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Abstract
Objective: This purpose of this article is to contribute to the literature on the lived experiences of parentification, its long-term consequences to the self, and coping strategies related to parentification.
Background: A considerable number of quantitative studies have reported on the adverse consequences of destructive or pathological parentification.
Method: Nineteen Israeli women aged 30-68 years who believed that they had experienced parentification during childhood and adolescence took part. The women participated in in-depth semistructured interviews. The data analysis employed the constructivist grounded theory approach.
Results: The participants described their childhood and adolescence as a horrifying, threatening, invasive, and neglectful experience that demanded constant adaptation to cope with the anxiety and fear of breakdown. A developmental relational trauma model is proposed to account for the relationships described in their responses. Drawing on convergent findings from psychoanalytic and developmental approaches, the model suggests that the participants developed a split self-structure to cope with these adverse experiences. It is argued that creating a split disconnecting the topographic structure of the self is key to understanding the sources of role reversal. By aiming to overcome the overwhelming experience of abuse and neglect, this split structure paradoxically protects the traumatized participants from the fragmentation of the self through multiple disconnections.
Conclusions: Parentification can be considered a form of emotional abuse and neglect.
Implications: Clinicians need to recognize the destructive effects of this relationship on self-structuring.
KEYWORDS
emotional abuse, family relationships, neglect, parentification, role reversal, trauma
Introduction
Adverse and traumatic experiences in childhood predispose these children to parentification, a situation in which a child is forced to relinquish age-appropriate psychological needs to accommodate and care for the logistical or emotional needs of the parent (Haxhe, 2016; Hooper et al., 2011; Hooper & Wallace, 2010). Researchers differentiate between adaptive (or moderate) parentification and destructive (or pathological) parentification. Whereas the former is considered culturally fair, the latter is characterized by neglect of the child's psychological needs, which creates intense anxiety and chronic feelings of helplessness in the child (Hooper, 2007; Saha, 2016). Numerous quantitative studies have reported significant associations between childhood pathological parentification and an increased risk of psychopathology in adulthood (see the meta-analysis by Hooper et al., 2011). The most frequently documented pathologies arc mood disorders, including depression (Schier et...