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Factors Affecting Reconciliation Between the Child and Target Parent in Severe Parental Alienation Syndrome

Authors:
  • Professional Development Resources / Latham Foundation

Abstract

FACTORS AFFECTING RECONCILIATION BETWEEN THE CHILD AND TARGET PARENT IN SEVERE PARENTAL ALIENATION SYNDROME Deirdre Conway Rand and Randy Rand OVERVIEW & INTRODUCTION This chapter explores factors affecting reconciliation between the child and target parent in severe parental alienation syndrome (PAS), where the parent-child relationship has been seriously damaged or destroyed. “Severe” includes several types of scenarios: child obsessed with denigrating the target parent; child displaying chaotic, destructive and bizarre behavior in response to intense post-divorce conflict over which parent will stay and which parent will go; child abducted by the alienating parent; child involved in false allegations of sex abuse; little or no contact with the target parent for a period of several years or more. Alienation is the process by which the child’s love for the other parent is extinguished and replaced by an attitude of reflexive hostility. Reconciliation is the process of reversing alienation and becoming open to the relationship once more. Some severely alienated children eventually seek out the target parent on their own and are able to reconcile, but little is known about how often this occurs. Gardner (2001b) conducted a follow-up study of 99 PAS children in which spontaneous reconciliation appears to have occurred in four of 77 cases, or 5 percent. Stuart-Mills-Hoch & Hoch (2003) estimated that spontaneous reconciliation occurred in 10 percent of severe PAS cases. This chapter provides numerous case examples with this type of positive outcome, as well as descriptions of failed reconciliation attempts, and worst-case scenarios. Case reports from published sources, and from our own work over the last 30 years are used to explore the factors associated with reconciliation of the child and target parent in severe PAS. The published cases were drawn from the professional and popular literature, including books, articles in journals and magazines, and newsletters of non-profit organizations. The vignettes designated "case known to authors" are based on the accounts of parents, children, and colleagues we have encountered over the years. They were disguised in accordance with the Publication Manual of the American Psychological Association (2001). In the 1970s, we were fortunate enough to interface professionally with Wallerstein, Kelly, and Johnston, as their research on children of divorce was getting underway in Marin County, California. This exposure stimulated our interest in high-conflict divorce and interventions that enable children to have relationships with both parents. We learned about parental alienation in the 1980s, when Gardner began writing about PAS. In the 1990s, interventions with severe PAS families became a focal point of our work. The reunification protocol we follow involves the whole family, including the alienating parent. Children who have successfully reconciled with the target parent after participating in our brief, intensive intervention (4 days on average), typically feel that the alienating parent would benefit from the program as well. It all comes back to the idea that children of divorce, like children in intact families, need both parents.
FACTORS AFFECTING RECONCILIATION BETWEEN
THE CHILD AND TARGET PARENT


OVERVIEW
This chapter utilizes case vignettes from published sources and the experience of the authors to
explore factors affecting spontaneous reconciliation between the child and target parent in
severe Parental Alienation Syndrome (PAS). Factors which facilitated reconciliation included
maturity, emancipation from the alienating parent and living apart for awhile, pre alienation
bond with the target parent, alienating parent’s anger, trigger events such as a death in the
family, and support of family and friends for parent and child to reunite. The parent-child bond
was found to be quite resilient in some cases, with the initial reconciliation occurring in a matter
of weeks, despite years of alienation. The desire of parent and child for the relationship, and
the effort they were willing to put into rebuilding it, were essential.
INTRODUCTION

        !   
"#$%"&
' "(
!'
"'"'
#
)"
   "   #      
#
*
"+"
    "   + "    "# , -..*
"!""//"
""00 1# "!2!343-..5
" "  *.     #  
""" 
 !#
"" "+5.
"
#""" "
+  6" (  !(# 
7+"7"  
""# "
"2"-..*#
8  */0.   " "     9
:  ;   "  2
" #  " " "   !  
        # 9  "
    */<.  ,   " # 8  *//.
          " +#  "
 "# 
 ""         "  
= "
-
# 8+ +
 #
MATURATION AND RECONCILIATION
>
#            
   "
:+ *//*#2" 
#
8 ""
#"
"+"#? 
"# 
"#8
         "        
"""+""# 8
            
"# 
@""#
"
+#,*//<
"
# A+ 
"@"A+ !
5
### # 8A+B" "
#
TRIGGER EVENTS
"
 " )"   "#
"&"'6
'"" 
# 
 "9+ -...# ? 
   "         *<!!  
    
C-0 , -..*#
RECONCILIATION IN ADULTHOOD
8 
# ?-.    
"#" 
" @"# "  !       " @"
 #   "+ # 
 "   "  + " "
 "  "#
D+B+
@""#"
=
" -..*# "
"# "
"#$88+"E3 
""#)>""
# "7D+ "### */// #F#
   +  "     "  " 
    :+B    9 4 A+
*/</#" 
# 8 :+"
# 3  ":+
#  "  -. :+B"#
:+""
)#3 "
#
     7     A7
" 
-.=0#
"=.# A+ "
=.7""7
# -- A+  ### # "  !
@"#
1
WORST-CASE SCENARIOS
   77  +
"#" 
"#3 # "
             
"# 8"""#8
! + #
9    ""    
" ""A+ !###
-..1' D+ -..*'  *//*' G" *//-#     
""+
#"*0 $H 8
"#8# 8) "8
I"J7 *//* #-.5#"+
#G""
6+*<#D+*0!!"
       "     #   " 
" 6""+#A+ 
"+""
"B"# "
 ""@""#
9   "  
"" 
F
-...';4 *//0' *//*'9+ -..5#
#
""""
" + "    !!
" +6" 
""
""
 "# " 
 "     "B 6" 
        "  ; 4
 *//0 #**!*-#
8+" "!
""# "#
         "#    
B #8" 
+#,-..*"
#""
#H$#%
9+"
#3 
""#
-... "
0
# !""""
+ #
?     +
" +#
PROS AND CONS OF "LETTING NATURE TAKE ITS COURSE"
"+77"
"    
"#!7"
+"#7
""*//* ,-..* -..1
   
#("""
# 3 "
" #
9"""+
"9 -...#79
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  #        # 3   -<
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    6#  A+ 
""
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""
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0=0A+ 
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#"&
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28"#?"
"#8
#9+ 
""#9 */// #-#
MAINTAINING CONTACT
   "         
 77
H4? -..*'"4: -..*#":"
776
  "
#" "
@"7
#7
" :" 78 " 
7#5*5#@" "
M"!2!343-..5 
77""+
       "   
6"#A" 
" think "
  6"
""#*5#
*.
""@" 
2" ")" 8)"+"
"# N""O>
")" 8)"""+
#*5#
     G"   -..*   
  
"#8"+ "
"" # 2 A+B
" "     A+
 #
A+B"
" "( "
""  
   A+  !
### # 26#+
+     "  
B# 8" +  
 """" 
6#
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Professional Literature
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  "  "  "  !
# @"$%
)"+94: */<.'
, */</';4 *//0# 2"
" ""+ (  
"9#
,-..*""
+"#
,"""
"#3"
L,( """#
8,)        
" "+
"#
A+       #  "
 =." 
   (           
"    A+ +  ### -..1# 
"6"
"# 
" "# 
 A+B"6(
"6 "B
*-
  #"
A+(B" 
;B77; -..5#
8( A+**
  "      " (  
&*"'-"
' 5       ' =  
"'1'F'0'<
  ' /       ' *.  " 
'**#
)
# ,-..*
"!""//7""?
GK 9   M7     "
   "# 8       " K 
)"# 8 "+77$
%#"
"# ?" 
$% /*!"#
  ""
C-0 C-< C<1 C/F#
  -..1 " !" "  =1    :+)
  " "  #  "     "
*5
" "
"#       " "& " 
 "# B6" 
"!"#
 "-.   
 "# 
""# "

   "    77    
9+ -..*'A+ -..1#
D""!"# 8
""" 
# "
""  "" 
#
""1**#
" 
         "      
!"#?" 
"        "#      
"   "  # ?
     "       !"#
*=
   " "     
#
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+""" Icebound
>4G -..*Lost Children -...# > 
  "
"""#+6"
##
"#> !
"""# 3
"@""#
Lost Children "
-- 
"#+
#"@""!" 
"""#
Voice of the River ""26"*/<0
"L"+#"
#3""
"#
"""(#
D+)      Ladies Home Journal  -..*#
Reader’s Digest"""
*1
     -..-# Coup de Pouce D! (
"! " ) + 
"G" *//-#"
#""#+
) #      
"# "+
 + +"# 8
"#
;) 72D:: 7" Parents Magazine
 -...##
" 
#36# "
    " "  !   "    #
 "#  *F*5
+"#
D+  "!
  The Link "  "  "   !
#  "H ")) D+  "B
 *///#  "   "    
 "  +# "  
" #
 ADVO Newsletter "  $) H+  8 2 
 % "   " 
*F
"7+""### 7-..*# )
"G?#$+""
O 6"+"" 
""7#=#
      " 
#DB " """ 
 "B#
2A)   "   FMS Foundation Newsletter A4A
-..* "7?)
6"### 7-..*#
">2
L### -..1#
8  */<* F!!  "  +   "
# 3+"
"###-..5 2###
!""### 
  >2LB !+
""###2-.B" 
"#
 "B       # 9      
 #
A:"B"" "A>
 "+3" *//<# "
*0
"#9
-. #3 
#
2 ) "        
 #
   *///       # 3 
@""# "
#  7+
""I"J#7 "
 +# A*F *0  "  
"  "    "#
     
"#
ALIENATED CHILDREN WHO CHOSE TO
LIVE WITH THE TARGET PARENT IN ADOLESCENCE
Case Examples From the Literature
 RichBrian,
        @"   "
D*F4*0  -..1#8 "
     #        
#"
*<
# 36 "6
!#!" ++"
# A+,L!"# :&
'"!
'B"'
#
Dave        "      
"B"
C-0 , -..*#*< 
B "@"
#B"C-<#:
& "' B (     +   ' 
KB@"'B++6"
#
Case Examples Known to the Authors
Steve""#
9! +(#3
#"
 "   ) "  # 3   
)#   
# :& KB
'    " +'    ' "  B
#
*/
JoAnn's "  " " 
 #;/
#+ 
   "  "# ;  "    
# 3"# 3 
#:&B(
'B"''
"#
Helen's "#+"
##
3  "  3B  # 3      
"#*0 3#
+3+#3
"#:& 
'"+
'3B"
3B#
Tim "# "
"#"
 "#
##*F 
+# 
B )"# 3"
-.
#3 B#
# 3 """# 3
   # : & "' B    
'"'#
CHILDREN WHO EMANCIPATED
AND SOUGHT TO RECONCILE SOON AFTER
Case Examples From the Literature
Larry+ 
"9 -...# "
# 3 "   "       "   #
9 H     +     6 # H
""*/ *-
      # : &   6 H'
"'*-'BHB
"#
CecilieD+""# 
*F ""#+
#"*< "
6# 
  "          #
2 "B   "    "  "# 
""# 728
-*
#  " 8  8B
"7D+ "### */// #0#:&"
'""''
""'"
"#
IreneC
/F , -..*#" "#
 "   "   #  
""  # 8     "    
B# "
# 
 8(
# 9*< # :
&"'B'
'B#
Case Examples Known to the Authors
9 Ron     6   
"#37#7#
#9*< "
"# #"
 #:&"'
  B  "'      "' B
' "#
--
Vincent's 
  7 7      # 8   G " 
6 "#6"
G##
D""#"
 !# D    # G  
"+#3
     # : &     
'    "  ' G    
"#
RECONCILIATION IN THE TWENTIES AND BEYOND
Case Examples From the Literature
Aric"" ### -..1#
3#"+
>2>2L#9" >2L
"B"
# >2L         !
"# B        #    ( 
# A
+"""# "
+     # :&
K"''
-5
       '   (' >2LB  
"'"#
Pete        "  
D*.  -..1#"6 ""
"#""#"
"
#          
# D     # :
&K"'"'
""' #
Marjory "*/<0#
 B#26B
26# 26# 3
""#3(
26B"#"26
" # 3              
D# 26 B      <=# : & 
K" " '  ""'
B   7'7  "   "   '
(
Maxine "  "  
A4A -..*#9")
" 2 
-=
#2"
#2+""(#
 "  "   "# 9
"   "     2 " (  
     "  #  " "    B
"       2     "
"# L " 2  $8 
+"8"#/#%:&2
 B  ' "  2B "   
'B#
Greg"*1 
?)6"### -..*# D*< ,#
3  " " ""# 
B#3+
#!++"#
+#:&KB'
"'"'
"#
Denise's  "          
  , *//<# A    "  6 "   
"#3
7 #7 8  !  "      
, *//<(
-1
  #            + 
#   "
#:& '
""''"
"#
Case Examples Known to the Authors
Liz's  "
*=# " H(" "
"#H(B
"# "6"
H(B1.# "H(
 ""#H(@"
"""#H(""#
9H( 
B+""# H(
( " +         # :
& H(""'
""'(B"
 '""#
Wayne "#3 
#9H"#3
"+"#9+"
" "!"# 
-F
       #      
"#   9   P5 ...#     
#9B
  # : &  6"   B  '
'"
#
9 Bea's  A "
# +""
# A"
"#?""#A
)# A
# $8 E8  )"" % A
#$8(#%A""
"#:&"'B'
"'""'"#
Frank" 
 (#D+-.
"    # 3   "      
+&
D8" 8+
8"#8
    "         
" #>!"#8(8)
-0
+ 2"
  # 8)"82)
#
:&"'("'D+B
!'"#
Ed’s              
 #  +  "#
  "#L "
#D 
"#"#L+"
#3+
"" "#:&
"' " '  +
#
Sylvia's  " "  "  " 
77#D "
#3"
 # )
 +#
! ""#B"
"##
Q# B
# 3  "   "       # : &
-<
 KB '    "'   
"'(''"B
"B#
DISCUSSION
Factors for Children who Reconciled in Adolescence
D    
   "&  '     " 
''"'(
"'
      !     '
' A'       # 3B   
""
#
8             
 # 
"  " +B6# 8 
 B
B
#
Children who Emancipated and Reconciled Soon After
           
"&"'""
'B'6
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''
' "  "' 
B"'"
'"'""*-
#
L+"
""# 8 
"""+
  *F# D8   B 
""#B+
" "   "  "       
#GB" "G"
"" 
#
HB""6
 # H"  "
"#*/ 6*- 
"H""+#
Children who Reconciled in Their Twenties and Beyond
"" 
#D""'""
 ' "   "  '
  "'  
5.
    ' ""     '
('+""("B
  BB'  K
 '  +"  
'"'
"#
D    "&  "   ' 
6 '"
"''
""#
D     "&  "   "' B
 "  ! '     
"'+B"'B
 "' "
B""#
""&B
B''+
''"
77"'B"
'B'
" "  +  @"" 
''
5*
"+' 
#
CONCLUSION
8" )      
      #      "    
  #  !    @"    #
"
#  $8 8)+"
 ""#%
8             
   " # "
" +""
-.#=.#8
 
""#
8A,BA+" -< ,"
+" 
    " !!
#3The Love of a Parent
for a Child , */0.#R "
+#
 $:"
#"#%
5-
REFERENCES
A+ #;#-..1#L"#8#;#A+
Adult children of parental alienation: The ties that bind children to emotionally abusive parents #
2"""#
A+ #;#-..1# !"&
@""#American Journal of Family Therapy 55= -</!5.-#S
A+ #;##&@"""
#American Journal of Family Therapy#
A+ #;# -..1#  (  " # 8 #;# A+ Adult
children of parental alienation: The ties that bind children to emotionally abusive parents#
2"""#
A 2# 4A# A#-..* K?#2#False Memory Syndrome
Foundation Newsletter *.1 /#
 # 4 A#*//*#Children held hostage: Dealing with programmed and
brainwashed children#&A#
 2#*///#8 "I2#=/0J# 2
T&KK!+U"#V#
 #-...). Lost children: A guide for separating parents#H&G,
"#
" 2# # */<0# Voice of the river: An autobiography with John Rothchild#
 DH&#
D+ #*/// K"#"&2#The Link - F!0#
D+ #*/// K"#")#The Link - 5#
D+ #-..* #"#The Link = *!-#
, ##*/0.#The Boys and Girls Book About Divorce#> >;&;
8#
, ##*/</# Family evaluation in child custody mediation, arbitration, and
litigation#+ >;&"#
55
, ##-..*##8##, Therapeutic
interventions for children with parental alienation syndrome# + >;& 
"#
, # # -..*# " "     K  
M!""#American Journal of Forensic Psychology /5 F*!*.F#
, # 2## *//<#  2    &
9")#8,#DL#  The Mother-
daughter relationship: Echoes through time#-.0!--1#> >;&; 8#
3" H#*//<#L" +#A
> T&KK#A>L9#V#
; ;#-..5#6&"
#Journal of the American Academy of Psychiatry and the Law 5* *1<!*0.#
; ;# 4 H#*/<<#Impasses of divorce: The dynamics and resolution
of family conflict#>N+&D 2 8#
; ;# 4 G#*//0#In the name of the child: A developmental approach
to understanding and helping children of conflicted and violent divorce#>N+&D#
:+ H#*//*# Parental alienation syndrome: recent research#
*1"" : #
H 2# 4 ? >#-..*#  "  
"#Family Court Review 5/5 -<-!-/<#
>2  L # Search for and recovery of Aric
Austin#  ;" -/ -..1 
T&KK#+#K+KKM
H""WXR48W*FF.V#
> ;# 4G 2#-..*#Icebound: A doctor’s incredible battle for survival at
the South Pole#>N+&3#
?)6"*<#-..* >K# False
Memory Syndrome Foundation Newsletter *.F *.!**#
Publication Manual of the American Psychological Association D ## -..*#
9##&#
5=
 #  # 4 :+ H# -..1#  "   
  888&  :+ !" "# American Journal of Forensic Psychology
-5* *1!=5#
+""#-..* #ADVO Newsletter *!=#
 2#-..- #A "#Reader’s Digest **/!*-=#
 ;#-... #2++#Parents *F0!*05#
 ;#*//*##Issues in Child Abuse Accusations
5= -.5#
 2#-..* ""#:#Ladies’ Home Journal **=!*1*#
"!2!3 # 43 #-..5#""
   # 89# (+ 4 # : L# The Parental Alienation
Syndrome: A interdisciplinary challenge for professionals involved in divorce # -15!-FF#
A ,&A9G!G"9A"#
" 2# 4: ;#-..*#H
#Family Court Review 5/5 -//!5*1#
G" # 4  ,# -..*#   )   
#American Journal of Family Therapy -/ *<*!*/*#
G" ;#*//- ?#D"&D""
 I9  & ?  + J# Coup de
Pouce Magazine *.5!*.0#
9 ;# 4A+ #*/</# Second chances: Men, women and children a
decade after divorce#>N+&3"2#
9 ;# 4: ;#*/<.# Surviving the breakup: How children and parents
cope with divorce#>N+&AA+ 8# "#
9 ;# H ;# 4A+ #-...# The unexpected legacy of divorce: A
25 year landmark study#>N+&3#
9+ #-...##American
Journal of Family Therapy -< --/!-=*#
9+ #-..*#Divorce poison: Protecting the parent-child bond from a vindictive
ex#>N+&3"#
51
9+ #-..5#A&+"
#Family Law Quarterly 50- -05!5.*#
5F
... The respondents reported that the realization they had been manipulated was caused by significant events (n = 2) or occurred over longer periods of time during which the respondents achieved a certain level of maturity (n = 4). These data confirm the results of several studies on the subject that have signaled the importance of maturity and of pivotal events in overcoming parental alienation (Baker, 2007;Darnall & Steinberg, 2008a, 2008bRand & Rand, 2006). Such changes in the respondents' perspectives triggered the desire to set certain limits in their relationship with the alienating parent. ...
Article
This qualitative study concerns the life paths and lived experiences of 6 adults who have been alienated from a parent in the past. The results suggest several hypotheses concerning the factors that might place children at risk of being alienated from a parent. The presence of postseparation conflict and, in some cases, domestic violence, as well as the triangulation of the child appear to be elements that favor the emergence of parental alienation. Moreover, this study supports a multifactorial explanation of parental alienation. In the scope of lived experience, respondents associated alienation with difficulties at school, internal and external behavior problems, and a search for identity after reaching adulthood. Finally, overcoming the state of alienation involves issues surrounding the establishment of boundaries with the alienating parent and the rebuilding of a relationship with the alienated parent.
... Some new, innovative and exciting programs have been developed that also attempt to address the problem in an intensive and concentrated manner (see Family Bridges, Warshak, 2010, andRand, 2006; and the Overcoming Barriers Camp, Sullivan, Ward, & Deutsch, 2010). However, once the family returns to their home community, each such program also includes some form of clinical intervention, implemented by local mental health professionals, in order to sustain initial gains and establish a more lasting shift in the family dynamic. ...
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This article provides a detailed explanation of the use of clinical interventions, such as the Multi-Modal Family Intervention (MMFI), in situations where a child resists or refuses contact with a parent. Geared toward a multidisciplinary audience of judicial officers, family law attorneys, and mental health practitioners, the authors guide the reader through the conceptual formulations of the ways these interventions can be helpful and then offer three case examples that demonstrate the practical application of the concepts. The authors believe that effective clinical intervention is essential in resolving the resistance/refusal dynamic, and it also enables the child to experience and maintain a tenable space where having relationships with both parents is possible.
... Writers have followed cases and observed spontaneous reconciliations, or degrees of this Darnall & Steinberg, 2008a, 2008bRand & Rand, 2006;Vassiliou & Cartwright, 2001). Maturation, independence, emancipation and life cycle trigger events, such as graduation, a rift in the relationship with the custodial parent, death or serious illness of a family member have been identified by these writers and clinicians as precipitants for a reconciliation, sometimes years later. ...
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This article provides an overview of the key concepts, themes, issues, and possible mental health and legal interventions related to children's postseparation resistance to having contact with one parent. We maintain that the too often strongly gendered polemic on alienation and abuse is polarizing and needs to be replaced with a more nuanced and balanced discussion that recognizes the complexity of the issues so that the needs of children and families can be better met. This article reviews the historical development of the concept of alienation; discusses the causes, dynamics, and differentiation of various types of parent child contact problems; and summarizes the literature on the impact of alienation on children. These are complex cases. A significant portion of the cases in which alienation is alleged are not in fact alienation cases; for those where alienation is present, interventions will vary depending on the degree of the alienation. More severe alienation cases are unlikely to be responsive to therapeutic or psycho-educational interventions in the absence of either a temporary interruption of contact between the child and the alienating parent or a more permanent custody reversal. We conclude with a summary of recommendations for practice and policy, including the need for early identification and intervention to prevent the development of severe cases, interdisciplinary collaboration and further development and research of interventions.
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Introduction The aim of this study was to explore the experiences of voluntary reunification from the perspectives of adult alienated children and targeted parents Methods Nine adult alienated children and 12 targeted parents participated in semi-structured interviews which were transcribed verbatim and analyzed thematically Results Six themes emerged in the data from the adult alienated children including catalysts for reunification, factors influencing reunification, adult alienated child relationships, the role of communication in reunification, adult alienated child understandings of alienation post reunification, and the role of therapy in reunification. Three themes emerged from the targeted parents including what is reunification, factors impacting reunification, and life after reunification. Discussion Findings from the present study offer novel insights into the experience of voluntary reunification from the perspectives of both adult alienated children and targeted parents. They illustrate that voluntary reunification is a process that takes time. This process can span decades and can include periods of connection and rejection.
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Although parental alienation disorder (PAD) is a serious mental condition affecting many children and their families, it is not an official diagnosis or even mentioned in the Diagnostic and Statistical Manual of Mental Disorders. This article presents arguments for considering PAD a diagnosis: PAD is a prototypical example of a relational disorder; the phenomenon of PAD is almost universally accepted by mental health professionals; PAD is a valid and reliable construct; adopting criteria for PAD will promote systematic research; adopting criteria will reduce the misuse of the concept of PAD; and adopting criteria will improve the treatment of children with this disorder.
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Parental alienation is an important phenomenon that mental health professionals should know about and thoroughly understand, especially those who work with children, adolescents, divorced adults, and adults whose parents divorced when they were children. We define parental alienation as a mental condition in which a child—usually one whose parents are engaged in a high-conflict divorce—allies himself or herself strongly with one parent (the preferred parent) and rejects a relationship with the other parent (the alienated parent) without legitimate justification. This process leads to a tragic outcome when the child and the alienated parent, who previously had a loving and mutually satisfying relationship, lose the nurture and joy of that relationship for many years and perhaps for their lifetimes. The authors of this article believe that parental alienation is not a minor aberration in the life of a family, but a serious mental condition. The child's maladaptive behavior—refusal to see one of the parents—is driven by the false belief that the alienated parent is a dangerous or unworthy person. We estimate that 1% of children and adolescents in the U.S. experience parental alienation. When the phenomenon is properly recognized, this condition is preventable and treatable in many instances. There have been scores of research studies and hundreds of scholarly articles, chapters, and books regarding parental alienation. Although we have located professional publications from 27 countries on six continents, we agree that research should continue regarding this important mental condition that affects hundreds of thousands of children and their families. The time has come for the concept of parental alienation to be included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), and the International Classification of Diseases, Eleventh Edition (ICD-11).
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