This book demonstrates how psychoanalytic understanding and treatment can contribute to thinking about and working with adopted children and their families. It illustrates how psychoanalytic psychotherapy can help both as a treatment and as a distinctive source of understanding for children who are either in the process of being adopted or already adopted.

Part I: Setting the Scene 1. Developing a curiosity about adoption: a psychoanalytic perspective 2. Why is early development important? 3. Understanding an adopted child: a child psychotherapist’s perspective Part II: Unconscious Dynamics in Systems and Networks 4. Multiple families in mind 5. Enabling effective support: secondary traumatic stress and adoptive families 6. The network around adoption: the forever family and the ghosts of the dispossessed Part III: Primitive States of Mind and their Impact on Relationships 7. The mermaid: moving towards reality after trauma 8. On being dropped and picked up: the plight of some late-adopted children Part IV: Belonging and Becoming: Transitions 9. Playing out, not acting out: the development of the capacity to play in the therapy of children who are ‘in transition’ from fostering to adoption 10. Just pretend: the importance of symbolic play and its interpretation in intensive psychotherapy with a four year-old adopted boy 11. The longing to become a family: support for the parental couple 12. Shared reflections on parallel collaborative work with adoptive families. Part V: Being Part of a Family: Oedipal Issues 13. Loss, recovery and adoption: a child’s perspective 14. Oedipal difficulties in the triangular relationship between the parents, the child and the child psychotherapist Part VI: Adoption and Adolescence: The Question of Identity 15. Deprivation and development: the predicament of an adopted adolescent in the search for identity 16. Idealisation and overvalued ideas Further Reflections 17. A cautionary tale of adoption: fictional lives and living fictions Final Thoughts