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Psychodynamics of the Adopted Patient

The present study arose because the Wilson Center, a psychiatric hospital for adolescents in Faribault, Minnesota, has always had a large number of patients who are adopted, ranging as high as 21 of a total patient population of 60. This high percentage caused the staff to speculate on possible reasons. A review of the literature would indicate that there is no single factor, and that the reasons are many: 1) adoptive parents tend to seek help more than others; 2) vulnerability on the part of adoptive parents may cause difficulties in parenting, and 3) unknown hereditary factors may have influenced the child's development. We therefore became more interested in studying the personality characteristics and psychodynamics of these emotionally disturbed adolescents to determine if the fact of being adopted had influenced their forms of engagement with others, their 'ways of mattering' or having impact. In studying the case records of adopted patients, we discovered three primary psychodynamic pathways these patients seemed to take: 1) rejectability; 2) independence, and 3) rootlessness. Although these forms of engagement may not be confined to adopted patients, in these patients the symptomatology was related to their adoptive status.