inept, maladjusted, incompetent, codependent, incestuous, fractious, ineffectual, schizophrenic, disorganized, chaotic, rudderless, rotten, inefficient, insular, venal, convoluted, neglectful, imbalanced, disjointed, feckless, pathetic, unbalanced, nepotistic, shambolic, unreformable, corrupt, unstable, hopeless, uncaring, mismanaged, clannish, cliquish, sclerotic, incommunicative, quarrelsome, clueless, factious, decrepit, flawed, unaccountable, inequitable, unlovable, irresponsive, ingrown, perverse, anarchic, screwy, unfunny, undisciplined, unlikable, unhinged, impotent, institutionalized, byzantine, bloated, dislikable, instable, bumbling, rivalrous, troubled, maladapted, fragmented, deficient, ungovernable, unlikeable, anomic, incoherent, delusional, moronic, loveless, woeful, inegalitarian, nonfunctional, unproductive, ossified, warped, narcissistic, ineffective, neurotic, revolving door, joyless, emasculated, unreformed, loathsome, antagonistic, overdetermined, uncompassionate, unpresentable, disunited, tyrannical, pitiful, messy, kafkaesque, amoral, autocratic, dictatorial, slapdash, spiritless, egocentric, unedifying, unintelligent, unmotivated, maladaptive, counterproductive, conflictual, disharmonious, defeating, problematic, conflicted, exploitative, abusive, antisocial, avoidant, dehumanizing, schizoid, stepfamily, supportive, unhelpful, disempowering

megaloblastic anaemia, megaloblastic anemia

impaired, nonadaptive