iatrogenic the term iatrogenesis means brought forth by a healer (from the greek iatros, healer) ...
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Doing no harm: avoiding iatrogenic impact in
Family Law casesCharles Asher, JD
Hon. Michael ScopelitisMatthew Sullivan, Ph.D.
AFCC, Indianapolis, October, 2011
Iatrogenic
The term iatrogenesis means brought forth by a healer
(from the Greek iatros, healer)
Of or relating to illness caused by examination or treatment.
Conflict pyramid
Litigation is a process that was developed for property disputes where there is not an enduring relationship post adjudication. The damage to ongoing relationships of the adversarial process was not a priority in developing the system.
Impasses to Divorce*
Intra-psychic
Interpersonal
Contextual/Systemic
Result in the failure to make the structural transition to functional coparents
*Johnston, J.R. & Campbell, L. (1988). Impasses of Divorce: The Dynamics and Resolution of Family Conflict. NY: Free Press.
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Intra-psychic:Personality Pathology
Enduring pattern of maladaptive behavior
Onset by early adulthood
Rigid and unchanging
These patterns of behavior cause significant distress in multiple domains of functioning
They are outside the cultural norm
Personality Disorders
Cluster B Disorder (Engage Conflict) Histrionic: dramatic, intense, prone to
fabrication, borderline traits Borderline: extreme mood swings, fear
abandonment Narcissistic: preoccupied with self, entitled,
repression Antisocial: lack empathy, willing to hurt,
disregard societal rules, narcissistic
Interactional Level
Legacy of a destructive marriage High conflict is toxic, not divorce
Ambivalent separation shattered dreams Court processes are a forum to continue
engagement
Traumatic separation Negative reconstruction of other parent
Contextual/Surrounding System
Extended family Grandparents, new significant others,
Professionals The helping hand strikes again
The legal-adversarial system
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The tragic legacy of the Litigation ContextLitigants don’t make good coparents
Representation - advocacyDistrust SabotageWin/loseChaosUnilateral action In the name of the childFocus on the problem being the other parent -
adversariesDepleted resources - financial,emotionalDependency on litigation
Impact on Children
Impaired reality testing
Inaccurate perception and evaluation
Separation difficulties
Parentification (other focused)
“Surreal sense of not existing”, Johnston and Roseby
Interference with identity development
Childhood experience in the post-divorce family is a training ground for personality pathology.
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