The Romanian orphans were faced with much more than emotional deprivation. The physical conditions were appalling, and this impacted their health. The lack of cognitive stimulation would also affect their development. It is also the case that, for many institutionalised children, poor care in infancy is followed by poor subsequent care, such as living in poverty, parental disharmony and so on (Turner and Lloyd, 1995). This means that it is likely that the effects of institutional care go beyond emotional
deprivation.