The Family Separation Clinic has provided treatment in cases where children reject a parent after divorce and separation since 2009. In doing so we have gathered a significant case file of outcomes of our work which are focused upon the experience of the child at the heart of a family system which is unable to make the crossing from together to apart successfully. Working with families where a parent is pushed to the margins of a child’s life or cut out from it completely, the entry point is always the lack of capacity in the child to relate to two parents. Presenting as a problem of child ‘contact’ after divorce or separation, what we are really treating is the onset of primitive defences of denial, splitting and projection, caused by inter-personal control dynamics in the adult relationship, enmeshment and other attachment maladaptations.
Knowing what we are treating is an important factor in the successful intervention with a family where children are hyper aligned with one parent and rejecting of the other, which means that understanding what is happening to the child must be the starting point for any intervention. Whilst many therapists approach this problem as one of a child’s relationship with their parents, the true problem is the child’s relationship with their own developing sense of self. The problem facing the child is the defensive ego splitting or fragmentation which is induced in a child who is placed in a double bind by a parent, the impact of which is effectively described in the psychological literature (Bion, 1962; Ferenzi, 1913; Joseph 1987; Winnicott, 1945).
Understanding ego splitting and its aetiology is an essential part of therapeutic intervention with children who align with a parent and reject the other after divorce and separation. Understanding why some children are vulnerable to this and others are not, enables a focus upon the child at the heart of this family drama rather than a binary blame and shame approach in which one parent is always seen as the good parent and the other is always seen as bad. This binary splitting, which is seen in those who work from a parental perspective with the problem of a child’s rejection, keeps the focus of the therapist on parental behaviours, meaning that time is constantly spent trying to keep parents behaving well, which is a little like the circus trick of keeping plates spinning all the time. If a therapist focuses upon parental behaviours as the core problem in the scenario of a child’s alignment and rejection, then they will waste time either trying to fix the parent who is rejected or fix the parent to whom the child is aligned. In such circumstances, the problem of splitting, which originates in the child, remains untreated, explaining why, so many children who have been treated using a reunification camp strategy of removal from one parent and placement with the other, emerge on their 18th birthday with the binary split still present and their allegiance to a once influencing parent unchallenged.
The problem we are treating is not parental behaviour but the impact on the child which is the primitive defence of psychological splitting and all of its attendant symptoms. This primitive defence is signalled by the projection onto parents of good and bad and if untreated will continue on a trajectory in which the child maladapts their attachments to parents over time, including finding reasoning for rejection and alignment which can appear strange and without meaning. This is because psychological splitting is infantile in nature, it has returned the child to the paranoid/schizoid position described by Klein (1946) and it is preventing healthy onward development towards ambivalence.
When we treat the problem in the child we begin by understanding the pressure points around the child and as court involved psychotherapists, we ask for intervention which relieves the pressure on the child and in some circumstances, we seek protection for the child. We cannot avoid the need to make structural changes around the child who is in the psychologically split state of mind because to do so would be unethical in that we would be asking the child to change in circumstances where to do so would be to place them at further risk of harm. Structural change must therefore come first and only when that is in place, can therapeutic work to treat the underlying attachment maladaptations be undertaken.
Treating attachment maladaptations requires a parent in the rejected position to thoroughly understand the behaviour of alienated children in recovery. Like all children who have been abused, psychological splitting causes attachment behaviour which is difficult to understand. Children who have suffered threat of abandonment (if you love him I will leave you) or enmeshment (you must feel like me otherwise I cannot love you) or control strategies (if you love her I will hurt you like I hurt her), do not emerge from this in a straight line but show instead both a lack of awareness of healthy relating and a confusion over boundaries between themselves and adults. A therapist trying to treat a child in this situation, must first ensure that the parent in the rejected position is recovered from their own reactive splitting before they utilise the co-therapy model of intervention. Without the co-therapy model, where therapist and parent work together to enable the child to recover the integrated self, the child cannot fully re-integrate, this is because integration requires the confrontation with the split off part of self which is hidden in the unconscious mind of the child.
Successful work with alienated children recovers the whole child not part selves of the child. When full integration occurs, the child returns to the unconscious experience of childhood which was violated by the triangulation into the adult relationship. This is denoted by the child’s return to ambivalence in which the adult relationship is not of interest, this releases the child’s intra-psychic energy for healthy development over the lifetime.
Family Separation Clinic News
The Clinic is engaged in changing the narrative around alienated children and their families through the delivery of practical support to families, the family courts, social services and other family support services. To support that we are currently engaged in the following projects –
The Handbook of Therapeutic Parenting in Divorce and Separation by Karen Woodall will be available soon. This is the key text for parents who wish to help their children to heal from attachment maladaptations after divorce and separation.
The Clinical Handbook for Pracitioners wishing to work successfully with alienated children and their families by Nick Woodall and Karen Woodall will be available soon. This is the key text for practitioners seeking an approach to recovery for children which is grounded in psychological literature.
The Family Separation Clinic is currently engaged in pathfinder partnerships with Local Authorities in three countries, embedding social work focused practice in cases where children are psychological and emotionally harmed in divorce and separation.
Parent resources, including Holding up a Healthy Mirror to watch on demand are in development.
Practitioners resources to support practice with families using the psychological literature combined with established psychotherapeutic skill-sets are in development.
Therapeutic Parenting Intensives will be held in California, USA (January 2024, South East England UK, Summer 2024, Australia 2025. (More information from karen@karenwoodall.blog)
Instructing in Court The Clinic can only be instructed in the High Court of England and Wales, Republic of Ireland and Hong Kong. Unfortunately we do not have any capacity for any instructions until late 2024.
We are also engaged in several other projects which are focused upon the experiences of children in residence transfer in the UK and the experience of trauma in childhood.
References
Bion, W. (1962b) Learning from Experience. London: Heinemann.
Ferenczi, S. (1913) ‘Stages in the development of a sense of reality’, in First Contributions to the Theory and Technique of Psycho-Analysis. London: Hogarth Press (1952), pp. 213-239.
Joseph, B. (1987) ‘Projective identification – some clinical aspects’, in J. Sandler (ed.) Projection, Identification, Projective Identification. Madison, CT: International Universities Press, pp. 65-76.
Klein, M. (1946). Notes on some schizoid mechanisms. The International Journal of Psychoanalysis, 27, 99–110.
Winnicott, D.W. (1945) ‘Primitive emotional development’. International Journal of Psychoanalysis. 26: 137-142.





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