get_posts that haven’t been assigned a specific custom field

Question

You can do it with a posts_where filter and a subquery. Note that you have to explicitly set suppress_filters to false, as get_posts normally ignores filters:

function wpse28018_posts_where( $where ) {
    global $wpdb;
    $where .= " AND {$wpdb->posts}.ID NOT IN ( SELECT DISTINCT post_id FROM {$wpdb->postmeta} WHERE meta_key = 'alternate_page' )";
    return $where;
}

// add the filter
add_filter( 'posts_where' , 'wpse28018_posts_where' );

// do the query
$articles = get_posts(array(
  'post_parent' => 0,
  'post_type' => 'custom_type',  
  'suppress_filters' => false     
));

// remove the filter so other queries aren't affected.
remove_filter( 'posts_where' , 'wpse28018_posts_where' );