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Examining Parental Alienation Treatments: Problems of Principles and Practices

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Abstract

When children of high-conflict divorced parents prefer one parent and resist or refuse visitation with the other parent, some authors have spoken of this situation as parental alienation (PA). PA refers to cases of avoidance of a parent in which the preferred parent is alleged to have manipulated the child’s thinking and created antagonism toward the non-preferred parent, and in which neither abuse nor neglect has been substantiated. Advocates of the PA concept have offered treatment methods that entail court-ordered separation of the child from the preferred parent, followed by intensive treatment and aftercare through specialized counseling, with separation and treatment sometimes lasting years. This paper examines the published evidence and other material related to the safety and effectiveness of PA treatments, and concludes that the treatments have not been shown to be effective, but are in fact potentially harmful. Suggestions are made for research approaches that could help to explain avoidance of a parent and that could yield effective treatment for such avoidance.

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.

    Book  Google Scholar 

  • American Psychological Association. (2000). Guidelines for psychotherapy with lesbian, gay, and bisexual clients. Washington, DC: American Psychological Association.

    Google Scholar 

  • Baker, A. (2008). Parental alienation syndrome: The parent/child disconnect. Social Work Today, 8(6), 26.

    Google Scholar 

  • Barber, B. (1996). Parental psychological control: Revisiting a neglected construct. Child Development, 67, 3296–3319.

    Article  PubMed  Google Scholar 

  • Barber, B., Xia, M., Olsen, J., McNeely, C., & Bose, K. (2012). Feeling disrespected by parents: Refining the measurement and understanding of psychological control. Journal of Adolescence, 35, 273–287.

    Article  PubMed  Google Scholar 

  • Baron, A. (2014). Is the inherence heuristic simply WEIRD? Behavioral & Brain Sciences, 37, 481.

    Article  Google Scholar 

  • Baumrind, D. (1971). Current pictures of parental authority. Developmental Psychology Monographs, 4, 1–103.

    Article  Google Scholar 

  • Bernet, W. (2008). Parental alienation disorder and DSM-5. American Journal of Family Therapy, 36, 349–366.

    Article  Google Scholar 

  • Bernet, W., von Boch-Galhau, W., Baler, A., & Morrison, S. (2010). Parental alienation, DSM-V [sic], and ICD-11. American Journal of Family Therapy, 38, 76–187.

    Article  Google Scholar 

  • Bowlby, J. (1982). Attachment. New York: Basic.

    Google Scholar 

  • Bradford, K., & Barber, B. (2005). Interparental conflict as intrusive family process. Journal of Emotional Abuse, 5, 143–167.

    Article  Google Scholar 

  • Childress, C. (2015). An attachment-based model of parental alienation. Claremont, CA: Oaksong.

    Google Scholar 

  • Childress, C. (2018a). An attachment-based model of parental alienation: Single case ABAB assessment and remedy. Claremont, CA: Oaksong.

    Google Scholar 

  • Childress, C. (2018b). Unpublished testimony. Yolo County, CA: Sahar vs Sahar.

    Google Scholar 

  • Croezen, R., Ander, N., & Jones, A. (2018). The voice of the alienated child. In J.-P. Boyd (Ed.), Children’s participation in justice processes (Presentation 10). Canadian Research Institute for Law and the Family. Retrieved from www.findingthebestwaysforward.com.

  • Dallam, S., & Silberg, J. (2016). Recommended treatments for “parental alienation syndrome” (PAS) may cause children foreseeable and lasting psychological harm. Journal of Child Custody, 13, 134–143.

    Article  Google Scholar 

  • Dimidjian, S., & Hollon, S. (2010). How would we know if psychotherapy were harmful? American Psychologist, 65, 21–33.

    Article  PubMed  Google Scholar 

  • Emery, R. (2005). Parental alienation syndrome: Proponents bear the burden of proof. Family Court Review, 43, 8–13.

    Article  Google Scholar 

  • Erikson, E. (1950). Childhood and society. New York: W.W. Norton.

    Google Scholar 

  • Fidler, B., & Bala, N. (2010). Children resisting postseparation contact with a parent: Concepts, controversies, and conundrums. Family Court Review, 48, 10–47.

    Article  Google Scholar 

  • Flatt, N., & King, N. (2010). Brief psycho-social interventions in the treatment of specific childhood phobias: A controlled trial and one-year follow-up. Behaviour Change, 27(3), 130–153.

    Article  Google Scholar 

  • Fristad, M., Ackerman, J., & Nick, E. (2018). Adaptation of multi-family psychoeducational psychotherapy (MF-PEP) for adolescents with mood disorders: Preliminary findings. Evidence Based Practice in Child and Adolescent Mental Health, 3(4), 252–262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Garber, B. (2007). Conceptualizing visitation resistance and refusal in the context of parental conflict, separation, and divorce. Family Court Review, 45, 588–599.

    Article  Google Scholar 

  • Gardner, R. (1999). Family therapy of the moderate type of parental alienation syndrome. American Journal of Family Therapy, 27, 195–212.

    Article  Google Scholar 

  • Gardner, R. (2002). Parental alienation syndrome vs. parental alienation: Which diagnosis should evaluators use in child-custody disputes? American Journal of Family Therapy, 30, 93–115.

    Article  Google Scholar 

  • Gardner, R. (2003). Does DSM-IV have equivalents for parental alienation syndrome (PAS) diagnosis? American Journal of Family Therapy, 31, 1–21.

    Article  Google Scholar 

  • Granqvist, P., Sroufe, L. A., Dozier, M., Hesse, E., Steele, M., van IJzendoorn, M., & Duschinsky, R. (2017). Disorganized attachment in infancy: A review of the phenomenon and its implications for clinicians and policy-makers. Attachment & Human Development, 19, 534–558.

    Article  Google Scholar 

  • Havighurst, R. (1972). Developmental tasks and education. New York: David McKay.

    Google Scholar 

  • In the Court of Appeals of the State of Washington. (2017). Retrieved from https://www.courts.wa.gov/opinions.pdf/pdf.759957.pdf.

  • Isicoff, J. (2015). Reunification in parental alienation cases. https://familylawyermagazine.com/articles/reunification-in-parental-alienation-cases/.

  • Johnston, J. (2003). Parental alignments and rejection: An empirical study of alienation in children of divorce. Journal of the American Academy of Psychiatry and Law, 31, 158–170.

    Google Scholar 

  • Judge, A., Bailey, R., Behman-Lippert, J., Bailey, E., Psaila, C., & Dickel, J. (2015). The transitioning families therapeutic reunification model in nonfamilial abductions. Family Court Review, 54, 232–249.

    Article  Google Scholar 

  • Lilienfeld, S. (2007). Psychological treatments that cause harm. Perspectives on Psychological Science, 2, 1–23.

    Article  Google Scholar 

  • Linden, M. (2013). How to define, find, and classify side effects in psychotherapy: From unwanted events to adverse treatment reactions. Clinical Psychology & Psychotherapy, 20, 286–296.

    Article  Google Scholar 

  • Meier, J. (2014). Child custody outcomes in cases involving parental alienation and abuse. Retrieved from http://www.ncdsv.org/GWU_Child-Custody-Outcomes-in-Cases-Involving-Parental-Alientation-and-Abuse-Allegations_4-25-2014.pdf.

  • Mercer, J. (2017). Evidence of potentially harmful psychological treatments for children and adolescents. Child and Adolescent Social Work Journal, 34, 107–125.

    Article  Google Scholar 

  • Mercer, J. (2019). Are parental alienation treatments safe and effective for children and adolescents? Journal of Child Custody. https://doi.org/10.1080/15379418.2018.1557578.

    Article  Google Scholar 

  • Miller, K., Fisher, P., Fetrow, B., & Jordan, K. (2006). Trouble on the journey home: Reunification failures in foster care. Children and Youth Services Review, 28, 260–274.

    Article  Google Scholar 

  • Nguyen, V., Witte, R., Rutanashoodeh, A., Villareal, M., & Horn, M. (2018). No oversight for programs advertising they reconnect children with “alienated” parents. NBC Bay Area Investigative Unit. Retrieved from https://www.nbcbayarea.com/investigations/No-Oversight-for-Programs-Advertising-They-Reconnect-Children-with-Alienated-Parents-499412851.html.

  • Pina, A., Zeir, A., Gonzalez, N., & Ortiz, C. (2017). Psychosocial interventions for school refusal behavior in children and adolescents. Child Development Perspectives, 3, 11–20.

    Article  Google Scholar 

  • Reay, K. (2015). Family reflections: A promising therapeutic program designed to treat severely alienated children and their family system. American Journal of Family Therapy, 43, 197–207.

    Article  Google Scholar 

  • Sameroff, A. (Ed.). (2000). The transactional model of development: How children and contexts shape each other. Washington, DC: American Psychological Association.

    Google Scholar 

  • Saunders, D., & Oglesby, K. (2016). No way to turn: Traps encountered by many battered women with negative child custody experiences. Journal of Child Custody, 13, 154–177.

    Article  Google Scholar 

  • Sullivan, M., Ward, P., & Deutsch, R. (2010). Overcoming barriers family camp: A program for high-conflict divorced families where a child is resisting contact with a parent. Family Court Review, 48, 116–135.

    Article  Google Scholar 

  • Tabachnik, C. (2017). They were taken from their mom to rebond with their dad. It didn’t go well. Washington Post. https://www.washingtonpost.com/lifestyle/magazine/a-divorced-father-his-estranged-kids-and-a-controversial-program-to-bring-them-together/2017/05/09/b50ac6f6-204c-11e7-ad74-3a742a6e93a7_story.html?utm_term=.efe145d8fc0a.

  • Walker, L., & Shapiro, D. (2010). Parental alienation disorder: Why label children with a mental diagnosis? Journal of Child Custody, 7, 266–286.

    Article  Google Scholar 

  • Walters, M., & Friedlander, S. (2010). Finding a tenable middle space: Understanding the role of clinical interventions when a child refuses contact with a parent. Journal of Child Custody, 7, 287–328.

    Article  Google Scholar 

  • Wamboldt, M., Cordaro, A., & Clarke, D. (2015). Parent-child relational problem: Field trial results, changes in DSM-5, and proposed changes for ICD-11. Family Process, 54, 33–47.

    Article  PubMed  Google Scholar 

  • Warshak, R. (2000). Remarriage as a trigger of parental alienation syndrome. American Journal of Family Therapy, 28, 229–241.

    Article  Google Scholar 

  • Warshak, R. (2010). Family bridges: Using insights from social science to reconnect parents and alienated children. Family Court Review, 48, 48–80.

    Article  Google Scholar 

  • Warshak, R. (2015). Poisoning parent-child relationships by the manipulation of names. American Journal of Family Therapy, 43, 4–15.

    Article  Google Scholar 

  • Warshak, R. (2018). Reclaiming parent-child relationships: Outcomes of family bridges with alienated children. Journal of Divorce & Remarriage. https://doi.org/10.1080/10502556.2018.1529505.

    Article  Google Scholar 

  • Warshak, R., & Otis, M. (2010). Helping alienated children with Family Bridges: Research, and the pursuit of “humbition”. Family Court Review, 48, 91–97.

    Article  Google Scholar 

  • Weymouth, B., & Buehler, C. (2016). Adolescent and parental contributions to parent-adolescent hostility across early adolescence. Journal of Youth and Adolescence, 45, 713–729.

    Article  PubMed  Google Scholar 

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Correspondence to Jean Mercer.

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Mercer, J. Examining Parental Alienation Treatments: Problems of Principles and Practices. Child Adolesc Soc Work J 36, 351–363 (2019). https://doi.org/10.1007/s10560-019-00625-8

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