Thursday, September 16, 2010

Reunion

Estimates for the extent of search behavior by adoptees have proven elusive; studies show significant variation.[141] In part, the problem stems from the small adoptee population which makes random surveying difficult, if not impossible.

Nevertheless, some indication of the level of search interest by adoptees can be gleaned from the case of England and Wales which opened adoptees' birth records in 1975. The UK Office for National Statistics has projected that 33% of all adoptees would eventually request a copy of their original birth records, exceeding original forecasts made in 1975 when it was believed that only a small fraction of the adoptee population would request their records. The projection is known to underestimate the true search rate, however, since many adoptees of the era have access to get their information by other means.[142]

The research literature states adoptees give four reasons for desiring reunion: 1) they wish for a more complete genealogy, 2) they are curious about events leading to their conception, birth, and relinquishment, 3) they hope to pass on information to their children, and 4) they have a need for a detailed biological background, including medical information. It is speculated by adoption researchers, however, that the reasons given are incomplete: although such information could be communicated by a third-party, interviews with adoptees, who sought reunion, found they expressed a need to actually meet biological relations.[143]

It appears the desire for reunion is linked to the adoptee's interaction with and acceptance within the community. Internally-focused theories suggest some adoptees possess ambiguities in their sense of self, impairing their ability to present a consistent identity. Reunion helps resolve the lack of self-knowledge.[144]

Externally-focused theories, in contrast, suggest that reunion is a way for adoptees to overcome social stigma. First proposed by Goffman, the theory has four parts: 1) adoptees perceive the absence of biological ties as distinguishing their adoptive family from others, 2) this understanding is strengthened by experiences where non-adoptees suggest adoptive ties are weaker than blood ties, 3) together, these factors engender, in some adoptees, a sense of social exclusion, and 4) these adoptees react by searching for a blood tie that reinforces their membership in the community. The externally-focused rationale for reunion suggests adoptees may be well adjusted and happy within their adoptive families, but will search as an attempt to resolve experiences of social stigma.[145]

Some adoptees reject the idea of reunion. It is unclear, though, what differentiates adoptees who search from those who do not. One paper summarizes the research, stating, "…attempts to draw distinctions between the searcher and non-searcher are no more conclusive or generalizable than attempts to substantiate…differences between adoptees and nonadoptees."[146]

In sum, reunions can bring a variety of issues for adoptees and parents. Nevertheless, most reunion results appear to be positive. In the largest study to date (based on the responses of 1,007 adoptees and relinquishing parents), 90% responded that reunion was a beneficial experience. This does not, however, imply ongoing relationships were formed between adoptee and parent nor that this was the goal.

Reform and reunion trends

Adoption practices have significantly changed over the course of the last century, with each new movement labeled, in some way, as reform.[129] Beginning in the 1970s efforts to improve adoption became associated with opening records and encouraging family preservation. These ideas arose from suggestions that the secrecy inherent in modern adoption may influence the process of forming an identity,[130][131] create confusion regarding genealogy,[132], and provide little in the way of medical history.

Family preservation: As concerns over illegitimacy began to decline in the early 1970s, social-welfare agencies began to emphasize that, if possible, mothers and children should be kept together.[133] In America, this was clearly illustrated by the shift in policy of the New York Foundling Home, an adoption-institution that is among the country's oldest and one that had pioneered sealed records. It established three new principles including, "to prevent placements of children...," reflecting the belief that children would be better served by staying in their own families and communities, a striking shift in policy that remains in force today.[134]

Open records: Movements to unseal adoption records for adopted citizen proliferated along with increased acceptance of illegitimacy. In the United States, Florence Fisher created the Adoptees' Liberty Movement Association (ALMA) in 1971, calling sealed records "an affront to human dignity."[135] while in 1975, Emma May Vilardi created the first mutual-consent registry, the International Soundex Reunion Registry (ISRR), allowing those separated by adoption to locate one another.[136] Similar ideas were taking hold globally. In 1975, England and Wales opened records on moral grounds.[137]

Later years saw the evolution of more militant organizations such as Bastard Nation (founded in 1996), groups that helped overturn sealed records in Alabama, Delaware, New Hampshire, Oregon, Tennessee, and Maine.[138][139] Simultaneously, groups such as Origins USA (founded in 1997) started to actively speak about family preservation and the rights of mothers.[140] The intellectual tone of these recent reform movements was influenced by the publishing of The Primal Wound by Nancy Verrier. "Primal wound" is described as the "devastation which the infant feels because of separation from its birth mother. It is the deep and consequential feeling of abandonment which the baby adoptee feels after the adoption and which may continue for the rest of his life.

Development

The consensus among researchers is that adoption affects development throughout life, with the fact of "being adopted," creating unique responses to significant life-events, e.g., the birth of a child. As a result, researchers often assume that the adoptee population faces heightened risk in terms of psychological development and social relationships. Earlier literature on the topic supported the conception of such problems, however, much of that research has since been deemed flawed due to methodological failures.[110]

Some conclusions about the development of adoptees can be gleaned from newer studies, though, and it can be said that adoptees, in some respect, seem to develop differently than the general population while facing greater risks during adolescence.

Concerning developmental milestones, studies from the Colorado Adoption Project examined genetic influences on adoptee maturation, concluding that cognitive abilities of adoptees reflect those of their adoptive parents in early childhood but show little similarity by adolescence, resembling instead those of their biological parents and to the same extent as peers in non-adoptive families.[111]

Similar mechanisms appear to be at work in the physical development of adoptees. Danish and American researchers conducting studies on the genetic contribution to body mass index found correlations between an adoptee's weight class and his biological parents' BMI while finding no relationship with the adoptive family environment. Moreover, about one-half of inter-individual differences were due to individual non-shared influences.[112][113]

These differences in development appear to play out in the way young adoptees deal with major life events. In the case of parental divorce, adoptees have been found to respond differently than children who have not been adopted. While the general population experienced more behavioral problems, substance use, lower school achievement, and impaired social competence after parental divorce, the adoptee population appeared to be unaffected in terms of their outside relationships, specifically in their school or social abilities.[114]

The adoptee population does, however, seem to be more at risk for certain behavioral issues. Researchers from the University of Minnesota studied adolescents who had been adopted and found that adoptees were twice as likely as non-adopted people to suffer from oppositional defiant disorder and attention-deficit/hyperactivity disorder (with an 8% rate in the general population).[115] Suicide risks were also significantly greater than the general population. Swedish researchers found both international and domestic adoptees undertook suicide at much higher rates than non-adopted peers; with international adoptees and female international adoptees, in particular, at highest risk.[116]

Nevertheless, work on adult adoptees has found that the additional risks faced by adoptees are largely confined to adolescence. Young adult adoptees were shown to be alike with adults from biological families and scored better than adults raised in alternative family types including single parent and step-families.[117] Moreover, while adult adoptees showed more variability than their non-adopted peers on a range of psychosocial measures, adult adoptees exhibited more similarities than differences with adults who had not been adopted.[118]

Parenting and development of adoptees

Parenting

Biological ties are the hallmark of parent-child relationships, and its absence has caused concern throughout the history of adoption. The traditional concern is expressed by no less an authority than Jessie Taft, a pioneer in the professionalization of adoption services and herself an adoptive mother, who commented on her contemporaries' view of adoptive parenting, "No one who is not willfully deluded would maintain that the experiences of adoption can take the place of the actual bearing and rearing of an own child."[92]

The traditional view of adoptive parenting received empirical support from a Princeton University study of 6,000 adoptive, step, and foster mothers in the United States and South Africa from 1968-1985 indicated that food expenditures in households with non-biological children (when controlled for income, household size, hours worked, age, etc.) were significantly less, causing the researchers to speculate that, instinctually, people are less interested in sustaining the genetic lines of others.[93] Moreover, the perception of similarities between adoptive parent and child appears important to successfully parenting. In relationships marked by sameness in likes, personality, and appearance, both adult adoptees and adoptive parents report being happier with the adoption.[94]

Nevertheless, there is evidence that adoptive relationships can form along other lines. A study evaluating the level of parental investment indicates strength in adoptive families, suggesting that parents who adopt invest more time in their children than other parents and concludes, "...adoptive parents enrich their children's lives to compensate for the lack of biological ties and the extra challenges of adoption."[95]

Beyond the foundational issues, the unique questions posed for adoptive parents are varied. They include how to respond to stereotypes, answering questions about heritage, and how best to maintain connections with biological kin when in an open adoption.[96] One author suggests a common question adoptive parents have is: "Will we love the child even though he/she is not our biological child?"[97] A specific concern for many parents is accommodating an adoptee in the classroom.[98] Familiar lessons like "draw your family tree" or "trace your eye color back through your parents and grandparents to see where your genes come from" could be hurtful to children who were adopted and do not know this biological information. Numerous suggestions have been made to substitute new lessons, e.g., focusing on "family orchards."[99]

Adopting older children presents other parenting issues. Some children from foster care have histories of maltreatment, such as physical and psychological neglect, physical abuse, and sexual abuse, are at risk of developing psychiatric problems.[100][101] Such children are at risk of developing a disorganized attachment.[102][103][104] Studies by Cicchetti et al. (1990, 1995) found that 80% of abused and maltreated infants in their sample exhibited disorganized attachment styles.[105][106] Disorganized attachment is associated with a number of developmental problems, including dissociative symptoms,[107] as well as depressive, anxiety, and acting-out symptoms

How adoptions can disrupt

Disruption refers to the termination of an adoption. This includes adoptions that end prior to legal finalization and those that end after that point (in U.S. law, the latter cases are referred to as having been dissolved). The Disruption process is usually initiated by adoptive parents via a court petition and is analogous to divorce proceedings. It is a legal avenue unique to adoptive parents as disruption/dissolution does not apply to biological kin.[91]

No known official statistics track the number of disruptions in any country. Some ad hoc studies, performed in the U.S., however, suggest that between 10-25 percent of adoptions disrupt before they are legally finalized and from 1-10 percent are dissolved after legal finalization. The wide range of values reflects the paucity of information on the subject and demographic factors such as age; it is known that older children are more prone to having their adoptions disrupted.

How adoptions originate

How adoptions originate
The New York Foundling Home is among North America's oldest adoption agencies.

Adoptions can occur either between related family members, or unrelated individuals. Historically, most adoptions occurred within a family, though. The most recent data from the U.S. indicates about half of adoptions are currently between related individuals.[77] A common example of this is a "stepparent adoption", where the new partner of a parent may legally adopt a child from the parent's previous relationship. Intra-family adoption can also occur through surrender, as a result of parental death, or when the child cannot otherwise be cared for and a family member agrees to take over.

Infertility is the main reason parents seek to adopt children they are not related to. One study shows this accounted for 80% of unrelated infant adoptions and half of adoptions through foster care.[78] Estimates suggest that 11%-24% of Americans who cannot conceive or carry to term attempt to build a family through adoption, and that the overall rate of ever-married American women who adopt is about 1.4%.[79][80] Other reasons people adopt are numerous although not well documented. These may include wanting to cement a new family following divorce or death of one parent, compassion motivated by religious or philosophical conviction, to avoid contributing to perceived overpopulation out of the belief that it is more responsible to care for otherwise parent-less children than to reproduce, to ensure inheritable diseases (e.g., Tay-Sachs disease) are not passed on, and health concerns relating to pregnancy and childbirth. Although there are a range of possible reasons, the most recent study of women who adopt experiences suggests they are most likely to be 40–44 years of age, currently married, have impaired fertility, and childless.[81]

Unrelated adoptions may occur through the following mechanisms:

* Private domestic adoptions: under this arrangement, charities and for-profit organizations act as intermediaries, bringing together prospective adoptive parents and families who want to place a child, all parties being residents of the same country. Alternatively, prospective adoptive parents sometimes avoid intermediaries and connect with women directly, drafting contracts through a lawyer (these efforts are illegal in some jurisdictions). Private domestic adoption accounts for a significant portion of all adoptions; in the United States, for example, nearly 45% of adoptions are estimated to have occurred through private arrangements.[82]

* Foster care adoption: this is a type of domestic adoption where a child is initially placed in public care. Its importance as an avenue for adoption varies by country. Nevertheless, the example of the United States is instructive. Of the 127,500 adoptions that occurred in the U.S.[82] about 51,000 or 40% were through the foster care system.[83]

* International adoption: involves the placing of a child for adoption outside that child’s country of birth. This can occur through both public and private agencies. In some countries, such as Sweden, these adoptions account for the majority of cases (see above Table). The U.S. example, however, indicates there is wide variation by country since adoptions from abroad account for less than 15% of its cases.[82] More than 60,000 Russian children have been adopted in the United States since 1992,[84] and between 1995 and 2005, Americans adopted more than 60,000 children from China.[85] The laws of different countries vary in their willingness to allow international adoptions. Recognizing the difficulties and challenges associated with international adoption, and in an effort to protect those involved from the corruption and exploitation which sometimes accompanies it, the Hague Conference on Private International Law developed the Convention on Protection of Children and Co-operation in Respect of Intercountry Adoption, which came into force on 1 May 1995 and has been ratified by 75 countries, to date.[86]

* Embryo adoption: the state of Georgia in the United States of America is the first jurisdiction to include human embryos in it adoption laws. Conservative evangelicals are the primary supporters, considering it a recognition of embryo life and a mechanism to save that life.[87] These developments in adoption law are not without critics, however, even among religious communities. While the Catholic Church has not announced its support or opposition to the adoption of embryos, its theologians are divided on the issue with some deeming it a "grave violation of nature," and others viewing it as an act of charity.[88] In the absence of adoption laws, embryo relinquishment has occurred under property laws, being transferred from one set of individuals to another. As of 2003, 400,000 embryos had been frozen in the United States alone and an estimated 2% or 9,000 were available for donation; the rest were reserved for future use by the parents or for medical research.[88]

* Common law adoption: this is an adoption which has not been recognized, beforehand, by the courts, but where a parent, without resort to any formal legal process, leaves his or her children with a friend or relative for an extended period of time.[89][90] At the end of a designated term of (voluntary) co-habitation, as witnessed by the public, the adoption is then considered binding, in some courts of law, even though not initially sanctioned by the court. The particular terms of a common-law adoption are defined by each legal jurisdiction. For example, the U.S. state of California recognizes common law relationships after co-habitation of 2 years.

Contemporary adoption

Forms of adoption

Contemporary adoption practices can be open or closed.

* Open adoption allows identifying information to be communicated between adoptive and biological parents and, perhaps, interaction between kin and the adopted person. Rarely, it is the outgrowth of laws that maintain an adoptee's right to unaltered birth certificates and/or adoption records, but such access is not universal (it is possible in a few jurisdictions - including the U.K. and six States in the U.S.).[68][68][69][70][71] Open adoption can be an informal arrangement subject to termination by adoptive parents who have sole authority over the child. In some jurisdictions, the biological and adoptive parents may enter into a legally-enforceable and binding agreement concerning visitation, exchange of information, or other interaction regarding the child.[72] As of February 2009, 24 U.S. states allowed legally enforceable open adoption contract agreements to be included in the adoption finalization.[73]

* The practice of closed adoption, the norm for most of modern history,[74] seals all identifying information, maintaining it as secret and barring disclosure of the adoptive parents', biological kins', and adoptees' identities. Nevertheless, closed adoption, may allow the transmittal of non-identifying information such as medical history and religious and ethnic background.[75] Today, as a result of safe haven laws passed by some U.S. states, closed adoption is seeing renewed influence. In safe-haven states, infants can be left, anonymously, at hospitals, fire departments, or police stations within a few days of birth, a practice criticized by some adoptee advocacy organizations as being retrograde and dangerous.