Saturday, February 20, 2010

Study finds obvious "Personality Disorders" in PAS parents

Study finds obvious "Personality Disorders" in PAS parents

American Journal of Forensic Psychology

by Jeffrey C. Siegel, Ph.D. and Joseph S. Langford, Ph.D.

MMPI-2 validity scales of two groups of parents going through child custody evaluations, parents who engage in parental alienation syndrome (PAS) behaviors and parents who do not, were compared.

It was hypothesized that PAS parents would have significantly higher L and K scales and a significantly lower F scale than parents who do not engage in these behaviors.

It was concluded that parents who engage in alienating behaviors are more likely than other parents to use the psychological defenses of denial and projection, which are associated with this validity scale pattern. Implications of this finding regarding possible personality disorders in PAS parents are discussed.

Parental alienation syndrome is a term coined by Gardner (1, 2) for the phenomenon in which a child from a broken marriage becomes alienated from one parent due to the active efforts of the other parent to sever their relationship.

Rand (3) recently provided an extensive review of the literature relevant to this phenomenon, broadening the scope to include writing which described the same or similar Concepts without using Gardner's term.

Gardner and others (4, 5) have described numerous behaviors the alienating parent may engage in to harm the child's relationship with the other parent, many of which have been described as "programming" or "brainwashing." For example, the alienating parent is likely to make accusations about the other parent in front of the child, describe the other parent as dangerous or harmful, tell the child that the other parent does not love him or her, and greatly exaggerate the other parent's faults (whether real or imagined). More extreme alienating behaviors include making false accusations of sexual or physical abuse and programming the child to believe that the abuse occurred.

According to Gardner, the child becomes aware that the alienating parent wants him or her to hate the other parent and, out of the need to please the alienating parent and to avoid abandonment or rejection, the child joins in the denigration of the other parent.

Such dynamics are very familiar to clinicians who work with broken families and who perform custody evaluations.

However, little empirical research has yet been reported. A number of questions need to be addressed through research. For example, how prevalent is this phenomenon?

Is it correlated with certain personality traits or psychological disorders? What are the short-term and long-term effects on children who are subjected to it? How does a clinician recognize it? Can psychological testing help the clinician discern when it may be present?

Opinions have been expressed about many of these questions by Gardner and others, but they have not yet been subjected to hypothesis testing.

The present study is an attempt to gain understanding of parents who engage in alienating tactics through a statistical examination of their MMPI-2 validity scales. It was reasoned that if any patterns emerge in the test results of alienating parents, a better understanding of their behaviors might be gained, as well as a psychometric tool to help in the identification of the phenomenon.

In this study, the MMPI-2 profiles of divorcing parents exhibiting characteristics of parental alienation syndrome were compared with the standard MMPI-2 normative sample and with the profile of divorcing parents who do not exhibit characteristics of the syndrome.

It was reasoned that persons who try to alienate their children from the other parent are likely to have a higher degree of the behaviors associated with high L and K scores and a low F score, including a wish to be seen as near flawless, a heavy use of denial defenses (12), a tendency to be rigid and moralistic, and a low degree of awareness of the consequences of their own behavior to other people (narcisstic) (13).

METHOD

Subjects

The subjects for the study were 34 females who completed the MMPI-2 in the course of child custody evaluations. Thirty of the subjects were evaluated in the authors' practice, while four were contributed by another psychologist who frequently serves as an expert witness for the family courts of Dallas, Texas. All of the subjects were involved in child custody litigation and were referred by their attorneys or by the court for psychological evaluation to assist the court in determining the best interest of the children.

Classification Into Groups

The PAS criteria were as follows:

1.Personally involved in, or involving others in, malicious acts against the other parent

2.Engages in excessive litigation for the purpose of limiting the other parent's access to their children

3.Attempts to obstruct regular visitation with the other parent

4.Obstructs the other parent's participation in the children's school life and extracurricular activities by lack of notification or untimely notification

5.Lying to the children

6.Lying to others (including, but not limited to, child welfare and child abuse workers, school personnel, medical and psychological professionals)

7.Violations of law (court orders, enforceable agreed orders regarding access, etc.)

8.False allegations of physical, emotional, and/or sexual abuse (falsehood determined by collateral information from child protective service agencies, physicians, psychologists, or other reputable sources)


Sixteen subjects met the criteria for classification as PAS parents (age range: 30 years old to 45 years old, mean = 38.1 years), while 18 subjects did not and were placed in the non-PAS subject pool (age range: 27 years old to 44 years old, mean = 36.9 years).

Procedure
Gardner (2) and Turkat (4), who report that the majority of persons exhibiting alienation behaviors are female.

RESULTS

The study's hypothesis was confirmed for two of the three validity scales. Results of the t-tests indicate that mothers exhibiting PAS behaviors had significantly higher scores on the K scale and significantly lower scores on the F scale than both the standard MMPI-2 normative sample and the sample of divorcing mothers who do not engage in parental alienation. There was no significant difference in L scale scores between the alienating and nonalienating groups, although both were higher than the published normative sample. The results of these statistical analyses are presented in Tables 1 and 2. Figure 1 presents the results in T-scores as they would appear on a typical MMPI-2 profile.

Table 1. Comparison of Validity Scales of Suspected PAS Mothers In Custody Suits With Standard MMPI-2 Norms

Scale PAS Subjects Standard MMPI-2 Norms*
M SD M SD t
L 5.69 2.8 3.47 1.98 3.17***
F 2.25 1.92 3.39 2.64 -2.375**
K 22.44 3.48 15.34 4.47 8.161***

* Caucasian normative group from Butcher J et al. (15)
** p<.01 *** p <.005 Table 2. Comparison of Validity Scales of Suspected PAS and Non-PAS Mothers in Custody Suits Scale PAS Subjects Non-PAS Subjects M SD M SD t L 5.69 2.8 5.46 2.41 .329(ns) F 2.25 1.92 3.23 3.39 -2.042* K 22.44 3.48 18.92 4.25 4.046** * p<.01 ** p<.005 Figure 1. Comparison of Validity Scale Profiles of Suspected PAS Mothers, Non-PAS Mothers and MMPI-2 Normative Group DISCUSSION This study shows that females who exhibit parental alienation syndrome behaviors are likely to produce extremely defensive MMPI-2 profiles. They appear to respond to the MMPI-2 items in such a way as to appear highly virtuous and without emotional problems or difficulties.

The finding that parental alienators answer the test items even more defensively than other parents in custody suits may shed light on their personality tendencies and may be diagnostically useful.

Gardner (2) has written that parents who make false allegations of child abuse, perhaps the most extreme expression of parental alienation, are likely to exhibit characteristics of histrionic, borderline, or paranoid personality disorders. Although they did not use the term parental alienation, Wakefield and Underwager (16) found, in a comparison of parents making false allegations in custody disputes with parents not making such allegations, that those making false allegations were more likely to have a diagnosis of a personality disorder, consistent with Gardner's (2) assertions.

The findings of this study lend further empirical support to Gardner's belief that PAS may be associated with certain personality disorders and their associated patterns of psychological defense. A highly defensive MMPI-2 validity scale pattern, as was found among PAS parents, suggests psychological defenses which are typically used by people with the externalizing personality disorders (histrionic, borderline, narcissistic, and paranoid).

The tendency to see oneself as "all good" (expressed on the MMPI-2 through high L and K scales and a low F scale) suggests the use of splitting, projection, and denial. People with K scales as high as those produced by the parental alienators in this study are generally described as psychologically unsophisticated, as using denial heavily, and employing defensive distortions (12, 13).

In the context of a divorce and custody dispute, a person who produces a profile like those in this study would appear to be denying any personal responsibility for the divorce or family problems, seeing themselves as flawless, presumably a victim of the ex-spouse.

A person with a more mature defensive structure would be likely to see the matter in more reasonable terms, having less need to deny any responsibility, and be better able to modulate their emotions and give less extreme, more honest answers to the MMPI-2 questions.

Ehrenberg et al. (17) have found that parents with narcissistic personality disturbances were less likely than other parents to cooperate with the ex-spouse after the divorce and to be able to focus on their children's needs.

It may be that parents who exhibit parental alienation syndrome are unable to cope with their personal hurt and disappointment about the dissolution of the marriage through a more mature grieving process and finding new ego supports. It is likely that they cope with their hurt and anger by villainizing the ex-spouse and, perhaps unwittingly, by enlisting their children to help repair their damaged sense of self by having the children join in the splitting and projection of responsibility onto the other parent. Johnston (18) has written that parents who are narcissistically vulnerable are more likely to use the more immature defenses of denial and externalization.

In child custody related psychological evaluations, the clinician should use multiple sources of data to arrive at conclusions (19). When parental alienation syndrome is a diagnostic possibility in mothers, a highly elevated K scale with a depressed F scale may be evidence of the defensive distortions which are associated with the syndrome. This MMPI-2 pattern may alert the clinician to the possible presence of the syndrome, which should be further evaluated through interviews, observations, examination of collateral sources, and other test data. An examination of the MMPI-2 profiles of fathers who exhibit parental alienation tendencies is needed to determine whether they show the same pattern.

REFERENCES

1. Gardner RA: The Parental Alienation Syndrome and the Differentiation between Fabricated and Genuine Child Sexual Abuse. Creskill, NJ, Creative Therapeutics, 1987

2. Gardner RA: The Parental Alienation Syndrome: A Guide for Mental Health and Legal Professionals. Creskill, NJ, Creative Therapeutics, 1992

3. Rand DC: The spectrum of parental alienation syndrome (part 1). American Journal of Forensic Psychology 1997; 15:3:3-52

4. Turkat D: Child visitation interference in divorce. Clinical Psychology Review 1994; 14:8:737-742

5. Clavar SS, Rivlin BV: Children Held Hostage: Dealing with Programmed and Brainwashed Children. Chicago, American Bar Association, 1991

6. Cartwright GF: Expanding the parameters of parental alienation syndrome. American Journal of Family Therapy 1993; 21:3:205-215

7. Dunne J, Hedrick M: The parental alienation syndrome: an analysis of sixteen selected cases. Journal of Divorce and Remarriage 1994; 21:3-4:21-38

8. Lund M: A therapist's view of parental alienation syndrome. Family and Conciliation Courts Review 1995; 33:3:308-316

9. Blush GJ, Ross KL: Investigation and case management issues and strategies. Issues in Child Abuse Accusations 1990; 2:3:152-160

10. Johnston JR, Campbell LE: Impasses of Divorce: The Dynamics and Resolution of Family Conflict. New York, The Free Press, 1988

11. Daubert v. Merrill Dow Pharmaceuticals, Inc., 113 S. Ct. 2786 (1993)

12. Greene RL: The MMPI-2/MMPI: An Interpretive Manual. Boston, Allyn and Bacon, 1991

13. Graham JR: MMPI-2: Assessing Personality and Psychopathology. New York, Oxford University Press, 1993

14. Siegel JC: Traditional MMPI-2 validity indicators and initial presentation in custody evaluations. American Journal of Forensic Psychology 1996; 14:3:55-63

15. Butcher J, Dahlstrom G, Graham J, Tellegen A, Kaemmer B: MMPI-2: Manual for Administration and Scoring. Minneapolis, University of Minnesota Press, 1989; 105-106

16. Wakefield H, Underwager R: Personality characteristics of parents making false accusations of sexual abuse in custody disputes. Issues in Child Abuse Accusations 1990; 2:3:121-136

17. Ehrenberg ME, Hunter MA, Elterman ME: Shared parenting agreements after marital separation: the roles of empathy and narcissism. Journal of Consulting and Clinical Psychology 1996; 62:4:808-818

18. Johnston JR: Children of divorce who refuse visitation, in Nonresidential Parenting: New Vistas in Family Living. Edited by Depner CE, Bray JH. London, Sage Publications, 1993

19. Guidelines for Child Custody Evaluations in Divorce Proceedings. American Psychologist 1994; 49:7:677-680

ABOUT THE AUTHORS

Jeffrey C. Siegel, Ph.D. is a forensic and clinical psychologist in private practice in Dallas, Texas. He is a Fellow of the American College of Forensic Psychology.

Joseph S. Langford, Ph.D. is a forensic and clinical psychologist in private practice in Dallas, Texas. He recently relocated to Texas from Atlanta, Georgia, where he was in practice for several years.

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