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Thursday, July 14, 2011

The actual words "parental alienation" are not in DSM

Dr. Bill Bernet, lead a group of interested professionals in encouraging the DSM 5 editing group to include Parental Alienation Disorder. The new DSM  was published on May 18, 2013 and is the reference book for psychiatrists, psychologists and other mental health providers  Here is Dr. Bernet's unedited analysis of the result.

Finally, DSM-5 was published today.  The DSM-5 Task Force told us 2 or 3 years ago that they did not want parental alienation to be a separate diagnosis in DSM-5, but they thought that parental alienation could be considered an example of other diagnoses that are in DSM-5.

The actual words "parental alienation" are not in DSM-5, but there are several diagnoses that can be used in these cases.  I would say the "spirit" of parental alienation is in DSM-5, even if the words are not.

Parent-child relational problem now has a discussion in DSM-5, not just a label.  The discussion explains that cognitive problems in parent-child relational problem "may include negative attributions of the other's intentions, hostility toward or scapegoating of the other, and unwarranted feelings of estrangement."  That is a pretty good description of a child's view of the alienated parent, although it is an unfortunate use of the word "estrangement."

Child psychological abuse is a new diagnosis in DSM-5.  It is defined as "nonaccidental verbal or symbolic acts by a child's parent or caregiver that result, or have reasonable potential to result, in significant psychological harm to the child."  In many instances, the behavior of the alienating parent constitutes child psychological abuse.

Child affected by parental relationship distress is another new diagnosis in DSM-5.  It should be used "when the focus of clinical attention if the negative effects of parental relationship discord (e.g., high levels of conflict, distress, or disparagement) on a child in the family, including effects on the child's mental or other physical disorders."  That is also a good description of how parental alienation comes about.

Factitious disorder imposed on another is the DSM-5 terminology for factitious disorder by proxy or Munchausen disorder by proxy.  Its definition is "falsification of physical or psychological signs or symptoms, or induction of injury or disease, in another, associated with identified deception."  In some cases, that would describe the behavior of the alienating parent.

Delusional symptoms in partner of individual with delusional disorder is the DSM-5 terminology for shared psychotic disorder or folie a deux.  The definition is: "In the context of a relationship, the delusional material from the dominant partner provides content for delusional belief by the individual who may not otherwise entirely meet criteria for delusional disorder."

In discussing this topic, I would say that the concept of parental alienation is clearly in DSM-5, although the actual words are not.  This is a great improvement over DSM-IV-TR, especially with the addition of the new diagnoses, child psychological abuse and child affected by parental relationship distress.

Dr. Bernet is currently working with PAAO to present a webinar on this subject in the next 2 - 3 weeks. We will notify you of the details shortly.
This beautiful animation above was created especially for Bubbles of Love Day on behalf of Kids Aiding the PAAO (KAPAAO). 
Thank you to the very talented Bronwyn Coveney, from the United kingdom for volunteering her time and talent on behalf of children around the world. Bronwyn is the original visual creator of the PAAO and KAPAAO's,  mascot Panda Abuzz. 




The next mental health manual to be revised is the International Statistical Classification of Diseases and Related Health Problems or the IDC-11. Watch for ways to have your say about Parental Alienation in time for inclusion there as well.

Linda Gottleib discussing Parental Alienation - Families in Transition


Home APA DSM-5
PARENTAL ALIENATION & DSM-5

Action Alert:
Parental Alienation Still Under Consideration for DSM-5
July 12th, 2011 by Glenn Sacks, MA, Executive Director. Fathers and Families


Short version: The DSM-5 Task Force has extended until July 15 the time for comments from the public. We urge you to comment by clicking here. We suggest you refer to “Parental Alienation Relational Problem” (PARP) or “Parental Alienation” and that you keep your comments brief and to the point

Full version: A coalition of mental health experts led by psychiatrist William Bernet has been at the forefront of an effort to add Parental Alienation Disorder to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM 5), the American Psychiatric Association’s “bible” of diagnoses.

Fathers and Families wants to ensure that the DSM-5 Task Force is aware of the scope and severity of Parental Alienation. To this end, in 2009 and 2010 we asked our supporters to write the Task Force to urge them to consider including Parental Alienation Disorder in DSM-5. The response was enthusiastic–Dr. Darrel Regier, Vice Chair of the DSM-5 Task Force, told the Associated Press, “We’ve gotten an enormous amount of mail–more than [on] any other issue.”

Recently there have been rumors that the DSM-5 Task Force has already decided not to include Parental Alienation Disorder in DSM 5. Dr. Bernet recently checked these statements with members of the DSM-5 leadership, and found that they are not accurate.

According to Dr. Bernet, the DSM-5 Task Force is still considering the option of adding “parental alienation relational problem” (PARP), and perhaps other possibilities.

The DSM-5 Task Force has extended until July 15 the time for comments from the public. We urge you to comment by clicking here. We suggest you refer to “Parental Alienation Relational Problem” (PARP) or “Parental Alienation,” and that you keep your comments brief and to the point.

Source / Fuente: http://www.fathersandfamilies.org/?p=17308
APPENDIX. The deniers are not wasting time!
INSTRUCTIONS: After clicking to enter the DSM 5 page, you'll see that there continues to appear on "Parental Alienation Disorder." You must register on that page for comment. After registering you will be sent to another page. I have not seen there anything about "Parental Alienation" or "Parental Alienation Relational Problem" (PARP), alluded to in the "Action Alert" I posted. On page where you are from the DSM 5, put the cursor on "Proposed revisions" (above) and click on "Proposed Conditions by Outside Sources". Now you are on the page first, but with the ability to post your comment.
TRADUCCIÓN AL ESPAÑOL:

Alerta de Acción: La Alienación Parental aún está en estudio para el DSM-5, sus comentarios son necesarios

12 de julio 2011 por Glenn Sacks, MA, Director Ejecutivo de Fathers and Families

Versión corta: El Grupo de Trabajo del DSM-5 ha extendido hasta el 15 de julio el plazo para comentarios del público. Le instamos a que haga un comentario haciendo clic aquí. Le sugerimos que consulte la sección “Parental Alienation Relational Problem” (PARP) or “Parental Alienation” y que haga sus comentarios breves y al grano.

Versión completa: Una coalición de expertos en salud mental dirigida por el psiquiatra William Bernet ha estado a la vanguardia de un esfuerzo para añadir Trastorno de Alienación Parental ("Parental Alienation Disorder") a la quinta edición del Manual Diagnóstico y Estadístico de los Trastornos Mentales (DSM 5), la "biblia" de diagnósticos de la Asociación Americana de Psiquiatría.

[La organización] Padres y Familias quiere asegurarse de que el Grupo de Trabajo del DSM-5 es consciente del alcance y la gravedad de Alienación Parental. Con este fin, en 2009 y 2010 le pedimos que nos apoyara para escribir el Grupo de Trabajo para instarlos a considerar la inclusión de Trastorno de Alienación Parental ("Parental Alienation Disorder") en el DSM-5. La respuesta fue entusiasta: el Dr. Darrel Regier, vicepresidente del Grupo de Trabajo del DSM-5, dijo a la Associated Press: "Hemos recibido una enorme cantidad de correo, más que para cualquier otro tema."

Recientemente ha habido rumores de que el Grupo de Trabajo del DSM-5 ha decidido no incluir Trastorno de Alienación Parental ("Parental Alienation Disorder") en el DSM 5. El Dr. Bernet recientemente ha contrastado estas afirmaciones con la dirección de los miembros del DSM-5, y encontró que no son exactas.

Según el Dr. Bernet, el Grupo de Trabajo del DSM-5 aún está considerando la opción de añadir Problema Relacional de Alienación Parental (“Parental Alienation Relational Problem”) (PARP), y tal vez otras posibilidades.

El Grupo de Trabajo del DSM-5 ha extendido hasta el 15 de julio el plazo para comentarios del público. Le instamos a que haga un comentario haciendo clic aquí. Le sugerimos que consulte la sección “Parental Alienation Relational Problem” (PARP) or “Parental Alienation”, y que haga sus comentarios breves y al grano.

ANEXO. Las negacionistas no están perdiendo el tiempo!

INSTRUCCIONES: Después de hacer click para entrar en la página del DSM 5, verás que allí continúa apareciendo el "Parental Alienation Disorder". Debes registrarte en esa página para hacer comentarios. Tras registrarte serás remitido a otra página. No he visto en ella nada relativo a la "Parental Alienation" ni al "Parental Alienation Relational Problem" (PARP) al que se alude en la "Alerta de Acción" que he posteado. En la página del DSM 5 donde estás, pon el cursor sobre "Proposed revisions" (arriba), y pincha en "Conditions Proposed by Outside Sources". Ahora estarás en la página del principio pero con la posibilidad de enviar tu comentario.

Spoken by the guy who we normally associate with silent films, this speech will fill your heart and give you goosebumps.

I really don’t feel like there’s must commentary needed for this one. After a week of bickering and crazy happening all over the place, we need to all listen to this and remember what we have to remember through all of this.
This video, to me personally, is what I feel like life is really about. It’s a love affair with humanity, and an effort to make a better world for everyone tomorrow. My favorite quotes (can I just pick the whole video as my favorite quote?) are:
We want to live by each other’s happiness, not by each other’s misery. We don’t want to hate and despise one another. And this world has room for everyone and the good earth is rich and can provide for everyone. The way of life can be free and beautiful. But we have lost the way.
The airplane and the radio have brought us closer together. The very nature of these inventions cries out for the goodness in men, cries out for universal brotherhood and the unity of us all.
For those who can hear me I say, do not despair. The misery that is now upon us is but the passing of greed. The bitterness of men who fear the way of human progress, the hate of men will pass, and dictators die. And the power they took from the people will return to the people. And so long as men die, liberty will never perish.
Yes, it is idealistic, but it’s still important. It’s not about who’s right the most. It’s about how we help, learn, and love each other.
Pardon me while I go cry.

CUSTODIA PATERNA - Viernes, 3 de Mayo, 2013 *Publicado el 17/03/2013 *
Audio institucional de nuestra organización:
¿Que pedimos a las autoridades?
Nuestra lucha se centra el derecho de los niños a un vínculo sano con sus dos padres y toda su familia luego de un divorcio o separación.
- ¡NO MAS NIÑOS REHENES DEL DIVORCIO!


3 comments:

  1. Children's Bill of Rights

    WHEN PARENTS ARE NOT TOGETHER

    Every kid has rights, particularly when mom and dad are splitting up. Below are some things parents shouldn't forget -- and kids shouldn't let them -- when the family is in the midst of a break-up.

    You have the right to love both your parents. You also have the right to be loved by both of them. That means you shouldn't feel guilty about wanting to see your dad or your mom at any time. It's important for you to have both parents in your life, particularly during difficult times such as a break-up of your parents.

    You do not have to choose one parent over the other. If you have an opinion about which parent you want to live with, let it be known. But nobody can force you to make that choice. If your parents can't work it out, a judge may make the decision for them.

    You're entitled to all the feelings you're having. Don't be embarrassed by what you're feeling. It is scary when your parents break up, and you're allowed to be scared. Or angry. Or sad. Or whatever.

    You have the right to be in a safe environment. This means that nobody is allowed to put you in danger, either physically or emotionally. If one of your parents is hurting you, tell someone -- either your other parent or a trusted adult like a teacher.

    You don't belong in the middle of your parents' break-up. Sometimes your parents may get so caught up in their own problems that they forget that you're just a kid, and that you can't handle their adult worries. If they start putting you in the middle of their dispute, remind them that it's their fight, not yours.

    Grandparents, aunts, uncles and cousins are still part of your life. Even if you're living with one parent, you can still see relatives on your other parent's side. You'll always be a part of their lives, even if your parents aren't together anymore.

    You have the right to be a child. Kids shouldn't worry about adult problems. Concentrate on your school work, your friends, activities, etc. Your mom and dad just need your love. They can handle the rest.

    IT IS NOT YOUR FAULT AND DON'T BLAME YOURSELF.

    ----Special Concerns of Children Committee, March, 1998

    "Children's Bill of Rights" is a publication of the American Academy of Matrimonial Lawyers. © 1997 - 2001. All rights reserved. "Children's Bill of Rights" may be reproduced under the following conditions:

    It must be reproduced in its entirety with no additions or deletions, including the AAML copyright notice. It must be distributed free of charge. The AAML reserves the right to limit or deny the right of reproduction in its sole discretion.

    © 2013 AAML Florida. 3046 Hawks Glen Tallahassee, FL 32312 | 850-668-0614

    The hiring of a lawyer is an important decision that should not be based solely on advertisements. Before you decide, ask the attorney to send you free written information about their qualifications and experience. The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.
    http://www.aamlflorida.org/index.cfm?fuseaction=pages.tentips

    ReplyDelete
    Replies
    1. PRO SE RIGHTS:
      Sims v. Aherns, 271 SW 720 (1925) ~ "The practice of law is an occupation of common right."

      Brotherhood of Trainmen v. Virginia ex rel. Virginia State Bar, 377 U.S. 1; v. Wainwright, 372 U.S. 335; Argersinger v. Hamlin, Sheriff 407 U.S. 425 ~ Litigants can be assisted by unlicensed laymen during judicial proceedings.

      Conley v. Gibson, 355 U.S. 41 at 48 (1957) ~ "Following the simple guide of rule 8(f) that all pleadings shall be so construed as to do substantial justice"... "The federal rules reject the approach that pleading is a game of skill in which one misstep by counsel may be decisive to the outcome and accept the principle that the purpose of pleading is to facilitate a proper decision on the merits." The court also cited Rule 8(f) FRCP, which holds that all pleadings shall be construed to do substantial justice.

      Davis v. Wechler, 263 U.S. 22, 24; Stromberb v. California, 283 U.S. 359; NAACP v. Alabama, 375 U.S. 449 ~ "The assertion of federal rights, when plainly and reasonably made, are not to be defeated under the name of local practice."

      Elmore v. McCammon (1986) 640 F. Supp. 905 ~ "... the right to file a lawsuit pro se is one of the most important rights under the constitution and laws."

      Federal Rules of Civil Procedures, Rule 17, 28 USCA "Next Friend" ~ A next friend is a person who represents someone who is unable to tend to his or her own interest.

      Haines v. Kerner, 404 U.S. 519 (1972) ~ "Allegations such as those asserted by petitioner, however inartfully pleaded, are sufficient"... "which we hold to less stringent standards than formal pleadings drafted by lawyers."

      Jenkins v. McKeithen, 395 U.S. 411, 421 (1959); Picking v. Pennsylvania R. Co., 151 Fed 2nd 240; Pucket v. Cox, 456 2nd 233 ~ Pro se pleadings are to be considered without regard to technicality; pro se litigants' pleadings are not to be held to the same high standards of perfection as lawyers.

      Maty v. Grasselli Chemical Co., 303 U.S. 197 (1938) ~ "Pleadings are intended to serve as a means of arriving at fair and just settlements of controversies between litigants. They should not raise barriers which prevent the achievement of that end. Proper pleading is important, but its importance consists in its effectiveness as a means to accomplish the end of a just judgment."

      NAACP v. Button, 371 U.S. 415); United Mineworkers of America v. Gibbs, 383 U.S. 715; and Johnson v. Avery, 89 S. Ct. 747 (1969) ~ Members of groups who are competent nonlawyers can assist other members of the group achieve the goals of the group in court without being charged with "unauthorized practice of law."

      Picking v. Pennsylvania Railway, 151 F.2d. 240, Third Circuit Court of Appeals ~ The plaintiff's civil rights pleading was 150 pages and described by a federal judge as "inept". Nevertheless, it was held "Where a plaintiff pleads pro se in a suit for protection of civil rights, the Court should endeavor to construe Plaintiff's Pleadings without regard to technicalities."

      Puckett v. Cox, 456 F. 2d 233 (1972) (6th Cir. USCA) ~ It was held that a pro se complaint requires a less stringent reading than one drafted by a lawyer per Justice Black in Conley v. Gibson (see case listed above, Pro Se Rights Section).

      Roadway Express v. Pipe, 447 U.S. 752 at 757 (1982) ~ "Due to sloth, inattention or desire to seize tactical advantage, lawyers have long engaged in dilatory practices... the glacial pace of much litigation breeds frustration with the Federal Courts and ultimately, disrespect for the law."

      Sherar v. Cullen, 481 F. 2d 946 (1973) ~ "There can be no sanction or penalty imposed upon one because of his exercise of Constitutional Rights."

      Schware v. Board of Examiners, United State Reports 353 U.S. pages 238, 239. ~ "The practice of law cannot be licensed by any state/State."

      Delete
  2. HOW DID CHILDREN OF DIVORCE GET STUCK WITH THE VISITATION PLAN THAT AFFORDS THEM ACCESS TO THEIR NON-RESIDENTIAL PARENT ONLY ONE NIGHT DURING THE WEEK AND EVERY OTHER WEEK-END?

    What is the research that supports such a schedule? Where is the data that confirms that such a plan is in the best interest of the child?

    Well, reader, you can spend your time from now until eternity researching the literature and YOU WILL NOT DISCOVER ANY SUPPORTING DATA for the typical visitation arrangement with the non-residential parent! The reality is that this arrangement is based solely on custom. And just like the short story, "The Lottery," in which the prizewinner is stoned to death, the message is that deeds and judgments are frequently arrived at based on nothing more than habit, fantasy, prejudice, and yes, on "junk science."

    This family therapist upholds the importance of both parents playing an active and substantial role in their children's lives----especially in situations when the parents are apart. In order to support the goal for each parent to provide a meaningfully and considerable involvement in the lives of their children, I affirm that the resolution to custody requires an arrangement for joint legal custody and physical custody that maximizes the time with the non-residential----with the optimal arrangement being 50-50, whenever practical. It is my professional opinion that the customary visitation arrangement for non-residential parents to visit every other weekend and one night during the week is not sufficient to maintain a consequential relationship with their children. Although I have heard matrimonial attorneys, children's attorneys, and judges assert that the child needs the consistency of the same residence, I deem this assumption to be nonsense. I cannot be convinced that the consistency with one's bed trumps consistency with a parent!

    Should the reader question how such an arrangement can be judiciously implemented which maximizes the child's time---even in a 50-50 arrangement----with the non-residential parent, I direct the reader to the book, Mom's House, Dads House, by the Isolina Ricci, PhD.

    Indeed, the research that we do have supports the serious consequences to children when the father, who is generally the non-residential parent, does not play a meaningful role in lives of his children. The book, Fatherneed, (2000) by Dr. Kyle Pruitt, summarizes the research at Yale University about the importance of fathers to their children. And another post on this page summarizes an extensive list of other research.

    Children of divorce or separation of their parents previously had each parent 100% of the time and obviously cannot have the same arrangement subsequent to their parents' separation. But it makes no sense to this family therapist that the result of parental separation is that the child is accorded only 20% time with one parent and 80% with the other. What rational person could possibly justify this?

    ReplyDelete

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