One family with whom I worked wanted to expand their family by adopting a child from another country. Their family consisted of the parents and two sweet-natured little girls. The parents wanted to adopt a younger male child. The little boy they adopted came into their lives through much perseverance in the adoptive process. They were thrilled to have him join their family.
Then, a few months after the adoption, he began to act out. His behaviors were targeted on the primary caregiver, his mother. He would yell at and hit her; defecate and urinate on the floor; cry and scream instead of sleep at night; and he wouldn't allow anyone to touch or attempt to calm him. As a result of his escalating behaviors, the mother began to react to him and became angry with herself for her negative thoughts toward him.