Orphans

It was not until late 1989 and early 1990 that researchers once again could address the impact of extreme deprivation on young children, when the Ceausescu regime in Romania was overthrown. At this time the outside world became aware of thousands of children who had been housed in Romanian state-run orphanages. The conditions in Romanian orphanages were similar to or worse than the conditions described by Goldfarb (Ames 1990; Groze and Ileana 1996). Children spent from twenty to twenty-four hours a day in their cribs, with little visual or auditory stimulation (Ames 1990, 1997), and child-to-caregiver ratios ranged from 10:1 for infants to as high as 20:1 for children over three years of age (Chisholm et al. 1995). Therefore researchers were once again permitted the opportunity to evaluate the developmental impact of extreme deprivation. Sandra Kaler and Betty Jo Freeman (1994) examined the cognitive and social-emotional developmental status of children within an orphanage in Romania and found that the majority of orphanage children were severely delayed.

Since the early 1990s three major studies have examined the developmental outcomes of children who had spent their first year or two of life in a Romanian orphanage and were subsequently adopted. Two studies in Canada (Ames 1997; Marcovitch et al. 1997) and one in the United Kingdom (Rutter et al. 1998) have followed these children postadoption. These studies represent an improvement on the earlier literature given they have used large samples of children, comparison groups, and standardized measures that evaluate several aspects of children's development. We now know more about the impact of institutionalization on children's physical, intellectual, behavioral, and social-emotional development.