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Various adoption practices have been empirically tied to adverse developmental outcomes, while optimistic outcomes remain understudied. This article assesses neuro-development in the adoption process and proposes a novel framework in which prenatal, birth, and postnatal experiences are integrated into a continuous attachment narrative. Within the framework explored are the neural correlates of bonding, multicaregiver systems, and recovery from institutional maltreatment. Examined are the micro and macrosystemic means by which attachment styles in adoptees absorb traces of multiple caregivers and environments (e.g. institution or foster placement), as opposed to restricting observations into a critical stage of development. The goal of this examination is to destigmatise and enhance understanding of attachment behaviours in adopted children, while informing more effective interventions and caregiving practices.