There have been significant developments over the past two decades that have expanded our understanding of the dynamics of parent–child contact problems post-separation, which have resulted in some changes in judicial processes to respond to these cases. One significant advancement is a more sophisticated differentiation of the nature and severity of contact problems, which better assists legal and mental health professionals to provide more suitable legal and clinical interventions. However, the issue of innovative court processes has received limited attention. The authors describe a subgroup of families within the “severe” category, for whom an expanded intervention model, referred to as a Blended Sequential Intervention is proposed. This approach involves a reversal of care with court mandated therapeutic support for the rejected parent and child, but also involves the favored parent in the therapeutic plan from the outset, and is intended to avoid a permanent “parentectomy” of the child from either parent. The authors discuss how the courts should respond to these cases, and posit that until all therapeutic treatments are exhausted, interim orders should be preferred to final determinations, and judges should maintain oversight. The authors discuss the critical role of judicial leadership in working with lawyers and mental health professionals to manage and address the issues in these high conflict cases.

中文翻译：

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在没有进行父母切除术的情况下应对严重的亲子排斥案例：混合顺序干预模型和法院的作用

过去 20 年取得了重大进展，扩大了我们对分居后亲子接触问题动态的理解，这导致司法程序发生了一些变化，以应对这些案件。一项重大进步是对接触问题的性质和严重程度进行了更复杂的区分，这可以更好地帮助法律和心理健康专业人员提供更合适的法律和临床干预措施。然而，创新的法庭程序问题受到的关注有限。作者描述了“严重”类别中的一个家庭亚组，为他们提出了一种扩展的干预模型，称为混合顺序干预。这种方法涉及对被拒绝父母和孩子的法庭强制治疗支持的逆转护理，但也从一开始就让受青睐的父母参与治疗计划，旨在避免父母对孩子进行永久性“父母切除”。作者讨论了法院应如何应对这些案件，并假设在用尽所有治疗方法之前，临时命令应优先于最终裁决，法官应保持监督。作者讨论了司法领导在与律师和精神卫生专业人员合作管理和解决这些高度冲突案件中的问题方面的关键作用。作者讨论了法院应如何应对这些案件，并假设在用尽所有治疗方法之前，临时命令应优先于最终裁决，法官应保持监督。作者讨论了司法领导在与律师和精神卫生专业人员合作管理和解决这些高度冲突案件中的问题方面的关键作用。作者讨论了法院应如何应对这些案件，并假设在用尽所有治疗方法之前，临时命令应优先于最终裁决，法官应保持监督。作者讨论了司法领导在与律师和精神卫生专业人员合作管理和解决这些高度冲突案件中的问题方面的关键作用。