Adoption implies the creation of a substitute or additive filiation. Whether you're the adopter or the adoptee, the transition from one family to another brings with it a host of psychological manifestations. Distress, sadness, anguish, rejection, acting out, etc., all come into play. If these various manifestations constitute a search for help for the child, they don't always seem to be properly interpreted by the adopter and certain professionals in the adoption clinic.