Conclusion to Part I

Review of this first portion of relevant literature and research indicates that Gardner's concept of PAS has been increasingly discussed and referred to since he introduced the term in 1985. Research on divorce since the early 1980s has been progressively converging with Gardner's work. Johnston's studies of high conflict divorce in particular suggest that it is not sufficient to lump PAS with high conflict divorce in general. In its more severe forms, PAS is clearly distinctive. It is also more destructive for children and families and can be irreversible in its effects. As the section on alienating parents indicates, the divorce population includes a significant proportion of parents who have psychological problems and disorders. The degree to which such problems are expressed in efforts to alienate the child from the other parent has to be evaluated in the total divorce context, including psychological factors of the child and character and conduct of the target parent. Severe PAS is destructive irrespective of the gender of the alienating parent.

Part I attempts to integrate Gardner's work on PAS with the relevant literature and research under the following topic headings: The Child in PAS; The Target/Alienated Parent in PAS; PAS and its Third Party Participants; Attorneys on PAS; Forensic Evaluation and PAS; and Interventions for PAS, including strategic combinations of court orders and therapeutic interventions, appointment of a Special Master, appointment of a Guardian ad Litem, changing custody, use of hospitalization and other transitional sites to facilitate custody changes, and the appropriate application of sanctions to help certain programming parents to better act in their children's best interests.

Whether or not one chooses to use Gardner's terminology, the problems posed by these cases to families, professionals and the courts are very real. Reluctance to consider Parental Alienation Syndrome by name, along with the diagnostic and interventions it entails, tends to contribute to the perpetuation of the problem in a variety of ways. Like any other label, that of PAS has the potential to be misapplied and misused. Whether or not it is the appropriate diagnosis in a given instance must be determined based on facts of the case, corroborated historical evidence and data from multiple sources. An appropriate diagnosis of PAS, including level of severity as Gardner recommends, can make the difference between allowing a case to go beyond the point of no return or intervening effectively before it is too late.