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I was intrigued to learn the other day from one of Karen Woodall’s blogs that she doesn’t believe she’s professionally competent to diagnose personality disorder pathology.

From Karen Woodall: “If I suspect a personality disorder is present I will ask our clinical psychologist to evaluate this and on the basis of this outcome we will design and deliver a treatment route, often in a team setting, sometimes headed by our clinical psychologist.”

I didn’t realize that Karen relied on a clinical psychologist to “evaluate” personality disorder pathology and sometimes head your treatment team.  You know I’m a clinical psychologist.  I wonder if the evaluation of clients at your clinic might benefit from some professional-to-professional consultation between your clinical psychologist and Dr. C?

Hey, that gives me an idea Karen.  How about if you and your clinical psychologist come to the November AB-PA Certification seminars here in Pasadena.  You and your clinical psychologist could get Advanced Certification in AB-PA.  You’d be the ONLY clinic in all of England to have an AB-PA Certified psychologist on staff.

And you know what Karen?  If you have an AB-PA Certified psychologist on staff at your clinic, and if you’re documenting your assessments using the instruments of AB-PA, then you can unleash me on the British mental health system. 

Hmmm, if I’m taking on the incompetent mental health assessment of attachment-related pathology in the British mental health system, it sure would be nice to have an AB-PA Certified psychologist in England who could conduct a proper assessment of AB-PA.  Hmmm, who could that be?  Hey, I know.  There is only one clinical psychologist in all of England who is AB-PA Certified.  Go to that person and you’ll get an exceptionally good diagnostic workup.

Come on Karen.  Personal invitation from Dr. C.  Come to Pasadena with your clinical psychologist in November.  Three days – Advanced Certification in AB-PA for both you and your clinical psychologist.  Then unleash me into your mental health system.

Let me tell you a story.

Back in 2014 I was working on a model for “reunification therapy” (Reunification Therapy: Treating “Parental Alienation”) and Dorcy Pruter came up to me after a conference we both attended.  At the time, I didn’t know Dorcy.  I had heard her speak once at a conference and was impressed by what she had to say.

So Dorcy approaches me as I’m socializing with other attendees and she says, “Dr. C, love your work –wonderful-wonderful, but I disagree with you about one thing.”

Telling me I’m wrong about something, well that certainly captivates my arrogance.  “Really?” I said, “Tell me more about that.”

Dorcy continued, “You say it will take about six months to a year to treat and resolve the pathology of “parental alienation,” and I can solve it in a matter of days.”

Well that has my attention.  I am well-versed in models of psychotherapy.  There is not a psychotherapeutic approach out there that can restore the child’s attachment bonding to the targeted parent in a matter of days. 

Needless to say, I was skeptical.  But I caught myself, and held my arrogance in check.  “Really?” I replied, “Tell me more about that.”

We proceeded to talk at the cocktail event for about 10 or 15 minutes, and nothing she described would rule-out her ability to restore the child’s attachment bonding, there were no obvious disqualifiers.

She contacted me later and we set up a meeting at my office to talk further.  I planned for a two-hour meeting.  We had a six-hour meeting.

The moment she started walking me through the High Road protocol on her computer, I immediately recognized what she was doing and how she was accomplishing it.  It’s not psychotherapy.  It’s a totally different approach to change.  It’s like I’m a biologist and know all the different types of carbon-based life forms on the planet, and Dorcy walks into my office and opens up a shoebox that contains a silicon-based life form.  A critter that is unlike anything we do in psychology.

I totally understood how she does it, and I was kind of amazed and impressed.  I’d characterize the approach as elegant.  Dorcy has the solution in her hip pocket.  We started to talk about the implications.  She recognized that I had the diagnostic model, I recognized that she had the solution to restoring the child’s normal-range attachment system in just a matter of days.

From that moment on, I stopped working on a model for “reunification therapy” and I threw my full and complete support to Dorcy on the intervention side.  She has the solution in her hip pocket.

Why did I do that?  She’s not part of my “professional club.”  I’m a clinical psychologist, Dorcy is just normal.  She doesn’t even have a college degree.  Certainly she can’t compete with me and my doctorate degree – I’m a clinical psychologist for goodness sake.  And wouldn’t it be more in my personal self-interest to be a big-kahuna in therapy, creating the model for “reunification therapy”? 

None of that nonsense is relevant.  Dorcy has the solution in her hip pocket. 

Dorcy has the solution.  I’m a professional.  Done deal.  Dorcy has my full and complete support because she has the solution in her hip pocket.  The needs of my client take precedence over any motivation like personal ego stuff.

And look at my support for her since then.  I have consistently and steadfastly put my own professional credibility on the line for Dorcy.  I didn’t need to do that.  She’s not part of “my club” of clinical psychologists. 

Remember during that period when you Gardnerians started to exclude her from your club – from the “Bona Fide Experts” club – reminds me of something from Spanky and Our Gang – coming up with your shaded “bona fide” expert criteria that were biased specifically to exclude Dorcy as a “bona fide” expert – remember that? –  look how I took you all on in support of Dorcy when you tried to exclude her from “your club”:

Stark Truth

Now imagine for a second Karen, that you and your clinical psychologist became AB-PA Advanced Certified mental health professionals and started documenting your assessments of attachment-related pathology using the AB-PA assessment instruments.  Then you and I are on the same team.  You would then have my full and complete support – just like Dorcy receives my full and complete support.  Your adversaries become my adversaries. 

You can unleash me into the mental health system of Great Britain to break down all the barriers that are preventing you – an AB-PA Advanced Certified mental health professional – from doing your expert job of assessing, diagnosing, and treating pathology.

Imagine releasing me into the mental health system of Great Britain against all of the barriers you face.  You’ve seen what a staunch and formidable ally I’ve been for Dorcy.  Imagine if I was a staunch ally of Karen. 

I am extending a personal invitation to you and your clinical psychologist, Karen, for both of you to come to the November AB-PA Advanced Certification seminars.  There’s Disneyland… Universal Studios… the weather in November is better here than in most places, although it’s been getting rainier in the winter recently, I think it might be a climate change kind of thing… Come on Karen.

All you have to do is implement the standardized AB-PA assessment protocol with attachment-related pathology surrounding divorce, and document the symptoms – present or absent.  If the three diagnostic indicators of AB-PA are present, you and your psychologist make a DSM-5 diagnosis of V995.91 Child Psychological Abuse and take child protection steps.

The Courts in Great Britain aren’t going to want to protectively separate the child from the supposedly “favored” parent.  Hmmm, I wish there was some sort of compromise solution we could offer the Court in lieu of a protective separation that might get a handle on the pathology.  Hey, I know… how about the Contingent Visitation Schedule?  Ask the Court to order a Contingent Visitation Schedule. 

Oh, but wait… the Contingent Visitation Schedule needs an organizing family therapist to develop and implement it.  I wish we had an AB-PA Certified psychologist somewhere, because on the second day of Certification I’ll be training AB-PA Certified mental health professionals in the background, design, and implementation of the Contingent Visitation Schedule. 

Sooooo, if your clinical psychologist was AB-PA Certified, and we recommend a protective separation based on the confirmed DSM diagnosis of Child Psychological Abuse, and then perhaps compromise to a 6-month Response-to-Intervention trial with the Contingent Visitation Schedule…

Data-driven decision making.  Document the child’s symptoms using the Diagnostic Checklist for Pathogenic Parenting – and use the Parent-Child Relationship Rating Scale for the Contingent Visitation Schedule.  Document the targeted parent’s parenting using the Parenting Practices Rating Scale.

On Day 2 of the Certification seminar, I’ll be covering each of the six sessions of the Treatment-Focused Assessment, what you’re looking for in each session and how to look for it.  Good stuff, Karen, come on – personal invite from Dr. C.

If the child has the three diagnostic indicators of AB-PA, then it’s a DSM-5 diagnosis of Child Psychological Abuse, and the situation has changed to one of child protection considerations.

If the three diagnostic indicators of AB-PA are not present, then it is something other than AB-PA.  I might consider using the Contingent Visitation Schedule as a Response-to-Intervention trial to obtain a broader range of data for diagnosis.

Come on Karen, you and your psychologist will be the only AB-PA Advanced Certified mental health professionals in all of England.  And then you can release me on the British mental health system to work toward removing all the barriers you face to accomplishing a solution for these kids and families.

Ask Dorcy what it’s like to work with me.  I’m really a teddy bear.  I’ll fight like gang-busters for my kids.  But otherwise, I’m just a cuddly softy. 

I know, I’ll sweeten the pot.  You know that parent-child conflict coding scale I offered you the other day?  I’m working that up into a book where each of the individual code types have pretty thorough work-ups.  I’m working my way through each of the subtypes using the following template:

Subgroup 05:  Child – Anxiety Regulation Challenges

Description:
Substrate:
Symptom Identifiers:
Treatment Indicators:
Potential Contributing Dynamics:

I’m not planning on rolling out the coding scale until I have the supporting pathology descriptive book in place – couple years, but if you bring your clinical psychologist to the November AB-PA Advanced Certification seminar in Pasadena, I’ll throw in a special addendum seminar on Saturday evening from 5:00 to 6:00 on just the Coding Scale.  I’ll walk everyone through it and describe each of the categories.  And then, I won’t offer this coding seminar again until the book comes out – couple years.  That way, you and your psychologist (and I guess the other attendees) will be the only ones who have been trained in the coding system.  I think you’ll like it.

Since the coding scale is in early development, you can wander to your hearts content in exploring its utility for “hybrid cases” – lots of open subtypes within the categories.  And I’m providing 6 hours of professional-to-professional post-seminar Skype consultation with the Advanced Certification.  If you or your psychologist want to touch-base with me about a diagnostic issue or about a coding issue, give me a Skype.

You and your psychologist would be the only clinic in Europe using the conflict coding system. Wait, I think I have some people from the Continent coming.  But still, you’d be right there at the start – a central hub for AB-PA in Europe.  You just have to conduct a standardized AB-PA assessment protocol and document the symptoms – if the symptoms are present, diagnose Child Psychological Abuse and shift your approach to child protection considerations.

If it’s sub-threshold to AB-PA, use your clinical discretion – consider a Response-to-Intervention trial with the Contingent Visitation Schedule to collect more diagnostic information. 

And look at those Associated Clinical Signs, Karen.  I’m telling you, those ACS are jewels.

Wouldn’t you rather have a big cuddly teddy bear friend than an old grumpy-headed version of Dr. C?

Can’t you see the advantages of a partnership? 

But I can’t partner with you because the Gardnerian 8 symptoms get in the way.  AB-PA is – and needs to be – entirely separate from the Gardnerian diagnostic model.

But you can partner with me…  You and your clinical psychologist can become AB-PA Advanced Certified mental health professionals.  You just have to use the standardized AB-PA assessment protocol instruments to document the symptoms.  I could easily see you becoming a focal hub for AB-PA in Europe.

Stop ignoring AB-PA and use it – use me.  That’s what I’m here for.

There are larger forces at work here, Karen.  AB-PA isn’t Dr. Childress.  I’m just a catalyst.  That’s my role in this tapestry.  AB-PA is Bowlby, and Kernberg, and Millon, and Beck… it’s a return to standard professional psychology.

Stop fighting me and start using me.  That’s my role in this solution.  Stop ignoring AB-PA and start using Dr. C as a resource.

Come on, Karen… November.  Ask Dorcy, I’m a teddy bear.

Craig

Well, it seems like the deadline for the Gardnerian-based solution has come and gone, and all we’ve heard is crickets.

They propose no solution to “parental alienation.”

The Gardnerians have no solution using the Gardnerian PAS model except 30 more years of exactly the same thing.

I am therefore calling for unity in our fight to save the children.  We need to come together to enact the solution as quickly as we humanly can.  Targeted parents and their children need a solution.  They don’t need professionals arguing about how many angels can dance on a head of a pin. They need this pathology to stop – today.

I have posted the path to the solution that is available from enacting a change to an AB-PA diagnostic model:

Solutions: A Return to Professional Practice

Solutions: The Dominoes

We need to bring all of our voices together – all of them – into a single voice for change.  We need to stop the suffering of targeted parents and their children as quickly as we possibly can.

I am therefore calling specifically on:

Bill Bernet

Karen Woodall

Amy Baker

the Parental Alienation Study Group

and all of the Gardnerian PAS contingent of “experts” – and on everyone who wants to see the pathology of “parental alienation” come to an end – to JOIN US in advocating for a professional standard of practice using the AB-PA diagnostic model.

Join us in advocating for a professional standard of practice and standardized assessment protocol for attachment-related pathology surrounding divorce using the AB-PA diagnostic model for the pathology.

AB-PA offers a solution (The Solution series: Return to Professional Practice; Dominoes).  Gardnerian PAS does not (crickets).

I don’t care if the Gardnerians “think” their diagnostic model is better.  The issue is a solution.  We need a solution.  Targeted parents and their children need a solution.

If the Gardnerian PAS diagnostic model with its eight symptom identifiers produces NO SOLUTION – then we need to change to the AB-PA diagnostic system that leads to an immediate solution.

And everyone – everyone – should be working toward that SAME goal.

I don’t care how many angels can dance on the head of a pin.  That’s not relevant.  The ONLY thing that’s relevant is a solution – targeted parents and their children are suffering – daily.  Day-after-day their grief and suffering continues, and day-after-day we continue to lose more and more children and families to the pathology.

There is urgency.

This cannot wait, we cannot delay.  Each day that is lost can never be recaptured.

Mental health professionals – the Gardnerian PAS “experts” – need to STOP arguing about how many angels can dance on the head of a pin and they need to work WITH US – not against us – in bringing a solution – one that is achievable today – to end the suffering of targeted parents and their children.

The time has come for ALL mental health professionals – including Bill Bernet, Karen Woodall, Amy Baker, and the PASG – to endorse an AB-PA diagnostic model that provides these parents and their children with a solution – an end – to the nightmare of “parental alienation.”

Let’s put the two models for a solution side-by-side:

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

Let’s now make a reasoned decision on the path moving forward.

AB-PA provides a clear and actualizable path to a solution.  Gardnerian PAS offers no solution.

It is time for ALL mental health professionals – ALL mental health professionals – to bring our voices together into one single unified voice for change – into one single unified voice for the solution to “parental alienation.”

I don’t care how many angels can dance on the head of a pin – that’s not relevant.  Each day that passes is another day lost in the lives of a loving targeted parent and child that can NEVER be recaptured. Children are only 10-years-old for a year – they are only 12-years-old for a year.  Times of love and bonding that are lost during childhood are lost forever.

Childhoods are being lost as we stand by and bicker about how many angels can dance on the head of a pin.  ENOUGH.

It is time for a solution.  It is long-past overdue for a solution.

It is time we come together into a single voice for change that will bring these targeted parents and their children a solution – today – now.

The grief of targeted parents is immense and utterly overwhelming.  Day-by day –  each day – they suffer so terribly.

We must ALL do everything we possibly can – everything we possibly can – to bring this suffering to an end as quickly as is humanly possible.

I don’t care how many angels can dance on the head of a pin. That’s not relevant. The ONLY thing that’s relevant is a solution to end the suffering of targeted parents and the psychological abuse of their children.

Delaying the solution by a single day when we possibly could have solved it is abhorrent and unacceptable.  We need to solve this as fast as we possibly can.

It is time for ALL mental health professionals to join together in a single voice for change, in a single unified voice advocating for a professional standard of practice using the AB-PA diagnostic model for the pathology:

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

It is not relevant how many angels can dance on the head of a pin.  It’s not relevant if you think this or that way of diagnosing the pathology is “better” – NOT relevant.  The ONLY thing that is relevant is the solution – we MUST end the suffering.  What is the path to a solution?  That is the ONLY relevant question.

The answer:

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

Both the AB-PA diagnostic model and the Gardnerian PAS diagnostic model have had full and complete opportunities to describe their respective paths to a solution.  We can now make a reasoned and considered decision on our path moving forward.

AB-PA provides a solution to targeted parents and their children that we can actualize today to end the suffering of these parents and their children today, and Gardnerian PAS offers no solution whatsoever – just 30 more years of the same.

ALL mental health professionals MUST place the needs of their clients first.  I don’t care about your dancing angels.

There is NO rational reason that would prevent us from coming together into a single voice in advocating for a professional standard of practice using the AB-PA diagnostic model for the assessment of attachment-related pathology surrounding divorce.

“Dr. Childress is wrong thinking only he has the solution.”

AB-PA:  8/6/17 – The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: 9/1/17 – nothing.

No, I’m not wrong.  The AB-PA diagnostic model provides a solution.  The Gardnerian PAS diagnostic model does not.

“Our model with eight diagnostic symptoms is better”

Dr. Childress: Does it lead to a solution?

“No.”

Dr. Childress:  Then your preferred approach is not relevant to a professional-level decision.  The ONLY thing that is relevant at the professional level is a solution – because a solution is in the best interests of the client.

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

It is not relevant how many angels can dance on the head of a pin.  The immense grief and suffering of targeted parents as they are forced to watch helplessly as their children are psychologically destroyed and abused by the pathology of their narcissistic/(borderline) ex- MUST STOP.

It MUST stop.

That is the ONLY relevant consideration.

It is time – in fact it is long past overdue – when ALL mental health professionals who authentically want to bring the suffering of targeted parents and their children to an end, bring their voices into a single unified voice for change to a standard of practice using the AB-PA diagnostic model that provides targeted parents and their children with a solution.

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

I asked the Gardnerian PAS “experts” to provide us with their proposed path to a solution by September 1, 2017 so we could make a reasoned and considered decision on our path forward.   Day-by-day the immense suffering of targeted parents and their children continues.  There is urgency.  We don’t have time to waste.

September 1 came and went.  No proposed solution from the Garnerian PAS “experts.”

It is time to bring this professional squabbling over how many angels can dance on the head of a pin to an END.  Enough!

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

The reasoned and considered decision by all rational people who authentically want to bring the pathology of “parental alienation” to an end is that the path to a solution is through an AB-PA diagnostic model – because Gardnerian PAS offers no solution.

This solution will come more quickly if we unite all of our voices into a single voice for a professional standard of practice using the AB-PA diagnostic system.

Every day we lose – every day we delay – every day we spend pontificating about pinheads and dancing angels – is another day of immense suffering for targeted parents and their children.

I am calling on ALL mental health professionals – including Bill Bernet, Karen Woodall, Amy Baker and the PASG – to bring ALL of our voices into a single call for a professional standard of practice using the AB-PA diagnostic model.

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

This is the ONLY rational path forward to end the suffering of targeted parents and their children.

It doesn’t matter if you think your “dancing angels” model is prettier and better.  The ONLY thing that matters is the solution – bringing an end to the immense suffering of targeted parents and their children.

AB-PA:  The Solution: A Return to Professional Practice; The Solution: Dominoes

Gardnerian PAS: nothing.

I am calling for a single unified voice.

Join us in bringing the nightmare of “parental alienation” to an end for these grieving parents and their children.

There is no rational reason not to join us in solving “parental alienation.”  From this point forward, continuing to sow division and discord that slows the solution offered by AB-PA is obstructionism.

If you are an obstructionist to the solution, then you are no ally to targeted parents and their children.  They need a solution.

The path forward into a solution is through AB-PA.

Craig Childress, Psy.D
Clinical Psychologist, PSY 18857

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

They don’t care if AB-PA solves the pathology.  That’s not relevant to them.  Only they are allowed to solve the pathology.  It’s their game – it’s their pathology.  I’m the outsider.  I’m not part of their club.  How dare I come in and just solve the pathology. 

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

Even through AB-PA offers tens of thousands of children and families a solution to their nightmare, the Gardnerian PAS experts are willing to sacrifice your children to the pathology rather than allow AB-PA to solve the pathology.

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

The Gardnerian PAS “experts” are the (semi-conscious) colluding allies of the pathogen who are disabling the mental health system response to the pathology.  The pathogen has access to them through their narcissistic self-inflation around being “experts” and it uses this entry point to motivate them into continuing to push an abundantly flawed and completely failed diagnostic model of the pathology that will never in a million years solve the pathology.

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

I find the willingness of the Gardnerian PAS “experts” to sacrifice children and families to the pathology rather than support a solution that doesn’t involve Gardnerian PAS — to be morally reprehensible.

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

People complain that the system is rigged.  For family law attorneys.  For court involved mental health professionals. 

The Gardnerian PAS “experts” are part of that failed system.  Thirty years – no solution.  Why?  There’s a reason for that.  The Gardnerian PAS “experts” didn’t want a solution, they wanted to be “experts.”

I came from outside the system. Look what I did. Returned to the standard and established principles of professional psychology and diagnosed the pathology.  In 30 years, they never diagnosed the pathology using standard and established  constructs and principles of professional psychology.

They don’t want things to change. They’re “experts” and they like being “experts.”  They want everything to remain exactly as it is.

Even if that means that more children and more families are sacrificed to the pathology.

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

I knew the pathogen would attack once it recognized the threat I posed to it.  The threat?  I can see it.

I had always anticipated the attack would come from the Silberg-Meier contingent of Anti-Gardnerians.  I was wrong.  It’s from the Gardnerian PAS “experts” – wow, whaddya know.

It’s the Gardnerian PAS “experts” who are the enabling allies of the pathogen.  It’s the Gardnerian PAS “experts” who are clogging up and disabling the mental health response to the pathology.

The Gardnerian PAS “experts” don’t want AB-PA to ever see the light of day.

Why are they so afraid of AB-PA?  A: They are afraid that AB-PA is going to solve the pathology – and they are right to be afraid because AB-PA will solve the pathology.

They are afraid that AB-PA will solve the pathology, so they don’t want AB-PA to ever see the light of day. 

The pathogen is afraid that AB-PA will solve the pathology, so it doesn’t want AB-PA to ever see the light of day.

Dorcy had her flying monkey overt allies of the pathogen who sought to discredit her and prevent the solution she holds from ever seeing the light of day – and I’ve got my Gardnerian “experts” covert enabling allies of the pathogen who will similarly try to prevent AB-PA from ever seeing the light of day – (somehow the image of flying Gardnerians is a little off-putting). 

The battle is now.  I’m on the battlefield with the pathogen now. 

The Gardnerian PAS experts don’t want AB-PA to ever see the light of day.

They don’t want mental health professionals to know about AB-PA, they don’t want mental health professionals to use AB-PA. 

They don’t want AB-PA to ever see the light of day.

The Gardnerian PAS “experts” and I have different goals when it comes to “parental alienation.”  I want to solve it.  They want to remain “experts.”

I am on the battlefield right now, fighting for your children.  We must achieve professional competence in the assessment, diagnosis, and treatment of your children and families. To accomplish this, we must return to the standard and established path of professional psychology.

The Gardnerian PAS model invites – invites – rampant professional ignorance and incompetence.  Want proof – look around you.  Thirty years of the Gardnerian PAS diagnostic model has given us exactly what you see. 

The Gardnerians want to bury AB-PA so that the same status quo can continue, and continue, and continue – they’re “experts” and they like being “experts.”  Everything needs to remain just the way it is.  We’re “experts” and we’re fighting a heroic fight for children and families.  Don’t disturb us by actually solving the pathology.

The Gardnerian PAS “experts” never want AB-PA to see the light of day.

I am on the battlefield right now fighting for your kids.  I am on the field right now fighting with the pathogen. 

The Gardnerian PAS “experts” never want AB-PA to see the light of day.

They would rather sacrifice more children to the pathology than allow AB-PA to solve the pathology. 

I find that morally reprehensible.

And to the pathogen that’s on the battlefield with me right now… I see you.

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857

I don’t go to read Karen Woodall’s blogs.  Occasionally, people send me a Woodall blog to get my reaction.

The solution is on its way, and it’s time to address the Gardnerian faction. Karen Woodall is the most direct and active representation of the Gardnerian PAS approach.

I’ve read all the Gardnerian literature.  I don’t cite it because it’s not really relevant or valuable.  The Gardnerian approach is a proposal for a new form of pathology that requires an equally new and unique set of symptom identifiers.

According to the Gardnerians, this pathology is so unique in all of mental health, that its diagnosis requires its own set of new and unique symptom identifiers – that are unlike any other symptom pathology in all of mental health; symptom identifiers are made up by one guy to be unique for this pathology alone in all of mental health.

Historically, their label for this supposedly new form of pathology started as “Parental Alienation Syndrome” (PAS) as they proposed the specialness of this pathology as a new “syndrome” – a unique new constellation of symptoms into a cohesive pathology.

Through controversial assertions made by Gardner and issues surrounding false allegations of sexual abuse by mothers, and Gardner’s troubling statements about child sexuality (Gardner Quotes on Child Sexuality), established mental health professionals grew uncomfortable with PAS.  Opponents of Gardner then correctly identified that his proposed model for a new form of pathology – a new syndrome – lacked professional grounding and scientifically established validity.

This was a valid criticism of a proposal for a new form of pathology.  I studied with Dr. David Foy at Pepperdine.  He was one of the principle figures in getting the diagnosis of PTSD accepted by the DSM system following the Vietnam war.  Lots and lots of vets with post-traumatic stress symptoms but no disorder – no diagnosis.

The group that formed the PTSD diagnosis in the years following the Vietnam war set about defining and describing the pathology from within standard and established constructs and principles of trauma and the traumatized brain.  They also collected lots-and-lots of prevalence data.  They never left the path of professional psychology.  No new “magical” symptoms.

While I wasn’t part of that process for the PTSD pathology, I know what they did and how they did it because I had Dr. Foy as an instructor in cognitive-behavioral theory and he told us what they did and how they did it.

As an aside since I’m talking about Dr. Foy and cognitive-behavioral psychology…

CBT has very good stuff – I’d recommend that Karen Woodall, Bill Bernet, and all of Gardnerians stop for a moment and try to explain the pathology of “parental alienation” and its treatment from entirely within CBT constructs.

It’s possible, and I can do it for you if you’d like.  But I think you’ll get more out of it if you try it for yourself – try explaining the pathology of “parental alienation” using ONLY the constructs and principles of CBT.

Gardnerian PAS was quickly discredited and locked in controversy.  This left the professional field adrift.  There is actually a pathology but the model for the pathology was fully rejected.

in the next phase the Gardnerian PAS people dropped the word “syndrome” from the construct – making the pathology just “parental alienation” (no PAS; small p, small a “parental alienation).  But although they changed the name from Parental Alienation Syndrome to “parental alienation” – no syndrome – everything else remained exactly the same.  Exactly the same 8 symptoms.  Exactly the same mild-moderate-severe (dimensional) diagnostic structure.  Exactly the same “new form of pathology” proposal.

In a 2009 article in the Journal of Child Custody, the PAS critic Joan Meier, a Georgetown University Law Professor, critiqued the transition from Parental Alienation Syndrome to “parental alienation” and the “alienated child.”  While I would take exception to her framing of issues, there are many of her lines of argument that are spot-on accurate.

Let me offer you Joan Meier’s description of Gardnerian “parental alienation”

From Meier: “The many critiques of Gardner have resulted in a shift—at least among leading researchers and scholars of custody evaluation—from support for PAS to support for a ‘‘reformulation of PAS’’ typically called instead ‘‘parental alienation’’ or ‘‘the alienated child’’ (Johnston, 2005; Steinberger, 2006).  Johnston and Kelly (2004a), along with Drozd and Olesen (discussed in Meier, in press), are among the leading credible researchers spearheading this trend.” (Meir, 2009, p. 246)

From Meier: “Johnston and Kelly have clearly stated that PAS does not exist, that Gardner’s version of it is ‘‘overly simplistic’’ and tautological, and that the data do not support labeling alienation a ‘‘syndrome.’’ Instead, they speak of ‘‘parental alienation’’ or ‘‘child alienation,’’ as a valid concept that describes a real phenomenon experienced by some children in the context of custody disputes.” (Meir, 2009, p. 246)

From Meier: “What is the difference between PAS and PA?  The primary shift in focus appears to be away from Gardner’s obsession with the purportedly alienating parent and toward a more realistic assessment of the multiple sources of the child’s hostility or fear of his or her parent, including behavior by both parents and the child’s own vulnerabilities (Kelly & Johnston, 2001; Johnston & Kelly, 2004b; Johnston, 2005).” (Meir, 2009, p. 246)

From Meier: “Johnston (2005) defines an alienated child as one ‘‘who expresses, freely and persistently, unreasonable negative feelings and beliefs (such as anger, hatred, rejection and/or fear) toward a parent that are significantly disproportionate to the child’s actual experience with that parent.  Entrenched alienated children are marked by unambivalent, strident rejection of the parent with no apparent guilt or conflict’’ (p. 762).” (Meier, 2009, p. 246-247)

From Meier: “Another notable difference between PAS and Johnston’s reformulated PA is the renunciation of Gardner’s draconian and brutal ‘‘remedies,’’ including custody-switching to the ‘‘hated’’ parent.  Johnston calls instead for individualized assessments of both the children and the parents’ parenting, maintaining focus on the children’s needs rather than the parents’ ‘‘rights.’’  Reconciliation with the hated parent is not necessarily the only desirable goal; a more realistic and healthy attitude toward both parents is (Johnston, 2005).” (Meier, 2009, p. 246-247)

I’ll be interested to hear a law professor’s analysis of AB-PA and Foundations.  So far, we haven’t heard a thing from Meier about AB-PA.  I wonder what a law professor’s analysis of AB-PA would be?  I wonder if a law professor’s analysis of AB-PA and Foundations is even relevant to the clinical discussion of pathology?

Notice all the people that Meier cites: Kelly & Johnston, 2001; Johnston and Kelly, 2004a, Johnston & Kelly, 2004b; Johnson, 2005; Steinberger, 2006.

Basically the same people Karen Woodall cites.

Notice in my 40-page list of references I cite none of these.  Why?  Because they’re not relevant.

If Meier is citing all these sources, and I am citing none of them because they are irrelevant to AB-PA, then I guess that makes Meier’s 2009 analysis of “parental alienation” irrelevant to AB-PA too.  Poof.  All gone.

The references that are relevant to AB-PA are Bowlby, and Beck, and Minuchin, and Kernberg, and Kohut, and Stern, and van der Kolk, and Millon, and Haley, and Bowen, and Linehan, and Ainsworth, and Lyons-Ruth, and Fonagy.  These are among the leading figures in professional psychology.

Foundations is built upon the work of the leading figures in professional psychology.  I can cite chapter and verse for each component of AB-PA.

Look at the titles of the references in my 40-page personal reference list… you don’t think I can cite chapter and verse support for each piece of AB-PA? – I can absolutely cite chapter and verse.

Not one of the citations by Meier is on my reference list.  None.  Who is Meier going to cite in her discussion of AB-PA?  Bowlby?  Beck?  Minuchin?   I don’t know.  It will be interesting to find out.

As for Meier’s analysis of the “parental alienation” construct itself…

From Meier:  “More Similar than Different. The new approach to alienation blunts some of the more extreme elements of Gardner’s theory and places the problem of alienation in a more moderate and reasonable light (by recognizing the many reasons children can become alienated from a parent). Nonetheless, because the differences between ‘‘alienation’’ and PAS are not firmly established, many discussions of parental alienation still necessarily draw on PAS theory and scholarship, and, at least in practice, invocations of PA appear often to be simply ‘‘old wine in new bottles.’’ (Meier, 2009, p. 246-247)

“Old wine in new bottles.” – Meier, 2009.

Where have I heard that comparison before?

Old Wine in Old Skins – Bernet & Reay, 2015

Oh yeah.  That’s the title of Bernet and Reay’s critique of Foundations, a critique recently cited by Woodall.

Wow.  Isn’t that a curious coincidence.  Exactly – to the word – exactly the same critique made by Meier against “parental alienation” is being used by Bernet and Reay – and now Woodall – in their critique of Foundations and AB-PA.

Anybody else find that curious?  That exactly the same critique – word-for-word – that is used by an ally of the pathogen to discredit Gardnerian “parental alienation” is now being used by the Gardnerian PAS “experts” in their efforts to discredit and marginalize AB-PA?

Anybody else find that curious?

And you know what’s curiouser still?  I’m actually more Gardnerian than the Gardernians.  Listen to this, in summarizing her conclusions about the difference between Parental Alienation Syndrome (PAS) and “parental alienation”:

From Meier: “In short, the reality is that whatever some researchers may say about the differences between PAS and PA, in practice, PA is rarely understood to be different.  Indeed, some proponents of alienation theory simply cite to both PAS and PA without distinction.”

From Meier: “Gardner himself noted that some evaluators used the term ‘‘parental alienation’’ instead of PAS in order to avoid the attacks that reference to a ‘‘syndrome’’ invites.  Gardner opposed this practice, arguing that PAS is a far more severe and entrenched problem than mere ‘‘parental alienation’’ (Gardner, 2002).” (Meier, 2009, p. 247)

Gardner believed that PAS was “far more severe… than mere “parental alienation.”  Wow.  I’d agree with that relative to AB-PA.

AB-PA is far more severe than mere “parental alienation.” Yep, Gardner and I are in agreement.

The cross-generational coalition is very common in families, and while pathological, the less severe forms of cross-generational coalition are far less intense and extreme in their symptom display.

But when we add the splitting pathology of parental narcissistic/(borderline) personality pathology to the already pathological cross-generational coalition, this transmutes the already pathological cross-generational coalition into a particularly severe and malignant form.  When we add the splitting pathology of the narcissistic/(borderline) parent to the cross-generational coalition process, in the mind of the narcissistic/(borderline) parent the ex-spouse MUST also become an ex-parent.

The ex-wife MUST become an ex-mother; the ex-husband must become an ex-father.  This is a neurologically imposed imperative of the splitting pathology of the brain.

This psychological requirement for the narcissistic/(borderline) parent that the ex-spouse also become an ex-parent is so strong that it becomes an obsessive fixation – a neurologically imposed imperative – driving the behavior of the narcissistic/(borderline) parent.

The ex-husband must become an ex-father; the ex-wife must become an ex-mother as well.  This is a neurologically imposed imperative of the splitting pathology.

There is a qualitative and clinical difference in the severe form of this pathology (AB-PA).  Gardner and I are in agreement on this.  Woo, hoo. Chock up one for Dr. C; Gardner agrees with Dr. C.

“Curiouser and curiouser!” Cried Alice (she was so much surprised, that for the moment she quite forgot how to speak good English).”

Lewis Carroll, Alice in Wonderland

So, Karen, while you focus your attention on those multitude of “hybrid cases” – “mere parental alienation” as Gardner might call it – I think we should go solve the pathology that Gardner was talking about… you know, that severe one – the real bad stuff.  How about we go solve that?

Gardner says that the severe form of the pathology is different from garden-varieties of “alienation” – and I am saying that AB-PA is a distinctly different, more severe manifestation of the cross-generational coalition (Minuchin; Haley) because of the addition of parental narcissistic and borderline splitting pathology to the cross-generational coalition.

The Solution:  So How Soon?

It was interesting when I reviewed my response to Bernet and Reay’s analysis of Foundations (Old Wine in Old Skins, I know they got the saying wrong), I noticed this statement from the conclusion of my response to them:

From Dr. Childress (2015):  “My challenge to Drs. Bernet and Reay is, I wonder how much faster we can achieve the solution to “parental alienation” offered by an attachment-based model (as described on my blog) with your active support in making establishment mental health aware of the new paradigm offered by an attachment-based reformulation for the pathology traditionally called “parental alienation.”

From Dr. Childress (2015):  “With your active support could we achieve the seven-step solution to “parental alienation” which I describe on my blog by Christmas of 2015?  By this Christmas?  That’s only three months away, but with your active support it might be possible.  There is nothing that stands in the way of a solution to “parental alienation” other than the ignorance of establishment metal health that an attachment-based reformulation of the pathology from entirely within established and accepted psychological principles and constructs exists.”  (Childress, 2015, p. 3)

Well, needless to say, Dr. Bernet, Dr. Reay, and Karen Woodall – the “parental alienation experts” – did not provide their “active support in making mental health aware of the new paradigm offered by an attachment-based reformulation for the pathology.”

Two years later, we are still working to make professional psychology aware of AB-PA – and we are still without the help of Dr. Bernet and Karen Woodall.  And more and more children continue to be sacrificed to the pathology.

How many children could we have saved from the pathology in 2016 and 2017 if Dr. Bernet, and Dr. Reay, and Karen Woodall had helped us in 2015 “in making establishment mental health aware of the new paradigm offered by an attachment-based reformulation for the pathology”?  How many children could we have saved – and how many did we lose?

I don’t care if you call it the “pure form of alienation” – I don’t care if you call it Bob – let’s just solve it, okay?

Just as in 2015 – two years ago – I said that:

“There is nothing that stands in the way of a solution to “parental alienation” other than the ignorance of establishment metal health that an attachment-based reformulation of the pathology from entirely within established and accepted psychological principles and constructs exists.” (Childress, 2015, p. 3)

The same is true in 2017.  There remains only one barrier: ignorance.

We are making significant inroads.  Professional psychology is becoming increasingly aware of AB-PA, and AB-PA is beginning to be used in professional psychology.  I know this to be true.  I’ve consulted with the mental health professionals – I’m seeing the changes occur around us.  Mental health professionals are beginning to wake up from their conceptual slumber.

But how many children and families did we lose over the last two years, from 2015 to 2017.

If we had gotten the “active support” of Dr. Bernet and Karen Woodall, could we have saved them?  I am of the opinion that we could have.  If we had gotten the active support of Dr. Bernet and Karen Woodall in 2015, there are likely thousands and thousands of children and families we could have saved over the last two years.

You know why I’m being harsh with Dr. Bernet and Karen Woodall?  That’s why.  For all of the children we lost in the last two years that we could have saved if Dr. Bernet and Karen Woodall had given their active support to the solution.

In 2015, I made the call to end “parental alienation” (AB-PA) in three months, by Christmas of 2015.

In 2017, I make the call to end “parental alienation” (AB-PA) in three months, by Christmas of 2017.

Is that do-able?  With the active support of Dr. Bernet and Karen Woodall, I think it is.  It’s an audacious goal.  But I think it’s do-able; and shouldn’t we at least try to end this nightmare as fast as is humanly possible?  I wanted Christmas 2015 – so for me Christmas 2017 is far too long.

What do you say, Dr. Bernet?  Karen?  The only thing that stands in the way of the solution is ignorance that AB-PA exists.  Can we solve this pathology, please.  Then you can play with your “hybrid cases” to your heart’s content, discussing this and that feature of the pathology – but can we please solve the severe form of the pathology that Gardner was talking about, please.

So many children and families are suffering.  They need the solution today – they needed the solution yesterday.

What do you say, Dr. Bernet?  Karen Woodall?  Will you actively bring your voices to educating professional psychology about AB-PA.

Do you want to know how?

On October 20th in Houston, Texas, I will be presenting a talk about the AB-PA Key Solution Pilot Program for the Family Courts.  Tell people you know about this October 20th seminar in Houston.  See if people you know would like to attend.  They can contact Dwilene Lindsey at Children4Tomorrow to register (although in Houston, registration may require a boat).

There is a booklet available through Amazon.com that describes the Key Solution Pilot Program.  Send this booklet out to various people you know.

There is a booklet available on Amazon.com regarding the Contingent Visitation Schedule.  Send this booklet out to various people you know.

On November 18^th – 20^th I’ll be presenting a set of AB-PA Certification seminars in Pasadena.  Alert people you know about these seminars and recommend they attend.  Make a public statement that you recommend that mental health professionals should attend the November 18^th – 20^th AB-PA Certification Seminars if they can.

That’s a full month before Christmas, 2017.  Do you think if you did that we could actually begin seeing the widespread solution to “parental alienation” by Christmas of 2017?

I do.

But if you choose to withhold your active support for the solution, then my question becomes how many more children will be sacrificed before we eventually achieve the solution?

Let’s solve “parental alienation” (AB-PA) by Christmas of 2017.  Bill?  Karen?  What do you say.  Can we please solve this pathology?

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857

On November 18th and 19th at the Westin Hotel in Pasadena, I will begin training and Certification in Attachment-Based “Parental Alienation” (AB-PA).

My goal is to establish a baseline standard for the required professional knowledge needed to appropriately assess, accurately diagnose, and effectively treat attachment-related pathology surrounding high-conflict divorce.

I will be offering two levels of Certification in AB-PA:

Two-Day Basic Certification Seminar:  The Basic Certification seminar provides all of the information needed to appropriately assess, accurately diagnose, and effectively treat attachment-related pathology surrounding high-conflict divorce.

After providing the content of these two seminar days, I will feel completely comfortable certifying that this mental health professional has been provided with all of the information necessary to appropriately assess, accurately diagnose, and effectively treat attachment-related pathology surrounding high-conflict divorce.

One-Day Advanced Certification Seminar:  Participation in the Advanced Certification seminar requires prior completion of the Basic Certification seminar.  The Advanced Certification seminar more fully elaborates on the deep features of the pathology.

I am putting a limit of 20 participants for the Basic Certification seminar and 10 for the Advanced seminar.  This will allow for responsive discussion during the seminars.

The content organization for the seminars is:

AB-PA Basic Certification Seminar: Day 1 Agenda

Day 1 is the substantive ground.

Morning:  The Attachment-Based Model of “Parental Alienation”

Much of this information is available through Foundations, and I will assume that participants have a basic familiarity with the structure of an attachment-based model.

In the morning segments of the seminar I will cover the basic structure of AB-PA with a special focus on emphasizing the integration of the three levels of pathology and providing the origin-context for the emergence of the three diagnostic indicators of AB-PA and the 12 Associated Clinical Signs.

Afternoon:  The Diagnostic Indicators of AB-PA

The afternoon session of Day 1 begins with describing the origins for each of the 3 diagnostic indicators of AB-PA, with elaboration of the surrounding pathology context for each symptom’s emergence.   This is followed by a description of the 12 Associated Clinical Signs of the pathology, the origin of each within the pathology, and an elaboration of the surrounding pathology context for each symptom’s emergence.

By the end of Day 1, participants will know exactly what the pathology is and exactly how to 100% identify it when it is present (and to equally determine when it is not present).

The first seminar day ends at 4:00.  From 4:30 to 6:00 on November 18th, Dr. Childress will be available for an appetizer cocktail hour discussion with seminar participants.

AB-PA Basic Certification Seminar: Day 2 Agenda

Day 2 is packed full with practical information.

Morning:  Assessment of AB-PA

The morning section of Day 2 will train participants in conducting the structured Treatment-Focused Assessment protocol, including the purpose and information generated from each of the six assessment sessions.

The morning section of Day 2 will also describe the integrated use of the protocol documentation instruments (the Diagnostic Checklist for Pathogenic Parenting, the Parenting Practices Rating Scale, and the Parent-Child Conflict Coding System to document the pathology for written treatment plan report writing.  Practical guidance on writing the treatment plan report for the Court will be provided.

The training in the Treatment-Focused Assessment protocol will include descriptions of the behavior-chain interview technique and assessing for stimulus control features that can reliably and definitively identify authentic versus inauthentic parent-child conflict.

Afternoon:  The Treatment of AB-PA

The afternoon section of Day 2 will describe the Strategic family systems foundations to the Contingent Visitation Schedule, how to construct it, modify it, and implement it as a Response-to-Intervention trial and to provide long-term stabilization for the family.

The afternoon section of Day 2 will describe psychotherapy approaches to restoring the child’s normal-range attachment bonding motivations through processing sadness (grief), and methods for acquiring and stabilizing the child’s self-authenticity.

The afternoon section of Day 2 will also describe the High Road protocol’s role and approach to restoring normal-range functioning of the child’s attachment system in a matter of a days.  In High-Road augmented recovery, the role of the treating mental health professional changes from healing the damage to stabilizing the recovery.  The afternoon’s material of Day 2 will describe the integration of mental health treatment with the child’s High-Road mediated recovery.

Post-Seminar Consultation:  Certification is more than receiving content, it includes ensuring accurate direct application of the material to complex family situations.  Basic Certification in AB-PA through The Childress Institute includes an additional four hours of optional post-seminar individual Skype consultation for each seminar participant in the 12 months following the seminar, regarding the application of AB-PA to specific cases encountered by the mental health professional.

Certification in AB-PA has meaning.

The mental health professional who is Certified in AB-PA by The Childress Institute knows exactly how to assess, diagnose, treat and resolve attachment-related family pathology surrounding high-conflict divorce.

The AB-PA Certified mental health professional will be able to effectively and efficiently integrate mental health treatment with the requirements of the Court for documentation and evidenced-based decision-making.

The AB-PA Certified mental health professional will have a level of professional knowledge and expertise that can be relied on.

AB-PA Advanced Certification Seminar: Agenda

The Advanced seminar has four content sections:

Morning (9:00 – 10:30):  The Pathogen, Trauma, and Damaged Information Structures.

Morning (10:45 – 12:00): The Intersubjective System (psychological connection)

Afternoon (1:00 – 2:30): Dark Variations: Malignant Narcissism, Sadistic Impulse, the Dark Triad

Afternoon (2:45 – 4:00): Advanced Treatment Techniques

The Advanced seminar contains the truly remarkable material.

Post-Seminar Consultation: Advanced Certification in AB-PA through The Childress Institute includes an additional two hours of optional post-seminar individual Skype consultation for each seminar participant in the 12 months following the seminar, regarding the application of AB-PA to specific cases encountered by the mental health professional.

Registration for the November seminars is through The Childress Institute website:

Registration: The Childress Institute

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857

When I refer to the pathogen, I am talking about a characteristic set of damaged information structures in the brain networks of the attachment system; the love-and-bonding system of the brain.

When the pathogenic agent (a particular set of damaged information structures) is contained within an attachment system, it acts in characteristic ways.

The Group Mind

A highly characteristic feature of this pathogen (this particular set of damaged information structures in the attachment system), is the social motivation to form the group-mind of the collective experience.  In the early literature on “parental alienation,” this group-mind feature of the pathogen led to associations to brain-washing and to the pathology of cult formation.

The pathogen surrounding narcissistic pathology creates a group-mind phenomenon that has cult-like characteristics, and this group-mind quality has actually generated a cultural label; Flying Monkeys.

From Wikipedia.  “Flying monkeys is a phrase used in popular psychology mainly in the context of narcissistic abuse. They are people who act on behalf of a narcissist to a third party, usually for an abusive purpose.  The phrase has also been used to refer to people who act on behalf of a psychopath for a similar purpose.  Abuse by proxy (or proxy abuse) is a closely related concept.  Flying monkeys are distinct from enablers.  Enablers just allow or cover for the narcissist’s (abuser’s) own bad behavior.”

The professional-scientific construct for the formation of a shared psychological state is called “intersubjectivity,” and the psychology of the shared-mind process is mediated by a set of brain cells called “mirror neurons” that are designed to register the intent of other people (PBS Nova: Mirror Neurons).

If you want to learn more about the intersubjective (shared-mind) brain system, Daniel Stern (1985/2004) provides the structural-neurological core for intersubjectivity (drawing on the collateral work of Tronick, Trevarthan, Beebe, and Shore).  Stern describes the central role of empathy (attunement) and empathic failures (misattunement) within the intersubjective system of a shared psychological state.  The scientific literature in this area has also been described in an accessible way by Daniel Siegel (1999), and Louis Cozolino’s (2006) book in the area of the social brain is also worth the read in this “shared-mind” domain.  Fonagy’s work in this area is truly remarkable.

Stern, D.N. (1985). The interpersonal world of the infant: A view from psychoanalysis and developmental psychology. New York: Basic Books.

Stern, D. (2004). The Present Moment in Psychotherapy and Everyday Life. New York: W.W. Norton & Co.

Siegel, D.J. (1999). The developing mind: Toward a neurobiology of interpersonal experience. NewYork: Guilford.

Cozolino, L. (2006): The Neuroscience of Human Relationships: Attachment and the Developing Social Brain. WW Norton & Company, New York.

Fonagy, P., Luyten, P., and Strathearn, L. (2011). Borderline personality disorder, mentalization, and the neurobiology of attachment. Infant Mental Health Journal, 32, 47-69.

Fonagy P. & Target M. (2005). Bridging the transmission gap: An end to an important mystery in attachment research? Attachment and Human Development, 7, 333-343.

In my work with clients, I call this brain system of the shared-mind the “psychological connection” system.  This intersubjective brain system is the brain system that allows us to feel what the actors feel in the movies just as if we were having the experience ourselves.

The intersubjectivity brain system – the brain system governing “psychological connection” – has received extensive scientific study because it is incredibly important in early childhood mental health for a variety of reasons, including its role in language acquisition, it’s role in autism-spectrum pathology, and its foundational role in identity development and self-structure formation.

From Stern: “Our nervous systems are constructed to be captured by the nervous systems of others.  Our intentions are modified or born in a shifting dialogue with the felt intentions of others.  Our feelings are shaped by the intentions, thoughts, and feelings of others.  And our thoughts are cocreated in dialogue, even when it is only with ourselves.  In short, our mental life is correlated.  This continuous cocreative dialogue with other minds is what I am calling the intersubjective matrix.” (Stern, 2004, p. 76)

From Stern: “The intersubjective system can be considered separate from and complementary to the attachment motivational system.” (p. 100)

From Stern: “Intersubjectivity is a condition of humanness.  I will suggest that it is also an innate, primary system of motivation, essential for species survival, and has a status like sex or attachment. “(p. 97)

From Stern: “The discovery of mirror neurons has been crucial.  Mirror neurons provide possible neurobiological mechanisms for understanding the following phenomena: reading other people’s states of mind, especially intentions; resonating with another’s emotion; experiencing what someone else is experiencing; and capturing an observed action so that one can imitate it — in short, empathizing with another and establishing intersubjective contact.” (Stern, 2004; p. 78)

The group-mind formation of the AB-PA pathogen represents the continuous over-activation of the shared-mind intersubjective system of the brain (a psychological connection system of the brain that is “complementary to the attachment motivational system”).

We see the malignancy of shared-mind pathology in the group-mind of the Nazis in the 1930s, in the group-mind extremism of al-Qaeda, and in the pathological group-mind of racist ideology.  We see a more benign version of this group-mind feature in sports fans and social fads.  What turns a benign socially bonded group-mind into a pathological expression of anger and vengeance?  A: Trauma.  If there is a specific set of damaged information structures in the attachment system, this set of damaged information structures will hijack the brain’s shared-mind system of intersubjectivity and turn it toward the regulation of the trauma-pain; loneliness and psychological isolation.

In two-person relationships and families, the pathological shared-mind is called “enmeshment” (Minuchin). When the pathogen forms a larger group-mind, the pathological shared-mind is called a cult.  In extremely malevolent strains, the pathogen’s cult becomes the extremist pathological anger of the Nazis and al-Qaeda.

In the pathology of “parental alienation” (AB-PA), the trauma pathogen in the attachment networks is hijacking the intersubjective system of the brain (the shared-mind psychological connection system of the brain) and is creating a pathology of group-mind in the child’s relationship with the narcissistic/(borderline) parent.  The child psychologically disappears in the shared-mind with the allied narcissistic/(borderline) parent.

Identity Disturbance

The intersubjective system is also linked to identity formation and identity stability.

From Stern: “A second felt need for intersubjective orientation is to define, maintain, or reestablish self identity and self cohesion – to make contact with ourselves.   We need the eyes of others to make contact with ourselves.  We need the eyes of others to form and hold ourselves together.” (Stern, 2004, p. 107)

From Stern: “Without some continual input from an intersubjective matrix, human identity dissolves or veers off in odd ways.” (Stern, 2004)

The pathology of AB-PA is a distortion to the child’s identity formation.  The pathological “eyes of the other” contained in the parenting of the narcissistic/(borderline) parent cause identity disorientation and confusion in the child.  Into this identity confusion and disorientation are inserted the feelings, needs, motivations, and desires of the narcissistic/(borderline) parent.  The child’s identity is taken over by the allied parent.  The child’s self-authenticity is lost as the identity of the parent becomes the identity of the child in the shared group-mind of the intersubjective system.

Scientifically Grounded

Notice what happens when we return to using the standard and established constructs and principles of professional psychology to describe the pathology.  A child’s rejection of a parent is an attachment-related pathology (a pathology in the love and bonding system of the brain).  We then gain access to all of the scientific research on the attachment system.

The attachment system is a “complementary” brain system to the intersubjective brain system of the shared-mind (mediated by a set of brain cells called mirror neurons – PBS Nova: Mirror Neurons).  The pathogen in the attachment networks has captured the “complementary” intersubjective system and distorted it into an over-activated state of continual psychological fusion.

We acquire access to all of the scientific research on intersubjectivity and the shared-mind (Stern, Tronick, Trevarthan, Siegel, Shore, Fonagy).

From Tronick: “When mutual regulation is particularly successful, that is when the age-appropriate forms of meaning (e.g., affects, relational intentions, representations) from one individual’s state of consciousness are coordinated with the meanings of another’s state of consciousness — I have hypothesized that a dyadic state of consciousness emerges.” (Tronick, 2003, p. 475)

Once we apply the scientifically established constructs and principles of professional psychology to the attachment-related family pathology of a child rejecting a normal-range parent surrounding divorce (“parental alienation”; AB-PA), a truly immense bounty of amazing insights are revealed about how trauma impacts these brain systems – across generations.

Once we return to using standard and established constructs and principles to describe the pathology, a wealth of scientific information becomes available.

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857

Tronick, E.Z. (2003). Of course all relationships are unique: How co-creative processes generate unique mother-infant and patient-therapist relationships and change other relationships. Psychoanalytic Inquiry, 23, 473-491.

This is what you’re looking for…

If you see that, then this is what you’re looking at…

If that is what you’re looking at, then this is what you do…

---

---

I want to carry this theme for a bit.  Like a spiral, we’ll be drilling down in a circle of three sentences to expose the rock-solid core of the issues.

Assessment:  This is what you’re looking for…

Diagnosis:  If you see that, then this is what you’re looking at:

Treatment:  If that is what you’re looking at, then this is what you do:

Assessment leads to diagnosis, and diagnosis guides treatment.

Assessment

Assessment is the set of procedures used to identify the symptom patterns of various pathologies.

In assessment, the clinician is looking for the symptom patterns of known pathologies.  The more patterns one is familiar with as a mental health professional, the more the symptoms tell you about the origins of the pathology.

Assessment begins by knowing what symptoms you’re looking for from various pathologies.  That’s why we earn advanced degrees in psychology, we’re learning the patterns of symptoms for various pathologies from differing organizing systems.  What is the pattern of symptoms for autism?  What is the pattern of symptoms surrounding ADHD?  Is the child displaying the pattern of symptoms associated with an anxiety disorder?

Now here’s a very specific question:

What is the pattern of symptoms displayed in a family containing a spouse/parent who has prominent narcissistic and/or borderline personality pathology, in response to the inherent rejection and perceived abandonment surrounding divorce?

We know that the narcissistic personality is vulnerable to rejection and that the borderline personality is vulnerable to abandonment fears.  Neither of these personalities is going to respond well to the inherent rejection and the triggering of abandonment fears associated with divorce.  So what is the pattern of symptoms we’re going to see in the family as a result of the psychological collapse of a narcissistic/(borderline) parent surrounding divorce?

This is the key to the assessment of “parental alienation”:

Q:  What is the pattern of symptoms associated with the collapse of a narcissistic/(borderline) personality parent in response to the inherent rejection and perceived abandonment surrounding divorce?

A:  AB-PA answers that question by identifying three specific child symptoms that are evidence of the psychological collapse of a narcissistic/(borderline) personality spouse/parent in response to divorce:

Attachment system suppression toward a normal-range parent (diagnostic indicator 1)

Personality disorder traits in the child’s symptom display (diagnostic indicator 2)

Delusional belief in the child’s supposed “victimization” (diagnostic indicator 3)

This is the symptom pattern described by AB-PA (Foundations) to answer the question of what pattern of symptoms is displayed in a family with a narcissistic/(borderline) spouse/parent who is psychologically collapsing in response to the divorce.

Foundations describes exactly and fully where these three symptoms come from in the pathology of the narcissistic/(borderline) personality.

The ONLY pathology in all of mental health that will create this specific pattern of three child symptoms (attachment system suppression, personality disorder traits, an encapsulated persecutory delusion) is the psychological collapse of a narcissistic/(borderline) personality spouse/parent in response to divorce (as described in Foundations).

No other pathology in all of mental health will produce this specific set of three child symptoms other than the collapse of a narcissistic/(borderline) personality spouse/parent in response to divorce.

This is what you’re looking for:

Attachment system suppression (diagnostic indicator 1)

Specific personality disorder pathology in the child’s symptom display (diagnostic indicator 2)

An encapsulated persecutory delusion in the child’s symptom display (diagnostic indicator 3)

This is what you’re looking for (this is what you’re assessing for): those three symptoms of AB-PA, attachment system suppression, personality disorder traits, an encapsulated persecutory delusion.

This is what you’re looking at:

If you see those three symptoms (assessment), then this is what you’re looking at… (diagnosis)

This is what you’re looking for (assessment):  The three diagnostic indicators of AB-PA.

This is what you’re looking at (diagnosis):  The collapse of a narcissistic/(borderline) parent surrounding divorce.

Do we need to prove that the allied parent has narcissistic and/or borderline personalty pathology?  No.  Why?  Because those three child symptoms are the symptom pattern for the collapse of a narcissistic/(borderline) personality parent surrounding divorce.  No other pathology in all of mental health will produce that specific pattern of symptoms in the child other than pathogenic parenting by a narcissistic/(borderline) parent.

This is what you’re looking for:  The three diagnostic symptoms of AB-PA.

If you see that, this is what you’re looking at:  Severe Parental Psychopathology.

Narcissistic and borderline personalty pathology is severely distorting to interpersonal relationships and is unlikely to ever change.  This parent will, with almost 100% certainty, triangulate the child into the spousal conflict.

Because narcissistic and borderline personality pathology is so severely pathological and highly resistant to change, it is highly likely that this family will require at least five years (maybe more) of active mental health stabilization following the divorce.

This is what you’re looking at:  Child Psychological Abuse.

Parental narcissistic/(borderline) personality pathology that is creating:

1.)  Severe developmental psychopathology in the child (diagnostic indicator 1: attachment system suppression),

2.)  Severe personality disorder psychopathology in the child (diagnostic indicator 2: five specific narcissistic personality disorder traits displayed by the child),

3.)  Severe delusional-psychotic psychopathology in the child (diagnostic indicator 3: an encapsulated persecutory delusion),

is a DSM-5 diagnosis of V995.51 Child Psychological Abuse, Confirmed.

This is what you do:

If this is what you’re looking at (diagnosis), then this is what you do (treatment):

Assessment:  This is what you’re looking for:  The three diagnostic indicators of AB-PA.

Diagnosis:  If you see that (the three diagnostic indicators), then this is what you’re looking at:

1.)  The collapse of a narcissistic/(borderline) personality parent surrounding divorce,

2.)  Severe parental psychopathology,

3.)  A DSM-5 diagnosis of V995.51 Child Psychological Abuse (the creation of severe psychopathology in the child by pathogenic parenting practices).

Treatment:  If that is what you’re looking at, then this is what you do:

Protective Separation:  In all cases of child abuse (physical child abuse, sexual child abuse, and psychological child abuse) the professional standard of practice and duty to protect requires the child’s protective separation from the abusive parent.

High Road Protocol:  If needed, Dorcy Pruter’s High Road workshop will gently and effectively restore the normal-range functioning of the child’s attachment bonding motivations within a matter of days.

The Contingent Visitation Schedule:  A Strategic family systems intervention that offers a Response to Intervention (RTI) alternative to a complete protective separation, and that can help stabilize family functioning following a protective separation and the reintroduction of the pathogenic parenting of the psychologically abusive parent.

AB-PA Key Solution:  The teaming of an AB-PA Certified mental health professional with an AB-PA Knowledgeable amicus attorney to provide long-term stabilization of family functioning.

The professional rationale for the protective separation is the confirmed DSM-5 diagnosis of V995.51 Child Psychological Abuse.

The AB-PA Key teaming of an AB-PA Certified mental health professional with an AB-PA Knowledgeable amicus attorney is the treatment-oriented solution response to the severity and chronicity of the parental personality pathology within the family.

The High Road protocol and the Contingent Visitation Schedule are additional options that can be applied as warranted in individual cases.

If the High Road protocol is used to quickly and gently restore the child’s normal-range attachment bonding motivations within a matter of days, then the AB-PA Certified mental health professional serves as the follow-up recovery stabilization and “maintenance care” therapist for the family.

If the Contingent Visitation Schedule is used, then the AB-PA Certified therapist serves as the Organizing Family Therapist to develop and implement the court-ordered Contingent Visitation Schedule.

Assessment leads to diagnosis, and diagnosis guides treatment.

Assessment:  This is what you’re looking for…

The three diagnostic indicators of AB-PA: attachment system suppression toward a normal-range parent (diagnostic indicator 1), five specific narcissistic personality traits in the child’s symptom display (diagnostic indicator 2), an encapsulated persecutory delusion regarding the child’s supposed “victimization” by the normal-range parenting of the targeted parent.

Diagnosis: If you see that, then this is what you’re looking at…

The psychological collapse of a narcissistic/(borderline) parent surrounding the divorce (and/or surrounding the remarriage of the other spouse following divorce).

A DSM-5 diagnosis of V995.51 Child Psychological Abuse, Confirmed based on the severity of the child’s pathology created by the pathogenic parenting of the allied narcissistic/(borderline) personality parent.

Treatment: If that is what you’re looking at, then this is what you do…

Protective Separation

The High Road Protocol

The Contingent Visitation Schedule

AB-PA Key Solution

This linkage series is not a matter of opinion.  This is a rock solid fact.

There is no other pathology in all of mental health that will produce that specific set of three child symptoms other than the collapse of a narcissistic/(borderline) parent surrounding divorce. (Assessment)

The collapse of a narcissistic/(borderline) personality is a severe form of psychopathology within the family, and the creation of severe psychopathology in the child is a DSM-5 diagnosis of V995.51 Child Psychological Abuse, Confirmed. (Diagnosis)

The confirmed DSM-5 diagnosis of V995.51 provides the professional rationale for the protective separation, and the severity of the parental personality pathology warrants the insertion of an AB-PA Key team to stabilize the family’s post-divorce functioning and transition to a healthy separated family structure. (Treatment)

This linked series is not a matter of opinion.  It is a rock-solid locked-in fact.

Assessment leads to diagnosis, and diagnosis guides treatment.

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857

Karen, I have a present for you.

I know that you’re all concerned about the different “hybrid” variants of “alienation,” and I know that you’re a parental alienation expert and all, but when you enter the world of general parent-child conflict, what you’re calling “hybrid cases” – well you’re spot-on in my domain of expertise now.

I’m an ADHD expert.  Because of that, I’m also an oppositional-defiant expert, with a particular focus in angry, grumpy, fighting families, and I’m an expert in high-functioning autism, along with learning disabilities, problematic parenting, sensory-motor dysregulation, school failure, post-divorce, delinquency, step-families – all the possible things that are creating family conflict and are co-morbid factors to ADHD.

So when you’re in the world of not “pure alienation” parent-child conflict as you characterize it, that’s my professional home as a child and family clinical psychologist.

Since I know you have an interest in what you’re calling “hybrid” cases of “alienation” that are caused by “many factors,” I’d like to offer you a gift that you might find helpful.  It’s something I started in 2014, I then did some additional work with it in 2015, and I’m hoping I’ll be getting back to it once we solve “parental alienation.”

It’s a coding system for all forms of parent-child conflict.  Everything.  Every type – every causal factor – of parent-child conflict can be captured with a unique number sequence by this coding system.

Parent-Child Conflict Coding System

I want you to have it.  It might help you keep track of all the different “hybrid” variants of parent-child conflict there are.

On the first page is the coding form for AB-PA.  Since AB-PA has two variants, there are two coding variants for the AB-PA “Syndrome Category” (SC), the narcissistic variant (SC-01: 01) and the borderline variant (SC-01: 02).  Notice that the Primary Origin code and the first of the Secondary Factors codes are the same for both variants.  The narcissistic variant differs from the borderline variant due to the influence of differing Parent Vulnerability factors.

Also notice all the Modifiers at the bottom (listed as the same for both variants).  While all of these modifiers may not be present in any specific case, I’d say that at least the first two, Narcissistic Parent (NP) and Terminal Course (TC), must be present for it to be AB-PA.

So the pathology that I am working on solving is categorized on the first page by the two variant codes:

SC-01: 01: AB-PA Pathology; Narcissistic Variant
PCC-05: 02 PCC-00: 02 PCC-04: 01: 01

SC-01: 02: AB-PA Pathology, Borderline Variant
PCC-05: 02 PCC-00:  02 PCC-04: 03

I highlighted the first two category codes to indicate the common core features of the pathology, and to also emphasize the differing feature for the two variants.  This is not a diagnostic system, it’s a coding system that gives a unique code to all the different types of parent-child conflict – all of them.

If the Parent-Child Conflict codes for the family do not match the codes on that coding sheet describing the category codes for AB-PA, then it’s not AB-PA.

What is it – if it’s not AB-PA?  What is the type of conflict if the family’s category codes are NOT the category codes for AB-PA?

I don’t know… let’s find out…

Start by identifying the primary category of conflict.  Is the parent-child conflict primarily resulting from the child’s inherent vulnerabilities (something like impulsivity problems from ADHD), or is it coming from problematic parenting, goodness-of-fit issues, situational factors…? What is the primary cause?  Assign a Primary Origin category.

Now if we’re talking about a hybrid of “alienation,” then I’d say we’re likely talking about a Primary Origin category of PCC-05:02 Family Systems Strain; Child Triangulation – Parent-Child Coalition Against a Parent.

If you want to call a parent-child conflict that is not primarily a cross-generational coalition of the child with an allied parent a “hybrid” case of “alienation,” you can do that if you want.  Just specify what the Primary Origin category is for the cause of the parent-child conflict.

But if you want to start labeling parent-child conflicts that are primarily caused by factors other than a cross-generational coalition as still being “hybrid cases” of “alienation,” I’m likely to suggest that you’re using an over-broad definition of what “alienation” is, and that we’d do better to use a more restricted coding definition for that form of  pathology.  From where I sit, I think the construct of “hybrid cases” of “alienation” should be restricted to parent-child conflicts with the Primary Origin of PCC-05:02; Family Systems Strain; Child Triangulation – Parent-Child Coalition Against a Parent.

Once you determine the Primary Origin code for the parent-child conflict, then you can add Secondary Factors, child vulnerability factors, parent vulnerability factors, all the different variant influences on creating parent-child conflict.

This will result in a set of code numbers for your variant – for your “hybrid” type of “alienation.”  If you want to get really fancy, rank order the importance of the Secondary Factors from most important to least.

Try it.  You will be able to give any type of parent-child conflict a unique code.  Pick one of your favorite “hybrid” variants and start applying the coding system.  I’ve given you a blank coding sheet in the Appendix.  Start with the Primary Origin code, then add relevant Secondary codes, and look at what you wind up with… a code that uniquely captures the features of that type of parent-child conflict.

Notice the Organizing Headers:

00 Empathic Failure
01 Situational Factors
02 Child Vulnerability Strains
03 Child/Parent Vulnerability Strains
04 Parent Vulnerability Strains
05 Family Systems Strains

Try it for conflicts other than “alienation.” Anything.  Pick a parent-child conflict situation – anything you’d like.  Then assign a Primary Origin code and start developing a (hierarchy) of Secondary Factors, and then look at the completed code you wind up with.

I think it’s a pretty darn good coding system for a very complex issue.  People are going to be hard-pressed to come up with a better coding system that covers ALL types of parent-child conflict any better than the Parent-Child Conflict Coding System.  Every causal factor for every type of parent-child conflict will yield a unique code specifically for that type of conflict.

The key for the coding system is to capture all the possible types of things that go into creating parent-child conflict – normal conflict, abnormal conflict, pathological conflict – everything.  What are all the possible things that contribute to parent-child conflict?

I think I’ve got them all in the Parent-Child Conflict Coding System.  I may have missed one or two, but once it gets rolled out in a couple of years, any gaps in the coding system will become clear, and we just add a feature or two that I may have missed.

I developed the categories in 2014 and I began my work on describing the features of each of the different categories and sub-categories in 2015, describing all the nuances of each factor.  Then I got all busy with “parental alienation” (AB-PA), and I haven’t been able to get back to the expanded descriptions of each category and subcategory of parent-child conflict.  But I’m hoping to have some time to work on this soon.  Once it’s completed, it’s going to be a pretty interesting categorical system for capturing all forms of parent-child conflict.

And you know what, it’s really useful if you want to propose a “syndrome.”  See what I did using the coding system?  I assigned a code number for my proposed “syndrome” (SC-01) and I gave this proposed “syndrome” a name; Attachment-Based Parental Alienation.  Now because there are two variants to AB-PA, I have a second-level code number for each of the variant forms of the AB-PA pathology, the Narcissistic Variant (01) and the Borderline Variant (02).

We then have the category codes for defining each variant of the proposed “syndrome.”  When offering a “syndrome” proposal, I’d recommend for the author to also present a comprehensive description for why that set of conflict categories hold together in an associated group, like Foundations.

Then, you know how we can test whether there is actually a syndrome?  We can collect lots and lots of data in which parent-child conflicts surrounding high-conflict divorce are categorized using the Parent-Child Conflict Coding System and we look to see (do a factor analysis) if we get various coherent groupings that would amount to a “syndrome” – to a particular constellation of causal factors.

Back in 2014 I did a brief workup of the attributions of causality for the parent-child conflict of “parental alienation” (AB-PA) from each person’s perspective.

The Domains of Parent-Child Conflict and the Causal Attributions for “Parental Alienation”

I start off with the list of code categories, and I then provide a category workup for the attributions of causality offered by each person in the “parental alienation” family conflict.

The characteristic attribution of causality codes offered by the allied parent and child are:

PCC-04-01-01
PCC-04-02
PCC-04-04
PCC-00-02
PCC-04-05
PCC-04-XX

These are all attributions of causality to the (targeted) parent.

The category codes for the targeted parent’s attributions of causality for the parent-child conflict are:

PCC-05-02
PCC-05-03

Notice the pattern here.  The child and allied parent are attributing the cause of the parent-child conflict to Category 04; the parenting failures of the targeted parent, while the allied parent is attributing the cause to Category 05; family factors.

When we see this Category constellation of attributions for family conflict (a parent-child attribution to Category 4 and a parent attribution to Category 05), we should at least be thinking about the possibility of SC-01: AB-PA.

I’m still working on the descriptions for each of the category factors… but I know that you’re interested in what you call the various “hybrid” cases of “alienation” that have “many causes,” so I thought I’d provide you with the Parent-Child Conflict Coding System.  You might find it helpful in organizing all the different variants of parent-child conflict.

I assigned the Syndrome Category of SC-01 to AB-PA because… well because I’m the first person using it, so I might as well take the first slot.  If you want to propose some “syndrome” constellation of causal factors, go ahead and take SC-02, give your proposed “syndrome” a name, describe why you expect this grouping of causal categories to hold together into a pattern, and then, when we ultimately collect lots and lots of data, we’ll do a factor analysis on the data and see if the proposed groupings do indeed show up.

But for now, just try out the Parent-Child Conflict Coding System.  Pick a few different types of parent-child conflict, from a kid wanting candy at the supermarket to the most complex type of conflict you can imagine.

To possibly anticipate a question you might have, I’m not sure what you mean by the supposed “split state of mind” for the child that you talk about, so I’m going to hold off commenting on that, but from what I suspect you’re reaching for, the child’s psychological stress from a “split state of mind” that you’re proposing would fall under the category of:

PCC-01:    Situational Factors
07  Child – Stress-Related Emotionality/Behavioral Dysregulation

So I suspect the category code for what you’re calling a “split state of mind” would be: PCC-01: 07

But notice something, if you want to identify the specific type of stress the child is experiencing that is causing the emotional/behavioral dysregulation, we just add another sub-level to this sub-category that lists all the various sources of stress, homework, social issues, a death in the family, changes in residence, probably numbering in the hundreds.  And if you wanted to give “split state of mind” a category number as a source of situational stress, that’s do-able.  We’d have to develop the entire sub-sub-category list of all possible sources of stress, and then embed your “split state of mind” proposal into the list.  But I don’t think that level of specificity adds much of value.  However, if anyone wants to get that specific, the Parent-Child Conflict Coding System can adapt to handle it.  We can get incredibly fine-grained on coding the cause of the parent-child conflict.

And Karen, if I can suggest something,

If you’re not taking and using my stuff… you should be.

The three diagnostic indicators of AB-PA, the trauma reenactment narrative, the Diagnostic Checklist for Pathogenic Parenting, the Parenting Practices Rating Scale, and now the Parent-Child Conflict Coding System are all really good stuff.

If you’re not taking and using the systems of information I’m developing, you should be.

Craig Childress, Psy.D.
Clinical Psychologist, PSY 18857