Me.... (from post above)...
Having a secure "place" and providing for others' emotional needs are inextricably woven together. If they are not providing, they feel they are no longer part of anyone's world, and they have no value to anyone. Their self-esteem is completely dependent upon responding to others needs. In extreme cases, their "voicelessness" is so complete, so consuming, these "little voices" literally are silent for long periods of time. This is not a form of passive aggressive behavior (as has often been suggested) or even a retreat from relationships. Unless asked direct questions, they simply can't think of anything to say. "What do you want?" (now, this week, this year, during your lifetime) is impossible for them to answer. Early in their childhood they stopped wanting because no one paid any attention to their wishes. Their place in life was to know what everyone else wanted--this is the only place they felt comfortable and unthreatened.