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>Emotional incest occurs when a parent relates to a child as a substitute for an adult partner. That child may become emotionally bonded to, and codependent with, the parent. Emotional incest usually occurs before physical parent-child incest. Even without physical sexual contact, the consequences to such "bonded" children include a lifetime of partnership difficulties, according to Martyn Carruthers who wrote that this is a socially accepted form of child abuse in many countries.[19]