According to the author, three culprits responsible for the state this dependency include shame, guilt, and fear. Psychologists point out that this condition can manifest itself in adults who lacked self-actualization as little kids.
Genders react differently to nurturing deprivation as kids.
Young ladies may have problem with expressing and accepting passion in a relationship while men can become physically violent. In which ever way it plays out, the resultant lack of self-esteem plays a role, whether a person becomes happy or depress, ends up in a good or bad relationship, and socially well adjusted or pathologically rebellious. This explains the reason why some very attractive women, especially, fall in love and stay with men who constantly abuse them. Usually, these women end up destroying their own lives and sometimes that of their children. Although this is not the way Rachel Lieberman's life played out, the psychological step of low self-worth can vary.