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Tuesday, April 9, 2024

Blame, Guilt, and Family Dysfunction

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When I discuss family dysfunction, the question of “who’s to blame”– the adult children or their parents – frequently arises. Emotions then tend to run wild. I believe this is the wrong question. The fact is that all family members are beans in the same soup, acting out patterns that have been building up for generations and are being passed down. The right question should always be, “How do we FIX this?”

The question of blame is often the subject of vehement defensive reactions by the community of parents in the US, who gripe about anyone who engages in“ parent blaming” and “parent bashing.” They want to believe that they have absolutely nothing to do with their children’s problems, which they like to think are all genetic or all caused by peer groups at school.

Many mental health practitioners have sided with these nonsensical ideas. I’ve written before about a time when, at a nearby child and adolescent psychiatric hospital, juvenile delinquency and even suicidal thoughts were blamed entirely on heavy metal music. That way, parental guilt could be assuaged so they would pay for their kids to get “treated” for listening to Judas Priest. Well, at least until their insurance ran out.

So are these folks saying that even physical and sexual abuse by parents has nothing to do with children’s insecurities? Or their acting out? Even here, the answer seems to be a sort of yes – people falsely opining that the incidence of this abuse is actually minimal and that almost all of these accusations of such are false. Really?

It is true that if a therapist makes a parent feel guilty, they are less likely to look critically at their own parenting practices or seek help, so therapists have to figure out a way around this paradox. My therapy model attempted to do just that with patients who were adult children facing this conundrum.

I have also written about the massive increase in recent years in parental guilt caused by cultural changes in gender roles. In reaction, this has led to an epidemic of so-called helicopter parenting. That this type of interaction is a major correlate of adolescent depression, which means probably with the rate of suicide as well, has been recently demonstrated in studies (for example: Wattanatchariya K, Narkpongphun A, Kawilapat S. The relationship between parental adverse childhood experiences and parenting behaviors. Acta Psych. 2024(243) While correlation and causation are two different things, I believe on the basis of my wide clinical experience that in this case these studies are indeed about causation.

Another complication of parent guilt was described in the 2/27/24 column by advice columnist Carolyn Hax.  A mother described herself as being wracked with guilt because her teenage children suffered from anxiety and depression, despite her and her spouse loving them immeasurably and doing their best every day to support, listen to and nurture them. Ms. Hax of course tried to tell her that she did not screw up because “kids everywhere are having an extraordinarily difficult time right now” and that “depression and anxiety are way up, stress is up, mental health resources are strained, and schools are overburdened, underfunded and understaffed.”

My fear is that Ms. Hax’s advice for her to stop beating herself will fall on deaf ears. As I have described in previous posts, parental guilt has become more widespread, and parents often feed into the guilt of other parents – especially if the parents try to set limits with their kids instead of helicoptering. I can recall other families giving us a hard time when we wouldn’t give our kids away at college unlimited funds to do whatever they wanted.

Besides stopping parents from setting appropriate limits with their kids or disciplining them properly, another big problem is one that I have seen clinically but which is not described in the mental health literature: the kids see their parents feeling guilty all the time even when there is no obvious reason for it, and take this to mean that their parents need to feel guilty. They may therefore act like they are more impaired than they actually are so that the parents can continue to indulge this need. The fact that the guilt remains omnipresent in this situation confirms their beliefs!

In a column the very next day, Ms. Hax answered a letter in which a wife in an abusive relationship will not leave for fear of harming the kids.  The letter says “But I read so much about how kids thrive in stable families and are damaged by splits or divorces other than in highly abusive situations. My partner is not physically abusive but checks a lot of other boxes: yelling, vicious anger  name-calling, silent treatments.”

How anyone can possibly believe that subjecting kids to this sort of abuse is better for them than coping with their feelings about a parental divorce is beyond me. And kids are smart enough to wonder about that themselves. So how do they then interpret Mom’s refusal to leave? Perhaps mom is using the kids as some sort of excuse because deep down she thinks she needs or deserves her husband’s abuse? I know that sounds bizarre, but you would be surprised.

In fact, although obviously I can’t say in this particular case on the basis of a letter to an advice columnist, there may even be an element of truth in this idea. The answer to what might be going on can often be obtained by a therapist using the Adlerian question: “What would be the downside of successfully getting out of this bad relationship?” A common answer: "My parents would blame me and tell me I should go back to him and be a better wife." I kid you not! Maybe because those parents themselves are in a similar relationship. If so, we’d have to find out whether this is indeed the case, and then ask the Adlerian question to the grandparents about why they continue their relationship.

When people feel guilty, it leads to defensiveness, which can lead to fight, flight or freeze reactions which cut off conversations about how to solve problems. Since the problems go back many generations, I have always suggested that we just put the blame on Adam and Eve, and be done with it.