Abstract: | Summary An analysis of the relationship between five types of adoptivefamily structure and the adjustment of adopted children, whenseven to seven and a half years of age, indicates that the presenceof a natural child born after adoption to a previously childlesscouple is associated with serious behavioural dysfunction inthe adopted child. In this type of family the proportion ofboys so maladjusted is 10 times greater than in the modal familytype comprising adopted children only. In terms of specificmanifestations, a greater proportion show habit and sleep disturbance,and problems of behaviour and eating. The findings are discussedcritically, and potential fertility is suggested as a criterionfor the selection of applicant couples who should be counselledto defer their adoption. |