DSM-5(3)Childpsychologicalabuse(995.51),whichincludes“harming/ abandoning...peopleorthingsthatthechildcaresabout.”DSM-5, pg. 716,719(5thed. 2013); WilliamBernet,et. al. , ChildAffectedbyParentalRelationshipDistress55J. oftheAm. Acad. ofChildandAdolescentPsychiatry571-579(2016)

DSM-5(2)Parent-childrelationalproblem(V61.20),whichincludes“negativeattributionsoftheother’sintentions,hostilitytowardorscapegoatingoftheother,andunwarrantedfeelingsofestrangement.”DSM-5, pg. 715,719(5thed. 2013); WilliamBernet,et. al. , ChildAffectedbyParentalRelationshipDistress55J. oftheAm. Acad. ofChildandAdolescentPsychiatry571-579(2016)

DSM-5DSM-5 hasTHREEspecificdiagnosesunderwhichParentalAlienationmayfall,albeitbydifferentnames:(1)Childaffectedbyparentalrelationshipdistress(CAPRD)(V61.29),which“shouldbeusedwhenthefocusofclinicalattentionis thenegativeeffectsofparentalrelationshipdiscord(e.g., highlevelsofconflict,distress,ordisparagement)ona childinthefamily,includingeffectsonthechild’smentalorothermedicaldisorders.”DSM-5, pg. 716,719(5thed. 2013); WilliamBernet,et. al. , ChildAffectedbyParentalRelationshipDistress55J. oftheAm. Acad. ofChildandAdolescentPsychiatry571-579(2016

SEVERE: thepreferredparentis obsessedwiththedesiretodestroythechild’srelationshipwiththeotherparent; thebehaviordoesnotrespondtotypicaloutpatientcounseling

What is the difference betweenalienation and estrangement?ALIENATION= childrejectsa parentwithouta goodreason. Thechild’srejectionis faroutofproportiontoanythingtherejectedparenthasdone.ESTRANGEMENT=childrejectsa parentfora goodreason,suchashistoryofabuseorneglect.

World Health OrganizationQE52.0:Caregiver-childrelationshipproblem= “substantialandsustaineddissatisfactionwithinacaregiver-childrelationshipassociatedwithsignificantdisturbanceinfunctioning.”INDEXTERMS◦Parent-childrelationshipproblem◦Parentalalienation◦Parentalestrangemen