Coping with the Trauma of Parental Alienation

 

Enduring the experience of attachment-based “parental alienation” represents a profound form of trauma inflicted on targeted parents.  This type of chronic psychological trauma differs from what combat veterans face when they develop PTSD, yet the experience of targeted parents who are caught in the nightmare of attachment-based “parental alienation” is a form of trauma.  The technical term for the type of emotional and psychological trauma experienced by targeted parents is “complex trauma.”

It is no coincidence that the pathology of the narcissistic/(borderline) parent is born in complex trauma from the childhood of the narcissistic/(borderline) parent, and that the current processes of attachment-based “parental alienation” are inflicting onto the targeted parent a form of complex trauma. These two features of attachment-based “parental alienation” are definitely related.

It is important for the targeted parent to find ways of coping with the complex trauma of attachment-based “parental alienation.”  This post addresses ways the targeted parent can cope with the severe emotional trauma created by the experience of attachment-based “parental alienation.”

The Trauma Reenactment Narrative

The processes of attachment-based “parental alienation” represent the reenactment of the childhood attachment trauma of the narcissistic/(borderline) parent into the current family relationships. The trauma reenactment narrative of attachment-based “parental alienation” represents a false drama created by the pathology of the narcissistic/(borderline) parent. The trauma-related roles contained within the attachment networks of the narcissistic/(borderline) parent were created during the childhood experiences of the narcissistic/(borderline) parent’s own relationship trauma with his or her own parent.

The complex developmental trauma experienced by the narcissistic/(borderline) parent as a child was so devastating to the psychological development of the narcissistic/(borderline) parent, that this childhood trauma experience led to the development of the narcissistic and borderline personality structures that now drive the distorted family processes called “parental alienation.”  The complex trauma of childhood created the narcissistic and borderline personality traits we now see evidenced in attachment-based “parental alienation.”

The attachment system of the narcissistic/(borderline) parent contains representational networks for the childhood relationship trauma experienced by this parent as a child. These internalized working models of the attachment trauma are contained in the pattern of:

“abusive parent”-“victimized child”-“protective parent” 

These trauma-related roles from the childhood of the narcissistic/(borderline) parent are now being reenacted in the current family relationships.

“Abusive Parent”: the targeted parent is being assigned the trauma reenactment role as the “abusive parent”

“Victimized Child”: the current child is being induced by the narcissistic/(borderline) parent into accepting the trauma reenactment role as the supposedly “victimized child”

“Protective Parent”: the narcissistic/(borderline) parent adopts and conspicuously displays to the child and to others the coveted role as the supposedly “protective parent.”

The trauma reenactment narrative is initiated into the current family relationships by first inducing the child into accepting the role as the “victimized child.” This is a critical initial step in the creation of attachment-based “parental alienation.” 

The moment the child accepts and adopts the “victimized child” role in the trauma reenactment narrative, this automatically defines the targeted parent into the “abusive parent” role. The “victimized child” role automatically imposes the “abusive parent” role onto the targeted parent, independent of any actual behavior of the targeted parent. By adopting the role of the “victimized child,” this automatically defines the targeted parent as being an “abusive parent.” 

The targeted parent is immediately put on the defensive, and must continually try to prove to therapists and others that he or she is not “abusive” of the child.  It doesn’t matter that the parenting practices of the targeted parent are entirely normal-range.  The moment the child is induced by the distorted parenting practices of the narcissistic/(borderline) parent into adopting the “victimized child’ role in the trauma reenactment narrative, the “abusive parent” role is immediately imposed upon the targeted parent.

The child’s acceptance of the “victimized child” role also invites and provides the context for the narcissistic/(borderline) parent to adopt and conspicuously display to the child and to others the coveted role as the all-wonderful, perfect and idealized, “protective parent.” In a circular process of role-definition, the “protective parent” role being adopted and conspicuously displayed to the child by the narcissistic/(borderline) parent invites the child to then adopt the “victimized child” role, and the “victimized child” role invites the narcissistic/(borderline) parent to adopt the role as the “protective parent.” 

These two roles in the trauma reenactment narrative are mutually supporting.

The processes of attachment-based “parental alienation” essentially involves a false drama created by the narcissistic/(borderline) parent as an echo of the childhood trauma that created this parent’s personality pathology. In the narrative of this false drama, the narcissistic/(borderline) parent authentically believes that the targeted parent represents an “abusive” threat to the child, and that the supposedly “victimized child” requires the protection of the narcissistic/(borderline) parent.

But none of this false drama is true. It is delusional. The parenting of the targeted parent is entirely normal range, and the child is in no danger and doesn’t need any “protection.” It is a false narrative born in the childhood relationship trauma of the narcissistic/(borderline) parent.

The Trauma of the Targeted Parent

In reenacting the childhood attachment trauma of the narcissistic/(borderline) parent (that produced this parent’s personality psychopathology), the themes of trauma become alive and active once again.

Abuse – Victimization – Helplessness – Suffering

These trauma themes from the childhood of the narcissistic/(borderline) parent are brought to life once more in the trauma reenactment narrative, and are delivered into the experience of the targeted parent.

The psychological trauma of attachment-based “parental alienation” is an abuse inflicted by the narcissistic/(borderline) parent onto the targeted parent (by means of the child). It could almost be considered a form of psychological domestic violence. Once the controversy over the construct of “parental alienation” is resolved, targeted parents should be able to find allies in domestic violence survivors.  Domestic violence and attachment-based “parental alienation” are simply different manifestations of abuse inflicted by a narcissistic personality onto the other spouse.

The trauma themes of the narcissistic/(borderline) parent’s childhood are being created into the experience of targeted parent. The targeted parent is being made to experience the emotional and psychological abuse, the immense suffering, and the helpless victimization, that was part of the childhood trauma experience of the narcissistic/(borderline) parent.  It was this childhood trauma experience of the narcissistic/(borderline) parent as a child that created the twisted personality pathology that is now driving the family pathology of attachment-based “parental alienation.”

The suffering of the targeted parent created by the re-initiated and transferred childhood trauma experience of the narcissistic/(borderline) parent, is both deep and unending, just as it was for the narcissistic/(borderline) parent as a child. There is no escape. The targeted parent is helpless to make the abuse and suffering end. These are trauma themes being recreated into the experience of the targeted parent, which the targeted parent is made to endure. The childhood trauma of the narcissistic/(borderline) parent is alive once more, only this time in the emotional and psychological suffering of targeted parent.

For the targeted parent, attachment-based “parental alienation” represents a “complex trauma” of profound magnitude. Suffering without end – trapped, and helpless.

Coping with the Trauma

The targeted parent must find a way to process and cope with the trauma experience.

In your suffering, you must strive to achieve the triumph of light over the darkness of trauma.  You must find your way out of the trauma experience being inflicted upon you, and into a recovery of your authentic psychological health and balance.

As much as you may want to save your child, you cannot rescue your child from the quicksand by jumping into the quicksand with them. If, in trying to rescue your child from quicksand you jump into the quicksand as well, you will simply both perish.

In order to rescue your child from the quicksand of “parental alienation,” you must have your feet firmly planted on the shore, steady in your own emotional and psychological health, and then extend your hand to retrieve your child.

Even then, your child may not grasp your hand. You will need the support of mental health and the courts, and we’re working on that. For your part, you must strive to find your freedom from the imposed trauma experience. You must strive to find and keep your own emotional and psychological health within the immense emotional trauma of your grief and loss.

The trauma experience captivates the psychology of the targeted parent. The world of the targeted parent revolves entirely around the trauma experience of the family’s pathology. The difficult and challenging relationship with the hostile-rejecting child; the chaos of trying to work with the narcissistic/(borderline) parent to schedule visitations; the blatant and repeated disregard of court orders by the narcissistic/(borderline) parent; and the continual intrusions and disruptions by the narcissistic/(borderline) parent into the relationship of the targeted parent with the child, continually consume the focus of the targeted parent.

Repeated court dates, lawyers, therapists, custody evaluations, that all occur in the context of continuing parent-child conflict, act to fully captivate the complete psychological involvement of the targeted parent.

And in this upside-down world, the targeted parent is continually being blamed for the child’s rejection, even though the targeted parent did nothing wrong.

“You must have done something wrong if your child doesn’t want to be with you.”

Your beloved child is being taken from you, and no one understands. No one helps.

The emotional and psychological trauma and profound grief of attachment-based “parental alienation” consumes the life and psychology of the targeted parent.

You must find your freedom from this trauma.

The emotional trauma inflicted on the targeted parent is severe, and the grief of the targeted parent is deep. The challenge of the targeted parent is to once more find the light of their joy amidst the darkness of their grief and loss.

We are working to solve mental health, so that mental health will understand and will help you.

Once mental health becomes your ally, we will work to solve the courts, so that the courts too will understand and will help you.

In this process, you can help by taking up the challenge to once more find your emotional health and balance within the trauma of your loss and grief. Your child needs you to have your feet firmly planted on the shore of your own emotional and psychological health and balance in order to help them escape the quicksand of their experience.

That is your challenge.

Finding Happiness

Here are nine ways that targeted parents who are caught in the trauma of attachment-based “parental alienation” can recover and restore their emotional health and balance. The basic ideas for this list are drawn from an article by Belle Beth Cooper in which she cites the various scientifically supported methods for increasing happiness.

1.  Practice Smiling

The physical and emotional systems in the brain are  interconnected. We can create a small dose of any emotion by acting as if we had that emotion. That’s what actors do. They act as if they felt a certain way, and this creates a small dose of that feeling. Then the actor expands this small seed of the emotion into a full experience of the desired emotion.

We smile when we’re happy. But it also works in reverse. We become happier when we smile.

When we smile, we create a small dose of the happy feeling. The physical act of smiling fools the brain:

The brain says, “Why am I smiling? Hmm, I must be happy. Hey emotions, stop slaking off down there and produce some of that happy that you’re supposed to be feeling.”

When we smile we fool the brain into thinking it must be happy, so it then releases a small amount of the brain chemicals for the feeling of happy. It’s not much, maybe just a single point on a 10-point scale. But it’s a start. The more we practice smiling, the easier it becomes to produce the happy, and we begin to create a little more happy each time.

With the brain, “we build what we use.”

When we use a brain network we create structural and chemical changes along the pathways that were used and these changes make the connections in the used networks stronger, more sensitive, and more efficient. This process is called the “canalization” of brain networks (like building “canals” or channels in the brain).

The more we smile, the more we canalize the brain systems for being happy. We essentially groove the happy channel more deeply into our neural networks. Its just like practicing the piano. At first it feels awkward and we’re only able to play “twinkle-twinkle little star,” and even then our playing is slow and halting. Yet as we practice, our playing gradually improves. Soon we’re playing simple songs, and it actually begins to sound like music, sort of. Eventually we’re playing ragtime and Mozart concertos.

Practice smiling. It’s extremely simple to do. Just smile.

Smile often. For no particular reason, just smile. Smile in the car. Smile when you’re alone. Smile at your spouse (but not a creepy smile; a warm and relaxed smile). See if you can get your eyes to smile too.

The more you practice smiling, the easier it becomes to bring forth a feeling of relaxed low-level happy, and the longer it remains.

Smiling is especially useful when something makes us angry. Adding happy to angry softens our anger.  Instead of becoming caught up in anger and frustration, when you smile at the same time as you’re angry, you’ll begin to laugh at the absurdity of the narcissistic/(borderline) parent’s all-too-predictable crazy. As soon as you see that email from them in your inbox, smile. Instead of the painful wince of “Oh dear God, not again.” you will begin to experience a relaxed and bemused, “Really? Again?”

Practice smiling. A lot. Whenever. For no particular reason. Just smile.

2.  Meditate

Meditation is wonderful. Meditation is the surest way of bringing emotional peace and balance.

There are a wide variety of meditative practices. Try out different types. There are sitting meditations of inner thought. There are moving meditations of integrated flow. There are breathing meditations of relaxation. Try out different ones. Some won’t fit for you, but others might. See if one fits for you.

One of the most common forms of meditation is to simply sit in a quiet area and let go of each thought as it comes. Mind will continually offer sentences, our thoughts, that capture us. This type of meditation is simply the active letting go of being captivated by the thought.

Let the thoughts come… and let them go. Don’t follow them. Just let them go. The next one comes… let it go. The next one come comes… let it go.  Ooops, thoughts can be so tricky, so captivating, and you find you’ve been caught by one and have wound up following a line of thought. That’s okay. When you become aware of it, simply let it go. Then let go of the next thought. The next thought will come, and let it go too. Soon, mind will quiet. Peace arrives.

Another form of meditative practice is to repeat in your mind or out loud certain sounds, called “mantras.’ These sounds quiet the mind.

A particularly wonderful and relaxing form of meditation is to focus on developing a rhythmic flow of breath. The inhales and exhales of your breath become deep and circular. Mind turns off as we flow into our breathing.

There are also physically active forms of meditation, such as yoga, tai chi, and qigong. These forms of meditation are especially wonderful. They achieve a profound peace through the active integration of personal being with movement and the body.

Sometimes a calming meditative background music helps, and sometimes people prefer quiet. Up to you. Try out different approaches to meditation and see if one works for you. You’ve been through a lot, you deserve to nurture yourself. Valuing yourself enough to give to your “self” the gift of time is tremendously healing.

3.  Spend Time with Friends and Family

The trauma of “parental alienation” can justifiably consume the life focus of targeted parents. The beloved child is being distorted or has been lost entirely. What could be more important than that?

Yet being consumed into the trauma is not healthy. You cannot rescue the child by jumping into the quicksand as well. You must stand on the shore of your own emotional and psychological health so that, when the time comes, you can reach out your hand to rescue the child.

We are working on solving the problems in mental health so that they become your ally. Once mental health becomes your ally, then we can solve the courts so that they too understand and become an ally. Once we have solved the current “bleeding out” of actively occurring “parental alienation,” then we will turn our attention to the adult survivors of childhood “alienation” to see if we can recover these now adult children of “alienation” as well. We’re working on it.

Your challenge is to live into your emotional and psychological health, and not allow yourself to be consumed by the trauma, so that when the time comes you can reach out your hand to recover your child.

We belong in community. We thrive in community. Share your life with friends and family. Arrange dinner parties. Go to movies and plays with friends and family. Join groups, join a church, join an organization. Browse the course catalog of the local college extension program and sign up for a class or activity where you meet other people who share similar interests. Join an adult softball or bowling league. Take salsa dancing, square dancing, line dancing, ballroom dancing, tango. Go on dates. Be with people.

In my professional experience with targeted parents, I have met a number of targeted parents who are successfully remarried to wonderful new life-partners. Maybe it’s something about having made such a horrendous choice in partners the first time that allows the targeted parent to then make a wonderful choice the second time. But for whatever reason, I seem to have met many targeted parents who are now remarried to truly wonderful partners.

However, living in the throes of “parental alienation” can be very hard on these new spouses. These new partners often become so incredibly angry at the destructive maliciousness of the narcissistic/(borderline) parent, who is willing to destroy the children of the targeted parent if this will create suffering in the targeted parent. The new spouse loves the kindness and love available from the targeted parent, and it is so very hard on them to watch helplessly as immense pain is inflicted on the person they love.

If you are a targeted parent who has been fortunate enough to find a new and wonderful life partner, recognize and nurture the joy and love that is available in this new relationship. It’s okay to let go of the pain and trauma of the “parental alienation” and to love and laugh with the new life partner. You are not letting go of the child, you are embracing your emotional and psychological health; you are embracing love.

When the time for solutions arrives, you will have created a wonderful nest of a loving homelife that the child will be able to join.

You are always available for your child. We know that. You also have a right to your life.

There is a lot we must do to fix so many things that are wrong in mental health and the legal system. You are doing all you can. It’s okay to also embrace your life while we work to recover your children.

4. Sleep

Make sure you get enough sleep.                                   

Sleep is a basic rhythm of our lives. Disruptions to our sleep create imbalances in the brain chemistry that can lead to increased stress and emotional exhaustion.

One of the most important aspects of achieving balanced sleep is establishing a routine surrounding our sleep. This is called our sleep hygiene.

Make sure your bed is comfortable and use it only for sleeping, not for reading, or watching television, or working on the computer or tablet. Disconnect yourself from television and the computer at least 30 minutes before bedtime. Allow your brain time to relax and get ready for sleep. Brush your teeth, change into your bedclothes, read a book or a magazine in a nice comfortable chair or sofa. Nurture yourself by getting ready for the beautiful relaxation of sleep. Allow yourself to rest before you ask yourself to sleep.

If you find yourself going to bed and then lying awake for a long time, go to bed later. If your desired bedtime is 10:00 but you wind up falling asleep at 11:30, go to bed at 11:15 for two weeks. Once you’re falling asleep relatively quickly after you go to bed, shift your bedtime back fifteen minutes to 11:00 for a couple of weeks. Once you begin to fall asleep relatively quickly at that bedtime for a while, shift your bedtime back another fifteen minutes to 10:45. Gradually… gradually… begin moving your bedtime back to the desired time. Don’t let yourself lay awake in bed.

Also, don’t watch the clock. Think about pleasant things. Develop fantasies of desired vacations and things you’ll do when your ship comes in. Develop visualizations of mountain pastures, calming ocean vistas, streams and forests. Find a “happy place” in your mind’s world and allow this to be your companion at bedtime.

5. Help Others

In his book “The Art of Happiness,” the Dalai Lama said, “If you want others to be happy, practice compassion. If you want to be happy, practice compassion.”

When we help others, we find our own happiness.

We are designed to live and thrive in community. We become happy when we turn outside of our own selfish needs and give of ourselves to something larger than ourselves. The trauma of “parental alienation” draws you inward into your pain and suffering. Giving to others expands you into life and returns you to the human community.

Live into compassion.  Give to others.  And you will find your happiness.

Two hours a week, give to others. You will be happier.

6. Practice Gratitude

My son is away at college on the East Coast. I am on the West Coast. I see him only rarely and I interact with him infrequently. But I still share in his joy and happiness, even if I don’t know exactly what these joys are, because I know he is living into his life. Even if I am not specifically aware of his day-to-day studies, his friendships, his struggles, and his triumphs, I know he is living into his young adulthood, and I am happy with him.

Even though you may be excluded from the day-to-day knowledge of your child’s experiences, your child is still living into his or her life, and you can still take joy with them in this knowledge, even if you don’t know the specifics.

Your child is bright, and beautiful, and healthy. He or she has a life to live, struggles and triumphs to experience and master. You may not know specifically what they are, but your love shares them as surely as if they were your own. Foster your gratitude for your child’s magnificence, even if the pathology of the other parent seeks to inflict suffering on you through your love for your child. Your child is still wonderful.

Find the thousand things in your life for which you are grateful. Break free from the trauma and reenter the magnificent world that surrounds you. The darkness seeks to injure you, to crush you in the trauma of abuse. Don’t let it. Find the expansive light of life’s riches. Your suffering is real, but it does not need to define you.

Practice gratitude.

7.  Plan a Trip

When we plan a trip, we become happy. Taking the trip can be nice, but we are happiest when we are planning the trip. Planning a trip draws us into life. It gives us something to look forward to with eager anticipation.

The grief and frustration of “parental alienation” traps you into the trauma reenactment. You cannot escape, you are helpless, you must simply endure the emotional and psychological abuse of “parental alienation.” In your helplessness, the trauma themes from the childhood of the narcissistic/(borderline) parent are being transferred into you. You cannot escape the abuse. You are trapped. You are being abused. This is the trauma.

Fight back. Escape. Get away. Until we achieve the help of mental health there is no solution to the tragedy of attachment-based “parental alienation.  But don’t allow yourself to be trapped by the trauma.  Plan a trip.  Where are you going to go? What are you going to do there? What will you see? What adventures will you have? Get away.

Look forward. Escape from the continual focus on the tragedy. In planning a trip, reawaken joyful anticipation. Get away. With all you’ve been through, you deserve it.

Actually taking the trip can also be fun. But the happiness is actually found in the planning of the trip. Where will you go? What will you do? Escape the trauma.

8.  Go Outside

Nature is healing. Feel the sun on your face. Stare up at the stars in wonder. Surround yourself with trees. Hike in the mountains. Listen to the ocean waves crashing on the shore. Take a nap on a Sunday afternoon by the banks of river or stream. Nature is healing.

Pack a picnic and go to the local park. Take a morning walk or an evening stroll. Sit on your porch and watch the world go by. Be outside.

Isn’t it marvelous how absolutely blue the sky is? And those clouds are so wispy, so puffy, like cotton. Look how many shades of green are in those trees, and the many colors in the fields; the browns, and golds, and blues, and pinks.

Smell the freshness of the trees. The sound of the birds chirping that invites us into the world that surrounds us. In the smell of the ocean and the crashing of the waves we are at peace. Under the night sky and the stars we are home.

9.  Exercise

The emotional and psychological stress of attachment-based “parental alienation” is profound. The type of psychological trauma in attachment-based “parental alienation” is called “complex trauma.” It’s different from the PTSD type of trauma experienced by combat veterans. The PTSD type of trauma involves intense periods of hyper-arousal that cannot be processed by the brain. Complex trauma is not as intense but we are exposed to it for longer.  Complex trauma is an unrelenting stress for days, months, years; exhausting the brain chemistry until there is no psychological coping capacity left.

Stress finds a home in our bodies. Exercise cleanses us of the stress chemicals created by sadness and anger. Not only does exercise cleanse us of the toxic stress chemicals, exercise also releases brain chemicals that feel good. We feel stronger, healthier, and happier when we exercise… and we sleep better.

Exercise is one of the most powerful ways to alleviate stress and feel better.

 Escaping Trauma

 Attachment-based “parental alienation” represents a form of complex trauma inflicted on the targeted parent.  In coping with all of the issues surrounding the pathology of attachment-based “parental alienation,” look to find your emotional and psychological health once more. 

Your challenge is to free yourself from the trauma themes being imposed upon you.  Don’t allow yourself to enter a victim mentality.  Don’t allow yourself to be abused.  Rediscover and live into your life and happiness.  Be with friends.  Love again.  Find activities.  Give to others.  Nurture your emotional health.  Escape the trauma.

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

Changing Paradigms

There are substantial efforts underway from targeted parents to make use of my work in defining an attachment-based model of “parental alienation” to achieve a solution to the family tragedy of “parental alienation.” These efforts have my full support and I will do whatever I can to help in finding a solution.

Professional mental health should be the staunch and firm allies of targeted parents in protecting the healthy development of their children. But instead, professional psychology has been lost in a quagmire of professional incompetence, ignorance, and ineptitude – divided within ourselves by an unnecessary and unproductive debate that has failed in our responsibility for protecting the healthy development of the children.

We must bring this internal debate in professional psychology to a close.

The family tragedy of “parental alienation” must end. Today. Each day that passes without a solution is a day we abandon children to the psychological child abuse of “parental alienation.”

To find a solution means that the divisive internecine debate within professional psychology must be brought to an end.

The official position of the American Psychological Association on the construct of parental alienation is,

“January 1, 2008

Statement on Parental Alienation Syndrome

The American Psychological Association (APA) believes that all mental health practitioners as well as law enforcement officials and the courts must take any reports of domestic violence in divorce and child custody cases seriously. An APA 1996 Presidential Task Force on Violence and the Family noted the lack of data to support so-called “parental alienation syndrome”, and raised concern about the term’s use. However, we have no official position on the purported syndrome.”

http://www.apa.org/news/press/releases/2008/01/pas-syndrome.aspx

This is an inadequate professional position. This official position must change.

Obsolete

First, the position taken by the APA is about “Parental Alienation Syndrome,” which is no longer a relevant paradigm for describing the psychological processes of “parental alienation.”

The paradigm is shifting from PAS to an attachment-based model for the construct of “parental alienation” that is based entirely within scientifically established psychological constructs and principles. A new position statement is needed regarding an attachment-based model for the construct of “parental alienation.”

Toward this end, my first book regarding an attachment-based model of “parental alienation” is due out shortly, with my second book on Diagnosis due this summer. In the initial book, “Foundations,” I describe the theoretical foundations for an attachment-based model of “parental alienation” at three separate, but interrelated, levels of analysis,

Family Systems Level: a cross-generational coalition of the child with a narcissistic/(borderline) parent against the other parent.

Personality Disorder Level: the use of the child by a narcissistic/(borderline) parent in a role-reversal relationship as a “regulatory object” for the pathology of the narcissistic/(borderline) parent

Attachment System Level: The reenactment of attachment trauma patterns from the childhood of the narcissistic/(borderline) parent into the current family relationships, expressed in the (false) trauma representational pattern of “abusive parent”/”victimized child”/”protective parent.”

With this book, the paradigm will begin shifting away from a Gardnerian PAS definition of “parental alienation” that originated in the 1980s based on a set of anecdotal clinical indicators, to a current 2015 attachment-based definition for the construct that is based entirely on the solid professional bedrock of scientifically established psychological principles and constructs.

With this shift in paradigm, the American Psychological Association will need to revisit its position statement regarding the construct of “parental alienation” relative to an attachment-based reconceptualization for this construct.

The current position statement of the APA is out of date and obsolete.

Misdirected Focus

Second, the focus of the APA’s position statement is misdirected toward domestic violence rather than the attachment system pathology evidenced in “parental alienation.”

The opening sentence of the position statement regarding “parental alienation” diverts the focus from the family tragedy of a child’s induced rejection of a relationship with a normal-range and affectionally available parent, over to the issue of domestic violence. While domestic violence is a peripherally related construct, it is neither the primary nor foremost construct in “parental alienation” that it would warrant the focus for the APA’s position statement.

At its core, the pathology of “parental alienation” involves distortions to the child’s attachment bonding motivations toward a normal-range and affectionally available parent. The severe distortions to the child’s attachment system are the direct result of pathogenic parenting practices of a narcissistic/(borderline) parent, and represent the trans-generational transmission of attachment trauma from the childhood of the narcissistic/(borderline) parent into the current family relationships.

The focus of the APA’s position statement should be on the pathogenic parenting that is inducing a suppression in the normal-range functioning of the child’s attachment system relative to a normal-range and affectionally available parent.

The primary and central focus of the position statement should be on the child and the child’s symptoms, not on a peripherally related topic of domestic violence generally.

Out-of-Date

Third, the APA’s position statement cites as its primary reference to “parental alienation” a 1996 task force conclusion about the lack of scientific support for the PAS model proposed by Gardner. This citation of a task force conclusion from 20 years ago about a paradigm that is no longer relevant is extraordinarily out of date and entirely inadequate.

As the leading professional organization, the position of the APA should be based on current theoretical paradigms and current scientific evidence related to the attachment system, role-reversal relationships, the trans-generational transmission of developmental trauma, and the formation of personality disorder pathology relative to attachment trauma. There is substantial scientific support derived from the child development literature for an attachment-based model of “parental alienation” as the trans-generational transmission of attachment trauma from the childhood of a narcissistic/(borderline) parent into the current family relationships through the formation of a role-reversal relationship with the child in which the child is being used as a “regulatory object” for the pathology of the narcissistic/(borderline) parent.

Given the immense amount of child development research that has emerged over the past 20 years, including important research on the socially mediated neuro-development of the brain during childhood, a new APA Presidential Task Force focused specifically on the psychological needs of children and psychopathology in the family would be warranted.

In particular, this Task Force should examine issues of,

  • Creating a clearly articulated operational definition for the construct of “parental capacity” that is used as a central construct in child custody evaluations;
  • Creating a clearly articulated operational definition for the construct of the “child’s best interests” that is used as a central construct in child custody evaluations;

If clearly articulated operational definitions for these two central constructs used in child custody evaluations are not forthcoming from professional psychology, then the practice of child custody evaluation should cease, as the conclusions and recommendations derived from child custody evaluations that lack operational definitions for these two central concepts will lack scientifically established reliability and validity.

  • A specific examination of role-reversal pathology within families as a form of psychological child abuse;
  • A specific examination regarding the trans-generational transmission of attachment trauma within families;
  • A specific examination of parental narcissistic and borderline personality pathology as a manifestation of attachment trauma that is transmitted trans-generationally to the child;
  • A specific examination of professional standards for education and training of child and family therapists, including specification of required domains of curriculum content necessary for professional competence in child and family therapy.

Synthesis

Both sides in the unproductive professional debate surrounding the construct of “parental alienation” are correct.

The Gardnerian position is correct. There is a valid clinical phenomenon in which a child is induced into rejecting a relationship with a normal-range and affectionally available parent as a result of distorted parenting practices by an allied and supposedly favored “alienating” parent.

The opponents of the Gardnerian PAS model are also correct in that Gardner’s definition of this clinical phenomenon as a “new syndrome” identified by a set of anecdotal clinical indicators lacks sufficient theoretical foundation.

Both sides are correct.

An attachment-based model offers a resolution to this unproductive and damaging professional debate by reformulating the definition for the construct of “parental alienation” from entirely within scientifically established and accepted psychological principles of the attachment system, attachment trauma, and parental narcissistic and borderline personality pathology.

We must end this unnecessary and unproductive professional debate so that we can set about solving the family tragedy of “parental alienation” for the far too many parents and children who are living this ongoing family nightmare.

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

Personality Pathology and Disorganized Attachment

This post is directed toward mental heath professionals and contains a technical discussion of attachment pathology, although targeted parents may find the discussion enlightening as well.


The likely attachment organizations of family members in attachment-based “parental alienation” are:

Narcissistic style parent: Disorganized (unresolved trauma) with anxious-avoidant overtones

Borderline stye parent: Disorganized (unresolved trauma) with anxious-ambivalent overtones

Targeted parent: Variable, most likely secure

Child: Anxious-ambivalent (preoccupied) with narcissistic/borderline parent; Secure with targeted parent (suppressed)

Narcissistic and borderline personalities have the same underlying core dynamics within the attachment system. The attachment system forms expectations for self- and other-in-relationship. For both the narcissistic and borderline personality organizations the expectations are

Self-in-relationship:  “I am fundamentally inadequate”

Other-in-relationship: “The other person will reject and abandon me because of my fundamental inadequacy. “

The difference between the narcissistic and borderline personalities is merely in how these core beliefs are manifested.

The Borderline Style Personality Organization

The borderline personality has no internal structural defense against the continual experience of these core vulnerabilities, so that the borderline personality seeks an external “regulatory other” who will provide the borderline personality organization with “perfect” idealized love to fill the inadequacy void of self-experience and provide the idealized perfect security of never abandoning the borderline personality. Any empathic failure by the “regulatory other,” results in a collapse of the borderline personality into rages (the emotion of anger provides cohesion to fragmented self-structure) and intense fears of abandonment.

In these borderline rages the person will accuse their partner in the relationship of insufficient and inadequate perfect love of complete devotion to the borderline personality (i.e. the complete dedication of the other person to their role as the external “regulatory other” for the stabilization of the borderline personality organization), mixed with collapses into the alternate pole of self-devaluation as being horrible and unlovable, followed by attacks once more on the failure and inadequacy of the other person to provide the perfect love that would stave off the borderline’s experience of inadequacy. These swings reflect the anxious-ambivalent overtones to the underlying disorganized attachment in which the person swings between devaluation of the other and devaluation of self regarding the source of inadequacy.

The underlying disorganized attachment of the borderline personality structure means that the person has developed no organized approach to restoring relationships once breached. The anxious-ambivalent overtones to the disorganized attachment patterns of the borderline personality organization mean that the person will display a variety of conflicting approach and avoidance motivations, resulting in the characteristic display of forever swirling “drama” surrounding the borderline personality organization, in which the person alternately seeks an intense bonding of “perfect love” followed by a collapse into perceived rejections, real or imagined.

In initial presentations, the borderline style personality presents as emotionally seductive and charming, and often contains a prominent “victimization” presentation to elicit a caretaking response from others.

The Narcissistic Style Personality Organization

The narcissistic personality has developed a fragile internal structural defense of narcissistic self-inflation against the continual experience of core self-inadequacy and fears of rejection/abandonment by the attachment figure. This fragile narcissistic defense provides relief from the intense emotional pain of inadequacy and abandonment fears.

The narcissistic defense psychologically expels the core self-inadequacy through projecting it onto others, it is the other person who is inadequate; while the narcissist remains ideal and perfect. This projection of inadequacy onto others in order to maintain the self-image of ideal narcissistic perfection results in the externalization of blame and responsibility characteristic of the narcissistic personality. The fears of rejection/abandonment are avoided (attachment overtones of anxious-avoidant) by minimizing the importance of others to the narcissistic personality. Relationships are shallow and superficial and people are easily discarded when they stop providing “narcissistic supply.” 

Attachments to people are expendable once they no longer provide gratification (narcissistic supply).

The fragile structural stability provided by the narcissistic defense keeps the underlying borderline organization of “I am inadequate”/”I’m going to be abandoned” at bay, allowing for more organized and functional behavior than is displayed by the more overtly borderline personality which is continually being exposed to collapse into disorganized fragmentation. The generally maintained initial presentation of the narcissistic personality is of calmly confident self-assurance that can be charming and engaging.

However, if the narcissistic veneer is punctured by the other person through criticism or rejection of the idealized narcissistic self-image (inflicting a “narcissistic injury”), then the narcissistic defense collapses into its borderline core organization, resulting in intense displays of anger (the emotion of anger provides cohesion to fragmented self-structure) in which the narcissist degrades and devalues the other person in the relationship in order to reestablish the narcissistic defense of grandiose perfection by diminishing the value of the other person.

In general, the narcissistic defense is maintained through devaluing the importance of others (the anxious-avoidant overtones to the underlying disorganized attachment). The foundationally disorganized attachment means that the narcissistic person has no organized strategy for restoring relationships once they are breached. In response to relationship breaches, the primitive narcissistic defense simply tries to dominate the other person through onslaughts of degradation back into a submissive role as the external “regulatory other” for the narcissistic personality organization, whose role as the “regulatory other” is to provide continual “narcissistic supply” of adoration to support the narcissistic defense against the experience of primal self-inadequacy.

The Child’s Attachment Display

In attachment-based “parental alienation” the child’s attachment display differs between the two parents.

Secure Attachment:  In a secure attachment the child feels safe (i.e., secure in parental protection from predators) which allows the child to explore AWAY from the parent. Secure attachment results in increased exploratory behavior away from the parent, mixed with occasional “emotional recharging” reunions with the parent.

Insecure Attachment:  In an insecure attachment the child is uncertain in the bond to the parent, so the child becomes preoccupied with the parent and will seek continual protective proximity of the parent (i.e., proximity provides protection from predators). In an insecure attachment there is a suppression of the child’s exploratory behavior away from the insecurely attached parent because of the increased risk of predation created by an insecure attachment to the parent.

Child – Narcissistic/(Borderline) Parent

The child’s attachment behaviors toward the narcissistic/(borderline) parent in attachment-based “parental alienation” reflect an anxious-insecure attachment style of preoccupation on the parent and seeking continual (protective) proximity to the narcissistic/(borderline) parent. The child also evidences a suppression of normal-range “exploratory” behavior away from the narcissistic/(borderline) parent to form an independent relationship with the other parent, the targeted parent.

People, including therapists and custody evaluators, who are unknowledgeable about how the attachment system functions, misinterpret the child’s display of hyper-bonding motivation toward the narcissistic/(borderline) parent as evidence of a secure attachment bond to this parent. This represents an ENTIRELY INACCURATE interpretation of the child’s behavior. The superficial display of the child’s hyper-bonding motivation toward the allied narcissistic/(borderline) parent actually represents definitive clinical evidence for an INSECURE ATTACHMENT to this parent, which then has important implications for the type of parenting the child is receiving from this parent that is creating the child’s insecure attachment (I will address the diagnostic differences between child avoidance behavior relative to problematic parenting and child “detachment” behavior displayed in “parental alienation” a future post).

It is ESSENTIAL that all mental health professionals diagnosing and treating a distortion to the child’s attachment bonding motivations be expert in understanding the nature and functioning of the attachment system, including its characteristic patterns of dysfunctioning and their meaning for the type of parenting practices that produce these characteristic patterns of dysfunctioning in the attachment system.

The clearly evident display by the child of an insecure attachment bond to the narcissistic/(borderline) parent is the reason I always put the word “supposedly” ahead of the term “favored” when describing this relationship. The child’s hyper-bonding motivation toward this parent is NOT a sign of a healthy parent-child bond that could be characterized as positive, but instead is clear and definitive clinical evidence of a pathological parent-child bond creating an INSECURE child attachment to this parent, and is actually evidence of an extremely pathological role-reversal relationship in which the parent is feeding off of the child’s healthy self-structure development to support the inadequate self-structure of the parent.

I would identify the sub-category of insecure attachment displayed by the child toward the supposedly “favored” parent as insecure anxious-preoccupied, which is a variant description of anxious-ambivalent.

The child does not feel certain (secure) in the availability of the attachment bond to the narcissistic/(borderline) parent since this bond is predicated on the child’s display of the parentally desired behaviors. In general parlance this type of parental love would be called “conditional love” that is based on the child pleasing the parent, and this “conditional love” provided by the parent is what leads to the child’s insecure attachment and preoccupation on keeping the parent in a pleased (i.e., regulated) state.

Child – Targeted Parent

The child’s normal-range attachment behavior toward the targeted parent is being artificially distorted and suppressed by the pathogenic parenting practices of the narcissistic/(borderline) parent so it is sometimes impossible to get a clear read on the child’s authentic attachment status to the targeted parent, however there are suggestive clinical indicators of a secure attachment.

1. The child demonstrates a willingness to engage in exploratory behavior AWAY from the targeted parent to develop an independent relationship with the other parent.

2. The child feels safe (secure) enough to display hostile-rejecting behavior toward the targeted parent (I’ll have more to say on this in future posts).

3. In some cases, when the child is allowed sufficient separation periods from the distorting pathogenic influence of the narcissistic/(borderline) parent, the child’s displayed attachment behavior toward the targeted parent returns to a normal-range expression of secure attachment.

Targeted Parent

The attachment display by the targeted parent will be specific to each individual case, but in general I’ve found the targeted parent to display a broadly secure attachment pattern.

This statement is with the caveat that in approximately 20% of the cases that come to me because of my expertise in attachment-based “parental alienation,” it is the targeted parent who is the narcissistic parent and who feels “entitled” to possession of the child, and is externalizing blame onto the other parent for the narcissistic targeted parent’s own profound empathic failures relative to the child that are creating child avoidance behaviors.

Note:  Child avoidance behaviors have very different characteristics than the detachment behaviors displayed by the child in “parental alienation.”

I would characterize these cases of the targeted parent being the narcissistic parent as “false allegations of parental alienation.” The application of the three Diagnostic Indicators can accurately and consistently differentiate (100%) actual attachment-based “parental alienation” from false allegations of “parental alienation” made by a narcissistic targeted parent (see Diagnostic Indicators and Associated Clinical Signs post), so clinically and diagnostically I’m not worried about these false allegations of “parental alienation.”  They’re easy to detect.

In some cases I’ve noted a slight overtone of avoidant attachment in a few of the targeted parents, and I’ve seen slight overtones of ambivalent attachment in a couple of cases, but this has been more rare.  And even in these circumstances, the avoidant and ambivalent overtones are still embedded in a generally secure attachment superstructure.

But unlike the narcissistic/(borderline) parent and the child’s characteristic pattern of symptoms created by the pathology of the narcissistic/(borderline) parent, there is more potential variability in the targeted parent that would make the targeted parent’s presentation more variable in each individual case.

The Pathology of Disorganized Attachment

The underlying formative core of the narcissistic/(borderline) parent’s attachment system is a “disorganized attachment,” which is one of the three primary categories of insecure attachment (the other two being anxious-ambivalent, also called “preoccupied,” and anxious-avoidant).

I want to make a clarifying comment on the use of the term “avoidant” relative to attachment and its application to “parental alienation.” In attachment literature the term “avoidant attachment” does not mean a child who is angry or hostilely rejecting a parent. It refers to a child who avoids attachment bonding by being low demand and low needy. An avoidant attachment style develops in a child who’s parent is overwhelmed, so that if the child places demands on the parent the parent withdraws even further away from the child, so that the child adopts an attachment strategy of placing minimal demands on the parent so as to maximize the availability of this parent.

The avoidant attachment overtones to the underlying disorganized attachment of the narcissistic personality parent refers to the superficial presentation of the narcissist as not needing other people, in which other people are seen by the narcissistic personality as being expendable and replaceable.

An ambivalent style of attachment is reflected in a child being highly demanding and needy, either through presenting a great deal of “protest behavior” (anger, defiance, inflexible demands, tantrums, etc.) or through a high frequency of demands for or displays of affectional bonding and reassurances with the parent. The ambivalent attachment style has also been called “preoccupied.” So the high frequency of phone calls and contacts made by the child to the narcissistic/(borderline) parent (and vice versa) while the child is in the care of the targeted parent are CLEAR diagnostic indicators of an insecure anxious-ambivalent attachment between the child and the narcissistic/(borderline) parent.

Anxious ambivalent (preoccupied) attachment develops in response to inconsistent parental availability, which, in the case of attachment-based “parental alienation,” is the “conditional love” offered by the narcissistic/(borderline) parent that is provided only if the child surrenders to the will and desires of the narcissistic/(borderline) parent to act as a “regulatory object” for this parent’s emotional and psychological state.

A disorganized attachment is the underlying attachment organization that creates narcissistic and borderline personality organizations, and it is considered the most pathological of the three types of insecure attachments.

“Individuals with BPD [borderline personality disorder] tend to have attachment styles classified as disorganized and unresolved.” (Stepp, et al., 2011, p. 3)

“Various studies have found that patients with BPD are characterized by disorganized attachment representations (Fonagy et al., 1996; Patrick et al, 1994). Such attachment representations appear to be typical for persons with unresolved childhood traumas, especially when parental figures were involved, with direct, frightening behavior by the parent. Disorganized attachment is considered to result from an unresolvable situation for the child when “the parent is at the same time the source of fright as well as the potential haven of safety” (van IJzendoorn, Schuengel, & Bakermans-Kranburg, 1999, p. 226). (Beck et al., 2004, p. 191)

“Some traumatic experiences may have taken place at a very early age, notably the kind of punishing, abandoning, rejecting responses of the caretaker that led to disorganized attachment. (Beck et al., 2004, . 191)

Role reversals observed among children with disorganized attachment histories, which may include both controlling/punitive and caregiving behavior patterns, may be attempts at fear mastery and self-protection.” (Shaffer & Stroufe, 2005, p. 72)

A variety of pathogenic parenting patterns can produce disorganized attachment in children (i.e., in the childhood of the narcissistic/(borderline) parent with his or her own parent). These different parenting practices that produced the disorganized attachment of the narcissistic/(borderline) parent are relevant to attachment-based “parental alienation” because these attachment behaviors are replicated trans-generationally with the next generation of children (Benoit & Parker, 1994; Bretherton, 1990; Fonagy & Target, 2005; Jacobvitz, Morgan, Kretchmar, & Morgan, 1991; Prager, 2003; van Ijzendoorn, 1992).

A list of parenting behaviors that result in disorganized attachment (i.e., the disorganized attachment of the narcissistic/(borderline) parent who may then display these same types of parenting behaviors with the current child) is provided by Lyons-Ruth, Bronfman, and Parsons (1999)

Maternal behaviors that result in disorganized attachment:

  •  Affective Errors
  • Contradictory cues
  • Nonresponse or inappropriate responses
  • Disorientation
  • Confused or frightened by the child
  • Disorganized or disoriented
  • Negative-Intrusive Behavior
  • Verbal negative-intrusive behavior
  • Physical negative-intrusive behavior
  • Role Confusion
  • Role-reversal
  • Sexualization
  • Withdrawal
  • Creates physical distance
  • Creates verbal distance

Of particular note is the inclusion of “role-reversal” in the creation of disorganized attachment.  The central pathology of attachment-based “parental alienation” is the role-reversal use of the child as a “regulatory other” for the emotional and psychological needs of the parent.  

In healthy parent-child development, the child uses the parent as a “regulatory other” to regulate the child’s emotional and psychological state

In a pathological role-reversal relationship, these parent and child roles are reversed, so that it is the parent who uses the child as a “regulatory other” to regulate the parent’s emotional and psychological state.

Another factor associated with the development of disorganized attachment are psychological boundary violations. Role-reversal relationships are a form of “boundary violation.”

“Examination of the theoretical and empirical literatures suggests that there are four distinguishable dimensions to the phenomenon of boundary dissolution: role reversal, intrusiveness, enmeshment, and spousification.” (Kerig, 2005, p. 8)

Parenting practices that involve boundary violations are transmitted trans-generationally to the next generation of the parent-child relationship (Jacobvitz, Morgan, Kretchmar, & Morgan, 1991).

A variety of researchers have discussed the pathology associated with boundary violations in the parent-child relationship:

Borderline personality symptoms were significantly related to early relational experiences previously reported in retrospective studies. These included attachment disorganization (12–18 months) and maltreatment (12–18 months), maternal hostility and boundary dissolution (42 months)” (Carlson, Edgeland, & Sroufe, 2009, p. 1328)

“The breakdown of appropriate generational boundaries between parents and children significantly increases the risk for emotional abuse.”(Kerig, 2005, p. 6)

“When parent-child boundaries are violated, the implications for developmental psychopathology are significant. Poor boundaries interfere with the child’s capacity to progress through development which, as Anna Freud suggested, is the defining feature of childhood psychopathology.” (Kerig, 2005, p. 7)

“Barber (2002) defines psychological control as comprising parental behaviors that are intrusive and manipulative of children’s thoughts, feelings, and attachments to parents, and are associated with disturbances in the boundaries between the child and the parent… Rather than telling the child directly what to do or think, as does the behaviorally controlling parent, the psychologically controlling parent uses indirect hints and responds with guilt induction or withdrawal of love if the child refuses to comply. In short, an intrusive parent strives to manipulate the child’s thoughts and feelings in such a way that the child’s psyche will conform to the parent’s wishes.” (Kerig, 2005, p. 12)

“In order to carve out an island of safety and responsivity in an unpredictable, harsh, and depriving parent-child relationship, children of highly maladaptive parents may become precocious caretakers who are adept at reading the cues and meeting the needs of those around them. The ensuing preoccupied attachment with the parent interferes with the child’s development of important ego functions, such as self organization, affect regulation, and emotional object constancy.” (Kerig, 2005, p. 14)

“There is evidence for the intergenerational transmission of boundary dissolution within the family. Adults who experienced boundary dissolution in their relationships with their own parents are more likely to violate boundaries with their children.” (Kerig, 2005, p. 22)

“Parent-initiated boundary dissolution in early childhood instantiates a pattern of relationship disturbance in the child. Role reversal is apparent by early adolescence and the available data suggest links to psychopathology in later adolescence.” (Shaffer & Sroufe, 2005)

It is important to note that NONE of the above cited references were concerning the construct of “parental alienation.”  ALL of these statements were from child development literature.

“Parental alienation” is not a new or unestablished concept.  It is a well defined and well understood parent-child pathology in the child development literature, particularly the research regarding the attachment system. It’s just not called “parental alienation.” 

The distorted parent-child processes of “parental alienation” are well defined and well-described processes in child development literature. All an attachment-based model of “parental alienation” does is apply this scientifically established child development knowledge base to the family relationship pathology typically described as “parental alienation.”

“Parental alienation” is not something new or controversial, we know EXACTLY what it is.  We just use different terms for it.

We will have the solution to “parental alienation” the moment the paradigm shifts to an attachment-based model. 

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

References

Disorganized Attachment

Lyons-Ruth, K., Bronfman, E. & Parsons, E. (1999). Maternal frightened, frightening, or atypical behavior and disorganized infant attachment patterns. In J. Vondra & D. Barnett (Eds.) Atypical patterns of infant attachment: Theory, research, and current directions. Monographs of the Society for Research in Child Development, 64, (3, Serial No. 258).

 Personality Disorder and Disorganized Attachment

Stepp, S. D., Whalen, D. J., Pilkonis, P. A., Hipwell, A. E., & Levine, M. D. (2011). Children of mothers with Borderline Personality Disorder: Identifying parenting behaviors as potential targets for intervention. Personality Disorders: Theory, Research, and Treatment. 1-16.

Beck, A.T., Freeman, A., Davis, D.D., & Associates (2004). Cognitive therapy of personality disorders. (2nd edition). New York: Guilford.

Boundary Violations

Carlson, E.A., Edgeland, B., and Sroufe, L.A. (2009). A prospective investigation of the development of borderline personality symptoms. Development and Psychopathology, 21, 1311-1334

Kerig, P.K. (2005). Revisiting the construct of boundary dissolution: A multidimensional perspective. Journal of Emotional Abuse, 5, 5-42.

Shaffer, A., & Sroufe, L. A. (2005). The Developmental and adaptational implications of generational boundary dissolution: Findings from a prospective, longitudinal study. Journal of Emotional Abuse. 5(2/3), 67-84.

.Trans-Generational Transmission

Benoit, D. and Parker, K.C.H. (1994). Stability and transmission of attachment across three generations. Child Development, 65, 1444-1456

Bretherton, I. (1990). Communication patterns, internal working models, and the intergenerational transmission of attachment relationships. Infant Mental Health Journal, 11, 237-252.

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.

Jacobvitz, D.B., Morgan, E., Kretchmar, M.D., and Morgan, Y. (1991). The transmission of mother-child boundary disturbances across three generations. Development and Psychopathology, 3, 513-527.

van Ijzendoorn, M.H. (1992) Intergenerational transmission of parenting: A review of studies in nonclinical populations. Developmental Review, 12, 76-99