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Familial Estrangement

Feb 23, 2023 8:45:00 AM

Sadly, the incidence of fractured families seems to be more prevalent today than ever before. Too many family groups—children, adult children, siblings, parents, and grandparents—are not enjoying the natural bonds of love, support, or at least communication, which were so necessary in olden times but now appear more commonly to be broken.

Almost everyone has a friend, relative, or is personally involved in a relationship which is less than desirable or happy. Most of these embarrassing and painful interactions are not openly discussed due to the guilt and/or denial with which they are associated. Unfortunately, these feelings are more common than anyone may realize.

There are no readily available numbers about actual incidence or prevalence but support groups such as Alienated Grandparents Anonymous, Inc. are extremely helpful by coordinated group meetings with professionals which are very well attended.

The term parental alienation preceded grandparent alienation by over thirty-five years in the professional literature. Both alienations are recognized as painful separations causing dysfunctional behavior for all participants. Parental alienation typically describes the conduct of children and their parents who, through the process of an acrimonious divorce, engage in behavior which negatively compounds an already sad and difficult situation. With the incidence of divorce for first time marriages now estimated at over 40%, the numbers of families living with additional dysfunction continues to grow. One theory is that children who grew up in an environment where alienation was present, in turn practice the same behavior in their own families.  

Grandparent alienation undermines the balance in a multi-generational family. Having mutually supportive generations, which grow by marriage and the subsequent addition of children, has been the pattern of successful multi-generational families, tribes, communities, and larger societies since the beginning of time. Now, with the rapid growth of wealth, changing lifestyles, indulged habits, longer life spans, self-centeredness, and general deterioration of social and societal order, we have a higher incidence of alienation among generations. This adds another very challenging dysfunction, which probably has a tendency toward self-perpetuation. 

Being realistic in relationships over long periods of time, staying flexible and sharing empathetic wishes are all good ways of fostering long term positive relationships. Probably most important is picking the right mate to start with, one who has compatible values and shared experiences. Identifying common goals, having reasonable expectations, setting boundaries, examining one’s own reactions, appreciating both your strengths and weaknesses along with those of your other family members, knowing that we are not all the same and that is good—variety is the spice of life—being able to agree to disagree without undo rancor, while keeping balanced are all good ways to avoid the pain of estrangement.

 Even when all the attitudes are in line, and everyone has done all they can do to keep multi-generational families together problems can arise. Don’t give up. Seek others to share feelings and thoughts, be patient, and have reasonable goals with flexible timelines. Reach out for help. Life is a team sport—and we are all members of one team or another.

Topics: connect Bulletin
Allen S. Weiss, MD, FACP, FACR, MBA

Written by Allen S. Weiss, MD, FACP, FACR, MBA

Dr. Allen Weiss is Chief Medical Officer for Blue Zones Project. Having practiced rheumatology, internal medicine, and geriatrics for 23 years and been President and CEO for 18 years of a 716-bed, two-hospital integrated system, Dr. Weiss now has a national scope focused on prevention.

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