Citation

Perry JC, Sigal JJ, Boucher S, Paré N. Psychiatry 2006; 69(4): 283-301.

Affiliation

Institute of Community and Family Psychiatry, Sir Mortimer B. Davis Jewish General Hospital and with McGill University in Montréal, Québec, Canada. jchristopher.perry@mcgill.ca

Comment In:

Psychiatry 2006;69(4):333-5

Copyright

(Copyright © 2006, Guilford Publications)

DOI

10.1521/psyc.2006.69.4.283

PMID

17326727

Abstract

War, societal and familial upheaval, disease, and natural disasters have resulted in orphaned children throughout time. One societal response to providing care for orphans has been institutionalization or the orphanage. We studied a sample of adults, known as les enfants de Duplessis or Duplessis's children, who were raised in Quebec institutions from birth onward and followed up in late adulthood. Systematic study indicated a high prevalence of adverse outcomes and found high levels of gross psychological trauma and adversity which, moderated by the childhood strengths of the individuals, had adverse effects on adult outcome (Sigal, Perry, Rossignol, & Ouimet, 2003; Perry, Sigal, Boucher, Paré, & Ouimet, 2005a; Perry, Sigal, Boucher, Paré, Ouimet, Norman, & Henry, 2005b). This report describes the experiences of seven individuals in the institutions and their subsequent life history and current functioning. The individual cases reflect a wide range of childhood strengths and experiences of trauma and other adversity in relationship to adult caretakers. While the group overall appears to have had seriously diminished functioning in late adulthood, several individuals had positive outcomes. We hope that by highlighting the potentially adverse effects of institutional rearing on subsequent development into late adulthood, these stories may inform those concerned with the care of orphans.

Language: en