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Seattle University Collaborative Projects - International Academy of ...

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The phenomenon in object results ubiquitous both regarding victims' gender and socioeconomicconditions. The important consequences linked to what they suffered - either immediately orwith adolescent or adult onset- are mediated by age and family support to trauma reprocessing aswell as by frequency <strong>of</strong> repetition <strong>of</strong> the abuse or familiarity with the abuser. These factorsappear to be <strong>of</strong> primary importance - both at a physical and a psychic level- and may beexpressed in multiple manifestation; it would be impossible to ignore any alarm signals revealingsuspected abuse suffered by a minor. Specific attention will be directed towards short- and longtermconsequences, including Post Traumatic Stress Disorder, personality disorders, depression,substance abuse, as well as perpetuation <strong>of</strong> the same behavior. In this field, the dramatic lack <strong>of</strong>proper training <strong>of</strong> the pr<strong>of</strong>essionals who work with minors on a daily basis (pediatricians,teachers, etc.), as well as poor treatment techniques, emphasizes the ugent need for preventionand early intervention.Causing Parental Alienation is a Form <strong>of</strong> Child AbuseWilliam Bernet, Vanderbilt <strong>University</strong> (william.bernet@vanderbilt.edu)Parental alienation is a serious mental condition that sometimes occurs when a child's parents areengaged in a high-conflict separation or divorce: the child allies strongly with one parent andrejects a relationship with the other parent without legitimate justification. In some instances,parental alienation is brought about by the indoctrination <strong>of</strong> the child by the preferred parentagainst the rejected parent. If the preferred parent has indoctrinated the child in a knowing,purposeful, persistent manner to hate and avoid the alienated parent, that behavior should beconsidered emotional or psychological abuse <strong>of</strong> the child. Although psychological abuse <strong>of</strong> achild is not currently included in the Diagnostic and Statistical Manual <strong>of</strong> Mental Disorders, it isincluded in the <strong>International</strong> Classification <strong>of</strong> Diseases. There is considerable internationalresearch to support this proposal that causing parental alienation should be considered a form <strong>of</strong>child abuse. The presenter will summarize the work <strong>of</strong> psychologists, psychiatrists, and legalpr<strong>of</strong>essionals from various countries. In some instances, state and national governments havemade it illegal to induce parental alienation in a child. Also, in some cases, the European Court<strong>of</strong> Human Rights has recognized the serious nature <strong>of</strong> parental alienation.23. The “Choosing Wisely” MovementIs Psychiatry Ready?Antony Fernandez, Virginia Commonwealth <strong>University</strong> (antony.Fernandez@va.gov)Technological and scientific advances have made the current practice <strong>of</strong> medicine enormouslycomplex. Along with progress, however, this evolution has come attached with a hefty price tagas well. In recent times, there has been growing concern among medical pr<strong>of</strong>essionals about61

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