Abstract Spouses, partners, parents, and other loved ones of sex addicts are generally treated with variations of the codependency model, which, in a general way, fails to acknowledge that these individuals are in the midst of a relational crisis. Prodependence is a new paradigm for addressing this clientele. Grounded in attachment rather than trauma theory, prodependence views what has previously been seen as dysfunctional (trying to help and stay connected with a sex addict) as how any rational person would act when presented with the extraordinary life crisis of a struggling family member. As an initial evaluation of this new paradigm, clinicians who treat this population were surveyed before and after an informal educational presentation explaining the prodependence model and how it differs from codependency. Findings showed that clinicians currently tend to use variations of codependency in their practices, although many expressed dissatisfaction with this approach. After exposure to the prodependence paradigm, the majority of clinicians expressed a desire to move away from codependency in favor of the prodependence model. This suggests that the attachment and crisis-centric model of prodependence could be more effective than codependency when working with loved ones of sex addicts (and perhaps loved ones of other addicts).

中文翻译：

---

Prodependence vs.Codependency：一种治疗性爱成瘾者的新模型（Prodependence）是否会比我们获得的模型（Codependency）更有效？

摘要通常，对性瘾者的配偶，伴侣，父母和其他亲人采用共依赖性模型的变体，这种变体通常不能承认这些人处于关系危机之中。Prodependence是解决此客户的新范式。基于依恋而不是创伤理论，独立性将以前被认为是功能失调（试图帮助性伴侣并与性瘾者保持联系）视为任何理性的人在面对陷入困境的家庭成员的非同寻常的生活危机时将如何行事。作为对该新范式的初步评估，在非正式教育演示前后对接受治疗人群的临床医生进行了调查，解释了依赖性模型及其与共依赖性的区别。研究结果表明，尽管许多人对这种方法不满意，但临床医生目前倾向于在实践中使用依存关系的变化。暴露于依赖模式之后，大多数临床医生表示希望摆脱依赖，而倾向于依赖模型。这表明，与亲人上瘾的性瘾者（也许还有其他上瘾者的亲人）一起工作时，依恋的依恋和以危机为中心的依赖模型可能比共同依赖更有效。