In view of the social reality of the increase in marital break-ups, the paediatrician is faced with problems in these contexts that affect children and adolescents and that he or she must know how to deal with because he or she is responsible for guaranteeing their comprehensive health -physical and mental- from a clinical, social and public health perspective. Our actions must be based on scientific and technical criteria always under the prism of bioethics, seeking the best interest of the child and protecting him/her because of his/her special vulnerability from the point of view of prudence and professional responsibility. To this end, the paediatrician, on the one hand, must know the processes generated in marital break-ups at the adaptive level, as well as those that constitute psychosocial risk factors and, on the other hand, must optimize his or her competencies to know how to act, what he or she can or cannot diagnose and what he or she must do to guarantee the integral health and protection of his or her patients. In spite of all this, we must recognize a deficit in training on this subject in our specialty training system due to the clear hypertrophy of clinical medicine to the detriment of psychosocial pediatrics, although it is clear that the concern and interest that the subject arouses among professionals due to the increase in consultations and child problems related to the marital breakdown of their parents is evident.
PALABRAS CLAVE Alienación parental, síndrome de alienación parental, maltrato psicológico infantil, niños de divorcio conflictivo