THE ETHICS IN QUESTION






In Moral Distress and High Conflict  1, Ms Sheila Jennings Linehan has produced an account of the custodial parent who having grave reservations about the safety of her child while sharing access with the ex-partner, has no choice but to follow the dictates of the court, and is therefore suffering ‘moral distress’.   Ms Linehan chooses an ethical framework for her article titling her subheadings with Access Ethics, Nomenclature and Ethics, Separation Ethics and so forth.   Unfortunately, her version of events is contrary to what is now known in the literature. 

Perpetuating Uber Feminist Mythology

Ms Linehan refers in her article to divorce as primarily the result of a woman escaping an abusive or traumatic relationship.   Even where she concedes that the divorce could be a matter of growing apart, there is a sense of reluctance about the concession, considering that the sentence begins with…

“Clients flee to escape the pattern of abuse they grew up with, and then married into,.”

The literature says otherwise.  Two-thirds or more of divorces are initiated by women and only a fraction (6%) are because of abuse and/or trauma.   Quoting the landmark study by Dr Sandford Braver Divorced Dads – Shattering the Myths, Cathy Young writes:

 “At least two-thirds of the time, the mother is not only the one who files for divorce but the one who wants out of the marriage. And it's usually not, as many assume, because the father beats her, drinks or cheats; most commonly, mothers cite such reasons as "growing apart" or "not feeling loved or appreciated."  2

Then there is the thorny issue of access.  Ms Linehan states:

“There is an under recognized problem in Canada with non-custodial fathers failing to exercise their access”.

 Again, according to the literature, what is under recognised is that fathers are not absent and morally reprehensible parents, but ‘driven away’ dads.  Figures like 40% interference with paternal visitation rights are significant. 3   That not so little problem is recognised world-wide and little has been done to remedy the situation because courts have been reluctant to deliver punitory measures to the interfering parent, in most cases, the mother.   Occasionally one reads about transference of custody from the interfering parent but it is rare.

The following unreferenced statement in Ms Linehan’s paper is not supported by any of the literature that I could find.  In fact, the complete opposite appears to be the case.

“Studies show that the much less common [than absentee fathers] (but much more talked about) withholding of access by mothers is generally due to maternal concerns about child safety and well being.” 

40% visitation interference is not a small figure by anyone’s standards.  If this is ‘less common’ than absentee fathers, then what about the 70% of fathers who pay their child support and a larger number (Braver cites 90%) who clearly indicate a willingness to participate fully in their children’s lives? 4    The notion that absentee fathers are more  common than visitation interference is not supported by the literature.
Ms Linehan’s mise en scène in Moral Distress and High Conflict does not match the reality and that is a poor starting position to something as delicate as mediation.

“The proportions and relations of things are just as much facts as the things themselves; and if you get those wrong, you falsify the picture really seriously.”  - Dorothy L Sayers 5

Asperger’s Syndrome and Weighing up the Evidence

Thematic throughout Ms Linehan’s many articles is the portrayal of parents with Asperger’s Syndrome (AS) as a danger to their children.  To underscore the dangers these parents present to their children, Ms Linehan has aligned them variously with people with early onset dementia, delusional states or in the case of this article, a known child molester, a drug using prostitute, inter-religious conflict and an allusion to Japanese mother-child suicide.

The evidence for the AS parent as unfit parent is entirely anecdotal.  Such evidence is generally considered unreliable unless it can be seen to come from an unbiased source and/or is independently verifiable.  I cannot recall a single instance of the half dozen or so anecdotes that Ms Linehan has proffered, which is adequately sourced or independently verified.  The reader is in no position to judge the reliability or otherwise of these accounts, all of which may be viewed on her webpage at www.familyassociates.com.   One vignette is certainly internally inconsistent and this has been discussed elsewhere .6

In several of her articles, Ms Linehan cites Henderson and Hackett’s Asperger’s Syndrome in Child Contact Cases. 7   What is not emphasized and should be is that Henderson and Hackett are lawyers acting for the non-autistic spouse in divorce cases.  Evidence from such a context with or without AS in the picture can usually be treated with a certain amount of healthy skepticism.

Of note, Henderson and Hackett have not indicated the number of cases they are describing. Dr Venetia Young, author of Encounters with Asperger’s Syndrome in the Solicitors Office 8, also cited as a reference in several of Ms Linehan's articles, describes three cases, only one of which refers to domestic violence (happily resolved). In fact, in all of Ms Linehan’s oeuvre there is not one statistic.

The Daubert Rulings

In order to ascertain the admissibility of expert testimony in matter relating to scientific issues, which a reasonably informed public could not be expected to judge, many courts have relied on the Daubert v. Merrell Dow Pharmaceuticals, Inc. 1993 rulings as a guide.  Increasingly the rulings have been adapted to the soft sciences, particularly in the area of mental health.  One version is given below 9.  I thought it would be an interesting exercise to see if Ms Linehan’s perennial assertion, that by virtue of the syndrome AS are not capable of responsible parenting, would stand up under this standard.

(1) the extent to which the theory has been or can be tested;

Linehan’s assertion has not been tested anywhere and there are no statistics in evidence that AS make poorer parents than the unfortunately large numbers of poorly performing but neurologically typical parents.  Nevertheless, Ms Linehan would like, in advance of that evidence to, for example, create a special category of ‘organic conflict’, which would include AS.10  A consequence of joining this select group, as Ms Linehan has stated elsewhere, is that the parent would be denied access to the children. 11

(2) the extent to which the technique relies upon the subjective interpretation of the expert;

To date, Linehan’s assertion is supported only by anecdotal evidence from the author and parties of the warring factions in the divorce court.
 
(3) whether the theory has been subjected to peer review and/or publication;

Significantly, Linehan’s assertion is not emanating from anybody with expertise in the presentation of AS in adults.  There are no reputable articles in the relevant scientific journals available for peer review.
 
(4) the technique’s potential rate of error;

In the absence of any statistics, and given the known cases of AS who are good parents it is obvious there would be an unacceptably high potential rate of error, a possibility that Henderson and Hackett apparently do not find alarming.  They state:

“ there will be some cases where an implacably hostile mother will jump on to the AS 'bandwagon''12

(5) whether the underlying theory or technique has been generally accepted as valid by the relevant scientific community; and

 The relevant scientific community is unaware of Linehan’s assertion, though they have expressed some reservations about similar assertions. 13

(6) the non-judicial uses that have been made of the theory or technique.

There have been no non-judicial uses made of this assertion, since it is unknown to the scientific community.

Ms Linehan’s oft stated assertion that those with AS do not make responsible parents clearly fares quite badly under a standard designed to test the rigour of expert testimony and safeguard courts from less than expert advice.  As a parent of a child with AS, I would insist that any assertion, such as put by Linehan, pass a Daubert standard with flying colours and be thoroughly supported by statistical evidence before I would accept that my child’s future could legitimately be so negatively affected.


The Ethics of Moral Distress


The central argument of Ms Linehan’s article Moral Distress and High Conflict is that parental concerns about child safety at access are valid; that custodial parents have a sixth sense and should trust their intuition concerning the possible negative impact of the spouse on the children during access visits.  Ms Linehan refers to parental alienation.  The milder manifestations of it, namely concerns about the health and well-being of the children when with the non-custodial parent are extremely common in the period immediately following divorce. 13    The fact that these forebodings, in almost all but serious cases of alienation, abate within a reasonable time suggests that this sixth sense cum intuition wavers in the face of reality and is fallible.

Attempts to give credibility to intuition and other vague forebodings are misguided.  The literature refers extensively to the rampant misuse of restraining orders as a tool in the divorce courts to get the house and the kids without the inconvenience of the ex-spouse hanging about. 15   All that is required is a ‘fear’ of the spouse and a nice story, that is, unsubstantiated anecdotal evidence.  Now, Ms Linehan proposes that family courts move even further down the evidentiary food chain and support the validity of vague and impossible to substantiate ‘intuition’ or 6th sense.
 
If such a course were ever adopted, abuse of the due process of law would apply to a very large number of people as has been effectively demonstrated by the problems created by the many bogus restraining orders.    If AS is also in the picture, the situation becomes bleak indeed, given that the presence of the label appears tantamount to conferring instant objective truthfulness to the other party.

Is this proposal ethical?


© Alyric 2004



References

1. http://www.mediate.com/articles/linehanS2.cfm

2.        1.  http://www.fact.on.ca/revbrave.htm

           2. http://www.strike-the-root.com/columns/Miller/miller1.html

           3. http://www.4famlaw.com/Genbpapr.htm

3.        1."40% of mothers reported that they had interfered with the non-custodial father's visitation on at least one occasion, to punish
the ex-spouse." (Source: p. 449, col. II, lines 3-6, (citing Fulton) Frequency of visitation by Divorced Fathers; Differences in Reports by Fathers and Mothers. Sanford Braver et al, Am. J. of Orthopsychiatry, 1991.)

           2. http://www.education.mcgill.ca/profs/cartwright/papers/pasbrf02.htm


4. http://www.tnom.com/html/deadbeat.html

5. p 23, Gaudy Night, Dorothy L Sayers, New English Library, London, 1981

6. End note 5 of Smoke and Mirrors – The Making of a Stereotype: http://www.geocities.com/autistry/smokemirrors.html

7. Asperger’s Syndrome in Child Contact Cases, by Lynn Henderson and Nicole Hackett - Solicitors Family Law (UK) February 2002

8. Dr. Venetia Young Asperger’s Syndrome in the Solicitor’s Office Fam Law 2002.

9. http://www.aaml.org/Articles/2002-3/Nichols-%20Inquiries%20&%20Caveat.htm

10. "High Conflict & Asperger's Syndrome" 2004 Sheila Jennings Linehan. http://www.mediate.com/articles/Linehan_S1.cfm

11. Ibid.

12. Asperger’s Syndrome in Child Contact Cases, by Lynn Henderson and Nicole Hackett - Solicitors Family Law (UK) February 2002

13.  Maxine Aston’s article Living with Asperger’s Syndrome proposed a definitive link between domestic violence (as physical violence) and Asperger’s Syndrome.  The controversy surrounding that article is described in the 100+ comments section of http://www.mediate.com/articles/Linehan_S1.cfm.  Notably Ms Aston (a resident of Coventry, UK) failed to contact Professor Simon Baron Cohen, of Cambridge University whose unpublished data showed that violence in AS is present in a ‘small minority’.  This study, even with the degree of selection bias expected from a clinical sample is the only study in existence with statistical data.


14. http://www.breakthroughparenting.com/PAS.htm 
I have reservations concerning the authenticity of ‘syndromes’ such as Parental Alienation Syndrome.  Just because a small subsection of the population are unusually good and persistent haters does not imply a genuine mental disorder.   For further information read P. Chodoff  Medicalisation of the Human Condition at http://ps.psychiatryonline.org/cgi/content/full/53/5/627

15. False Restraining Orders

            1.Ontario Bill 117 — Presentation by Federal Senator Anne C. Cools http://www.fathersforlife.org/doc/cools_on_117.html

2. http://www.fatherhoodcoalition.org/cpf/inthenews/MassNews990802dv_industry.htm

(edited August 15, 2004)


1