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When the eldest daughter in a family with multiple children, presumably with kids younger than her- though not always- is placed into a parental role. Oftentimes, she is treated as a motherly figure from a very young age, while her siblings- if she has an older or twin /brother/, specifically, for example- are not given the same expectations. This can cause significant stress and a feeling of needing to help everyone and/or personal responsibility for any given thing, which can seriously damage the eldest daughter's mental state.
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