Abstract
Meta-analysis of studies assessing interpersonal dependency in child abuse perpetrators (N of studies = 7) and victims (N of studies = 9) indicated that perpetrators have higher dependency levels than nonabusing controls (d = 0.43), and child abuse victims have higher dependency levels in early adulthood than people who were not abused as children (d = 0.47). An array of other personality traits and disorders showed comparable associations with abuse suggesting that in both populations increased dependency reflects a generalized increase in pathology and distress. Theoretical implications of these results are discussed, and suggestions for future research on dependency and abuse are offered.
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Ahlmeyer, S., Kleinsasser, D., Stoner, J., & Retzlaff, P. (2003). Psychopathology of incarcerated sex offenders. Journal of Personality Disorders, 17, 306–318.
Alexander, P. C. (1993). The differential effects of abuse characteristics and attachment in the prediction of long-term effects of sexual abuse. Journal of Interpersonal Violence, 8, 346–362.
Apt, C., Hurlbert, D. F., & Powell, D. (1993). Men with hypoactive sexual desire disorder: The role of interpersonal dependency and assertiveness. Journal of Sex Education and Therapy, 19, 108–116
Arata, C. M. (2002). Child sexual abuse and sexual revictimization. Clinical Psychology: Science and Practice, 9, 135–164.
Bornstein, R. F. (1992). The dependent personality: Developmental, social, and clinical perspectives. Psychological Bulletin, 112, 3–23.
Bornstein, R. F. (1993). The dependent personality. New York: Guilford Press.
Bornstein, R. F. (1999). Criterion validity of objective and projective dependency tests: A meta-analytic assessment of behavioral prediction. Psychological Assessment, 11 48–57.
Bornstein, R. F. (2002). A process dissociation approach to objective–projective test score interrelationships. Journal of Personality Assessment, 78, 47–68.
Bornstein, R. F. (in press). The dependent patient: A practitioner’s guide. Washington, DC: American Psychological Association.
Bridges, M. R., Wilson, J. S., & Gacano, C. B. (1998). A Rorschach investigation of defensiveness, self-perception, interpersonal relations, and affective states in incarcerated pedophiles. Journal of Personality Assessment, 70, 365–385.
Briere, J., & Runtz, M. (1990). Differential adult symptomatology associated with three types of child abuse histories. Child Abuse and Neglect, 14, 357–364.
Chantry, K., & Craig, R. J. (1994). Psychological screening of sexually violent offenders with the MCMI. Journal of Clinical Psychology, 50, 430–435.
Claussen, A. K., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse and Neglect, 15, 5–18.
Cohen, J. (1990). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Costello, E. J., Edelbrock, C. S., Duncan, M. K., & Kalas, R. (1984). Testing of the NIMH Diagnostic Interview Schedule for Children (DISC) in a clinical population. Unpublished manual, University of Pittsburgh School of Medicine, PA.
Dutton, D. G. (1994). The origin and structure of the abusive personality. Journal of Personality Disorders, 8, 181–191.
Edwards, A. L. (1954). Manual for the Edwards personal preference schedule. New York: Psychological Corporation.
Ellason, J. W., Ross, C. A., Sainton, K., & Mayran, L. W. (1996). Axis I and II comorbidity and childhood trauma history in chemical dependency. Bulletin of the Menninger Clinic, 60, 39–51.
Exner, J. E. (1993). The Rorschach: A comprehensive system: Vol. 1. Basic foundations. New York: Wiley.
Faller, K. C. (1987). Women who sexually abuse children. Violence and Victims, 2 263–276.
Farber, E. D., & Joseph, J. A. (1985). The maltreated adolescent: Patterns of physical abuse. Child Abuse and Neglect, 9, 201–206.
Feeney, J. A., & Noller, P. (1990). Attachment style as a predictor of adult romantic relationships. Journal of Personality and Social Psychology, 58, 281–291.
Finkelhor, D., & Dziuba-Leatherman, J. (1993). Victimization of children. American Psychologist, 49, 173–183.
Finzi, R., Ram, A., Har-Even, D., Shnit, D., & Weizman, A. (2001). Attachment styles and aggression in physically abused and neglected children. Journal of Youth and Adolescence, 30, 769–786.
Fisher, G. (1969). Psychological needs of heterosexual pedophiliacs. Diseases of the Nervous System, 30, 419–421.
Gershoff, E. T. (2002). Corporal punishment by parents and associated child behaviors and experiences: A meta-analytic and theoretical review. Psychological Bulletin, 128 539–579.
Gibb, B. E., Wheeler, R., Alloy, L. B., & Abramson, L. Y. (2001). Emotional, physical, and sexual maltreatment in childhood versus adolescence and personality dysfunction in young adulthood. Journal of Personality Disorders, 15, 505–511.
Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. New York: Academic Press.
Hill, E. L., Gold, S. N., & Bornstein, R. F. (2000). Interpersonal dependency among adult survivors of childhood sexual abuse in therapy. Journal of Child Sexual Abuse, 9, 71–86.
Hirschfeld, R. M. A., Klerman, G. L., Gough, H. G., Barrett, J., Korchin, S. J., & Chodoff, P. (1977). A measure of interpersonal dependency. Journal of Personality Assessment, 41, 610–618.
Huprich, S. K., & Fine, M. A. (1996). Self-defeating personality disorder: Diagnostic accuracy and overlap with dependent personality disorder. Journal of Personality Disorders, 10, 229–246.
Hyler, S. E., Rieder, R. O., Williams, J. B. W., Spitzer, R. L., Hendler, J., & Lyons, M. (1988). The Personality Diagnostic Questionnaire: Development and preliminary results. Journal of Personality Disorders, 2, 229–237.
Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., & Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry, 56, 600–606.
Johnson, J. G., Smailes, E. M., Cohen, P., Brown, J., & Bernstein, D. P. (2000). Associations between four types of childhood neglect and personality disorder symptoms during adolescence and early adulthood: Findings of a community-based longitudinal study. Journal of Personality Disorders, 14, 171–187.
Kaufman, I., Peck, A. L., & Tagiuri, C. K. (1954). The family constellation and overt incestuous relations between father and daughter. American Journal of Orthopsychiatry, 24, 266–277.
Kertzman, D. (1980). Dependency, frustration tolerance, and impulse control in child abusers. Saratoga, CA: Century Twenty-One.
Koch, K., & Jarvis, C. (1987). Symbiotic mother–daughter relationships in incest families. Social Casework, 17, 94–101.
Langevin, R., Lang, R., Reynolds, R., Wright, P., Garrels, D., Marchese, V., (1988). Personality and sexual anomalies: An examination of the Millon Clinical Multiaxial Inventory. Annals of Sex Research, 1, 14–32.
Leahy, T., Pretty, G., & Tenenbaum, G. (2003). Child abuse sexual narratives in clinically and nonclinically distressed adult survivors. Professional Psychology, 34, 657–665.
Linehan, M. (1993). Cognitive behavioral therapy for borderline personality disorder. New York: Guilford Press.
Loranger, A. W. (1988). International Personality Disorder Examination (IPDE) manual. Unpublished manuscript, Cornell University Medical College, Ithaca, New York.
Masling, J. M., Rabie, L., & Blondheim, S. H. (1967). Obesity, level of aspiration, and Rorschach and TAT measures of oral dependence. Journal of Consulting Psychology, 31, 233–239.
Melnick, B., & Hurley, J. R. (1969). Distinctive personality attributes of child-abusing mothers. Journal of Consulting and Clinical Psychology, 33, 746–749.
Messman-Moore, T. L., & Long, P. J. (2002). The role of childhood sexual abuse sequelae in the sexual revictimization of women: An empirical review and theoretical reformulation. Clinical Psychology Review, 23, 537–571.
Meyer, G. J., Finn, S. E., Eyde, L. E., Kay, G. G., Moreland, K. L., Dies, R. R., (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist, 56, 128–165.
Millon, T. (1977). Millon Clinical Multiaxial Inventory. Minneapolis, MN: National Computer Systems.
Millon, T. (1987). Millon Clinical Multiaxial Inventory-II. Minneapolis, MN: National Computer Systems.
Millon, T., Millon, C., & Davis, R. (1994). Millon Clinical Multiaxial Inventory-III. Minneapolis, MN: National Computer Systems.
Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1994). The effect of child sexual abuse on social, interpersonal, and sexual function in adult life. British Journal of Psychiatry, 165, 35–47.
Nilsen, W. J. (2003). Retrospective accounts of childhood sexual abuse and current psychological functioning in German and American female undergraduates. Journal of Nervous and Mental Disease, 191, 57–60.
Oates, R. K. (1996). The spectrum of child abuse: Assessment, treatment, and prevention. Philadelphia, PA: Brunner/Mazel.
Ojha, H., & Singh, R. R. (1985). Relationship of marriage role attitude with dependence proneness and insecurity in university students. Psychologia, 28, 249–253.
Overholser, J. C. (1997). Treatment of excessive interpersonal dependency: A cognitive-behavioral model. Journal of Contemporary Psychotherapy, 27, 283–301.
Ponzetti, J. J., Cate, R. M., & Koval, J. E. (1983). Violence between couples: Profiling the male abuser. Personnel and Guidance Journal, 61, 222–224.
Raczek, S. W. (1992). Childhood abuse and personality disorders. Journal of Personality Disorders, 6, 109–116.
Rosenthal, R. (1979). The “file drawer” problem and tolerance for null results. Psychological Bulletin, 86, 638–641.
Rosenthal, R. (1990). Meta-analytic procedures for social research (2nd ed.). Thousand Oaks, CA: Sage.
Ruggiero, J., Bernstein, D. P., & Handelsman, L. (1999). Traumatic stress in childhood and later personality disorders: A retrospective study of male patients with substance dependence. Psychiatric Annals, 29, 713–721.
Sadowski, H., Trowell, J., Kolvin, I., Weeramanthri, T., Berelowitz, M., & Gilbert, L. H. (2003). Sexually abused girls: Patterns of psychopathology and exploration of risk factors. European Child and Adolescent Psychiatry, 12, 221–230.
Salter, A. C., Richardson, C. M., & Martin, P. A. (1985). Treating abusive parents. Child Welfare, 69, 327–341.
Spencer, J. (1978). Father–daughter incest: A clinical view from the corrections field. Child Welfare, 57, 581–590.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Washington, DC: American Psychiatric Press.
Thompson, R., & Zuroff, D. C. (1998). Dependent and self-critical mothers’ responses to adolescent autonomy and competence. Personality and Individual Differences, 24 311–324.
U.S. Department of Health and Human Services. (2003). Child maltreatment 2001. Washington, DC: U.S. Government Printing Office.
Waller, G., Meyer, C., Ohanian, V., Elliott, P., Dickson, C., & Sellings, J. (2001). The psychopathology of bulimic women who report childhood sexual abuse: The mediating role of core beliefs. Journal of Nervous and Mental Disease, 189, 700–708.
Ward, T., McCormack, J., & Hudson, S. M. (1997). Sexual offenders’ perceptions of their intimate relationships. Sexual Abuse, 9, 57–74.
Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resources Press.
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Bornstein, R.F. Interpersonal Dependency in Child Abuse Perpetrators and Victims: A Meta-Analytic Review. J Psychopathol Behav Assess 27, 67–76 (2005). https://doi.org/10.1007/s10862-005-5381-1
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DOI: https://doi.org/10.1007/s10862-005-5381-1