Parental Alienation: A Mental Diagnosis?

From an early age, Anne was taught by her mother to fear her father. Behind his back, her mom warned that he was an unpredictable and dangerous; any time he'd invite her to do anything—a walk in the woods, a trip to the art store—she would craft an excuse not to go. "I was under the impression that he was crazy, that at any moment he could just pop and do something violent to hurt me," says Anne, who prefers that only her middle name be used to guard her family's privacy. Typical of a phenomenon some mental-health experts now label "parental alienation," her view of him became so negative, she says, that her mother persuaded her to lie during a custody hearing when the couple divorced. Then 14, she told the judge that her dad was physically abusive. Was he? "No," she says. "But I was convinced that he would [be]." After her mother won custody, Anne all but severed contact with her father for years.



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If a growing faction of the mental-health community has its way, Anne's experience will one day soon be an actual diagnosis. The concept of parental alienation, which is highly controversial, is being described as one in which children strongly attach to one parent and reject the other in the false belief that he or she is bad or dangerous. "It's heartbreaking," says William Bernet, a child and adolescent psychiatrist and professor at Vanderbilt University School of Medicine, "to have your 10-year-old suddenly, in a matter of weeks, go from loving you and hiking with you...to saying you're a horrible, ugly person." These aren't kids who simply prefer one parent over the other, he says. That's normal. These kids doggedly resist contact with a parent, sometimes permanently, out of an irrational hate or fear.

Bernet is leading an effort to add "parental alienation" to the next edition of the Diagnostic and Statistical Manual of Mental Disorders, the American Psychiatric Association's "bible" of diagnoses, scheduled for 2012. He and some 50 contributing authors from 10 countries will make their case in the American Journal of Family Therapy early next year. Inclusion, says Bernet, would spur insurance coverage, stimulate more systematic research, lend credence to a charge of parental alienation in court, and raise the odds that children would get timely treatment.