Codependency in Psychological Studies
https://doi.org/10.21603/sibscript-2025-27-2-247-266
EDN: byyskj
Abstract
Codependency is an important psychological and clinical issue in the current socio-cultural environment. Despite the variety of scientific approaches, its definitions remain unsystematic and inconsistent. Codependency requires a systematic, integral model to cover all aspects of its manifestation. This review of the codependency phenomenon in modern psychology relied on the semantic content of codependency, as well as the key areas of life that set up predispositions for codependency development, correction, and prevention. The review covered 94 theoretical and methodological foreign and domestic research papers. The method of content analysis yielded a set of definitions that highlighted the semantic diversity of codependency as a cultural phenomenon, a value-semantic element, a personality deformation, a reaction of helplessness, a special mental state, a form of protective coping behavior, and destructive relationships with a dependent person. As a result, the authors defined codependency as a multidimensional, multifunctional, and dynamic clinical and psychological phenomenon when the person is so focused on the value of another person that starts to identify with them, which results in deformed self-attitude, poor goal-setting, and pathological adaptation in an adverse life situation. Codependency manifests itself at the psychophysiological, emotional, value-semantic, social, and behavioral levels. It requires a comprehensive clinical and psychological intervention. It emerges in the family as a form of social community and affects all its members. Codependency development and correction corelate with certain changes in intra-family relations.
About the Authors
Yu. V. StryapukhinaRussian Federation
Yulia V. Stryapukhina
St. Petersburg
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
S. T. Posokhova
Russian Federation
Svetlana T. Posokhova
St. Petersburg
Scopus Author ID: 6603141560
Competing Interests:
The authors declared no potential conflict of interests regarding the research, authorship, and / or publication of this article
References
1. Abramov D. E., Tsvetkova N. A., Tsvetkov A. V. Peculiarities of interpersonal relations among co-dependent personalities. Nauchnoe mnenie, 2013, (5): 139–142. (In Russ.) https://elibrary.ru/qikigb
2. Adler A. The individual psychology. Moscow: Kogito-tsentr, 2002, 220. (In Russ.) https://elibrary.ru/raxuch
3. Ananyeva G. A. Family: chemical dependence and codependency. Working with codependency. Moscow: Klass, 2017, 187. (In Russ.)
4. Andronnikova O. O. Victimization identity codependent personality. Siberian Pedagogical Journal, 2017, (2): 92–97. (In Russ.)] https://elibrary.ru/tptavf
5. Artemtseva N. G. The phenomenon of codependency: Psychological aspect. Moscow: MSUDT, 2012, 222. (In Russ.)
6. Bartsalkina V. V. Parental codependency as a risk factor of forming addictions in children. Psychological Science and Education, 2012, 17(4): 18–25. (In Russ.) https://elibrary.ru/pyrbzh
7. Bashmanov V. V., Kalinichenko O. Yu. The phenomenon of co-dependency: The medical-psycho-social aspect. Journal of new medical technologies, 2015, (1). (In Russ.) https://elibrary.ru/tlyoav
8. Bereza Zh. V., Isaeva E. R., Gorbatov S. V., Antipina D. S. Psychological peculiarities and family emotional communications of the mothers of drug addicts. The Scientific Notes of Pavlov University, 2016, 23(2): 35–38. (In Russ.) https://elibrary.ru/xbhkwl
9. Berezin S. V. Dependence. Codependency. Partnership. Socio-psychological approach. Vestnik Samarskogo iuridicheskogo instituta, 2010, (1): 185–188. (In Russ.) https://elibrary.ru/qbjkhl
10. Behtel E. E. Pre-nosological forms of alcohol abuse. Moscow: Meditsina, 1986, 272. (In Russ.)
11. Bitti M. Codependent no more: How to stop controlling others and start caring for yourself. Moscow: Fizkuktura i sport, 1997, 331. (In Russ.)
12. Bocharov V. V., Shishkova A. M. Characteristics of personal and family functioning of drug addicted patient’s relatives. St. Petersburg: Nestor-Istoriia, 2016, 472. (In Russ.) https://elibrary.ru/yvtcia
13. Bocharov V. V., Shishkova A. M., Ipatova K. A. Interralation of clinical and socio-demographic factors with emotional burnout in addicted patients’ relatives. Meditsinskaya psikhologiya v Rossii, 2019, 11(6). (In Russ.) URL: http://medpsy.ru/mprj/archiv_global/2019_6_59/nomer09.pdf (accessed 10 Jun 2024). https://elibrary.ru/txyart
14. Vinnikov L. I. Codependency as a psychological phenomenon. Dostizheniya nauki i obrazovaniya, 2019, (9-1): 40–41. (In Russ.)] https://elibrary.ru/zdukyx
15. Gagay V. V., Selezneva E. I. External and internal factors of women co-dependency living in troubled families. Vestnik Surgutskogo gosudarstvennogo pedagogicheskogo universiteta, 2016, (1): 65–75. (In Russ.) https://elibrary.ru/wmfgln
16. Guzikov B. M., Meyroyan A. A. Alcoholism in women. Leningrad: Medistina, 1988, 224. (In Russ.)
17. Delevi V. S. Formation of socially active, coping behavior in mothers of drug-addicted adolescents : Cand. Psychol. Sci. Diss. Abstr. Moscow, 2006, 28. (In Russ.) https://elibrary.ru/njwuvj
18. Demidova T. A., Soyko V. V. Using S. Karpman’s concept for research codependent relationships. Tavricheskiy zhurnal psikhiatrii, 2017, 21(1): 33–37. (In Russ.) https://elibrary.ru/zwjtyz
19. Emelyanova E. V. A crisis in a codependent relationship. Principles and algorithms of consulting. St. Petersburg: Rech, 2018, 214. (In Russ.)
20. Ermakov P. N., Kukulyar A. M., Kolenova A. S. Retrospective analysis of the phenomenon of "co-dependent behavior". World of Science, 2018, 6 (5). (In Russ.) URL: https://mir-nauki.com/PDF/82PDMN518.pdf (accessed 10 Jun 2024). https://elibrary.ru/vripas
21. Zagorodnikova E. V. Features of interaction in a codependent family. Psikhologiia i pedagogika: metodika i problemy prakticheskogo primeneniia, 2013, (29): 19–24. (In Russ.) https://elibrary.ru/rnfjbt
22. Zagorodnikova E. V. Problems in the manifestation of feelings and codependent behavior in the family. Aktualnye problemy gumanitarnykh i estestvennykh nauk, 2012, (9): 249–254. (In Russ.) https://elibrary.ru/plheij
23. Zaytsev S. N. Codependency as love: A guide for relatives and friends of a drug addict or alcoholic. Nizhny Novgorod, 2004, 90. (In Russ.)
24. Zapesotskaya I. V. Meta-psychological level of implementation of a state of dependence. Vestnik Moskovskogo gosudarstvennogo gumanitarnogo universiteta im. M. A. Sholokhova. Pedagogika i psikhologiia, 2012, (3): 90–98. (In Russ.) https://elibrary.ru/peskuh
25. Ivanova E. S. Modern approaches to the definition of codependency. Nauka i obrazovanie segodnia, 2021, (2): 112–117. (In Russ.) https://elibrary.ru/voaviu
26. Kalashnova E. A. The problem of approaches’ variety towards the genesis of codependent behavior. Mir nauki, kul'tury, obrazovaniya, 2011, (4-1). 19–21. (In Russ.) https://elibrary.ru/pbeecd
27. Karpman S. B. A game free life. St. Petersburg: Metanoiia, 2016, 342. (In Russ.)
28. Kayasheva O. I., Efremova D. N. The subjective experience of divorce codependent women. Vestnik Universiteta Rossiiskoi akademii obrazovaniia, 2016, (1): 81–87. (In Russ.) https://elibrary.ru/wzquav
29. Kirillova D. S. Influence of independent relations on the peculiarities of a time perspective under condition of alcohol dependence. The collection of humanitarian Researches, 2019, (1): 41–49. (In Russ.) https://elibrary.ru/rusvwj
30. Korolenko Ts. P., Dmitrieva N. V. Psychosocial addictology. Novosibirsk: Olsib, 2001, 251. (In Russ.) https://elibrary.ru/weqayd
31. Krotova E. V. Phenomenon of disambiguation and ways overcoming this in married couple. Vestnik Iuzhno-Uralskogo professionalnogo instituta, 2012, 3 (9): 101–111. (In Russ.) https://elibrary.ru/pjlqgh
32. Kuznetsova I. N. Experience working with adult children of alcoholics (ACA) on the topic of "Negative". Voprosy nauki i obrazovaniia, 2017, (11): 188–192. (In Russ.) https://elibrary.ru/ynpmqu
33. Kuzmin B. V., Potapova Yu. V. Codependency as a predictor of forming coping behaviour in adolescence. Vestnik Omskogo universiteta. Seriya "Psikhologiya", 2016, (1): 10–14. (In Russ.) https://elibrary.ru/wmmtjf
34. Kulik A. A., Lavrinenko E. V. Codependents temporal perspective. Vestnik KRAUNTS. Gumanitarnye nauki, 2011, (2): 55–65. (In Russ.) https://elibrary.ru/onoyyp
35. Kupchenko V. E. Features of irrational settings, willful self-control, compatible behavior at mothers of chemical addicts with different expression of interdependence. Vestnik Omskogo universiteta. Seriya "Psikhologiya", 2020, (3): 26–32. (In Russ.) https://elibrary.ru/gabbji
36. Legostaeva M. V. Be yourself. Essays on Orthodox psychotherapy. Moscow: Moscow Compound of the Holy Trinity Lavra of St. Sergius Publ., 2021, 544. (In Russ.)
37. Lisetsky K. S., Lityagina E. V. Addiction: Peculiarities and interrelation of an attitude to the disease in drug addicted and co-dependents. Vestnik Samarskogo gosudarstvennogo universiteta, 2014, (9): 251–257. (In Russ.) https://elibrary.ru/tgogqx
38. Mazurova L. V., Stoyanova I. Ya., Bokhan N. A. Peculiarities of adaptive-defensive style in patients with family co-dependence and alcohol dependence. Sibirskiy Psikhologicheskiy Zhurnal, 2009, (31): 33–35. (In Russ.) https://elibrary.ru/knhesr
39. Manukhina N. M. Codependency through the eyes of a systemic therapist. Moscow, 2019, 215. (In Russ.)
40. Marin E. B., Khrapkova D. N. Codependency in psychological science. Vestnik Vostochno-Sibirskoi Otkrytoi Akademii, 2023, (49). (In Russ.) URL: https://s.esrae.ru/vsoa/pdf/2023/49/1399.pdf (accessed 10 Jun 2024). https://elibrary.ru/nhdtxn
41. Mendelevich V. D., Sadykova R. G. The psychology of a dependent personality, or a teenager surrounded by temptations. Yoshkar-Ola, 2002, 240. (In Russ.) https://elibrary.ru/syvplp
42. Merinov A. V., Shustov D. I., Fedotov I. A. The modern views on the phenomenon of co-dependent behavior in alcohol addiction (review of literature data). I. P. Pavlov Russian Medical Biological Herald, 2011, 19(3): 136–141. (In Russ.) https://elibrary.ru/oykkoh
43. Minullina A. F., Mihailova M. O. Co-dependence and dysfunctional education in single-parent families. Problemy sovremennogo pedagogicheskogo obrazovaniia, 2018, (58-4): 335–339. (In Russ.) https://elibrary.ru/yuzicn
44. Morozova G. V. Codependency. The model of the phenomenon and the practice of psychocorrection. Ulyanovsk: UlSPU named after I. N. Ulyanov, 2009, 139. (In Russ.) https://elibrary.ru/qxyrfj
45. Moskalenko V. D. Addiction is a seed disease, 6<sup>nd</sup> ed. Moscow: Genezis, 2011, 352. (In Russ.) https://elibrary.ru/qlypzn
46. Myasishchev V. N. Personality and neuroses. Leningrad: Leningrad University, 1960, 426. (In Russ.)
47. Myasishchev V. M. Psychology of relationships: Selected psychological works. Moscow: Institute of Practical Psychology; Voronezh: MODEK, 1998, 362. (In Russ.)
48. Nashkenova A. M. Problem of co-dependence in drug practices and therapeutic approaches in its decision. Vestnik Kazakhskogo Natsionalnogo meditsinskogo universiteta, 2012, (4): 95–97. (In Russ.) https://elibrary.ru/vvxmrp
49. Nikonorova E. Yu. Theoretical analysis of the phenomenon of codependency. StudNet, 2020, 3(5): 198–205. (In Russ.)] https://elibrary.ru/ddrqpy
50. Norwood R. Women who love too much. Moscow: Dobraia kn., 2008. 350. (In Russ.) https://elibrary.ru/qokxct
51. Osinskaya S. A., Kravtsova N. A. Systemic determination of codependence: Some approaches to the phenomenon explanation. Vestnik psikhiatrii i psikhologii Chuvashii, 2016, 12(1): 42–56. (In Russ.) https://elibrary.ru/vudegf
52. Perminova Yu. A. Self-destructive behavior in the spouses of men suffering from alcohol dependence. Zdravookhranenie Yugry: opyt i innovatsii, 2017, (3): 70–72. (In Russ.) https://elibrary.ru/zqjsid
53. Petrova N. N. The problem of codependency and approaches to its solution. Zdorovie – osnova chelovecheskogo potentsiala: problemy i puti ikh resheniia, 2016, 11(2): 606–612. (In Russ.) https://elibrary.ru/yikgfb
54. Politika O. I. Profile of a codependent personality in an addictive relationship. Mezhdunarodnyi nauchno-issledovatelskii zhurnal, 2020, (5-3): 207–210. (In Russ.) https://elibrary.ru/mhitpb
55. Polushkina I. V., Alatortseva Yu. A. Codependency as an image of ideal relationships for modern youth. Psikhologiia i pedagogika: metodika i problemy prakticheskogo primeneniia, 2016, (50-1): 99–103. (In Russ.) https://elibrary.ru/vxptnd
56. Posokhova S. T., Yatzishin S. M. Value and semantic displays of co-drug addictive mothers. Vestnik of Saint Petersburg University. Series 12. Psychology. Sociology. Pedagogy, 2008, (3): 149–156. (In Russ.) https://elibrary.ru/kvnkqj
57. Puzyriova L. A. Social and psychological preconditions of codependent relations. Yaroslavl Pedagogical Bulletin, 2012, 2(3): 246–250. (In Russ.) https://elibrary.ru/pytwnl
58. Rassokhin D. A. The 4<sup>th</sup> angle of the Karpman triangle. Nauka i obrazovanie segodnia, 2020, (1): 84–87. (In Russ.) https://elibrary.ru/klhtkt
59. Rozhnova T. M., Kostyuk S. V., Malygin V. L., Enikolopov S. N., Nikolenko V. N. The phenomenon of codependency psychological and medical genetic aspects. Nevrologiya, Neiropsikhiatriya, Psikhosomatika, 2020, 12(5): 53–59. (In Russ.) doi: 10.14412/2074-2711-2020-5-53-59
60. Savina E. A. I love him… Moscow: Adrus, 2008, 352. (In Russ.) https://elibrary.ru/qojchv
61. Somkina O. Yu., Zhukova Yu. A., Efimova A. D. Dynamics of codependent relationships. Zdravookhranenie Yugry: opyt i innovatsii, 2018, (1): 51–56. (In Russ.) https://elibrary.ru/yvjjdf
62. Stebakova D. A. Psychophysiological markers in the diagnosis of codependency. National health, 2022, (1): 132–135. (In Russ.) https://elibrary.ru/uphleg
63. Stryapukhina Yu. V. Components of codependency as a target of clinical and psychological intervention. Mental Health in a changing world: Proc. All-Russian Congress with Intern. Participation, St. Petersburg, 23–24 May 2024. St. Petersburg: BPRI, 2024, 215–216. (In Russ.)
64. Stryapukhina Yu. V., Posokhova S. T. Clinical and psychological approach to working with codependents. The Bulletin of Psychotherapy, 2024, (89): 89–101. (In Russ.) https://elibrary.ru/lnuzmi
65. Suvorova O. V., Beresneva E. V. Features of manifestation of psychological protections and coping strategies at different categories of dependent women. Problemy sovremennogo pedagogicheskogo obrazovaniia, 2020, (66-4): 357–360. (In Russ.) https://elibrary.ru/dldewt
66. Weinhold B., Weinhold J. Breaking free of the co-dependency trap. Moscow: Klass, 2008, 224. (In Russ.) https://elibrary.ru/qxtbxh
67. Hemfelt R., Minirth F., Meier P. Love is a choice: The definitive book on letting go of unhealthy relationships. Moscow: Triada, 2007, 320. (In Russ.) https://elibrary.ru/qxrnlj
68. Shapoval I. A. On the problem of cultural genesis of interdependency. Pedagogical Journal of Bashkortostan, 2008, (1): 76–87. (In Russ.) https://elibrary.ru/kubdbt
69. Shorokhova O. A. Life traps of addiction and codependency. St. Petersburg: Rech, 2002, 136. (In Russ.)
70. Anderson S. C. A critical analysis of the concept of codependency. Social Work, 1994, 39(6): 677–685.
71. Aristazábal L. A. Codependency in the relations of couples of imprisoned women. Social Sciences, 2020, 9(11). doi: 10.3390/socsci9110189
72. Bacon I., McKay E., Reynolds F., McIntyre A. The lived experience of codependency: An interpretative phenomenological analysis. International Journal of Mental Health and Addiction, 2020, 18: 754–771. doi: 10.1007/s11469-018-9983-8
73. Burn S. M. Unhealthy helping: A psychological guide to overcoming codependence, enabling, and other dysfunctional giving. USA, San Bernardino, CA, 2016, 208.
74. Chiauzzi E. J., Liljegren S. Taboo topics in addiction treatment: An empirical review of clinical folklore. Journal of Substance Abuse Treatment, 1993, 10: 303–316. doi: 10.1016/0740-5472(93)90079-h
75. Collins B. G. Reconstructing codependency using self-in-relation theory: A feminist perspective. Social Work, 1993, 38(4): 470–476. doi: 10.1093/sw/38.4.470
76. Family interventions in substance abuse: Current best practices, eds. Morgan O. J., Litzke C. H. Routledge, 2012, 240.
77. Fischer J. L., Spann L. Measuring codependency. Alcoholism Treatment Quarterly, 1991, 8(1): 87–100. doi: 10.1300/J020V08N01_06
78. Fuller J. A., Warner R. M. Family stressors as predictors of codepedency. Genetic, social, and general psychology monographs, 2000, 126(1): 5–22.
79. Gierymski T., Willams T. Codependency. Journal of Psychoactive Drugs, 1986, 18(1): 7–13. doi: 10.1080/02791072.1986.10524474
80. Happ Z., Bodó-Varga Z., Bandi S. A., Kiss E. C., Nagy L., Csókási K. How codependency affects dyadic coping, relationship perception and life satisfaction. Current Psychology, 2023, 42: 15688–15695. doi: 10.1007/s12144-022-02875-9
81. Harper J., Capdevilla C. Codependency: A critique. Journal of Psychoactive Drugs, 1990, 22(3): 285–292. doi: 10.1080/02791072.1990.10472551
82. Irwin H. J. Codependence, narcissism, and childhood trauma. Journal of Clinical Psychology, 1995, 51(5): 658–665. doi: 10.1002/1097-4679(199509)51:5<658::aid-jclp2270510511>3.0.co;2-n
83. Kaplan V. Mental health states of housewives: An evaluation in terms of self-perception and codependency. International Journal of Mental Health and Addiction, 2023, 21(1): 666–683. doi: 10.1007/s11469-022-00910-1
84. Knapek E., Kuritárné Szabó I. A kodependencia fogalma, tünetei és a kialakulásában szerepet játszó tényezők [The concept, the symptoms and the etiological factors of codependency]. Psychiatria Hungarica, 2014, 29(1): 56–64.
85. Lampis J., Cataudella S., Busonera A., Skowron E. A. The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 2017, 39: 62–72. doi: 10.1007/s10591-017-9403-4
86. Larsen E. Stage II recover: Life beyond addiction. San Francisco: Harper & Row, 1985, 101.
87. Lisansky Gomberg E. S. On terms used and abused: The concept of ‘codependency’. Drugs and Society, 1989, (3): 113–122. doi: 10.1300/J023v03n03_05
88. McGrath M. G., Oakley B. A. Codependency and pathological altruism. Pathological altruism, eds. Oakley B., Knafo A., Madhavan G., Wilson D. S. NY: Oxford University Press, 2011, 49–74. doi: 10.1093/acprof:oso/9780199738571.003.0045
89. Mulry J. T. Codependency: A family addiction. American Family Physician, 1987, 35(4): 215–219.
90. Subby R., Friel J. Co-dependency: А рaradoxica dependency in co-dependency: An emerging issue. Pompano Beach, FL: Health communications, 1984, 108.
91. Uhle S. M. Contextual variables in the language of social pathology. Issues in Mental Health Nursing, 1994, 15(3): 307–317. doi: 10.3109/01612849409009392
92. Wegscheider-Cruse S. Choicemaking: For co-dependents, adult children, and spirituality seekers. Health Communications, 1987, 218.
93. Whitfield С. Z. Co-dependence: Our most common addiction – some physical, mental, emotional and spiritual perspectives. Alcoholism Treatment Quarterly, 1989, 6(l): 19–36. doi: 10.1300/J020V06N01_03
94. Young E. Co-alcoholism аs a disease: Implications for psychotherapy. Journal of Psychoactive Drugs, 1987, 19(3): 257–268. doi: 10.1080/02791072.1987.10472410
Review
For citations:
Stryapukhina Yu.V., Posokhova S.T. Codependency in Psychological Studies. SibScript. 2025;27(2):247-266. (In Russ.) https://doi.org/10.21603/sibscript-2025-27-2-247-266. EDN: byyskj