Mental HealthEvidence Low-to-moderate for traumatic-bonding mechanisms; moderate observational evidence for associations between attachment insecurity and intimate-partner violence; no validated individual prediction model14 min read

Why We Can Stay Attached to People Who Hurt Us: What the Research Actually Shows

Evidence Low-to-moderate for traumatic-bonding mechanisms; moderate observational evidence for associations between attachment insecurity and intimate-partner violence; no validated individual prediction model10 cited sources

Direct answer

A source-graded evidence review of traumatic bonding, intermittent mistreatment, attachment insecurity, coercive control, and the practical realities of leaving a harmful relationship. Feeling attached after being hurt is possible without endorsing the harm, and the emotion itself does not establish abuse, trauma bonding, or a psychiatric diagnosis. A small 1993 prospective study of 75 women who had left abusive relationships associated intermittent mistreatment and power differences with persisting attachment; its design cannot demonstrate causation or predict any individual. Meta-analyses associate insecure attachment with intimate-partner victimization and perpetration, but their correlations are not evidence that attachment insecurity causes another person to abuse someone.

Questions this page answers

  • Why do I miss someone who repeatedly hurts my feelings?
  • What does research actually show about trauma bonding?
  • Does intermittent affection make attachment stronger?
  • How are anxious attachment and abusive relationships associated?
  • Is trauma bonding a formal mental health diagnosis?
  • Why is leaving sometimes unsafe or difficult?
  • Does caring for someone mean the relationship is healthy?
  • How can a person create more choice without ignoring safety?

Scientific takeaways

  1. Feeling attached after being hurt is possible without endorsing the harm, and the emotion itself does not establish abuse, trauma bonding, or a psychiatric diagnosis.
  2. A small 1993 prospective study of 75 women who had left abusive relationships associated intermittent mistreatment and power differences with persisting attachment; its design cannot demonstrate causation or predict any individual.
  3. Meta-analyses associate insecure attachment with intimate-partner victimization and perpetration, but their correlations are not evidence that attachment insecurity causes another person to abuse someone.
  4. Intermittent kindness, fear, practical dependency, hope, prior attachment, and isolation are different possible reasons for remaining, reconnecting, or feeling conflicted.
  5. Coercive control and violence should be evaluated through behavior and safety, not inferred from a partner's BPD, trauma history, attachment style, or other diagnostic label.
  6. Safety planning is useful without demanding an immediate breakup; individual circumstances, children, money, housing and retaliation risk matter.

Evidence at a glance

Some of the most confusing relationship experiences contain two truths at once: someone has hurt you, and you still feel strongly connected to them. A change in feeling may lag far behind a change in judgment. You may remember tenderness accurately, see harmful behavior accurately, and still miss the person. Neither the emotional attachment nor the confusion determines whether the relationship is healthy. The research offers several plausible, partly overlapping mechanisms, but it cannot read a person's private motives or forecast the future of any one couple. [1,3–5]

This article is a critical narrative synthesis of existing studies and meta-analyses. It is not a new quantitative meta-analysis, a prospective test of treatment, or a validated diagnostic instrument. In particular, research about intimate partner violence (IPV) is not interchangeable with research about ordinary disagreements, emotionally unsatisfying relationships, inconsistent texting, or mutually frustrating dynamics. Equating them would inflate both certainty and risk. [3–6]

First distinguish distress, conflict, and coercive abuse

Someone may feel hurt by inconsistency, rejection, unresolved incompatibilities, betrayal, broken promises or different needs without there being evidence of coercive control. Relationships can be painful without involving systematic domination. Conversely, a relationship need not involve visible physical assault to be abusive. The US Department of Justice describes domestic violence in terms of behaviors used to gain or maintain power and control, including psychological, emotional, sexual, economic and technology-facilitated forms. [6]

Ask about patterns and freedom: Is someone controlling where the other person goes, who they can contact, or their access to money? Are there threats, intimidation, surveillance, sexual coercion, violence, or fear of retaliation? Does the person feel able to disagree or leave without punishment? These questions concern observable behavior rather than a purported psychological label. A person with borderline personality disorder, an insecure attachment pattern, PTSD or no diagnosis should not be presumed abusive on that basis. Nor does a diagnostic label excuse abuse. [5,6]

This distinction matters because the scientific explanations below should never be reverse-engineered into accusations: I feel attached after being hurt; therefore my partner is deliberately manipulating me. The premise does not establish the conclusion.

What is traumatic bonding—and what has actually been tested?

The traumatic bonding hypothesis holds that certain conditions, especially pronounced power inequalities and a pattern of intermittent mistreatment, may help explain why an emotional tie persists after an abusive relationship. Popular descriptions often extend the term to any intense, unstable romance. The narrower research definition is more specific. [1,2]

A foundational 1993 study by Dutton and Painter interviewed and assessed 75 women who had recently left abusive relationships, then followed them for approximately six months. It found that measures of intermittent abuse and power differences were associated with post-separation attachment. The original report noted attachment had fallen by about 27% over the interval, while the measured relationship variables accounted for substantial variance in the follow-up attachment measure. These are findings within a selected, relatively small historical sample—not a universal formula. [1]

There are major limitations. People were not randomized to abuse or non-abuse; such an experiment would be unethical. Retrospective accounts can be affected by recall and selection, and a sample of women who had already left abusive relationships cannot be generalized automatically to every gender, age, or kind of relational distress. This study cannot prove that alternating kindness and harm caused attachment, or that every survivor experiences the same dynamic. Its useful contribution is hypothesis support, not diagnostic certainty. [1,2]

Why alternating kindness and hurt might be especially confusing

Repeated reconciliation may preserve hope: a very painful incident is followed by relief, an apology, affection, or a believable promise of change. It becomes tempting to evaluate the relationship by the latest positive event rather than by the full record of behavior. In coercive relationships, intermittency and power inequality are specifically relevant to traumatic-bonding theory. [1]

In less severe situations, the same subjective pattern—anticipation, disappointment, reunion—could involve learned expectations, loneliness, uncertainty, attachment anxiety, shared routines, or simple love for a familiar person. But analogies to laboratory reward schedules do not establish that a partner intentionally designed a behavioral conditioning program. Likewise, claims that a specific dopamine surge or an oxytocin imbalance proves a trauma bond are not supported by the studies summarized here. [1,3–5]

A practical test is not how intense the reunion feels. It is whether behavior changes durably, whether boundaries are respected between reconciliations, and whether the relationship expands rather than narrows a person's agency.

Attachment insecurity: what the meta-analyses say

Adult attachment measures commonly describe anxiety about abandonment or rejection and discomfort with closeness or dependency. These are dimensional measures, not immutable romantic personality types. A person can vary by context and over time; a survey score cannot diagnose the cause of conflict. [3–5]

Cataudella and colleagues' victimization meta-analysis screened 4,343 records and included 34 studies, totaling 1,271 people under its inclusion criteria. Both attachment anxiety and avoidance showed statistically significant associations with IPV victimization across the examined forms, with reported correlations varying by violence category, roughly r = 0.18–0.30. This is a population-level association, not a prediction for the next person someone dates. [3]

A distinct meta-analysis by Knox and colleagues focused on perpetration of partner maltreatment, an outcome not identical to victimization or severe violence. Average weighted correlations were small: approximately r = 0.19 for attachment anxiety and r = 0.14 for avoidance. There was considerable heterogeneity across underlying studies. It would therefore be misleading to say attachment insecurity makes someone abusive or that securely attached people are immune to harming others. [4]

In 2025, Wong and Denson systematically reviewed 63 eligible studies investigating possible mediators of associations between attachment insecurity and IPV. Their models examined jealousy or distrust, dissatisfaction, control, destructive communication, emotion dysregulation and other candidate pathways. Some indirect associations were significant, but statistical mediation in predominantly observational literature does not demonstrate the temporal causal sequence. [5]

Taken together, the reviews make attachment relevant to questions worth discussing and assessing. They do not reduce relationship harm to one person's anxious style, let alone shift responsibility for someone else's abusive actions onto a victim.

Several mechanisms may operate at the same time

Emotional familiarity. Strong attachment can remain because a partner has been important over years, shared milestones, family rituals and ordinary days. The mind does not simply erase those experiences after a rupture. This explanation is plausible but cannot be assigned a specific measured effect size from the trauma-bonding studies. [1,3]

Hope and intermittent repair. A credible apology or warm period can make change seem possible. A relationship that alternates harm and repair may be difficult to evaluate because recent relief stands out. The existence of some good interactions does not establish that the harmful pattern has ended. [1,7]

Fear and constrained choices. Control of money, housing, documents, children, transportation, or social contact can make departure materially difficult. Threats and surveillance can make it unsafe. These are barriers, not signs of weak will or insufficient insight. Government guidance explicitly considers such constraints when discussing safety plans. [6,7]

Attachment anxiety and abandonment fear. For some people, separation or uncertainty may trigger intense distress and reassurance seeking; the meta-analytic evidence shows associations with broader relationship outcomes but does not confirm any individual's underlying mechanism. [3–5]

Grief, guilt and loyalty. Caring about someone who behaves harmfully is not logically contradictory. Someone can recognize a pattern needs to stop while hoping the other person gets help. Supporting another person and remaining in a particular relationship are different decisions.

Practical and social ties. Shared children, employment, immigration concerns, disability, family pressure, religious or cultural factors and fear of public judgment can all constrain choices. Those realities deserve specific help rather than a one-word psychological explanation. [7]

The evidence does not assign a reliable percentage to how often each reason is decisive. An article pretending to rank these motives precisely would create false certainty.

Trauma bonding, limerence, and relationship OCD are not synonyms

Limerence is used for intense romantic preoccupation, intrusive thoughts about reciprocation and fluctuating emotional responses to perceived romantic signals. Someone could experience limerence without violence, coercion or an abuse history. The term should not be used to label a person's distress a trauma bond by default. See the limerence evidence review.

Traumatic bonding in the original research concerns an attachment pattern described in abusive relationships, especially under intermittent mistreatment and power asymmetry. It is a research hypothesis, not a stand-alone DSM diagnosis or a clinical test. [1,2]

Relationship obsessive-compulsive disorder involves obsessive uncertainty and compulsive responses that may require a different clinical assessment. Persistent rumination alone is not enough to identify OCD. Distinguishing these concepts matters for helpful treatment rather than attaching a dramatic label to every difficult love story.

Does staying mean a person wants the mistreatment?

No. Attachment, consent to abuse, access to options, and responsibility for violence are separate questions. A person may have stayed because of fear, genuine caring, threats, hopes for change, financial dependence, children, or a shifting assessment of what was possible. A return to the relationship does not invalidate a report of harm. The research on attachment and victimization describes associations, not moral responsibility for another person's decisions. [3,6,7]

The opposite oversimplification is also unhelpful: not every person who returns is in a coercive relationship. We need evidence about what actually happened, whether boundaries are respected, and whether anyone feels unsafe or controlled. A broad psychological concept cannot substitute for listening and assessment.

A careful way to evaluate a difficult relationship

One useful approach is to keep a behavior-based timeline rather than an intensity-based verdict. Over weeks or months, record specific events, commitments, boundaries, repairs and recurring patterns—only if doing so is safe and private. What changed after a serious conversation? Did the same conduct recur? Does accountability involve behavior, not only apologies? Can you express needs without threats, intimidation or retaliation?

Next, distinguish what can be negotiated from what requires protection. Scheduling mismatches, unclear expectations and incompatible preferences may be addressed through mutual discussion and boundaries. Threats, coercion, surveillance or physical/sexual harm call for a safety-centered response. Do not frame them as symmetrical communication problems. [6–8]

Finally, notice whether your world is becoming larger or smaller. A safe relationship usually permits friends, interests, independent decisions, lawful access to one's own money and contact with support. This is a practical lens, not a validated clinical score, but it can help shift attention from the immediate relief of reunion to lived autonomy.

What supports change—and what the research cannot promise

Support might include confidential conversations with trusted people, trauma-informed professional counseling, practical financial/legal advice, documentation where lawful and safe, and specialist advocacy for coercion or violence. For some, attachment-focused or emotion-regulation work may help examine expectations and regain choice. Yet this article cannot claim any particular therapy specifically cures a "trauma bond," because the cited studies do not directly establish that treatment effect. [1,3–5,7]

Avoid promising that no contact is always appropriate. People may share children, housing, legal obligations or safety concerns. If co-parenting or necessary communication continues, supported limits and safer channels may be more realistic. Unplanned abrupt confrontation or a breakup announcement can increase danger in some abusive situations; the appropriate response is individualized safety planning rather than a universal script. [7,8]

Similarly, couples therapy is not automatically safe when intimidation and coercive control are present. Safety and specialized assessment take precedence over treating both parties as equally able to negotiate. In noncoercive relationships, collaborative communication may be useful, but persistent harm still merits independent judgment. [6–8]

Recent 2024–2026 research on why safety and choice can be constrained

Stulz and colleagues' 2024 integrative review of 12 studies identified recurring barriers experienced by women escaping domestic violence: losses from leaving, ongoing required contact with a former partner, financial insecurity, access to safe housing and services, and responsibility for children. Support, collaboration and providers who listen respectfully were recurring facilitators. These findings describe qualitative and mixed-method experiences, not a randomized trial or a universal psychological reason people stay. [9]

In a 2026 self-report survey of 926 Israeli women, Mehlhausen-Hassoen and Winstok examined positive reasons for staying alongside negative constraints labeled fear of failure, fear of terror and captivity. Recently battered women reported especially high negative barriers. The findings undermine a simplistic either/or claim that people stay entirely from affection or entirely from external force. Because the survey was cross-sectional and culturally specific, it cannot prove why any individual stayed or predict future safety. [10]

Together, these studies reinforce an essential point: psychological theories of attachment and intermittent reinforcement cannot replace resources such as housing, childcare, financial stability and confidential specialist advice. A request to “just leave” without addressing such constraints can be unrealistic or unsafe. When danger or coercion exists, safety planning should be individualized rather than determined from someone's attachment label. [6–10]

What if there are children, financial constraints, or threats?

These are not side notes. They are major parts of the decision environment. The US Office on Women's Health describes planning for documents, housing, medications, phones, trusted contacts, children and confidential support. An advocate can help think through what is safest without requiring a decision to leave during the first conversation. [7]

Digital safety also matters. Shared accounts, location sharing, device access and browsing records can expose searches for assistance. Use a safer device or ask an advocate about confidentiality if monitoring is a concern. Preserve records only where doing so will not increase risk. For urgent immediate danger in the US, call 911. [7,8]

In the US, the National Domestic Violence Hotline provides confidential support at 800-799-SAFE (7233), by text START to 88788, and at thehotline.org. Contacting an advocate is appropriate even when someone is unsure whether their situation qualifies as abuse. [8]

What this evidence cannot tell us

It cannot tell us that a particular partner has borderline personality disorder, narcissism, psychopathy or another diagnosis. It cannot determine intent from a message, social-media activity, a period of silence, an apology, or one emotional argument. It cannot show that insecure attachment inevitably attracts harmful partners. It cannot show that a person who feels attached is incapable of making choices.

It cannot establish that every intermittent relationship is abusive, or that every abusive relationship creates a trauma bond. The foundational trauma-bonding study was small; the newer meta-analyses address broader and partly different constructs. Correlations and statistical mediation are not experiments in human relationships. [1–5]

Nor can it establish that a particular person must leave or remain. Ethical support makes safety and choices clearer; it does not replace the person's decisions.

Evidence limitations and future research

The 1993 post-separation study is unusually relevant to the question in the title, but it is a small historical sample selected from people already leaving abusive partners. It cannot estimate prevalence, isolate all possible mechanisms or demonstrate which intervention improves outcomes. [1]

The 2023–25 meta-analytic literature has the advantage of aggregating many studies, but it also mixes different definitions of attachment, maltreatment and victimization, often relies on self-report, and may suffer residual confounding or uncertain timing. Significant pooled correlations do not settle why individual people stay or return. A correlation from a perpetration study should not be represented as a victimization risk, and vice versa. [3–5]

Future prospective studies could follow diverse people over time, separately measure coercive control, affection, material constraints and attachment, and assess survivor-defined safety and autonomy without pathologizing participants. Intervention research should evaluate benefits and harms of options, including for people who remain in contact because of children or practical necessity. It would be misleading to call the current literature a definitive mechanistic account.

Bottom line

You can understand that a relationship hurts you and still miss the person. The strongest honest explanation is plural: existing attachment, hope after intermittent repair, learned expectations, fear, circumstances and potential coercive control may each matter. The 1993 traumatic-bonding study offers limited observational support for one specific proposed pattern, while modern meta-analyses connect attachment dimensions with broad relationship harm at a population level. None can diagnose an individual from an emotion or prove that longing excuses mistreatment. [1–5]

If the relationship is simply incompatible or repeatedly disappointing, boundaries, clarity and independent support may help. If it involves fear, coercion or danger, use safety-centered advice and specialized advocacy. Either way, judging patterns of behavior and room for genuine choice is more useful than trying to prove a label. [6–8]

Related THS research: Limerence and obsessive love, Limerence and relationships involving BPD, Loving a partner with BPD, BPD vs complex PTSD, and the mental health guides.

Common questions

If I miss someone who hurt me, does that prove I have a trauma bond?

No. Missing a partner can reflect grief, familiarity, attachment, hope or practical connection. Traumatic bonding is one research hypothesis about attachment under intermittent maltreatment and power imbalance; it is not a test that can diagnose a person or relationship. [1,3,5]

Can a relationship be harmful even if there are loving moments?

Yes. Warm moments do not cancel threats, violence, coercion or other harmful patterns. Assess the repeated behavior and effects on safety and autonomy rather than judging the relationship only by its best days. [1,6,7]

Does attachment anxiety cause somebody to be abused?

No such causal conclusion follows from current meta-analyses. The reviews show correlations between attachment dimensions and victimization or perpetration; selection factors, stress, relationship context and measurement limits complicate causal interpretation. Responsibility for abusive acts remains with the person committing them. [3–5]

Is trauma bonding the same as limerence?

No. Limerence describes intense romantic preoccupation and longing, whereas traumatic bonding refers to a proposed pattern of attachment in coercive or intermittently abusive circumstances. Some experiences may overlap, but neither term should be used to diagnose a relationship from a brief story. [1,3]

Is leaving immediately always the safest next step?

Not necessarily. Separation can carry retaliation and other risks in an abusive relationship. Confidential advice from a specialist advocate and an individualized safety plan can help with timing, children, finances and digital safety. [7,8]

Does my partner need a personality-disorder diagnosis to explain hurtful behavior?

No. Harm is assessed by conduct and its effects, not by assigning a diagnosis to someone. People with any diagnosis can have healthy relationships, and abuse should never be inferred from diagnostic labels. [5,6]

References

10 sources

  1. 01
    Emotional attachments in abusive relationships: A test of traumatic bonding theory Dutton DG, Painter S · Violence and Victims · 1993Small nonrandomized study; associations, not causal proofProspective observational study of 75 women after leaving abusive relationshipsPMID 8193053DOI 10.1891/0886-6708.8.2.105
  2. 02
    The battered woman syndrome: Effects of severity and intermittency of abuse Dutton DG, Painter S · American Journal of Orthopsychiatry · 1993Historical observational study; diagnostic and terminology limitationsObservational research on severity and intermittent maltreatmentPMID 8267102DOI 10.1037/h0079474
  3. 03
    The Relation of Anxiety and Avoidance Dimensions of Attachment to Intimate Partner Violence: A Meta-Analysis About Victims Cataudella S, Rogier G, Beomonte Zobel S, Velotti P · Trauma, Violence, & Abuse · 2023Aggregated observational correlations; not direction-of-effect or diagnosisMeta-analysis of 34 studies examining attachment dimensions and IPV victimizationPMID 34779309DOI 10.1177/15248380211050595
  4. 04
    The Role of Attachment, Insecurity, and Stress in Partner Maltreatment: A Meta-Analysis Knox L, Karantzas G, Ferguson E · Trauma, Violence, & Abuse · 2024Pooled associations with substantial between-study heterogeneityMeta-analysis of attachment and perpetration of partner maltreatmentPMID 37036150DOI 10.1177/15248380231161012
  5. 05
    Understanding the mechanisms underlying the association between insecure attachment and intimate partner violence: Meta-analyses using two meta-analytical methods and a systematic review of mediators Wong I, Denson TF · Clinical Psychology Review · 2025Observational mediation models; cannot by themselves identify causal mechanismsSystematic review and meta-analyses including 63 eligible studiesPMID 40957364DOI 10.1016/j.cpr.2025.102645
  6. 06
    Domestic Violence US Department of Justice, Office on Violence Against Women · 2025Operational safety and policy framing, not an intervention trialGovernment definition and prevention resource
  7. 07
    Leaving an abusive relationship US Office on Women's Health · 2025Practical guidance; not controlled evidence of any specific strategy's effectivenessGovernment safety-planning guidance
  8. 08
    Plan for Safety National Domestic Violence Hotline · 2026Practice resource, not a randomized trialSpecialist survivor-centered safety planning guidance
  9. 09
    Women escaping domestic violence to achieve safe housing: an integrative review Stulz V, Francis L, Naidu A, O'Reilly R · BMC Women's Health · 2024Qualitative and mixed-method barriers, not causal intervention effectsIntegrative review of 12 survivor housing and service-access studiesPMID 38822284DOI 10.1186/s12905-024-03143-7
  10. 10
    Comparing Battered and Nonbattered Women's Reasons for Staying in Intimate Relationships Mehlhausen-Hassoen D, Winstok Z · Violence and Victims · 2026Reasons and barriers; no general population causal estimateSelf-reported cross-sectional sample of 926 Israeli womenPMID 41942285DOI 10.1891/VV-2025-0052

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Educational disclaimer: this article is for evidence review and educational context only. It is not medical advice, legal advice, or a recommendation to use any substance discussed.