Ambivalence and Codependence in the Mother-Daughter Relationship

The topic of conflict and ambivalence in the mother-daughter relationship is the subject of this article. One article in a blog cannot do justice to this topic but, hopefully, it can serve as a starting point for many similar articles and it will be thought provoking (see my articles: Healing Mother-Daughter Relationships and Letting Go of Resentments in Mother-Daughter Relationships).

Ambivalence and Codependence in Mother-Daughter Relationships

The complexity of the mother-daughter relationship is derived, in part, from the fact that mothers and daughters share a biological and often certain psychological factors. 

As such, mothers often see themselves in their infant daughters, at times, projecting their own unfulfilled hopes and dreams on their infant daughters. 

In turn, daughters learn to identify with their mothers. A certain amount of maternal idealizing is a normal part of a daughter's development. 

However, when the identification or idealization interferes with a daughter's psychological development, this often interferes with the normal separation and individuation process that is necessary for the daughter to mature into her own person.

Clinical Vignette:

The following vignette which, as always, represents a composite of numerous cases illustrates how ambivalence and codependence between a mother and daughter as well as an over identification by the daughter for the mother kept the daughter stuck and unable to develop into her own person without feeling like she was betraying her mother.

Donna:
When Donna began therapy, she was in her early 30s. She was already quite successful in her career. As she saw it at the time, her presenting problem was that she had a long history of problems in her romantic relationships with men. 

Her relationships always began well. However, as soon as the relationship became serious, Donna became extremely ambivalent about it and found some way to sabotage it. When she began therapy, she was in a one-year relationship with a man that she loved very much and who also loved her. She saw the potential for a good marriage with this man, but she was very frightened to make that commitment with him, and she could not understand why.

Donna's family history included her parents' divorce when she was five years old. Prior to that, she remembered a lot of arguing between her parents, who were not well suited for each other. After the divorce, the father remarried within a couple of years. However, Donna's mother sank into a depression and she began to drink heavily.

As an only child, Donna remembered feeling responsible for her mother's happiness. Her mother poured out her sorrows to Donna, and Donna did her best to try to make her mother happy by listening to her, trying to entertain her with funny stories from school, being an "A" student, and trying never to bother her mother with her own concerns. 

As a result, at a young age, Donna and her mother switched roles, and Donna became a parentified child. She learned to anticipate her mother's needs before her mother even expressed them. She even cleaned up her mother's mess when her mother got drunk and threw up around the house. For this, Donna's mother rewarded her by telling her what a wonderful daughter she was, and this made Donna feel good.

Donna's relationship with her mother continued in this way until Donna became a teenager, and she began to express a need to spend more time with her friends. Donna's mother never actually stopped Donna from going out with her friends, but when Donna got home, she often found her mother in an irritable, sullen state.

She never told Donna directly that she was unhappy that Donna was beginning to achieve a certain amount of independence that is a normal part of adolescence but, indirectly, she complained about how lonely she felt when Donna was out and how hard her life was as a single mother. 

This made Donna feel very guilty for leaving her mother alone and for going out and having a good time with her friends. At those times, Donna worked extra hard to get back into her mother's good graces. After a while, Donna's mother was appeased and, once again, she rewarded Donna by telling her that she was the best daughter that a mother could have.

At times, Donna turned down her friends' invitations to go out because she didn't want to leave her mother alone and unhappy. She also feared that her mother would drink more when Donna was out, which was often the case. At least if she was there, Donna thought, she could monitor her mother's alcohol intake and help her mother to go to bed when she was too drunk.

After her parents' divorce, Donna had virtually no contact with her father. She feared that her mother would be upset if she maintained a relationship with her father, so she ignored his phone calls and, after a while, he stopped calling.

During that time, dating boys was out of the question in Donna's mind. Her mother was very bitter about her own divorce and she would often tell Donna how awful men were. Donna was interested in a couple of boys at school, who also expressed an interest in her, but Donna felt that it would be a betrayal to her mother if she began dating boys. So, rather than dating, she stayed home with her mother and catered to her needs.

When it came time for Donna to apply for college, one of Donna's teachers, who had an intuitive sense of what was going on in Donna's home, encouraged Donna to go away to college. A part of Donna longed to be away and attend a college with an active campus life. However, a stronger part of Donna didn't want to leave her mother alone. So, she opted to go to a local college, even though other colleges offered her better opportunities and a chance for a full scholarship.

By the time Donna was a sophomore in college, she began to feel depressed and lonely. She didn't know why she was feeling this way, so she went to the student counseling center. With the help of her college counselor, Donna began to see that she was missing out on many of the social activities that other students were enjoying and that she also wanted to attend.

So, gradually, Donna became more social and, soon afterwards, she started dating, much to her mother's chagrin. By that point, Donna realized that she needed to have a social life of her own, but she continued to feel guilty and that, in some way, she was betraying her mother by spending less time with her and more time with her friends.

By the time she graduated, Donna was offered an excellent job opportunity in NYC that she knew she could not afford to pass up. With much ambivalence and guilt about leaving her mother, she moved to NYC to begin her new career. However, she called her mother several times a day to "check in" on her and to listen to her mother's problems. She also visited her mother frequently on weekends.

When Donna entered into her first serious relationship, she was wary of telling her mother. She feared that since her mother had such a low opinion of men, her mother would disapprove of her being in a relationship. 

When Donna finally summoned the courage to tell her mother, her mother acted as if she had not even heard her. She never expressed any curiosity about this man or even asked Donna how the relationship was going. This made Donna feel very sad and guilty--as if she was doing something wrong by having a life of her own and being in a relationship, as if she wasn't entitled to her own happiness.

Shortly after that, Donna began finding faults with her boyfriend and they started arguing. Within a few months, they were broken up. When Donna told her mother about the breakup, her mother responded by telling her to come home and spend time with her. Her mother seemed to have no recognition that Donna was heart broken.

This same pattern continued in most of Donna's relationships. She felt pulled between the man that she loved and a "loyalty" that she felt for her mother. By the time that Donna came to see me, she was miserable. She was also aware that she was ruining an otherwise wonderful relationship with a man that she really loved. But she didn't know how to stop engaging in this behavior.

We began by doing inner child work to help Donna understand and appreciate the root of her problems. Over time, she learned to have more compassion for herself when she was a child and as an adult. She also started to see how her own inner emotional conflict caused her to feel that she had to choose between her boyfriend and her mother.

With a lot of work in therapy, Donna started feeling more entitled to have a happy life and not to sacrifice her life for her mother. She also learned to see that her codependent relationship with her mother was not helping her mother or her. 

So, gradually, over time, she changed her behavior towards her mother. Rather than calling her mother several times a day, she called her once a week. Rather than spending hours on the phone listening to her mother's problems and trying to "fix" them, Donna encouraged her mother to get help.

Donna's mother did not respond well to this new change in Donna. After a few weeks of this, Donna's mother refused to talk to Donna and told her that she would talk to her when Donna "came to her senses again." 

This was a serious emotional challenge for Donna, and part of her wanted to revert back to her old behavior to "rescue" her mother. But, deep down, Donna realized that she needed to stick to what she knew was best for her and her relationship with her boyfriend. 

She also realized now that her mother would never get help for her alcoholism as long as Donna provided her with an emotional crutch. So, even though it was very difficult for her, Donna refrained from reverting back to her former dysfunctional way of relating to her mother.

After several months, Donna's relationship with her boyfriend improved substantially. Even though she missed her mother, Donna realized that she felt happier than she had ever felt and she finally felt entitled to her happiness. She also reconciled her relationship with her father.

About a year later, she received a call from her mother. Her mother told Donna that she had just completed a 28-day rehab and she wanted to reconcile her relationship with Donna. And, for the first time, she told Donna that she wanted to meet her boyfriend. This was the beginning of Donna and her mother having a healthy relationship together without much of the guilt, codependence, and ambivalence from the past.

Healthy Mother-Daughter Relationships
Even though this article focuses on ambivalence and codependence in mother-daughter relationships, I want to also say that there are many mothers and daughters who have healthy relationships. 

Healthy Mother-Daughter Relationships

Even mother-daughter relationships that begin with the sort of enmeshment, codependence and ambivalence that were involved with Donna's relationship with her mother often improve when one or, preferably both, people get psychological help.

Getting Help in Therapy
If you are part of an emotionally unhealthy mother-daughter dynamic and you want to establish a healthier relationship, you could benefit from attending psychotherapy with a licensed mental health professional who has expertise in this area.

About Me

I am a licensed psychotherapist, hypnotherapist, and EMDR therapist in New York City.

I work with individuals and couples.

To find out more about me, visit my web site: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also, see Mother-Daughter Relationships Over the Course of a Life Time.

Do You Feel Entitled to Set Boundaries With the People in Your Life?

Setting boundaries with the people in your life is an act of self care (see my article: How to Set Boundaries Without Guilt).

Setting Boundaries

But if you're someone who doesn't feel entitled to set boundaries, you might feel that boundary setting is an act of aggression (see my article: What's the Difference Between Assertive and Aggressive Behavior?)

Self Abandonment and People Pleasing Tendencies

Not setting boundaries is often a survival strategy children learn in families where they weren't allowed to say "no". 

If you grew up in such a family, maybe you were even punished for expressing your feelings, especially if they were contrary to your parents' feelings. 

If you weren't allowed to say "no" as a child, you might have believed that you could only earn love if you were compliant with your parents' wishes. As a result, you learned self abandonment (see my article: What is Self Abandonment?).

Maybe you were also raised to believe you should feel guilty if you didn't comply with your parents' wishes. As a result, you might have developed people pleasing tendencies as a way to to avoid displeasing others. So, you might have learned to feel you're responsible for other people's comfort and happiness--even if it meant you neglected your own.

People who have an anxious attachment style are especially prone to fear that setting boundaries is an existential threat in terms of losing a relationship or a friendship.

Many women are socialized to believe they need to be nurturers who are "flexible" to the point where setting a boundary might be contrary to their role.

Confusion About What It Means to Set Boundaries

You might not feel entitled to set boundaries with others because you think setting boundaries means you're trying to control others. However, setting healthy boundaries is a fundamental part of self care.

Another possible problem is that you don't know what you feel so you only have a vague sense of what you're feeling at any given time so you don't know if you need to set a boundary or not.

Getting Help in Therapy

If you don't feel entitled to set boundaries with others, you could benefit from working with a licensed mental health professional who can help you to work through the underlying issues that are creating problems for you.

Getting Help in Therapy

Rather than struggling on your own, seek help from a skilled psychotherapist who helps clients to feel empowered enough to set boundaries (see my article: Taking Back Your Personal Power).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work (IFS and Ego States Therapy) and Certified Sex Therapist.

As a trauma therapist, I have over 25 years of experiencing helping individual adults and couples (see my article: What is a Trauma Therapist?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

How to Set Boundaries in an Enmeshed Family

How to Set Boundaries Without Guilt  

How to Set Boundaries in Your Relationship

How Avoidance of 1ntimacy Turns Into Emotional Distance in Relationships

One of the most common reasons why couples seek help in couples therapy is due to lack of emotional and sexual intimacy (see my article: Have You and Your Partner Stopped Having Sex?).

Sexual Avoidance Turns Into Emotional Distance

Why Do Couples Avoid Emotional and Sexual Intimacy?

Emotional and sexual avoidance is a complex issue with many possible causes including relational and psychological issues.

Sexual avoidance creates relationship distance by transforming lack of sexual avoidance into emotional detachment. 

Sexual Avoidance Turns Into Emotional Distance

Sexual avoidance is rarely just about sex. It often involves relational, emotional, psychological and behavioral factors. For some couples, it can include physical and medical factors.

Sexual avoidance and emotional distance often stem from one or both partners feeling the need to protect themselves from against vulnerability and pressure. 

Sexual Avoidance Turns Into Emotional Distance

This can set up a cycle where an avoidant partner pulls away and the other partner feels rejected, anxious and lonely.

Here are some of the most common reasons for sexual avoidance and emotional distance:

Relational Issues:

• Communication problems
  

• Lack of trust
  

• Power struggles
  

• Mismatched libido (also known as desire discrepancy)
  

• Lack of relationship satisfaction

• Other unresolved problems

Emotional and Psychological Issues:

Unresolved trauma for one or both partners including:

• A history of sexual abuse
  

• A history of sexual assault

• Anxiety including

• Performance anxiety
  

• Painful sex
  

• General anxiety
  

• Low self esteem
  

• Body image issues
  

• Negative conditioning including strict cultural or religious beliefs that associate sex with guilt and shame (see my article: Overcoming Shame and Guilt Due to Cultural Issues).

Physical or Medical Conditions

• Chronic pain

• Cardiovascular problems

• Diabetes

• Hormonal imbalances including low testosterone

Behavioral Patterns

• An obsessive avoidance of sexual intimacy

• A tendency to detach emotionally or feel unsafe with closeness

Getting Help in Sex Therapy

Sex therapy is a form of talk therapy where individuals or couples seek help (see my article:    What is Sex Therapy?).

Getting Help in Sex Therapy

Sex therapy does not include any nudity or sex during therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Individuals and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Reasons Why Individuals and Couples Seek Help in Sex Therapy?).

Not all couples therapists have training as sex therapists so it's important to ask whether or not a couples therapist is a certified sex therapist.

Rather than struggling on your own, seek help from a licensed mental health professional who ia a certified sex therapist.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I have over 25 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

What is Sexual Self Esteem?

What is Good Sex?

Creating Sexual Desire With the Simmer Technique? 

Why Do People Suppress Their Emotions?

Many people have a difficult time experiencing certain emotions in a healthy way so they suppress their emotions, which has health and mental health consequences.

Emotional Suppression

Which Emotions Are Commonly Suppressed?

The following emotions are the ones that are commonly suppressed among people who feel they need to hide these emotions:

• Anger: Anger is often perceived as being aggressive or out of control (even for people who are experiencing anger in a controlled way). Frustration and rage, which are part of anger, are often suppressed (see my article: Fear of Anger is Often Coupled With Guilt and Shame).

• Sadness or Grief: Crying or showing sadness or grief is often discouraged in our society, especially for men. This often leads to emotional suppression.

• Fear or Vulnerability: Society tends to value strength so showing fear or emotional vulnerability is discouraged (see my article: The Emotional Vulnerability of Being in a Relationship).

• Shame and Guilt: Shame and guilt are often discouraged in Western culture because there is a negative perception of emotions (see my article: Understanding the Difference Between Guilt and Shame).

• Envy and Jealousy: Many people push down feelings of envy or jealousy because these emotions are perceived as negative (see my articles: Overcoming Jealousy and Is Envy Ruining Your Relationships?).

• Disappointment: Disappointment is similar to sadness. Many people hide these emotions to appear "strong" and not to burden others (see my article: 5 Tips For Overcoming Routine Disappointments).

Why Do People Suppress Emotions?

Emotional Suppression

• Social Conditioning: As mentioned above, many people are taught to be "tough" or polite which leads to hiding emotions which are perceived as negative.

• Fear of Judgment: People who suppress certain emotions often fear that they will be judged or criticized for expressing certain emotions, so they suppress these emotions rather than expressing them.

• Maladaptive Coping Mechanism: People who suppress certain emotions hide these emotions as a maladaptive coping strategy to avoid discomfort or situations they feel would be overwhelming for them (see my article: Avoidance as a Maladaptive Coping Strategy).

What Are the Consequences of Emotional Suppression?

The most common consequences of emotional suppression include:

• Mental Health: People who suppress emotions are at a higher risk for anxiety, depression , emotional numbing and trauma-related issues as compared to people who express their emotions in a healthy way.

Emotional Suppression

• Physical Health: These symptoms include high blood pressure, heart problems, chronic pain and other physical symptoms (see my article: How Emotional Suppression Can Lead to Physical Health and Mental Health Problems).

• Emotions Resurface More Intensely: People who suppress their emotions often discover that these emotions resurface in a more intense way. They are also more at risk, compared to people who can express their emotions in a healthy way, for alcoholism, drug abuse and other impulsive or compulsive way

Get Help in Therapy

If you tend to suppress emotions that make you feel uncomfortable, you could benefit from getting help from a licensed mental health professional.

Get Help in Therapy

Learning to express your emotions in a healthy way can help you to be more self aware, reduce anxiety and stress, improve health and mental health and develop healthier relationships (see my article: Learning How to Express Your Emotions in a Healthy Way).

Rather than struggling on your own, seek help from a licensed psychotherapist so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States), Somatic Experiencing and a Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Article:

Allow Yourself to Feel So You Can Heal

 

What is Survivor Guilt in Family Dynamics?

Survivor guilt in family dynamics usually involves surviving one of the following when other family members have not:

• A traumatic incident
• A difficult or traumatic upbringing
• Achieving a better quality of life than other family members

Survivor Guilt 

Incidents such as the above often lead the "survivor" to feel a sense of remorse, guilt, worthlessness, undeserving as well as responsible for the fate of other family members who weren't as fortunate.

Survivor guilt is often irrational because these individuals usually weren't at fault for the other family members either not surviving or not doing as well as they did.

Key Aspects of Survival Guilt

• Traumatic Loss: A family member dies or suffers serious consequences and the person who experiences survival guilt did not. This might include:

• A car accident
• A natural disaster
• A medical problem

• Generational Trauma: Prior generations suffered under traumatic circumstances and the person who is from a younger generation, who didn't suffer, feels guilty for surviving or not having it "easier" than the previous generation (see my article: What is Intergenerational Trauma?):

• Family violence
• War
• Poverty and/or oppression
• Systemic violence
• Other atrocities, including the Holocaust and other forms of genocide

• Parental Guilt: A parent can experience survivor guilt that they passed on a gene to their child and the child has medical problems as a result. They can feel guilty even though they had no control over passing on this gene.

• Everyday Situations: If one family member achieves success while other family members are not as fortunate, the one who achieves success can feel guilty that they are fortunate while the others are not.  

How Does Survivor Guilt Manifest in Families?

Survival guilt can have a big impact on family relationships including:

• Social Withdrawal: The individual who has been more fortunate might isolate themselves from family activities as a way to avoid dealing with their guilt.

• Overprotectiveness: In order to avoid another loss, the individual who has been more fortunate might become overly protective of the other family members.

Survivor Guilt, Shame and Self Blame

• Shame and Self Blame: These individuals might dwell on how they could have done things differently to help family members--even if, objectively, there was nothing else they could have done (see my article: Self Blame and the Internal Critic).

• Difficulty Feeling Joy: They might believe they don't deserve to experience joy, happiness or success because they feel guilty that they are more fortunate than other family members.

• Atoning Behavior: In order to atone for their good fortune when other family members have suffered, these individuals might be overly giving so they can atone for their good fortune. This is another maladaptive coping strategy.

Clinical Vignettes

The following clinical vignettes are  composites of many different cases with all identifying information changed to protect confidentiality:

Alan

When Alan was 15, he and his 13 year old brother, Tom, went surfing at the beach during the off season, even though there were red flags posted warning swimmers to stay out of the water due to rough waves from a fast approaching hurricane. Since it was the off season, there were no lifeguards at the beach, but Alan and Tom had fun surfing under similar circumstances before, so they disregarded the warnings.  After a while, Alan took a break to rest on the shore and Tom stayed in the water.  After Alan dried himself off, he turned to call Tom to tell him to come out of the water, but Tom was nowhere to be seen. He jumped back into the water to try to find Tom to no avail and he became frantic. When a police car approached, they called a rescue team who found Tom's lifeless body an hour later. Alan was devastated with sadness and guilt. No one in the family blamed him for Tom's death, but as Tom's older brother, Alan felt responsible. His shame and self blame was so great that he became overly protective of his other younger siblings. Later on in life, he felt guilty that he had career success because Tom never had this opportunity. Alan often engaged in self sabotage and self destructive behavior including excessive drinking. One day his doctor warned him about the connection between excessive drinking and his high blood pressure. Then, he providing Alan with a referral for trauma therapy (see my article: How Can Trauma Therapy Help You to Overcome Unresolved Trauma?).

Linda

Even though her grandmother never discussed her experiences during the holocaust, Linda knew her grandmother spent time as a young child in a concentration camp in Poland. By the time Linda was born, her grandmother was doing well financially, but she lived like she was poor. Specifically, the grandmother hoarded food because she feared anything could happen where she might not have enough to eat. In addition, when she ate, the grandmother always ate sparingly and saved scraps of food for another day. As a result both Linda and her mother surmised that, as a child, the grandmother probably had very little to eat in the Treblinka concentration camp and now, as an adult, she was always afraid food would become scarce again. The impact on Linda was that she couldn't enjoy food in her grandmother's presence--even foods she normally enjoyed.  Her mother had a similar problem. As time went on, Linda realized she had a problem and she sought help in trauma therapy to prevent her problem from getting worse.

Sara

When she was a child, Sara heard many stories from her father about his family's severe poverty when he waa a child. Her father told her there were many days he and his siblings had nothing to eat. Even though they were hungry, they would tell their parents they weren't because they didn't want their parents to feel bad. Although Sara's parents were doing well financially by the time she was born, she always felt guilty whenever they bought her a gift or new clothes. She felt she didn't deserve to have more than her father had when he was a child. Later on in life when Sara had a successful career, she felt that no matter how much she tried to do for her parents, especially her father, she couldn't do enough. She felt guilty about her financial success and, as a way to assuage her guilt, she bought her parents many gifts--even though they told her they didn't need them.  One day her mother took Sara aside during a family gathering and told Sara she understood why she was buying them so many gifts but, she said, no matter how many gifts she bought them, she couldn't undo her father's childhood poverty. She told Sara that both she and the father wanted her to enjoy her life and they could see how guilt was eating away at her. She suggested Sara get help from a licensed mental health professional who did trauma therapy.

How Can Trauma Therapy Help With Survivor Guilt?

Trauma therapy is an umbrella term that include following types of therapy:

• EMDR (Eye Movement Desensitization and Reprocessing)

Survivor Guilt and Trauma Therapy

• Somatic Experiencing

• Parts Work (IFS and Ego States Therapy)

• AEDP (Accelerated Experiential Dynamic Therapy)

These therapies were developed specifically to help clients to overcome trauma by:

• Processing the Trauma: To work through the trauma in a safe and structured way

• Developing Self Compassion: Helping clients to give themselves compassion to heal

Survivor Guilt and Self Compassion

• Challenging Negative Beliefs: To identity and challenge negative beliefs

• Developing Genuinely Positive Beliefs: Beliefs that are sincere and realistic about  themselves and others

• Grieving Losses: Grieving what has been lost is essential to healing from trauma (see my article: The Many Layers of Grief).

• Finding a New Purpose: Honoring their losses and channeling their guilt into meaningful behavior like volunteering

Getting Help in Trauma Therapy

If you are struggling with unresolved problems, you're not alone. Help is available.

Getting Help in Trauma Therapy

Rather than struggling on your own, seek help from a licensed mental health professional who is trained as a trauma therapist.

Overcoming unresolved trauma can help you to live a more meaningful life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work Therapist (IFS and Ego States Therapy) and Certified Sex Therapist.

As a trauma therapist, I have helped many individual adults and couples to heal.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Coping With Separation Guilt as an Adult in a Traditional Family

Family loyalty is important in most families and it usually works best when there is flexibility for individuals to be loyal family members at the same time that there room for individual autonomy and personal growth (see my article: Being the Different One in Your Family).

Separation Guilt in a Traditional Family

Family loyalty usually includes:

• Being faithful and supportive of family members
• Being committed and trustworthy regarding family members
• Being emotionally present to offer support and encouragement during good times and bad
• Providing mutual support through life's challenges and successes
• Maintaining a shared identity

In addition to the above, a modern interpretation of family loyalty also includes:

• Challenging blind loyalty
• Setting healthy boundaries
• Prioritizing love over obligation (shifting from loyalty based on obligation to loyalty based on love, respect and mutual understanding)
• Encouraging personal growth (supporting each other's individual growth rather than demanding conformity)

Coping With Separation Guilt as an Adult in a Highly Traditional Family

Separation guilt is a psychological burden which occurs when individuals defy family expectations (see my article: Freeing Yourself From Family Expectations).

Separation Guilt in a Traditional Family

Defying family expectations is usually perceived by the family as being disloyal.

Key aspects of separation guilt for adult children can include:

• Breaching family expectations
• Perceived disloyalty to the family
• Emotional manipulation by family members (either consciously or unconsciously)
• Conflict with internalized beliefs 
• Fear and anxiety about being an individual in a family that expects conformity
• Fear of being ostracized from the family

This often leads to internalized conflict for individuals who prioritize their emotional and psychological well-being over family expectations.

In highly traditional families where family loyalty is prioritized over individual needs, family expectations can be spoken or unspoken and these expectations often include:

• Family obligations over individual independence, autonomy and personal growth
• A high degree of interdependence among family members where personal boundaries are blurred
• Conformity to established beliefs, traditions and values without question or deviation

How to Cope With Separation Guilt in a Highly Traditional Family

Coping with separation guilt can be very challenging.

Every situation will be different, but here are some tips that can be helpful:

• Identify and Acknowledge Your Feelings: Rather than suppressing your feelings, allow yourself to identify and acknowledge your feelings without judging them. This can include guilt, sadness, anxiety and shame.

• Explore the Root Cause of Your Guilt: Understand that feeling guilty doesn't mean you're wrong.  Assess the specific situation and the family traditions or beliefs that are causing the conflict within yourself.

• Recognize the Difference Between Guilt and Shame: Guilt is about a specific action and shame is about a more pervasive feeling about who you are as a person (see my article: What is the Difference Between Guilt and Shame?). Writing in a journal to clarify your thoughts and feelings can be helpful.

Separation Guilt in a Traditional Family

• Set Clear Boundaries: If you have decided to pursue a particular course of action that conflicts with your family's traditions and you know it is what is best for your own emotional and psychological well-being, recognize that this isn't a betrayal to your family--even though they might think it is. Clearly and respectfully communicate your needs to your family. Set clear boundaries with family members to protect your well-being (see my article: Setting Healthy Boundaries in an Enmeshed Family).

• Focus on Your Life: Focus on building a life that affirms your values and needs. Set new personal goals and spend time with people who are supportive.

• Find Emotional Support: Connect with supportive loved ones and/or join a support group for people in similar situations.

• Seek Professional Help: If you're having difficulty coping with separation guilt, consider working with a licensed mental health professional who can help you to navigate complex family dynamics.

Clinical Vignettes

The following examples of separation guilt are composites of many different cases:

• The Family Business: When Tom graduated college, he decided to pursue a career outside of the family business. Prior to making this decision, his highly traditional parents expected Tom to join the family business after graduation. When Tom told his parents about his decision, they were stunned. His father inherited the business from his father and grandfather. He was very disappointed because he expected Tom to take over one day and continue the family tradition. If Tom didn't join the family business, the business would have to be sold after the father retired. Although Tom felt anxious and sad about disappointing his parents, he knew he needed to follow his own path rather than conform to family expectations. Even though he felt separation guilt, Tom focused on his personal needs and goals with the support of friends and other family members. After a few rough years, Tom's parents conceded that he needed to follow his own dreams and they were able to reconcile.

• Religious Conversion: Ann was raised in a highly religious family. When she was a child, she adhered to her family's religious beliefs, but when she turned 21 and she was no longer living with her family, she questioned that religion. She also explored the possibility of other religions and discovered she liked Buddhism. When she spoke with her family about it, they were very upset. They couldn't believe she would abandon the family religion after all the sacrifices the family made to come to the United States for religious freedom. They were so upset that they refused to speak with her. Ann had never gone against her family and the estrangement caused her significant separation guilt. After she invited them to a few family therapy sessions, she was shocked that they forgave her. Although her family still wasn't happy that she wasn't practicing their religion, they agreed she was an adult, she could make her own decisions and they welcomed her back into the family.

• Racism: Jake was aware that his family was racist, but he hoped that once they met his girlfriend, Tania, they would grow to know and love her. He wasn't prepared for their anger and upset when they told him they didn't even want to meet her. Over time, they remained adamant and they refused to come to Jack and Tania's wedding. They told him that no one in their family had ever married anyone from a different race and they were appalled. On his wedding day, Jake had a heavy feeling in his heart because his family wasn't there, but he loved Tania and he wouldn't let his family stop him from marrying her. Two years later, his father had a massive heart attack. Although he survived, the heart attack took its toll. When Jake's sister called him, he and Tania went to the hospital to visit the father who was in a weakened state. When he saw Jake, he looked happy and he even extended his hand to Tania. He told Jake and Tania he was a foolish old man and it took a heart attack to make him realize he wanted them back in his life.

• Homophobia: Ben knew from the time he was a young boy that he was gay, but while he lived at home he kept his homosexuality a secret, which was painful for him. When he went away to college, he met the young man who became his life partner, Nick. For the year, Ben kept his relationship a secret from the family. During the holidays, Ben and Nick went home to each of their families, but the secret they were keeping was taking a toll on them. Two years into their relationship, Ben and Nick decided that it was more painful to keep their relationship a secret than it was to come out to each of their families. Nick knew his family would be accepting so when he came out to them and introduced them to Ben, they were warm and welcoming. Ben's family was a different story. They were very traditional and very conservative. He came out to his older brother first because he knew it would be easier. Although his brother was surprised, he told Ben he would always love him. But when Ben told his parents, they were very upset. His father told him to leave the family home and never come back. Although this was hurtful for Ben, he knew he was being true to himself and to Nick. Several years went by before Ben's brother was able to act as a go-between to try to bring about a reconciliation. By then, his parents had missed Ben a lot and their stance had softened somewhat. To help them understand his homosexuality, Ben gave them information about PFLAG, an organization for families of gay adult children and they began attending meetings. With the support of PFLAG, they decided they didn't want to be estranged from their son, so they invited Ben and Nick to a family dinner. Ben's father struggled to understand Ben's homosexuality and to accept his gay relationship, but he realized he loved his son and he didn't want to shun him anymore (see my article: Famly Estrangements Due to Homophobia, Biphobia and Transphobia).

Conclusion

Separation guilt often occurs when a family member defies family traditions and the family considers this to be disloyal.

The individual who experiences separation guilt might know logically that they are making the right personal decision for their own growth and happiness, but they can still feel guilty and ashamed for going against a family tradition.

Getting Help in Therapy

If you're experiencing separation guilt, you could use the support of a licensed mental health professional to help you to get through a difficult time.

Getting Help in Therapy

A skilled psychotherapist can help you to develop the tools and strategies to get through this difficult time.

Rather than struggling on your own, seek help in psychotherapy so you can live a more meaningful and fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States therapy), EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.