogical bewilderment is a term referring to potential identity problems that could be experienced by a child who was either fostered, adopted, or conceived via an assisted reproductive technology procedure such as surrogacy or gamete donation.
Emotionally focused therapy and emotion-focused therapy (EFT) are related humanistic approaches to psychotherapy that aim to resolve emotional and relationship issues with individuals, couples, and families. These therapies combine experiential therapy techniques, including person-centered and Gestalt therapies, with systemic therapy and attachment theory. The central premise is that emotions influence cognition, motivate behavior, and are strongly linked to needs. The goals of treatment include transforming maladaptive behaviors, such as emotional avoidance, and developing awareness, acceptance, expression, and regulation of emotion and understanding of relationships. EFT is usually a short-term treatment.
Attachment-based psychotherapy is a psychoanalytic psychotherapy that is informed by attachment theory.
Major depressive disorder, often simply referred to as depression, is a mental disorder characterized by prolonged unhappiness or irritability. It is accompanied by a constellation of somatic and cognitive signs and symptoms such as fatigue, apathy, sleep problems, loss of appetite, loss of engagement, low self-regard/worthlessness, difficulty concentrating or indecisiveness, or recurrent thoughts of death or suicide.
A narcissistic parent is a parent affected by narcissism or narcissistic personality disorder. Typically, narcissistic parents are exclusively and possessively close to their children and are threatened by their children's growing independence. This results in a pattern of narcissistic attachment, in which the parent believes that the child exists solely to fulfill the parent's needs and wishes. A narcissistic parent will often try to control his or her children with threats and emotional abuse. Narcissistic parenting adversely affects children's psychological development, affecting their reasoning and their emotional, ethical, and societal behaviors and attitudes. Personal boundaries are often disregarded so the narcissistic parent can mold and manipulate the child to satisfy the parent's expectations.
Feminist psychology is a form of psychology centered on social structures and gender. Feminist psychology critiques historical psychological research as done from a male perspective with the view that males are the norm. Feminist psychology is oriented on the values and principles of feminism.
Structural family therapy (SFT) is a method of psychotherapy developed by Salvador Minuchin which addresses problems in functioning within a family. Structural family therapists strive to enter, or "join", the family system in therapy in order to understand the invisible rules which govern its functioning, map the relationships between family members or between subsets of the family, and ultimately disrupt dysfunctional relationships within the family, causing it to stabilize into healthier patterns. Minuchin contends that pathology rests not in the individual, but within the family system.
Trauma bonds are emotional bonds that arise from a cyclical pattern of abuse. A trauma bond occurs in an abusive relationship, wherein the victim forms an emotional bond with the perpetrator. The concept was developed by psychologists Donald Dutton and Susan Painter.
Schema therapy was developed by Jeffrey E. Young for use in treatment of personality disorders and chronic DSM Axis I disorders, such as when patients fail to respond or relapse after having been through other therapies. Schema therapy is an integrative psychotherapy combining theory and techniques from previously existing therapies, including cognitive behavioral therapy, psychoanalytic object relations theory, attachment theory, and Gestalt therapy.