Parental Alienation, Estrangement, and Effective Interventions
Parental alienation occurs when one parent manipulates a child into rejecting or fearing the other parent without legitimate justification.
This phenomenon often arises in high-conflict divorces or separations and can have devastating effects on the child’s emotional and psychological well-being.
However, not all contact issues between a parent and child stem from parental alienation. It is crucial to distinguish parental alienation from estrangement, as each arises from different circumstances and requires vastly different treatment approaches.
Understanding Estrangement – Justifiable Rejection of a Parent
Dr. William Bernet, renowned child psychiatrist and esteemed researcher, explains the distinction between estrangement and parental alienation in the comprehensive book Parental Alienation Science and the Law.
He highlights that estrangement occurs when a child justifiably rejects a parent due to valid reasons, such as abuse, neglect, or other harmful behaviors.
In contrast to parental alienation, where a child’s rejection is shaped by the influence of the other parent, estrangement arises from the child’s authentic, reality-based reaction to the abuse they endured from the parent in question.

Key Features of Estrangement
Justifiable Rejection
The child’s resistance to or rejection of a parent is based on actual experiences of harm, such as:
- Physical, emotional, or sexual abuse.
- Chronic neglect or abandonment.
- Substance abuse that endangers the child’s safety or well-being.
Unlike in parental alienation, the child’s perspective is grounded in reality, and their rejection is a protective mechanism.
Focus on the Parent’s Behavior
The estranged parent’s harmful actions or failure to provide a safe, nurturing environment are the primary cause of the breakdown in the parent-child relationship.
No External Manipulation
Unlike parental alienation, there is no evidence of one parent manipulating the child’s feelings or undermining the other parent.
Why It Is Essential to Rule Out Estrangement in Cases of Parental Alienation
Accurately distinguishing between estrangement and parental alienation is critical because the two situations require vastly different therapeutic approaches.
Misdiagnosing estrangement as parental alienation can further harm the child by forcing reconciliation before addressing the root cause of their rejection.
Much of the controversy surrounding parental alienation stems from cases where a parent claims the child’s rejection is the result of the other parent’s alienating behaviors, while the true cause lies in the rejected parent’s own history of abuse and/or neglect.
Rather than acknowledging their actions, the rejected parent deflects responsibility by blaming the other parent and the child.
Consequently, it is essential for a trained, competent evaluator to thoroughly assess the situation to determine whether or not abuse is present and accurately identify the root cause of the child’s rejection.
Forcing a child into therapy with an unsafe or unchanged parent risks invalidating the child’s experiences and emotions, further damaging their mental health.
Safety Assessment
Reunification therapy or parent-child contact should only proceed once a neutral evaluator determines the parent is safe and has made meaningful progress in addressing their issues.
Child-Centered Therapy
In cases of estrangement, when therapy does begin, it should focus on the child’s needs and emotional safety, with no pressure to reconcile until they feel ready.
The Importance of Tailored Treatment
Treatment for parental alienation is an entirely different process. Each level of parental alienation presents distinct challenges, and treatment must be customized accordingly.

Mild Parental Alienation
The child resists spending time with the targeted parent but engages positively once together. Therapy should include prevention-focused family therapy, education, and co-parent counseling.
Moderate Parental Alienation
The child shows stronger resistance and echoes the alienating parent’s grievances. The most effective treatment is family therapy and should explore false narratives and toxic dynamics like triangulation and enmeshment.
Severe Parental Alienation
The child completely rejects the targeted parent with intense hostility. As discussed later in this article, intensive family reunification therapy, custody reversals, and legal accountability may be required.
Why Tailored Treatment Matters
Misdiagnosing estrangement, the severity of parental alienation, or applying traditional therapy inappropriately, can worsen the situation.
For instance, in severe cases, traditional therapy fails because the child remains in the alienating parent’s care, where the manipulation continues or escalates.
Contrary to traditional approaches for addressing parental alienation, individual therapy for children is contraindicated (not recommended).
Therapists are trained to join with clients and empathize with their narratives, which can inadvertently reinforce the child’s manipulated or coached beliefs about the rejected parent.
In cases where false narratives have been instilled, individual therapy risks compounding these misconceptions rather than addressing the underlying dynamics.

As Dr. Bernet emphasizes, understanding the severity of alienation and implementing level-appropriate interventions is critical for protecting the child’s well-being and fostering healthier family dynamics.
By recognizing these distinctions, legal and mental health professionals can better support alienated families and work toward repairing fractured parent-child relationships in a manner that prioritizes the child’s emotional health and safety.
READ MORE: Successful Reunification Therapy for Parental Alienation
Why Traditional Therapy Fails in Severe Parental Alienation Cases
Severe parental alienation presents unique challenges that render traditional therapeutic (weekly, outpatient) approaches not only ineffective but potentially harmful.
According to Clawar and Rivlin’s seminal book, Children Held Hostage, their 20-year study on this phenomenon highlights how traditional therapy exacerbates the issue rather than resolving it.
Understanding why traditional therapy is problematic in these cases underscores the need for specialized interventions.
The Child Remains Under the Influence of the Alienating Parent
In severe parental alienation cases, the child typically resides primarily or exclusively with the alienating parent. This parent maintains significant control over the child’s thoughts, behaviors, and environment.
Even if therapy encourages the child to reconnect with the alienated parent, the alienating parent often undermines progress by intensifying their manipulative behaviors.
The child is caught in a psychological tug-of-war, forced to navigate conflicting loyalties. Traditional therapy does not adequately address this dynamic and often leaves the child more entrenched in their rejection of the alienated parent to appease the alienating parent.
Escalation of Alienating Behaviors
Clawar and Rivlin found that alienating parents frequently “double down” on their tactics when the child shows signs of re-establishing a relationship with the alienated parent.
These behaviors can include:
- Increasing denigration of the alienated parent.
- Imposing guilt on the child for reconnecting.
- Creating more false narratives about the alienated parent.
Traditional therapy does not have mechanisms to stop this escalation, leaving the child vulnerable to heightened psychological maltreatment.
Increased Risk of Psychological Maltreatment
Severe alienation often involves psychological abuse, where the child is conditioned to believe false narratives about the alienated parent.
When traditional therapy encourages the child to reconnect with the alienated parent, the alienating parent may retaliate by intensifying their manipulation, which places the child at further emotional risk.
The child’s ongoing exposure to this toxic environment can worsen their psychological distress, leading to anxiety, depression, and identity confusion.
Lack of a Structured or Neutral Environment
Traditional therapy typically relies on voluntary participation and assumes that all parties are equally invested in resolving the conflict.
In severe alienation cases, the alienating parent is often hostile toward therapy and may actively sabotage the process.
This sabotaging behavior can manifest as:
- Refusing to comply with therapy recommendations.
- Coaching the child to resist therapy.
- Turning the therapy sessions into a platform to disparage the alienated parent.
Children’s Reluctance or Resistance
Severely alienated children often vehemently reject the alienated parent and may view therapy as a forced reconciliation with someone they perceive as harmful or unworthy of their affection.
Traditional therapy does not adequately address the deeply entrenched false beliefs instilled by the alienating parent, leaving the child resistant to therapeutic efforts.
How Traditional Therapy Harms Rather Than Helps
Reinforces the Child’s Loyalty Bind
By encouraging the child to maintain a relationship with both parents without addressing the alienating parent’s behavior, traditional therapy places the child in a loyalty bind.
The child feels forced to choose between pleasing the therapist (and alienated parent) or staying loyal to the alienating parent, which perpetuates their distress.
Enables the Alienating Parent
Without a clear intervention to hold the alienating parent accountable, traditional therapy inadvertently enables their behavior. The alienating parent may use the therapeutic process as “evidence” to further manipulate the child or discredit the alienated parent.
READ MORE: Judging Reunification Therapy – What Courts Need to Know
Fails to Protect the Child from Ongoing Abuse
As Clawar and Rivlin emphasize, severe alienation is a form of psychological abuse. Traditional therapy that allows the child to remain in the alienating parent’s care fails to remove them from this harmful environment, perpetuating their exposure to ongoing maltreatment.
Family Therapy – The Most Effective Treatment for Parental Alienation
Family therapy is widely recognized as the most effective treatment for addressing parental alienation, particularly in moderate to severe cases. Family systems therapy draws heavily from the work of Dr. Salvador Minuchin, a pioneering child psychiatrist often referred to as the father of family therapy.
Dr. Minuchin’s innovative research on family systems and the harmful effects of triangulation and enmeshment has shaped modern interventions for alienated families.
LEARN MORE: Dr. Salvador Minuchin
His work underscores the need to address the entire family system to foster healing and restore healthy relationships.
In cases of parental alienation, family therapy is typically conducted separately with each parent and the children.
This approach is adaptable to all three levels of parental alienation, with treatment plans tailored to the specific needs and dynamics of each situation.
Services Tailored to Severe Parental Alienation
Given the severity of severe parental alienation—where the child completely rejects the targeted parent without justification—specialized and intensive interventions are required to address the deeply entrenched dynamics and foster healing.
It is important to note that these approaches are specifically tailored for severe cases and may not be necessary or appropriate for mild to moderate levels of parental alienation.
Intensive Family Reunification Therapy
Intensive family reunification therapy, rooted in family systems theory, focuses on repairing the relationship between the alienated parent and the children by addressing and restructuring dysfunctional family dynamics.
This approach prioritizes rebuilding trust and challenging the false narratives implanted by the alienating parent, guiding the child toward a healthier, reality-based understanding of their relationships.

Through realignment of family roles and boundaries, the therapy works to strengthen the bond between the alienated parent and the children, reduce dysfunction, and establish a balanced family structure that fosters open communication, emotional healing, and long-term stability.
Temporary Custody Reversal
Courts may transfer custody to the alienated parent, removing the child from the alienating parent’s influence. This neutral environment is often crucial for meaningful progress in repairing the parent-child relationship.
Court-Enforced Accountability
The alienating parent must be held accountable through legal measures, such as mandated therapy or sanctions for non-compliance, to ensure cooperation and mitigate further harm to the child.
Systems-Based Family Therapy: A Gold Standard for Alienation
Decades after Dr. Minuchin’s groundbreaking contributions, systems-based family therapy continues to be the gold standard for treating parental alienation.
This therapeutic model views the family as an interconnected system, where the behaviors and emotions of one member inevitably impact the others.
In cases of parental alienation, systems-based therapy addresses destructive patterns such as triangulation and enmeshment, working to realign relationships and restore balance within the family.
For this approach to be safe and effective, it is essential that the therapist possesses expertise in both family therapy and the specific theory and treatment strategies related to parental alienation.
By examining how family members interact, this approach identifies and addresses the patterns that perpetuate dysfunction, paving the way for long-term resolution and healing.
Conclusion
The combined contributions of Dr. William Bernet and Dr. Salvador Minuchin provide a comprehensive framework for understanding and addressing toxic family dynamics, such as parental alienation.
Dr. Bernet’s distinction between estrangement and parental alienation offers clarity in identifying the root causes of a child’s rejection, ensuring that interventions are grounded in reality and justice.
Meanwhile, Dr. Minuchin’s groundbreaking and well-established work on family systems, including the destructive effects of triangulation and enmeshment, underscores the critical importance of addressing the family as an integrated whole.
It is important to note that in cases of severe parental alienation, family therapy is conducted separately with each parent and the children to address the unique dynamics and facilitate healing effectively.
Together, Dr. Bernet’s and Dr. Minuchin’s insights underscore the essential role of systems-based family therapy in promoting healing, restoring relationships, and breaking cycles of dysfunction.
By integrating these foundational principles, professionals can effectively navigate the complexities of alienation and guide families toward reconciliation and healthier dynamics.