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Parental Alienation Syndrome and Alienated Children
by Carol S. Bruch
As American courts and legislatures continue their enthusiastic ventures into family law reform, they make frequent use of theories and research from the social sciences. This essay focuses on developments in child custody law stemming from "Parental Alienation Syndrome" (PAS), a theory propounded in 1985 that became widely used despite its lack of scientific foundations. The discussion highlights theoretical and practical problems with PAS, provides a similar discussion of more recent proposals concerning "Alienated Children" (AC) and concludes with recommendations for lawyers and judges who must evaluate these and similar developments.

Child psychiatrist Richard Gardner coined the term Parental Alienation Syndrome in 1985 to describe his clinical impressions of cases he believed involved false allegations of child sexual abuse. The essence of PAS, in his view, is a child's campaign of denigration against a parent that results from "programming ('brainwashing') of the child by one parent to denigrate the other parent [and] self-created contributions by the child in support of the alienating parent's campaign . . . ." Dr. Gardner first stated that PAS was present in approximately 90 percent of the children whose families were involved in custody litigation but provided no research findings to substantiate his assertions about the syndrome, its frequency or its setting. In fact, his initial estimates appear to have been dramatically overstated, particularly as to the frequency of false sexual abuse allegations, and his revised estimates have been far more circumspect.

In recent years, use of the term PAS has been extended dramatically to include cases of all types in which a child refuses to visit the non-custodial parent, whether or not the child's objections entail abuse allegations. Although Dr. Gardner sometimes states that his analysis does not apply to cases of actual abuse, the focus of his attention is directed at discerning whether the beloved parent and child are lying, not whether the target parent is untruthful or has behaved in a way that might explain the child's aversion. His recommended treatment for serious cases is to transfer custody of the child from the beloved custodial parent to the rejected parent for deprogramming. This may entail institutional care for a transitional period, and all contact, even telephone calls, with the primary caregiver must be terminated for "at least a few weeks." Only after reverse-brainwashing may the child slowly be reintroduced to the earlier custodian through supervised visitation.

High conflict families are disproportionately represented, of course, among the population of those contesting custody and visitation. These cases commonly involve domestic violence, child abuse and substance abuse. Many parents are angry, and a broad range of visitation problems occur. Dr. Gardner's description of PAS may well remind parents, therapists, lawyers, mediators and judges of these frequently encountered emotions, and this may help to explain why his audience has often accepted PAS without question. The overwhelming absence of careful analysis and attention to scientific rigor these professionals demonstrate, however, is deeply troubling. The carelessness has permitted what is popularly termed junk science (pseudo science) to influence custody cases in ways that are likely to harm children.

The deficiencies in PAS theory are multiple. First, Gardner confounds a child's developmentally related reaction to divorce and high parental conflict (including violence) with psychosis. In doing so, he fails to recognize parents' and children's angry, often inappropriate, and totally predictable behavior following separation. This error leads him to claim that PAS constitutes a frequent example of folie a deux or folie a trois, shared psychotic disorders that the American Psychiatric Association and scholarly studies report occur only rarely. His assertion that these disorders occur primarily in young children is also contrary to the literature, probably also due to a misreading of typical developmental responses to divorce on the part of young children.

Second, Gardner vastly overstates the frequency of cases in which children and custodial parents manufacture false allegations or collude to destroy the parent-child relationship. Taken together, these assertions have the practical effect of impugning all abuse allegations, allegations which Gardner asserts are usually false in the divorce context. Here, too, Gardner cites no evidence in support of his personal view, and the relevant literature reports the contrary‹that such allegations are usually well founded.

Third, PAS shifts attention away from the perhaps dangerous behavior of the parent seeking custody to that of the custodial parent. This person, who may be attempting to protect the child, is instead presumed to be lying and poisoning the child. Indeed, for Gardner, the concerned custodial parent's steps to obtain professional assistance in diagnosing, treating and protecting the child constitute evidence of false allegations. Worse yet, if therapists agree that danger exists, Gardner asserts that they are almost always man-hating women who have entered into a folie a trois with the complaining child and concerned parent. Indeed, he warns judges not to take abuse allegations seriously in the divorce court setting in high conflict cases (severe PAS cases). Neither Gardner nor those who accept his views acknowledge the logical difficulties when Gardner asserts that abuse allegations which are believed by therapists constitute evidence of parental alienation by the protective parent.

Fourth, Gardner believes that, particularly in serious cases, the relationship of an alienated child with the rejected parent will be irreparably damaged, probably ending for all time, unless immediate, drastic measures (custody transfer, isolation from the loved parent, and deprogramming) are taken. Here, too, his theory is exaggerated, with all but unusual cases (for example, those appearing in violent families) resolving themselves as the children mature.

Fifth, Gardner's proposed remedy for extreme cases is unsupported and endangers children. In his admitted decision to err on the side of under identifying abusers, Gardner appears to have overlooked the policy differences between criminal law and child custody law and also to have misunderstood the distinction between the burdens of proof in criminal and civil cases in the United States. To the extent that PAS results in placing children with a parent who is, in fact, abusive, the youngsters will be bereft of contact with the parent who might help them. Parent groups and investigative reporting describe, for example, numerous cases in which trial courts have transferred children's custody to known or likely abusers and custodial parents have been denied contact with the children they have been trying to protect. In less extreme cases, too, children are likely to suffer from such a sudden dislocation in their home life and relationship with the parent they trust. Even therapists who accept PAS theory have advised against custody transfers to no avail in some reported cases in which it seems judges have implemented Gardner's views on their own initiative.

In sum, children's reluctance or refusal to visit noncustodial parents can probably be better explained without resorting to Gardner's theory. Studies that follow families over several years, for example, report that visits may cease or be resisted when a variety of reasons causes custodial parents and children to be angry or uncomfortable with the other parent. Often the noncustodial parent's behavior and the child's developmental stage play decisive roles. Alignments or alliances that are somewhat reminiscent of Gardner's construct are much less frequent than he suggests, and even in extreme cases, these scholars agree that PAS theory calls for inappropriate and harmful responses that intensify the problem.

How, then, did such a seriously misconceived, overstated and harmful view gain widespread acceptance? What would inspire judges to order custody transfers against the uniform advice of expert witnesses in a case? First, Gardner is broadly (but mistakenly) believed to be a full professor at a prestigious university. Because this aura of expertise accompanies his work, few suspect that it is mostly self-published, that it lacks scientific rigor, and that his books on PAS are not even held by most university and research libraries. Next, Gardner promotes his writing and services as an expert through his own website, receives referrals from the websites of fathers' organizations, and provides packaged continuing education courses for professionals. Finally, he often inaccurately represents or suggests that PAS is consistent with or endorsed by the accepted work of others.

In any event, over the years since Gardner first announced his theory, the term PAS has entered into public usage. The media, parents, therapists, lawyers, mediators and judges now often refer to PAS, many apparently assuming that it is a scientifically established and useful mental health diagnosis. Accordingly, in practice, whenever child sexual abuse allegations or disrupted visitation matters arise in the United States, one must now be prepared to confront a claim asserting that PAS is at work, not abuse or other difficulties.

An electronic search for all reported U.S. cases between 1985 and February 2001 employing the term "parental alienation syndrome" revealed numerous mental health professionals in addition to Gardner who have testified that PAS was present, although far fewer were willing to recommend that custody be transferred and contact with the primary custodian be terminated. The search produced 48 cases from 20 states, including the highest courts in six states. The degree to which PAS has been invoked by expert witnesses, attorneys or judges in these cases and the almost total absence of inquiries into its scientific validity are profoundly disturbing. In only a handful of cases did the trial or appellate court specifically consider whether the supposed syndrome was admissible under the accepted precedents that test either acceptance in the scientific community or acceptable scientific methodology, and in several of these, the court determined that it did not need to reach the admissibility question, often because no alienation had been shown. On more than one occasion, however, appellate courts nevertheless took the occasion to alert trial courts to the fact that Gardner's work is seriously disputed.1

In the few reported cases in which Gardner's proffered testimony was challenged or the validity of PAS was otherwise questioned, courts usually exclude his testimony and reliance on PAS. These cases reveal two areas of concern. First, courts are consistent in refusing to permit Gardner to testify on the truth or falsity of witnesses, noting that this question is reserved to the trier of fact. Second, most U.S. courts considering the question agree that PAS has not been generally accepted by professionals and does not meet the applicable test for scientific reliability.2 These conclusions are echoed by other prominent professionals. Dr. Paul J. Fink, a past president of the American Psychiatric Association and president of the Leadership Council on Mental Health, Justice, and the Media, for example, has stated quite bluntly, "PAS as a scientific theory has been excoriated by legitimate researchers across the nation. Judged solely on his merits, Dr. Gardner should be a rather pathetic footnote or an example of poor scientific standards."3

Despite the good work of most of the courts that have considered the scientific probity of PAS, there is little to celebrate. The vast majority of the cases mentioning PAS reveal that one or more of the experts evaluated the case in light of PAS, and there is nothing to suggest that anyone‹expert, attorney or judge‹thought to question whether the theory is well founded or leads to sound recommendations or orders. A similar lack of rigor is now also seen in foreign sources.

In practice, PAS has provided litigational advantages to noncustodial parents with sufficient resources to hire attorneys and experts.4 It is possible that many attorneys and mental health professionals have simply seized on a new revenue source‹a way to "do something for the father when he hires me," as one practitioner puts it. For those who focus on children's well-being, it hardly matters whether PAS is one more example of a "street myth" that has been too willingly embraced by the media and those involved in child custody litigation, or whether attorneys and mental health professionals truly do not know how to evaluate new psychological theories.

Children whose parents do not agree or cooperate concerning their care are placed in the middle of loyalty conflicts that can only stress and sometimes break them. We do not yet know enough about how children develop loyalties and antipathies or resolve them as they mature, whether in intact or divided households. Until we do, caution should guide therapists and courts. A growing body of research documents the harsh and sometimes violent world that a large percentage of children in high-conflict custody disputes seeks to escape.

PAS as developed and purveyed by Richard Gardner has neither a logical nor a scientific basis. It is rejected by responsible social scientists and lacks solid grounding in psychological theory or research. AC, although more refined in its understanding of child-parent difficulties, entails intrusive, coercive, unsubstantiated remedies of its own, as detailed in the article from which this piece is abstracted. Lawyers, judges and mental health professionals who deal with child custody issues should think carefully and respond judiciously when claims based on either theory are advanced.

More generally, far greater interdisciplinary training and competence in scientific methodology are needed. These should be brought to bear whenever a new assertion is made that, if accepted, will shape the interpretation or application of family law principles (for example, the concept of a child's best interest). Although the use of expert testimony is often useful, decision-makers need to do their homework rather than rely uncritically on experts' views. This is particularly true in fields such as psychology and psychiatry, where even experts have a wide range of differing views and professionals, whether by accident or design, sometimes offer opinions beyond their expertise. Lawyers and judges are trained to ask the hard questions, and that skill should be employed here.

The first question is whether scientific sufficiency has been indicated by respected professional vetting, for example, inclusion in the American Psychiatric Association's DSM-IV or the World Health Organization's ICD-10. Where no such imprimatur exists, one must ask whether approval has been sought and denied or whether submission would be premature. Insights that are too new, or for which no established gold standard exists, may nonetheless be valuable, but their probity and limitations should be clearly understood. This can be accomplished by inquiries into the sample (if any) on which the theory is based, the methodology and assumptions affecting the collection of data, how conclusions have been drawn from the data, the likelihood that fair extrapolations can be drawn, the degree to which assertions are internally consistent and compatible with established knowledge, and the balance of potential benefits and harms if the insight later provides unsound.

The challenge is to bring professional skills and standards to the task: an unbiased mind, healthy skepticism, rigorous thinking and sound policy analysis. But just as the responsibility is great, so too is the opportunity. As the noted legal philosopher Jerome Frank put it,

Some wishes, of course, no matter how hard we work on them, never come true. But it is always open to us to substitute for neurotic "wishful thinking" what Neurath happily called "thinkful wishing." Let us thus use the wish that the administration of justice may be improved. If we do, we will. . . . admit that [trial courts'] fact-finding frequently results in grave injustices. We will then seek to discover in what ways that job can be done better. I surmise that, although such efforts will fall far short of perfection, they will, by no means, go wholly unrewarded.

ENDNOTES
* Carol S. Bruch
** Professor Emerita and Research Professor of Law, University of California, Davis. The author expresses her gratitude to Leon Holmes, Esq., of Little Rock for the skill with which he abridged this article from the complete manuscript, which appears under the title Parental Alienation Syndrome and Parental Alienation: Getting it Wrong in Child Custody Cases at 35 FAMILY LAW QUARTERLY 527 (2001).

1 See, e.g., In the Interest of T.M.W., 553 So. 2d 260, 261 n.3 (Fla. Dist. Ct. App. 1989); Hanson v. Spolnik, 685 N.E.2d 71, 84 n.10 (Ind. Ct. App. 1997). A powerful concurrence and dissent in Hanson by Judge Chezem details the deficiencies of PAS as a theory and as implemented in this case. See also Pearson v. Pearson, 5 P.3d 239, 243 (Alaska 2000), where the state supreme court volunteered that PAS (which both parties' experts accepted) is "not universally accepted."

2 See, e.g., People v. Fortin, 706 N.Y.S.2d 611 (N.Y. Crim. Ct. 2000); Husband Is Entitled to Divorce Based on Cruel and Inhuman Treatment: Oliver V. v. Kelly V., 224 N.Y.L.J., Nov. 27, 2000, at 25 (noting that no testimony was offered to validate PAS and therefore declining to make such a finding). See also Wiederholt v. Fischer, 485 N.W.2d 442 (Wis. Ct. App. 1992). But see Kilgore v. Boyd, Case no. 94-7573 (13th Jud. Cir., Fla. Nov. 22, 2000) (transcript of hearing permitting Gardner's PAS testimony), at http://www.rgardner.
com/pages/ kg.excerpt.html.

3 Gina Keating, Critics Say Family Court System Often Amounts to Justice for Sale, PASADENA STAR-NEWS, April 24, 2000. A similarly outspoken assessment by a well-regarded scholar appears in the American Bar Association's Journal; referring to Gardner's withdrawn Sex Abuse Legitimacy Scale (SALS, the basis for Gardner's PAS theory), Professor Jon R. Conte of the University of Washington Social Welfare Doctoral Faculty remarked, SALS is "[p]robably the most unscientific piece of garbage I've seen in the field in all my time. To base social policy on something as flimsy as this is exceedingly dangerous." Debra Cassens Moss, Abuse Scale, 74 A.B.A. J., Dec. 1, 1998, at 26. Gardner's views on pedophilia and what he calls a wave of hysteria concerning child abuse allegations have been received with equally harsh appraisals elsewhere. See, e.g., Jerome H. Poliacoff & Cynthia L. Greene, Parental Alienation Syndrome: Frye v. Gardner in the Family Courts, at http://www.gate.net/~liz/liz/poliacoff.htm (a revised version of an article by the same name that originally appears in the FAMILY LAW SECTION, FLORIDA BAR ASSOCIATION, COMMENTATOR, vol. 25, no.4, June 1999).

4 As a general matter, custodial households are at a financial disadvantage in the United States, and custodial parents are less likely than noncustodial parents to be represented in custody litigation. John E. B. Myers, A Mother's Nightmare‹Incest: A Practical Legal Guide for Parents and Professionals 8 (1997), vividly describes the costs to the custodial parent and the tactical advantages to the noncustodial parent of pretrial discovery to "keep...[the protective parent and counsel] off balance and distract them from the important work of getting ready for court."

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