TIMMEN CERMAK
DIAGNOSING AND TREATING CO-DEPENDENCE
Dr. Cermak wrote Diagnosing and Treating Co-Dependence to explore the question of how the concept of co-alcoholism, or co-dependence (derived from the morphing of terminology from “alcoholism” to “substance dependence”), would fit into the DSM framework of accepted psychiatric diagnoses. He argued that a set of traits describing behaviors of spouses and children of alcoholics can be identified. When these traits become exaggerated and rigid, they constitute a personality disorder. This framework explains how, despite the fact that nearly everyone can identify with co-dependent traits, they can also form the basis for significant dysfunction and suffering.
The framework was further expanded by Dr. Cermak’s noting the inverse relationship between co-dependent and narcissistic personality traits. Envisioning co-dependence and narcissism as opposites helps explain the intense relationship that often exists between the two and suggests strategies for clinical approaches to treating the condition.
The framework was further expanded by Dr. Cermak’s noting the inverse relationship between co-dependent and narcissistic personality traits. Envisioning co-dependence and narcissism as opposites helps explain the intense relationship that often exists between the two and suggests strategies for clinical approaches to treating the condition.