STEVEN MILLER, M. D.
Dr. Miller has degrees in both Psychology and Medicine from Brown University and did residency training at Brown University and Harvard Medical School. For more than 30 years he was on the teaching faculty at Harvard Medical School. He is board certified in both Internal Medicine and Emergency Medicine; in addition, he has many years of experience practicing Behavioral Medicine -- a specialty that focuses on the interface between medicine and psychology. That background is particularly relevant to child maltreatment, child protection, child alignment, parental alienation, pathological enmeshment, and related issues since those clinical conditions are very much related to behavior, including dysfunctional, pathological, and abusive behavior. Likewise, he has several decades of experience practicing Forensic Medicine. A popular speaker, he has directed several hundred continuing education courses for physicians and other clinicians and presented over one thousand lectures on clinical reasoning, clinical problem-solving, and clinical decision-making. An internationally-known expert on alienation and estrangement – and how to distinguish one from the other – he is also an experienced expert witness, litigation consultant, and trial strategist.
Steve Miller, MD., and Linda Kase Gottlieb, LMFT, on Parental Alienation and Shared Parenting
https://www.youtube.com/watch?v=4N1sj8zOtXU
https://www.youtube.com/watch?v=4N1sj8zOtXU
DR. STEVEN MILLER - PASG CONFERENCE OCTOBER 2017
https://www.youtube.com/watch?v=oaTKwPc6PmA
https://www.youtube.com/watch?v=oaTKwPc6PmA
DR. STEVEN MILLER - PASG CONFERENCE STOCKHOLM AUGUST 2018
https://www.youtube.com/watch?v=u4EZhxDsd1E&t=0s&list=PLut7BFsGYt_I_PgcAizqWg-TtNMVpSDN8&index=3
https://www.youtube.com/watch?v=u4EZhxDsd1E&t=0s&list=PLut7BFsGYt_I_PgcAizqWg-TtNMVpSDN8&index=3

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clinical_reasoning_and_decision-making_in_cases_of_child_alignment.pdf | |
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Chapter from "Working with Alienating Children and Families - A Clinical Guidebook" Edited by Amy J. L. Baker & Richard Sauber

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"THE ASSESSMENT OF THE ATTITUDES AND BEHAVIOURS ABOUT PHYSICALLY ABUSED CHILDREN:A SURVEY OF MENTAL HEALTH PROFESSIONALS"
A study was conducted to assess clinician reports of behaviors and attitudes of physically abused children in order to determine whether they were described as generally behaving in a manner designed to maintain the attachment to the caregiver rather than disrupt the attachment, as alienated children do. Three hundred and thirty-eight clinicians were surveyed about the attitudes and behaviors of moderately or severely physically abused children. Some clinicians rated a specific severely abused child, some rated severely abused children in general, some rated a specific moderately abused child, and some rated moderately abused children in general. Half of the items on the survey pertained to attachment-enhancing behaviors (caring about the parent's feelings, staying connected the family of the parent, minimizing the harm, and so forth) and half of the items reflected attachment-disrupting behaviors (idolizing the other parent, being rude towards the parent, expressing trivial reasons for being hurt with the parent, and so forth). The attachment disrupting behaviors are those typically seen in alienated children. For each of the four samples, abused children were rated by their clinicians as expressing significantly more attachment-enhancing behaviors than attachment-disrupting behaviors. They were also found to exhibit more extreme attachment enhancing behaviors than extreme attachment disrupting behaviors. For the most part, characteristics of the rater and the child were not associated with ratings. Physically abused children were reported to want to maintain relationships with abusive caregivers, which presents challenges as well as opportunities for clinicians working with this highly vulnerable population. The paper was written by Amy J.L. Baker, Steve Miller, William Bernet, and Trinae Adebayo. The paper was published in the Journal of Child and Family Studies. We gratefully thank The Steel Partners Foundation for funding the study and making it possible.
A study was conducted to assess clinician reports of behaviors and attitudes of physically abused children in order to determine whether they were described as generally behaving in a manner designed to maintain the attachment to the caregiver rather than disrupt the attachment, as alienated children do. Three hundred and thirty-eight clinicians were surveyed about the attitudes and behaviors of moderately or severely physically abused children. Some clinicians rated a specific severely abused child, some rated severely abused children in general, some rated a specific moderately abused child, and some rated moderately abused children in general. Half of the items on the survey pertained to attachment-enhancing behaviors (caring about the parent's feelings, staying connected the family of the parent, minimizing the harm, and so forth) and half of the items reflected attachment-disrupting behaviors (idolizing the other parent, being rude towards the parent, expressing trivial reasons for being hurt with the parent, and so forth). The attachment disrupting behaviors are those typically seen in alienated children. For each of the four samples, abused children were rated by their clinicians as expressing significantly more attachment-enhancing behaviors than attachment-disrupting behaviors. They were also found to exhibit more extreme attachment enhancing behaviors than extreme attachment disrupting behaviors. For the most part, characteristics of the rater and the child were not associated with ratings. Physically abused children were reported to want to maintain relationships with abusive caregivers, which presents challenges as well as opportunities for clinicians working with this highly vulnerable population. The paper was written by Amy J.L. Baker, Steve Miller, William Bernet, and Trinae Adebayo. The paper was published in the Journal of Child and Family Studies. We gratefully thank The Steel Partners Foundation for funding the study and making it possible.

the_assessment_of_the_attitudes_and_behaviors_about_physically_abused_children_-_baker_miller_bernet___adebayo_2019.pdf | |
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DR. STEVEN MILLER'S THE 4 C'S
Alienating parents typically present with the 4 C's: they are master manipulators
Cool
Calm
Charming
Convincing
DR. STEVEN MILLER'S THE 4 A'S
Alienated parents typically present with the 4 A's: they are trauma victims
Anxious
Agitated
Angry
Afraid