Parental Alienation Syndrome Diagnosis and Treatment Tables 1-3

Parental Alienation Syndrome Diagnosis and TreatmentTables 1-3

Table 1: DIFFERENTIAL DIAGNOSIS OF THE THREE LEVELS OF PARENTALALIENATION SYNDROME (PAS) CHILDREN Note: The diagnosis of PAS is based uponthe level of symptoms in the child, not on the symptom level ofthe alienator		CHILDSSYMPTOM LEVEL
		MILD	MODERATE	SEVERE
PRIMARY SYMPTOMATIC MANIFESTATIONS	The Campaign of Denigration	Minimal	Moderate	Formidable
	Weak, Frivolous, orAbsurd Rationalizations for the Deprecation	Minimal	Moderate	Multiple absurd rationalizations
	Lack of Ambivalence	Normal Ambivalence	No ambivalence	No ambivalence
	The Independent-ThinkerPhenomenon	Usually absent	Present	Present
	Reflexive Supportof the Alienating Parent in the Parental Conflict	Minimal	Present	Present
	Absence of Guilt	Normal guilt	Minimal to no guilt	No guilt
	Borrowed Scenarios	Minimal	Present	Present
	Spread of the Animosity to the Extended Family and Friends of the Alienated Parent	Minimal	Present	Formidable, often fanatic
ADDITIONAL DIFFERENTIAL DIAGNOSTIC CONSIDERATIONS	Transitional Difficulties at the Time of Visitation	Usually Absent	Moderate	Formidable, or visit not possible
	Behavior During Visitation	Good	Intermittently antagonisticand provocative	No visit, or destructiveand continually provocative behavior throughout visit
	Bonding with the Alienator	Strong, healthy	Strong, mildly tomoderately pathological	Severely pathological,often paranoid bonding
	Bonding with the Alienated Parent Prior to the Alienation	Strong, healthy,or minimally pathological	Strong, healthy,or minimally pathological	Strong, healthy,or minimally pathological

Table 1

Table 2: DIFFERENTIAL DIAGNOSIS OF THE THREE LEVELS OF PARENTALALIENATION SYNDROME (PAS) ALIENATORS NOTE: Whereas the diagnosisof PAS is based upon the level of symptoms in the child, the court'sdecision for custodial transfer should be based primarily on thealienator's symptom level and only secondarily on the child's levelof PAS symptoms	ALIENATORSSYMPTOM LEVEL
	MILD	MODERATE	SEVERE
Bilbao luxury hotelsFrequency of ProgrammingThoughts	Occasional	Frequent	Obsessive
Frequency of Programming	Occasional	Frequent	Persistent
Frequency of ExclusionaryManeuvers	Occasional	Frequent	Whenever possible
Violation of Court Orders	Occasional	Occasional to frequent	Repeatedly
Success in Manipulatingthe Legal System to Enhance the Programming*	Minimal attempts	Occasional to moderate success	Repeatedly successful
Risk of Intensificationof Programming After Gaining Primary Custody	Very low	Mild to moderate	Extremely high, tothe point of being almost inevitable

Table 2

*The alienator can rely on court delays and court reluctance and even refusalto penalize the alienator
with such measures as posting a bond, fines, community service, probation,house arrest, incarceration,
and custodial change.

Table 3:

DIFFERENTIALTREATMENT OF THE THREE LEVELS OF PARENTAL ALIENATION SYNDROME (PAS)CHILDREN

NOTE: Whereas thediagnosis of PAS is based upon the level of symptoms in the child,the court's decision for custodial transfer should be based primarilyon the alienator's symptom level and only secondarily on the child'slevel of PAS symptoms

CHILDS SYMPTOM LEVEL

MILD

MODERATE

SEVERE

Legal
Approaches

For Alienators in the Mild Category

Court ruling that primary custody shall remain with the alienating parent

Plan A

For Alienators in the Moderate Category

(Most Common)

Court ruling that primary custody shall remain with the alienating parent

Court appointment of PAS therapist^{(see note 1 and 2, below)}

Sanctions:

a.Post a Bond
b. Fines
c. Community Service
d. Probation
e. House arrest
f. Incarceration

Plan B

For Alienators in the Severe Category

(Occasionally necessary)

Court ruling that primary custody shall be transferred to the alienated parent

Court appointment of PAS therapist^{(see note 1 and 2, below)}

Extremely restricted visitation by the alienating parent,monitored to prevent indoctrinations

For Alienators in the Severe Category

Court ruling that primary custody shall be transferred to the alienated parent

Court-ordered transitional-site program

PsychotherapeuticApproaches

None usuallynecessary

Plans A and B

Treatment by a court-appointed PAS therapist^1,2

Transitional-site program monitored by court-appointed PAS therapist^1,2

Table 3

¹. Gardner, R.A. (1998) The ParentalAlienation Syndrome, Second Edition.
Cresskill, NJ: Creative Therapeutics, Inc.
^2.Gardner, R.A. (2001) Therapeutic Interventions for Children with Parental Alienation Syndrome.
Cresskill, NJ: Creative Therapeutics, Inc.

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Table 3: DIFFERENTIALTREATMENT OF THE THREE LEVELS OF PARENTAL ALIENATION SYNDROME (PAS)CHILDREN NOTE: Whereas thediagnosis of PAS is based upon the level of symptoms in the child,the court's decision for custodial transfer should be based primarilyon the alienator's symptom level and only secondarily on the child'slevel of PAS symptoms	CHILDS SYMPTOM LEVEL
	MILD	MODERATE	SEVERE
Legal Approaches	*For Alienators in the Mild Category* Court ruling that primary custody shall remain with the alienating parent	Plan A For Alienators in the Moderate Category (Most Common) Court ruling that primary custody shall remain with the alienating parent Court appointment of PAS therapist^{(see note 1 and 2, below)} Sanctions: a.Post a Bond b. Fines c. Community Service d. Probation e. House arrest f. Incarceration Plan B For Alienators in the Severe Category (Occasionally necessary) Court ruling that primary custody shall be transferred to the alienated parent Court appointment of PAS therapist^{(see note 1 and 2, below)} Extremely restricted visitation by the alienating parent,monitored to prevent indoctrinations	*For Alienators in the Severe Category* Court ruling that primary custody shall be transferred to the alienated parent Court-ordered transitional-site program
PsychotherapeuticApproaches	None usuallynecessary	Plans A and B Treatment by a court-appointed PAS therapist^1,2	Transitional-site program monitored by court-appointed PAS therapist^1,2