Influences
How Pia identified the concept of a Functional Adult
Pia Mellody was a nurse at the Meadows when she realized that a large majority of the people seeking treatment for addiction had histories of abandonment, neglect, abuse of all kinds, and enmeshment with a parent, the parent’s marriage or the whole family system. As Pia interviewed person after person, a unique and clear pattern emerged. All had five similar symptoms:
They had little to no self-esteem, often manifested in the carried shame of their primary caregivers;
They had severe boundary issues;
They were unsure of their own reality;
They were unable to identify their needs and wants;
They had difficulty with moderation.
With an interviewing approach fueled by her intuition, Pia Mellody had discovered what she called developmental immaturity, also known as “codependency.” She defined codependency as a “failure to be in healthy relationship with oneself.” She had come to understand the word “abuse” in a much broader context than clinicians had previously understood it. She identified that unless people grow up with functional parents, they will have difficulty in what she calls the five core issues: Self-Esteem, Boundaries, Reality, Dependency, and Moderation. And that with education in adulthood, people could “grow” their functional adult selves and essentially re-parent themselves.