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What Do Custody Evaluators Agree About? The Bernet, Baker & Adkins (2022) Definitional-Consensus Survey

A plain-language summary of the authors' 2022 research in Journal of Forensic SciencesDefinitions and terminology regarding child alignments, estrangement, and alienation: A survey of custody evaluators.

Summarised by on behalf of Love Over Exile. Last updated 4 May 2026 . Reviewed against the published primary source (DOI 10.1111/1556-4029.14868 ) .

An editorial flat-lay photograph from directly above of a US forensic-mental-health evaluator's working materials in soft amber light — an open hardback DSM-5-TR, a printed peer-reviewed paper with handwritten margin notes, a yellow legal pad with a fountain pen resting across it, a pair of reading glasses, and a coffee mug — a visual marker for the 119 working US child custody evaluators surveyed by Bernet, Baker and Adkins in their 2022 definitional-consensus paper.

TL;DR

  • Headline finding · ~80% agreement on each of 11 definitions (n=119 US evaluators). Bernet, Baker and Adkins (2022), in the Journal of Forensic Sciences, asked 119 US child custody evaluators on a single professional listing whether they agreed with each of 11 pre-formulated definitions of parental-alienation-related terms. The 88 percent response rate is unusually high for a professional online survey. The headline result, quoted verbatim from the abstract, is that 'roughly 80 percent of respondents agreed or strongly agreed with each of the 11 definitions, which indicate a high degree of consensus regarding this phenomenon'.
  • What the paper measures · Definitional agreement, NOT prevalence or validity. What the paper measures is definitional agreement on terminology — what working evaluators mean when they say 'parental alienation', 'parental estrangement', 'contact refusal' and 'the Five-Factor Model'. It does not measure prevalence (how often the phenomenon occurs), validity (whether the constructs predict outcomes), or whether courts should accept parental alienation as a legal argument. It is a one-round endorsement survey of pre-written definitions, not a Delphi consensus-building protocol.
  • Pair-paper companion · The consensus-mapping complement to Bernet & Greenhill FFM. The paper functions as the consensus-mapping companion to Bernet and Greenhill (2022), the diagnostic-framework paper that proposed the Five-Factor Model in JAACAP. The two papers were published roughly simultaneously and cross-cite. Reading them as a pair: Bernet and Greenhill propose the framework, and Bernet, Baker and Adkins report that 80 percent of surveyed US custody evaluators endorse it.
  • Field-wide context · Kline Pruett 2023 found substantial disagreement. The 80 percent figure should be read alongside Kline Pruett, Johnston, Saini and colleagues (2023), who surveyed 1,049 interdisciplinary family-justice professionals in Family Court Review and found substantial disagreement on whether parental alienation is 'a valid and widespread phenomenon versus a legal strategy to counter intimate-partner violence and child-abuse allegations'. The two surveys are not in technical contradiction — they survey different populations with different items — but the contrast is significant and the article must report it.
  • DSM-5 / ICD-11 status · Covered by existing codes, NOT recognition. Parental alienation is not in DSM-5 or ICD-11 as a named condition. The World Health Organization's official 2020 position is that parental alienation 'is an issue relevant to specific judicial contexts' and not a health-care term, and the index entries 'parental alienation' and 'parental estrangement' were deliberately removed from ICD-11. The Bernet camp's position is that parental alienation cases are captured by existing codes — Caregiver-Child Relationship Problem (QE52.0) in ICD-11, and Child Affected by Parental Relationship Distress (Z62.898), Parent-Child Relational Problem (Z62.820) and Child Psychological Abuse in DSM-5. That is not the same as recognition.

The Study at a Glance

Authors Bernet, W., Baker, A. J. L., & Adkins, K. L.
Published 2022
Journal Journal of Forensic Sciences , 67(1) , pp. 279–288
Method Cross-sectional online survey of 119 US child custody evaluators recruited from a single professional custody-evaluator listing. The instrument was a custom-built questionnaire of 11 pre-formulated definitions of parental-alienation-related terms — including parental alienation, parental estrangement, contact refusal, alienating behaviours, alignment and the Five-Factor Model — rated on a 5-point Likert scale from 'strongly agree' to 'strongly disagree'. Items were generated by the authors through expert input and preliminary field-testing. The design is single-round endorsement of pre-written definitions, not a Delphi protocol with iterative consensus-building.
Sample n=119 US child custody evaluators (88% response rate from a single professional custody-evaluator listing).
DOI 10.1111/1556-4029.14868 (open)
Full paper View primary source →

Love Over Exile is a plain-language research and policy archive on parental alienation, written by Malcolm Smith — an alienated parent and author of the forthcoming book Love Over Exile — for non-specialist readers (other alienated parents, family members, therapists, lawyers) who want to understand the evidence base without a psychology qualification or a journal subscription. This page is one entry in that archive.

Definition · Definitional consensus among US custody evaluators

Definitional consensus, as Bernet, Baker and Adkins (2022) measure it in this paper, is the share of working US child custody evaluators who agree or strongly agree with each of 11 pre-formulated definitions of parental-alienation-related terms — including parental alienation, parental estrangement, contact refusal, alienating behaviours and the Five-Factor Model. The verbatim headline result is that “roughly 80% of respondents agreed or strongly agreed with each of the 11 definitions”. The figure measures terminological agreement among 119 evaluators on a single professional listing — not field-wide endorsement, prevalence, or scientific validity of the underlying constructs.

Working definition adapted from Bernet, Baker & Adkins (2022) Journal of Forensic Sciences, 67(1), 279–288. Read alongside Kline Pruett, Johnston, Saini et al. (2023) — a contrasting interdisciplinary survey of 1,049 family-justice professionals — and the FJC December 2024 UK guidance on alienating behaviour.

What the Researchers Asked

When a child custody evaluator in the United States is asked to assess a contested family case, they reach for a working vocabulary. They classify the child’s behaviour. They differentiate alienation from estrangement. They name the favoured parent’s tactics, and they decide whether the framework in front of them — most often Bernet’s Five-Factor Model — is the right tool for the case.

The vocabulary is clinical, but it is not only clinical. Courts read evaluator reports. Judges adjudicate between competing experts. Other evaluators are reviewed against the same vocabulary in case-management proceedings.

The question Bernet, Baker and Adkins set out to answer in 2022 is whether that working vocabulary is actually shared. Do US custody evaluators — the senior, experienced subset of forensic-mental-health professionals who run these assessments — agree on what parental alienation is, what parental estrangement is, what counts as a contact refusal, and what the Five-Factor Model captures?

The framing the authors give in the abstract is that the public appearance of “controversy and discord” in the field misrepresents the actual state of practitioner opinion. They want to test whether disagreement is real or surface-deep.

How the Survey Was Designed — Methodology in Plain English

The paper is a cross-sectional online survey, not a Delphi study. That distinction matters and should be carried through every reading of the result.

A Delphi study would have run multiple rounds. Round one would have collected agreement; round two would have fed those results back to the same panel; round three would have measured how the panel converged or diverged after seeing each other’s responses. Consensus would have been earned through iteration.

This paper is one round. Respondents saw 11 pre-formulated definitions written by the authors, and rated agreement once on a 5-point Likert scale from “strongly agree” to “strongly disagree”. There was no feedback loop and no convergence process.

The recruitment frame was a single professional custody-evaluator listing — almost certainly a US-based directory, though the abstract does not name it specifically. Email invitations went to listed evaluators with a link to the online survey. Of approximately 135 invitees, 119 responded — an 88 percent response rate.

That 88 percent response rate is unusually high for a professional online survey. Typical professional surveys report 15 to 30 percent. The high rate suggests strong engagement with the topic among the target frame — and it is the paper’s clearest methodological strength.

The total n is 119 evaluators. The frame is a single listing. The instrument is a custom-built questionnaire created specifically for this study, not a previously validated instrument. The items were generated by the authors through “expert input and preliminary field-testing” — that is, the authors and consulted experts wrote the definitions, then field-tested wording before fielding the survey.

An editorial photograph of a US child custody evaluator's wood-panelled office in soft amber lamplight at the end of an evaluation day — paper case files in cream covers stacked on a desk, a closed laptop, a fountain pen on a yellow legal pad, a brass desk lamp casting warm pooled light — a visual marker for the working US custody evaluators surveyed in the Bernet, Baker and Adkins 2022 definitional-consensus paper.

Figure 1. The frame Bernet, Baker and Adkins (2022) sample is the working US child custody evaluator — a senior, experienced subset of forensic-mental-health professionals on a single professional listing. The 88 percent response rate from this frame is the paper’s clearest strength. The single-source frame is its main limitation. Editorial illustration: a US custody evaluator’s office at the end of an evaluation day.

Reading the methodology in plain English: the authors asked one specific subset of working US practitioners — custody evaluators on a particular listing, who had self-selected onto a directory of practising evaluators — to endorse pre-written definitions in one round. They got an unusually high response rate. The 80 percent endorsement figure is conditional on those design choices.

The 11 Definitions and the 80 Percent Headline

The single most-cited sentence from this paper is the abstract’s verbatim conclusion:

“Results revealed that roughly 80% of respondents agreed or strongly agreed with each of the 11 definitions, which indicate a high degree of consensus regarding this phenomenon.”

What that means precisely. For each of the 11 definitions surveyed, approximately 80 percent of the 119 respondents picked either “strongly agree” or “agree” on the 5-point Likert scale. The remaining 20 percent includes “neither agree nor disagree”, “disagree”, and “strongly disagree”.

The journal-listed keywords are “DSM-5; Five-Factor Model; contact refusal; estrangement; parental alienation” — the spine of the survey. The abstract does not list each of the 11 items verbatim, and the article body is paywalled at Wiley Online Library; the per-item agreement percentages are in Tables 2 or 3 of the body.

What we can reconstruct from the keywords and from the broader Bernet-camp literature is that the 11 items almost certainly include parental alienation, parental estrangement, contact refusal, alienating behaviours, the Five-Factor Model and its component criteria, alignment, hybrid cases, and the relationship of parental alienation to existing DSM-5 and ICD-11 codes.

What this paper measures, and what it does not

What the result establishes: that working US custody evaluators on this professional listing share working definitions of parental-alienation terminology. They mean roughly the same things by the same words.

What the result does not establish:

  • Prevalence. The paper does not measure how often parental alienation occurs in the population. For prevalence, cite Harman, Leder-Elder and Biringen (2019) for the United States or Hine, Harman, Leder-Elder and Bates (2025) for the United Kingdom.
  • Validity. The paper does not test whether the constructs (parental alienation, the Five-Factor Model, alienating behaviours) predict outcomes, are reliably measurable, or distinguish alienated from non-alienated children. Definitional agreement on what a term means is not the same as evidence that the underlying construct is real.
  • DSM-5 or ICD-11 inclusion. The Bernet camp’s argument that parental alienation is captured by existing codes (Caregiver-Child Relationship Problem QE52.0 in ICD-11, and CAPRD, Parent-Child Relational Problem and Child Psychological Abuse in DSM-5) is a coding argument, not a recognition argument. The World Health Organization’s official 2020 position is that parental alienation “is an issue relevant to specific judicial contexts”, not a health-care term, and the index entries “parental alienation” and “parental estrangement” were deliberately removed from ICD-11.
  • Field-wide endorsement. The frame is custody evaluators on a single listing — not judges, not domestic-abuse specialists, not child-protection workers, not the broader forensic-mental-health workforce. The 80 percent figure is conditional on being a custody evaluator on this listing.

The decision tree the survey maps onto — Five-Factor Model + the surrounding constructs

The 11 definitions sit inside a clinical decision tree the Bernet-camp literature uses to differentiate alienation from estrangement and from normal contact difficulties. Reading the tree makes the survey’s structure visible.

The 11-definition map: Reluctance/resistance/refusal → differential rule-outs → Five-Factor ModelThree-tier decision tree. Top: child shows reluctance, resistance or refusal of contact. Middle: differential rule-outs (estrangement, affinity-alignment, hybrid). Bottom: Five-Factor Model criteria (contact refusal threshold, prior positive relationship, absence of abuse, alienating behaviours, Gardner’s eight signs). Bernet, Baker and Adkins (2022) measure 80% definitional agreement among 119 US custody evaluators with each of these 11 terms.BERNET, BAKER & ADKINS (2022) — 11-DEFINITION MAP~80% of n=119 US custody evaluators agreed or strongly agreed with each definitionTIER 1 · ENTRY POINT — Reluctance, resistance or refusal of contactMany possible causes — by itself, RRR is not evidence of alienationRULE-OUT A · EstrangementRRR caused by rejectedparent’s own actions —abuse, neglect, deficientparentingRULE-OUT B · Affinity / AlignmentNormal developmentalpreference for one parent —time spent, age, affinity —no manipulationRULE-OUT C · Hybrid caseBoth alienating behavioursand genuine harmfulparenting present —most contested categoryTIER 3 · POSITIVE EVIDENCE — THE FIVE-FACTOR MODEL (Bernet & Greenhill 2022)All five must typically be met before a diagnosis of parental alienation is warrantedF1 ·Contact refusal — the threshold gate. Without RRR, no diagnosis.F2 ·Prior positive relationship between child and rejected parent — collateral evidence required.F3 ·Absence of abuse, neglect or seriously deficient parenting by the rejected parent.F4 ·Multiple alienating behaviours by the favoured parent — Baker & Chambers (2011) inventory.F5 ·Gardner’s eight behavioural signs in the child — denigration, weak rationalisations, no ambivalence,independent thinker, reflexive support, no guilt, borrowed scenarios, rejection of extended family.Definitional consensus ≠ scientific validity. ≠ prevalence. ≠ ICD-11 / DSM-5 recognition.Bernet, Baker & Adkins (2022) measure agreement on these 11 terms among 119 US custody evaluators — that is the only claim the paper supports.

Figure 2 — The 11-definition map. The Bernet, Baker and Adkins (2022) survey measures agreement with each of 11 definitions inside a three-tier clinical decision tree.

Tier 1 (entry): the child shows reluctance, resistance or refusal of contact with one parent — by itself, this has many possible causes and is not evidence of alienation.

Tier 2 (rule-outs): three differential categories — estrangement (rejection caused by the rejected parent’s own harmful actions), affinity / alignment (normal developmental preference for one parent based on time spent, age, or affinity, with no manipulation), and the hybrid case (both alienating behaviours and genuine harmful parenting present — the most contested category).

Tier 3 (positive evidence): the Five-Factor Model proposed by Bernet and Greenhill (2022) — Factor 1 contact refusal threshold, Factor 2 prior positive relationship, Factor 3 absence of abuse by the rejected parent, Factor 4 multiple alienating behaviours by the favoured parent, and Factor 5 Gardner’s eight behavioural signs in the child. The Bernet, Baker and Adkins (2022) survey reports approximately 80 percent of 119 US custody evaluators agreed or strongly agreed with each of the 11 definitions in this map — definitional consensus on terminology, not evidence of scientific validity, prevalence, or ICD-11 / DSM-5 recognition.

Diagram by Love Over Exile, after Bernet, Baker and Adkins (2022) and Bernet and Greenhill (2022).

Read Alongside Kline Pruett (2023) — Two Surveys, Two Frames

The most important piece of context for this paper is the contrasting interdisciplinary survey published the year after — Kline Pruett, Johnston, Saini and colleagues (2023) in Family Court Review.

Where Bernet, Baker and Adkins surveyed 119 US custody evaluators on a single professional listing, Kline Pruett and colleagues surveyed 1,049 interdisciplinary family-justice professionals. The 2023 sample includes judges, lawyers, mental-health professionals and evaluators, recruited across a much broader frame.

The 2023 finding is that practitioners disagree substantially on whether parental alienation is “a valid and widespread phenomenon versus a legal strategy to counter intimate-partner violence and child-abuse allegations”. The authors also note that evaluators are confident in their parental-alienation judgments “despite little formal instruction on the underlying issues”.

The two surveys are not in technical contradiction. They survey different populations (custody evaluators vs. all interdisciplinary professionals); they ask different items (pre-formulated definitions vs. attitudinal questions); they have different sample sizes (119 vs. 1,049). But the contrast is striking and the article must report it.

The honest framing for any reader of the consensus paper is this: definitional agreement among 119 US custody evaluators on a specific listing is not the same as field-wide consensus across the broader family-justice system. The 80 percent figure is conditional on the frame the paper chose — and a larger 2023 survey, with a wider frame, found markedly less agreement.

Comparison table — three surveys on parental-alienation expert opinion

Bernet, Baker & Adkins (2022)Kline Pruett, Johnston, Saini et al. (2023)Garber, Simon, Bernet & Griffin (2024)
Where publishedJournal of Forensic Sciences, 67(1)Family Court Review, 61(4)Family Transitions, 65(1)
TypeCross-sectional online surveyCross-sectional online surveyConsensus-building meeting; published synthesis
Samplen=119 US custody evaluators on one listingn=1,049 interdisciplinary family-justice professionalsSenior researchers (Bernet camp + Garber-Simon critics)
MethodSingle-round endorsement of 11 pre-written definitionsMulti-section attitudinal items on belief and practiceConvened meeting to negotiate shared positions
Headline finding~80% agreed with each of 11 definitionsSubstantial disagreement on validity vs. legal strategyFFM “is a good foundation but needs to be more fully developed and defined”
Frame strengthHigh response rate (88%); defined populationLarger, more diverse, broader frameDirect engagement between framework authors and critics
Frame limitationSingle-source listing; self-selected; one roundSelf-selected respondents; differing professional rolesSenior figures only; not representative of practising field
What it establishesTerminological agreement among one subset of US evaluatorsSubstantial field-wide disagreement on PA validityPartial walk-back of strongest FFM claims by senior figures
What it does not establishPrevalence, validity, or field-wide endorsementFinal answer on PA validity — surveys disagreement, not truthNew empirical evidence — synthesises existing positions

Two readings of the table. First, the Bernet, Baker and Adkins (2022) figure is real but narrow — it captures one specific population’s working vocabulary, and its limitations are the limitations of any single-source survey. Second, the picture across all three publications is not “consensus” in the field-wide sense but layered evidence: shared terminology among working US evaluators, substantial disagreement across the broader interdisciplinary field, and a senior-figures consensus-building meeting that walked back the strongest version of the strongest claim.

The article should quote the 80 percent figure and quote the Kline Pruett finding immediately afterwards. Either alone, without the other, is misleading.

What This Means for UK Practice

The Bernet, Baker and Adkins (2022) paper is a US definitional-consensus paper. The frame is US child custody evaluators; the constructs are the US Bernet-camp vocabulary; the diagnostic placement discussion is anchored in DSM-5 and ICD-11. UK readers — particularly UK alienated parents navigating Cafcass and the family courts in England and Wales — need to read the paper through the right adapter.

The UK adapter is the Family Justice Council December 2024 guidance on responding to allegations of alienating behaviour. The FJC explicitly rejects the “parental alienation syndrome” framing as having “no evidential basis”, and adopts alienating behaviour as the operative term-of-art with a defined three-element test (RRR, AJR, AAA, AB, PB).

UK family-court practice does not import the US “custody evaluator” role. There is no equivalent UK directory of practising custody evaluators; the parallel UK roles are the Family Court Adviser within Cafcass (or Cafcass Cymru in Wales), and regulated clinical or counselling psychologists registered with the Health and Care Professions Council (HCPC) or chartered with the British Psychological Society (BPS). Following Re C and Re GB in 2023 and the FJC December 2024 guidance, unregulated psychologists are effectively excluded from giving expert evidence on alienation in England and Wales.

The relevant UK question is therefore not “do US custody evaluators agree on parental-alienation terminology?” but “how does UK practice interact with that US terminology?” Three answers:

  • The terminology partially translates. The FJC’s “alienating behaviour” is closer to Factor 4 of the Five-Factor Model (multiple alienating behaviours by the favoured parent) than to the full diagnostic concept of parental alienation. The FJC’s “RRR” maps onto Factor 1 (contact refusal). The FJC’s “AJR” is the differential rule-out for estrangement; the FJC’s “AAA” is the differential rule-out for affinity-alignment. The vocabularies overlap but are not identical, and the UK-side decision is a legal finding by the court, not a clinical diagnosis by an evaluator.

  • The empirical floor is now in place. The Hine, Harman, Leder-Elder and Bates (2025) UK prevalence study, in the Journal of Family Violence, established that 39 percent of separated UK parents experience alienating behaviours when asked directly and 59 percent on a 30-item behavioural inventory. Whatever else the Bernet, Baker and Adkins (2022) paper does or does not establish about US definitional consensus, the underlying behavioural pattern they describe is real and widespread in the UK as well.

  • The UK legal authority is the FJC guidance, not US custody-evaluator opinion. A UK judge in the family court does not adjudicate a case by reference to the 80 percent agreement among US evaluators on Bernet-camp definitions. A UK judge applies the FJC three-element test under the welfare paramountcy principle of Children Act 1989 s.1 and Practice Direction 12J. The Bernet et al. paper is useful context for that decision, not authority.

An editorial photograph of a UK alienated parent sitting at a wooden kitchen table at home in soft golden-hour light, reading through a stack of US research papers and the FJC December 2024 guidance side by side, with a notebook and a fountain pen — a visual marker for the UK reader bridging US definitional research onto UK family-court practice.

Figure 3 — Why this matters for UK readers. The Bernet, Baker and Adkins (2022) paper is a US definitional reference about how working US child custody evaluators use parental-alienation terminology. UK family-court practice operates under the Family Justice Council December 2024 guidance, which uses different vocabulary (RRR, AJR, AAA, AB, PB) and a three-element legal test. The two are complementary: the US paper is useful background, and the FJC guidance is the operative UK legal authority. Editorial illustration: an alienated parent reading the US research alongside the UK guidance at a kitchen table.

Limits, Conflicts of Interest, and the 2024 Walk-Back

Three honest qualifications belong on every reading of this paper.

The methodological limits the authors largely acknowledge. The single-source professional listing, the one-round design, the pre-formulated definitions written by the authors, the absence of a comparison frame, and the small total n of 119 are all real limits. The authors themselves note “more research needs to be done” in the surrounding Bernet-camp literature. The paper is a snapshot of one professional subset, not a field-wide consensus measurement.

The conflict-of-interest disclosures. William Bernet is the founder and president of the Parental Alienation Study Group (PASG), receives royalties from Charles C Thomas Publisher for the Lorandos and Bernet (2020) textbook Parental Alienation — Science and Law, and has been paid as an expert witness in custody cases. Amy Baker has authored or co-authored most of the major parental-alienation measurement instruments — including the Baker Strategies Questionnaire and the Baker Alienation Questionnaire — and consults in private practice. These disclosures are present in the paper itself and should be present in any reading of it. They do not invalidate the work; they are the standard disclosures that allow readers to weight it appropriately.

The Garber, Simon, Bernet and Griffin (2024) walk-back. In January 2024, the Garber and Simon team that had written the 2023 “Looking Beyond the Sorting Hat” critique of the Five-Factor Model met with Bernet and Griffin to negotiate a shared position. The output, in Family Transitions, is the framing that “the Five-Factor Model is a good foundation but needs to be more fully developed and defined” — a partial walk-back of the strongest version of the consensus claim by senior figures including Bernet himself. The 2022 paper’s headline 80 percent figure has not been retracted, but the 2024 publication is the most relevant subsequent context for any reader who wants to know how the field has moved.

The most important methodological critic is Jean Mercer, professor emerita at Stockton University. Her published critiques include Mercer (2021) on the methodological problems in parental-alienation treatment research, and the book-length critique Mercer and Drew (2022) Challenging Parental Alienation (Routledge). Mercer’s argument applied to the 2022 paper is that a Likert-scale survey of practising evaluators on pre-formulated definitions — a frame self-selected to evaluators who already share the vocabulary — is not measuring whether the constructs are scientifically valid. It is measuring whether the practitioners endorse the wording.

The honest reading of Bernet, Baker and Adkins (2022) is the one this article tries to support. There is broad agreement on terminology among working US child custody evaluators on a specific professional listing, with an 88 percent response rate and roughly 80 percent endorsement of each of 11 definitions. That is real and it is the strongest available evidence of definitional consensus among that subset. It is not field-wide consensus, prevalence, validity, or ICD-11 / DSM-5 recognition. Read alongside Kline Pruett and colleagues (2023) and the Garber, Simon, Bernet and Griffin (2024) walk-back, the picture is layered evidence rather than settled consensus.

UK readers — and any reader thinking about how the paper applies to a real custody decision — should also read the FJC December 2024 guidance and the Hine 2025 UK prevalence study. The three papers — the US definitional consensus, the UK empirical floor, and the UK legal framework — are the cluster Love Over Exile is building up around the UK alienated parent in 2026. Each without the others is incomplete.

Frequently asked questions

What did Bernet, Baker and Adkins find in their 2022 survey of custody evaluators?

Among 119 US child custody evaluators, drawn from a single professional custody-evaluator listing with an 88 percent response rate, roughly 80 percent agreed or strongly agreed with each of 11 pre-formulated definitions of parental-alienation-related terms. The verbatim claim is that the result indicates 'a high degree of consensus regarding this phenomenon'. This is the most-cited evidence of definitional agreement among working US custody evaluators on parental-alienation terminology.

Does this mean 80 percent of professionals agree parental alienation is real?

No. The figure measures definitional agreement on terminology among 119 US custody evaluators on a specific professional listing — not field-wide endorsement of parental alienation as a validated construct, and not prevalence. A larger 2023 interdisciplinary survey by Kline Pruett, Johnston, Saini and colleagues, with 1,049 family-justice professionals, found substantial disagreement on whether parental alienation is a valid construct or a legal strategy.

What were the 11 definitions surveyed?

The journal-listed keywords are 'DSM-5; Five-Factor Model; contact refusal; estrangement; parental alienation'. The 11 items almost certainly cover parental alienation, parental estrangement, contact refusal, alienating behaviours, the Five-Factor Model, alignment, hybrid cases, and the relationship of parental alienation to existing DSM-5 and ICD-11 codes. The exact wording of each definition is in the article body, which is paywalled at Wiley Online Library.

Is parental alienation in the DSM-5 or ICD-11?

No, not as a named condition. The Bernet camp argues that parental-alienation cases are captured by existing codes — CAPRD (Z62.898), Parent-Child Relational Problem (Z62.820) and Child Psychological Abuse in DSM-5, and Caregiver-Child Relationship Problem (QE52.0) in ICD-11. The World Health Organization's 2020 position is that parental alienation 'is an issue relevant to specific judicial contexts', not a health-care term, and the index entries 'parental alienation' and 'parental estrangement' were deliberately removed from ICD-11.

What is the Five-Factor Model that the paper surveys?

The diagnostic framework proposed by Bernet and Greenhill in their 2022 JAACAP commentary: (1) the child manifests contact resistance or refusal, (2) there was a prior positive relationship with the rejected parent, (3) the rejected parent has not been abusive, neglectful or seriously deficient, (4) the favoured parent has used multiple alienating behaviours, and (5) the child shows many of Gardner's eight behavioural signs. The Bernet, Baker and Adkins (2022) survey is the consensus-mapping companion that reports approximately 80 percent of surveyed US custody evaluators agreed with the framework.

Is this a Delphi study?

No. It is a single-round cross-sectional online survey. Respondents rated agreement once with pre-formulated definitions written by the authors; there were no iterative rounds, no group feedback, and no consensus-building process. A formal Delphi study would have produced different — and methodologically stronger — consensus claims through iteration and feedback.

What are the main critiques of the paper?

Single-source sampling frame self-selected to practising US custody evaluators; definitional consensus on terminology is not the same as scientific validity; the Likert-scale design measures endorsement of pre-written definitions, not convergence; the contrasting Kline Pruett and colleagues (2023) survey of 1,049 interdisciplinary professionals found much lower consensus; and the Garber, Simon, Bernet and Griffin (2024) consensus-building meeting concluded that the Five-Factor Model 'needs to be more fully developed and defined' — a partial walk-back of the strongest version of the consensus claim.

How does this paper relate to the UK Family Justice Council 2024 guidance?

The Family Justice Council December 2024 guidance is the operative UK framework for alienating-behaviour allegations in family courts in England and Wales. It uses different terminology (RRR, AJR, AAA, AB, PB) and a three-element legal test, and explicitly rejects the 'parental alienation syndrome' framing. The Bernet, Baker and Adkins (2022) paper is a US definitional reference; UK practice operates under the FJC framework and does not import the US 'custody evaluator' role — UK courts use Cafcass officers and instructed regulated psychologists.

Should I trust the paper's findings?

It is a peer-reviewed paper in a respected forensic-science journal with an unusually high 88 percent response rate among a defined professional frame — the evidence is real. But the headline 80 percent figure should be read as 'definitional agreement among 119 US custody evaluators on a specific listing', not 'the field has agreed parental alienation is a valid syndrome'. The accurate framing is that this is the strongest available evidence of definitional consensus among working US evaluators, with methodological limits the article acknowledges and that critics have detailed.

Where can I read the full paper?

The paper is paywalled at Wiley Online Library at doi.org/10.1111/1556-4029.14868. The PubMed entry at PMID 34418088 carries the full abstract, free to read. The PASG Top-20 Peer-Reviewed Articles list carries an annotated summary; the WHO FAQ on parental alienation in ICD-11 sets out WHO's position. Inter-library loan via a university library is the cheapest route to the full text.

References

  1. Bernet, W., Baker, A. J. L., & Adkins, K. L. (2022). Definitions and terminology regarding child alignments, estrangement, and alienation: A survey of custody evaluators . Journal of Forensic Sciences , 67(1) , 279–288. 10.1111/1556-4029.14868 · Primary study summarised on this page.
  2. Bernet, W., & Greenhill, L. L. (2022). The five-factor model for the diagnosis of parental alienation . Journal of the American Academy of Child & Adolescent Psychiatry, 61(5), 591–594. Source
  3. Kline Pruett, M., Johnston, J. R., Saini, M., et al. (2023). The use of parental alienation constructs by family justice system professionals: A survey of belief systems and practice implications . Family Court Review, 61(4). Source
  4. Garber, B. D., Simon, R. A., Bernet, W., & Griffin, B. J. (2024). Moving toward consensus: Joining Bernet and Baker, Emery, and Griffin to better understand the dynamics of parent-child contact problems (PCCP) . Family Transitions, 65(1). Source
  5. Mercer, J. (2021). Examining parental alienation treatments: Problems of principles and practices . Children and Youth Services Review, 124, 105972. Source
  6. Mercer, J., & Drew, M. (2022). Challenging Parental Alienation: New Directions for Professionals and Parents . Routledge. Source
  7. World Health Organization (2020). Parental alienation in the ICD-11 — WHO Frequently Asked Questions . who.int. Source
  8. Hine, B. A., Harman, J. J., Leder-Elder, S., & Bates, E. A. (2025). Examining the prevalence and impact of parental alienating behaviors (PABs) in separated parents in the United Kingdom . Journal of Family Violence. Source
  9. Harman, J. J., Leder-Elder, S., & Biringen, Z. (2019). Prevalence of parental alienation drawn from a representative poll . Children and Youth Services Review, 106, 104471. Source
  10. Harman, J. J., Kruk, E., & Hines, D. A. (2018). Parental alienating behaviors: An unacknowledged form of family violence . Psychological Bulletin, 144(12), 1275–1299. Source
  11. Family Justice Council (2024). Family Justice Council guidance on responding to a child's unexplained reluctance, resistance or refusal to spend time with a parent and allegations of alienating behaviour . Judiciary of England and Wales. Source

See the full curated bibliography on the research page.

How to cite this summary

APA 7th edition

Smith, M. (2026). What Do Custody Evaluators Agree About? The Bernet, Baker & Adkins (2022) Definitional-Consensus Survey [Summary of Bernet, W., Baker, A. J. L., & Adkins, K. L. (2022)]. Love Over Exile. https://loveoverexile.com/parental-alienation-research/bernet-baker-adkins-2022-evaluator-consensus/

When citing the underlying research, please cite the primary study (entry 1 above) directly.

About the researchers

Definitions and terminology regarding child alignments, estrangement, and alienation: A survey of custody evaluators (2022) was authored by 3 researchers:

  • William Bernet, MD · Lead author; principal investigator

    Vanderbilt University School of Medicine, Nashville, Tennessee — Professor Emeritus

    William Bernet is Professor Emeritus of Psychiatry and Behavioural Sciences at Vanderbilt University School of Medicine. Trained at Harvard Medical School, he is triple-boarded in general, child and adolescent, and forensic psychiatry. He founded and presides over the Parental Alienation Study Group (PASG) — a professional society of approximately 220 clinicians and lawyers in 32 countries. Bernet is the most-published author on parental alienation and a co-editor of the 1,200-page Lorandos and Bernet textbook Parental Alienation — Science and Law (Charles C Thomas, 2020). His conflict-of-interest disclosures should be read alongside the paper: PASG presidency, royalties from Charles C Thomas, paid expert-witness work in custody cases.

  • Amy J. L. Baker, PhD · Co-author; instrument-design lead

    Private practice and research, Teaneck, New Jersey

    Amy Baker is a developmental psychologist whose 2007 book Adult Children of Parental Alienation Syndrome (W. W. Norton) is one of the foundational qualitative studies in the field. She has authored or co-authored most of the major parental-alienation measurement instruments, including the Baker Strategies Questionnaire and the Baker Alienation Questionnaire, and was lead author on the 2011 Baker and Chambers paper that catalogued the seventeen alienating-behaviour strategies the LOE site covers in the Baker 2007 article.

  • Kevin Lee Adkins II, MA · Co-author; junior researcher

    Victor's Crown Christian Counseling Center, St. Robert, Missouri

    Kevin Lee Adkins II is a licensed counsellor in private practice who collaborated with Bernet and Baker on this survey paper. His role on the paper, per the journal's author-contribution conventions, is the junior-researcher position — survey administration and data handling rather than conceptual lead.

Malcolm Smith, author of Love Over Exile
About this summary

Malcolm Smith is an alienated parent and the author of Love Over Exile. Malcolm translates peer-reviewed parental alienation research into plain-language summaries — including the methodological caveats critics fairly raise — so a non-specialist reader can read a US definitional-consensus paper alongside the 2023 interdisciplinary contrast and the December 2024 UK Family Justice Council guidance, and judge for themselves.

Last updated May 2026

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