Direct and indirect effects of exposure to 19 parental alienation strategies in 118 adult children of divorce were examined via a confidential and anonymous computer survey. We investigated the nature and prevalence of alienation strategies to which this sample was exposed as well as associations between exposure and self-esteem and self-sufficiency. In turn, we examined and found associations between self-esteem and higher rates of depression and insecure attachment styles and a trend for an association with alcohol abuse. All effects were found even after controlling for histories of physical abuse, sexual abuse, and psychological maltreatment. These findings add to the growing body of evidence regarding the long-term consequences of experiencing parental alienation and indicate that in general, exposure to more alienation behaviors leads to more negative outcomes in children of divorce, which can be seen across the life span.