Parental Alienation – Proven Truth or Myth?

Parental alienation is a well-documented phenomenon, supported by decades of research, clinical evidence, and legal recognition. 

It is widely acknowledged by mental health professionals and family courts as a harmful family dynamic in which one parent manipulates a child to reject or distance themselves from the other parent without valid justification. 

Despite its strong scientific foundation, parental alienation is often surrounded by misinformation and misunderstandings. This mix of science and misinformation clouds the conversation and weakens efforts to protect children and promote healthy family dynamics. 

Addressing these misconceptions and focusing on facts is key to mitigating the profound impact parental alienation has on children’s well-being and family relationships.

Despite Established Science, Some Continue to Dispute Expert Findings

Confused Child

While the evidence for parental alienation is extensive, some individuals continue to deny its validity. 

These critics — often lacking scientific training — challenge its recognition by misinterpreting research, relying on outdated arguments, or misrepresenting its absence from diagnostic manuals as proof of nonexistence. 

However, the scientific foundation for parental alienation remains strong, backed by research, inclusion in major diagnostic frameworks, findings from studies on adverse childhood experiences (ACEs), and neurobiological evidence.

LEARN MORE: Recurrent Misinformation Regarding Parental Alienation Theory

The Science Behind Parental Alienation

Decades of Research

Parental alienation was first introduced by Dr. Richard Gardner in the 1980s, who identified eight manifestations in children subjected to alienation, such as denigration of the targeted parent, lack of ambivalence, and reflexive support for the alienating parent. 

Since then, researchers such as Dr. Amy J. L. Baker, Dr. William Bernet, and Dr. Richard A. Warshak have expanded on Gardner’s foundational work.

They validated the criteria for identifying parental alienation and documented its long-term effects on children, including anxiety, depression, and difficulty forming healthy relationships.

Adverse Childhood Experiences (ACEs) and Parental Alienation

The Adverse Childhood Experiences (ACE) studies, conducted by the U.S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC), provide valuable insights into how traumatic experiences affect children’s long-term health. 

ACE studies categorize childhood experiences like abuse, neglect, and household dysfunction as predictors of emotional, psychological, and physical harm.

Adverse Childhood Experiences Studies

Parental Alienation as Psychological Abuse 

Parental alienation aligns closely with the ACE category of psychological abuse, which includes verbal and emotional manipulation. The alienating parent’s behaviors—such as badmouthing the other parent, instilling fear, and fostering dependency—mirror the criteria for emotional maltreatment outlined in ACE studies.

Comparable Impact to Physical and Sexual Abuse 

ACE studies reveal that psychological abuse, including behaviors seen in parental alienation, has effects comparable to or worse than physical or sexual abuse. 

Disruption of Attachment 

Alienation-related psychological abuse disrupts the child’s attachment systems, replacing secure bonds with fear, hostility, or indifference toward the targeted parent.

Neurobiological Evidence from ACE Studies

The ACE studies also highlight how adverse experiences disrupt brain development. 

Alienation-related psychological abuse rewires a child’s attachment systems, replacing secure bonds with fear, hostility, or indifference toward the targeted parent. 

This disruption in attachment is a form of relational trauma, with measurable consequences on a child’s mental and emotional health.

Parental Alienation in the DSM-5 and ICD-11

Although “parental alienation” is not explicitly named in the DSM-5-TR or ICD-11, its behaviors and effects are recognized under relational diagnoses.

Parent-Child Relational Problem (DSM-5-TR, Z62.820)

Captures behaviors like denigration, weak reasons for rejection, and lack of ambivalence—hallmarks of alienation.

Child Affected by Parental Relationship Distress (Z62.898)

Describes the emotional harm caused by high parental conflict, including alienation.

Child Psychological Maltreatment (T74.32XA)

Includes alienating behaviors that harm a child’s emotional and mental health.

Caregiver-Child Relationship Problem (ICD-11)

Classified by the World Health Organization, this explicitly encompasses alienation under relational disruptions.

The World Health Organization explicitly classifies alienation under this category, further supporting its scientific validity.

LEARN MORE: Parent Alienation and Child Psychological Abuse in the DSM-5

DSM-5-TR

Professional Organizations Supporting the Science of Parental Alienation

The recognition of parental alienation as a scientifically valid and clinically significant phenomenon is further strengthened by support from prominent professional organizations and publications. 

These organizations and journals acknowledge the research, clinical observations, and legal implications associated with parental alienation, reinforcing its credibility within the fields of psychology, psychiatry, and family law.

American Psychiatric Association (APA)

The APA, responsible for publishing the Diagnostic and Statistical Manual of Mental Disorders (DSM), has included relational diagnoses in the DSM-5 and DSM-5-TR that encompass the behaviors and effects of parental alienation.

American Psychological Association (APA)

The American Psychological Association has published numerous articles and studies in its journals that explore the psychological harm caused by parental alienation and related behaviors.

Publications in Psychological Bulletin and American Psychologist have reviewed the long-term impacts of alienation on children, including anxiety, depression, and identity disturbances.

The APA advocates for evidence-based approaches in family therapy and custody evaluations, which often involve identifying and addressing alienation dynamics to protect the best interests of the child.

American Bar Association (ABA)

The American Bar Association (ABA) has recognized the importance of addressing parental alienation in custody disputes to ensure fair and equitable outcomes.

In the widely respected publication Children Held Hostage: Identifying Brainwashed Children, Presenting a Case, and Crafting Solutions, the ABA highlights research showing the prevalence of alienating behaviors in high-conflict custody cases and offers guidance for legal professionals to navigate these complex situations.

American Academy of Child and Adolescent Psychiatry (AACAP)

The American Academy of Child and Adolescent Psychiatry (AACAP) has published extensively on the psychological effects of relational disruptions caused by alienation.

Articles in the American Journal of Child and Adolescent Psychiatry emphasize the relational trauma caused by alienation and its classification as a form of psychological maltreatment.

The AACAP supports interventions aimed at repairing relationships between alienated children and targeted parents to mitigate the long-term effects of alienation.

International Organizations and Journals

The World Health Organization (WHO) includes parental alienation under the ICD-11 diagnosis of Caregiver-Child Relationship Problem, highlighting its global recognition as a relational issue.

Journals such as Family Court Review and Journal of Family Therapy frequently publish research on parental alienation, offering evidence-based recommendations for legal and clinical practitioners.

Recognition in Kaplan & Sadock’s Comprehensive Textbook of Psychiatry

The scientific credibility of parental alienation is further strengthened by its inclusion in Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, 50th Anniversary, 11th Edition—a cornerstone reference in the field of psychiatry.

This highly respected publication, regarded as a definitive guide to psychiatric science, includes an in-depth examination of parental alienation in a chapter authored by renowned child psychiatrist Dr. William Bernet.

Kaplan & Sadock Textbook of Psyschiatry

Dr. William Bernet’s Chapter on Parental Alienation

He examines the behaviors, symptoms, and consequences of this destructive family dynamic, offering critical insights for clinicians and legal professionals.

In his chapter, Dr. Bernet explores parental alienation as a form of child psychological abuse, emphasizing its profound and lasting impact on children’s mental health and development.

Parental Alienation as Psychological Abuse

Dr. Bernet identifies alienating behaviors as meeting the criteria for psychological maltreatment, drawing parallels to recognized definitions of emotional abuse in frameworks like the DSM-5-TR and findings from the Adverse Childhood Experiences (ACE) studies. These behaviors include:

Dr. Bernet categorizes these actions as deliberate, non-accidental acts by a caregiver, designed to cause emotional harm to the child.

Clinical Manifestations in Alienated Children

The chapter outlines the hallmark symptoms of parental alienation in children, including:

Dr. Bernet explains that these symptoms arise from the child’s distorted perception of reality, heavily influenced by the alienating parent’s actions and narrative.

The Role of Parental Alienation in High-Conflict Custody Cases

Dr. Bernet discusses how parental alienation frequently surfaces in contentious custody disputes, where one parent actively seeks to undermine the child’s relationship with the other parent to gain an advantage in court. 

He provides guidance on identifying alienation during forensic evaluations and emphasizes its relevance to custody determinations guided by the “best interests of the child” standard.

His analysis underscores the importance of recognizing and addressing alienation in family court proceedings to protect children from its long-term psychological harm.

Parental Alienation in U.S. Courts

Dr. Demosthenes Lorandos has documented parental alienation’s recognition in U.S. courts since 1985, demonstrating that it has consistently been considered credible evidence in family law cases.

His comprehensive analysis, presented in Parental Alienation: Science and Law, demonstrates that courts have consistently admitted evidence and expert testimony on parental alienation, often identifying it as a form of child psychological abuse.

Historical Court Acceptance

Cases like Young v. Young (1985) and Gardner v. Gardner (1987) acknowledged the harmful effects of alienation, categorizing it as a form of psychological abuse.

Alignment with ACE Studies

Courts have used findings from ACE studies to validate parental alienation’s classification as an adverse childhood experience, with significant and measurable trauma.

LEARN MORE: PA in US Courts 1985-2018

Historical Parallels: Diagnoses That Took Time to Define

The skepticism surrounding parental alienation mirrors the historical evolution of other now widely accepted diagnoses. For instance, Post-Traumatic Stress Disorder (PTSD) underwent a lengthy journey before achieving formal recognition. 

PTSD

Initially referred to as “homesickness” in soldiers stationed overseas, it later evolved into “shell shock” during World War I and finally became recognized as PTSD in the late 20th century, after extensive research on the psychological effects of trauma.

Similarly, the diagnosis of Enmeshment, which describes unhealthy relational dynamics characterized by blurred boundaries and over-involvement, also took decades to be included in diagnostic and clinical frameworks.

Conditions such as Tourette’s Disorder and Asperger’s Syndrome took decades to gain formal recognition in diagnostic manuals, despite being well-documented. Similarly, parental alienation’s absence as a named condition does not negate its existence or impact. 

These examples demonstrate that the time required to define and formalize a diagnosis does not invalidate its existence or the profound impact it has on individuals.

Parental alienation is following a similar trajectory, with decades of research and clinical evidence building the foundation for its eventual full inclusion in diagnostic manuals.

Addressing the Critics

Critics of parental alienation often argue that its absence from diagnostic manuals undermines its validity. However, this argument fails to account for the extensive empirical research, clinical evidence, and legal precedent that validate its existence and harm.

Rigorous Research and ACE Studies – The work of Dr. Baker, Dr. Bernet, and others demonstrates that parental alienation meets the criteria for relational diagnoses and aligns with findings from the ACE studies on psychological abuse.

These parallels further solidify its recognition as a legitimate and harmful phenomenon.

Conclusion

Parental alienation is an established scientific and legal concept, supported by decades of research, clinical evidence, and corroboration from the Adverse Childhood Experiences studies. The evolution of diagnoses like PTSD and Enmeshment demonstrates that the time required for formal recognition does not diminish the validity or impact of a phenomenon.

The overwhelming consensus among researchers, clinicians, and family courts underscores that parental alienation is real and harmful. Continued research, education, and advocacy will ensure its recognition and help protect children from its long-term consequences.

By bridging the gap between science and public understanding, professionals can better address the challenges posed by parental alienation and safeguard the emotional well-being of affected children.

FURTHER READING