A Silent Epidemic: Parental Alienation in a Child is on Par With Physical and Sexual Abuse


Parental alienation is devastating and toxic for the child.

sad child



Based on current research, over 22 million adults have been targets of parental alienation in the United States. An estimated 10 million adults have experienced what they perceive to be severe alienation from their children.1 Even so, the clinical problem of parental alienation has been underreported and underappreciated in the public at large. It is a silent epidemic that must be acknowledged.

Parental alienation is a pathological phenomenon in which a child is convinced by one parent that his or her other parent is unworthy and dangerous and should be rejected.2 The child is convinced through a variety of tactics and maneuvers by the alienating/offending parent. If these maneuvers are successful, the child develops the mental condition of parental alienation. This alienation can be mild, moderate, or severe in intensity.3 In severe cases, the relationship with the rejected/targeted parent is completely severed due to the child’s mental condition. Even in mild and moderate alienation, there is damaging disruption in the parent-child relationship.

The rejection of a parent due to parental alienation is a devastating and tragic event for the child. Research clearly shows that children need both of their parents to be actively involved in their lives. The rejection of a parent is associated with many long-term, negative consequences for the child. Depression, anxiety, poor self-esteem, lack of trust in relationships, and self-defeating behavior are just some of the deleterious consequences.

Causing parental alienation in a child is on par with physical and sexual abuse. It is considered child psychological abuse and is subsumed in DSM-5 (V995.51).4 Parental alienation is real, definable, and toxic. In severe cases, it is so malignant that it can undermine a child’s psychological development. It is not hyperbole to say it can be catastrophic.

A case of parental alienation needs to be investigated rigorously by the state’s protection agency, similar to what is done in cases of suspected physical or sexual abuse. To do otherwise is to miss the central point—that causing parental alienation is as toxic and damaging as these other forms of abuse.

Cases of parental alienation must be taken seriously by all professionals involved with the family. For example, attorneys are in a unique position to make a major difference in diagnosis and treatment.5

Attorneys for alienating parents must forcefully communicate to their clients that their alienating behavior is toxic and must stop immediately. Zealous representation of a client is not applicable in these alienation cases. In fact, confrontation of the alienating parent must be a top priority for the attorney, no matter how difficult or uncomfortable it may be. Short of that, attorneys will be condoning and enabling the alienation of the child.

Attorneys for alienated children—guardians ad litem—must take active steps to make sure the alienating parents stop their behavior while also assuring that the children get therapy to reverse their alienation.

Attorneys for the rejected or targeted parents must assure that reunification therapy is pursued with diligence and positive expectation so that the child’s alienation is corrected as quickly as possible.

In cases of physical and sexual abuse, the child is removed from the offending parent. That decision is not controversial. Similarly, a child who totally rejects the targeted parent due to parental alienation must be removed from the offending parent, at least temporarily. The removal of a child has been shown to be warranted and effective. In other words, removal of the child is the best option available.

Other professionals involved in a case of parental alienation—such as mediators, counselors, pediatricians, family physicians, teachers, social workers, and others—must play an attentive and corrective role in the process. Allowing alienation to continue unchecked is highly destructive to the child.

One final note: Mild parental alienation is much easier to correct than moderate or severe alienation. This principle must be kept in mind by all professionals who have contact with the child and the parents.

Parental alienation is a psychiatric emergency and interventions should be put in place as quickly as possible because it is as toxic and pernicious as physical and sexual abuse.

Dr Blotcky is a clinical and forensic psychologist in private practice in Birmingham, Alabama. He can be reached at alanblotcky@att.net. Dr Bernet is professor emeritus in the department of psychiatry at Vanderbilt University School of Medicine in Nashville, Tennessee.


1. Harman JJ, Leder-Elder S, Biringen Z. Prevalence of adults who are the targets of parental alienating behaviors and their impact. Children and Youth Services Review. 2019;106:104471

2. Blotcky AD. Parental alienation unlocked. Psychology Today. May 11, 2021. Accessed April 7, 2022. https://www.psychologytoday.com/us/blog/parental-alienation-unlocked/202105/how-recognize-parental-alienation

3. Are there different degrees of parental alienation? PsychLaw. Accessed April 7, 2022. https://psychlaw.net/are-there-different-degrees-of-parental-alienation/

4. Bensussan P. [Parental alienation, child psychological abuse and DSM-5]. Encephale. 2017;43(6):510-515.

5. Blotcky AD. Winning parental alienation cases: a roadmap for family lawyers. Family Lawyer Magazine. March 2, 2022. Accessed April 7, 2022. https://familylawyermagazine.com/articles/winning-parental-alienation-cases/

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