Introduction

The Parental Alienation Syndrome, so named by Dr. Richard Gardner, is a distinctive family response to divorce in which the child becomes aligned with one parent and preoccupied with unjustified and/or exaggerated denigration of the other, target parent. In severe cases, the child's once love-bonded relationship with rejected/target parent is destroyed. Testimony on Parental Alienation Syndrome (PAS) in legal proceedings has sparked debate. This article seeks to shed light on the debate by reviewing Gardner's work and that of others on PAS, integrating the concept of PAS with research on high conflict divorce and other related literature. The material is organized under topic headings such as parents who induce alienation, the child in PAS, the target/alienated parent, attorneys on PAS, and evaluation and intervention.

Dr. Richard Gardner was an experienced child and forensic psychiatrist conducting evaluations when, in 1985, he introduced the concept of Parental Alienation Syndrome (PAS) in an article entitled Recent Trends in Divorce and Custody Litigation (1). His work with children and families during the 1970s led him to write such books as Boys and Girls Book of Divorce, The Parents Book About Divorce and Psychotherapy with Children of Divorce. He knew from experience that the norm for children of divorce was to continue to love and long for both parents, in spite of the divorce and the passage of years, a finding replicated by one of the first large scale studies of divorce (2). With this background, Gardner became concerned in the early 1980s about the increasing number of divoirce children he was seeing who, especially in the course of custody evaluations, presented as preoccupied with denigrating one parent, sometimes to the point of expressing hatred toward a once loved parent. He used the term Parental Alienation Syndrome to refer to the child's symptoms of denigrating and rejecting a previously loved parent in the context of divorce.

Gardner's focus on PAS as a disturbance of children in divorce is unique, although from the mid-1980s on there has been a proliferation of professional literature on disturbing trends in divorce/custody disputes, including false allegations of abuse to influence the outcome. At least three other divorce syndromes have been identified. In 1986, two psychologists in Michigan, who were as yet unaware of Gardner's work, published the first of several papers on the SAID syndrome, Blush and Ross's acronym for sex abuse allegations in divorce (3). Drawing on their experience doing evaluations for the family court, and the experience of their colleagues at the clinic there, these authors delineated typologies for the falsely accusing parent, the child involved and the accused parent. Two of the divorce syndromes named in the literature focus on the rage and pathology of the alienating or falsely accusing parent. Jacobs in New York and Wallerstein in California published case reports of what they called Medea Syndrome (4, 5). Jacobs discussed Gardner's work on PAS in his 1988 study of a Medea Syndrome mother, as did Turkat when he described Divorce Related Malicious Mother Syndrome in 1994 (6). Fathers, too, can be found with this disorder, but for some reason Turkat has not encountered any.

In addition to articles specifically on PAS and literature which refers to it, there is a body of divorce research and clinical writings which, without a name, describe the phenomenon. The literature reviewed here comes from a number of sources including: practitioners who like Gardner are seeking to improve the diagnostic skills and intervention strategies of the courts and other professionals who deal with high conflict divorce; attorneys and judges who come in contact with PAS cases; researchers like Clawar and Rivlin who reference Gardner's work on PAS in their large scale study of parental programming in divorce (7) and Johnston whose work on high conflict divorce (8) led her to study the problem of children who refuse visitation, including a discussion of PAS (9). When PAS is viewed from the standpoint of parts and subprocesses which create the whole, the literature which pertains increases exponentially, for example: psychological characteristics of parents who falsely accuse in divorce/custody disputes; cults who help divorcing parents alienate their children from the other parent; and psychological abuse of children in severe PAS including Munchausen Syndrome by Proxy type abuse.