Passive–aggressive disorder may stem from a specific childhood stimulus (e.g., alcohol/drug addicted parents) in an environment where it was not safe to express frustration or anger. Families in which the honest expression of feelings is forbidden tend to teach children to repress and deny their feelings and to use other channels to express their frustration.
Children who sugarcoat their hostility may fail to ever grow beyond such behavior. Never developing better coping strategies or skills for self-expression, they can become adults who, beneath a seductive veneer, harbor vindictive intent. Martin Kantor suggests three areas that contribute to passive–aggressive anger in individuals: conflicts about dependency, control, and competition.