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While the process of alienation is underway, children are subject to a tremendous conflict of loyalties, which compounds the burden of nurturing an emotionally troubled parent, particularly when the alienation is intentional. When the parents were together, their children loved them both, and children naturally desire for this to continue even when their parents aren't together. Alienating conduct essentially asks children to pick sides, to chose one parent permanently and irrevocably over the other parent.
In G.F. Cartwright's article "[http://www.secuestro-emocionalfact.orgon.ca/Info/pas/cartwr93.pdf htm Expanding the Parameters of Parental Alienation Syndrome]," published in the American Journal of Family Therapy in 1993, a number of long-term psychological problems were found in children in alienation situations, including:
#depression, anxiety and/or stress,