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Dr. Jane Aronson

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An Adoption Plan With A Happy Ending

Posted: 02/16/2012 12:29 pm

As an adoption medicine specialist for more than 20 years, I have read and agonized over the social histories of thousands of children adopted domestically and internationally. These stories are fragments and secrets of a rich fabric of dysfunctional family life from all corners of the world in 196 countries, whether rich or poor, large or small. Most of the time, I have only been given a sliver of what is likely a complex and worthy life of a very young birth mother who may not have ever menstruated or a woman raped and beaten, birthing a precious life all the same.

I am always wondering and yearning to learn more. Sometimes I get the whole story and this is what I want to share today: a very complete story which starts with a very young mother and ends with the adoption of an infant who knew all the players and who will be, in so many ways, defined by the constellation of loving characters in this dramatic narrative.

Even though the vast majority of orphans are relinquished and not abandoned, we have little information about the roots of a child's life. The birth family is ashamed of the pregnancy and makes the decision to relinquish or abandon. There is no invitation from the community to be open and safe and secure. For those poor women who hide their pregnancy and birth, there is danger and desperation. Choosing not to parent one's own child is something that can stalk a mother for the rest of her life. Loss and emptiness from this start of life are rarely managed with gentleness and outreach. Social workers and counselors are not part of this dark moment in the majority of births in extremely poor countries. The birth mother, the new baby and the parents who adopt grieve when there are secrets. There is rarely permission given for contemplation, resolution and healing.

Recently, I received exciting news from a family adopting from Taiwan who I have been working with for about a year. The papers were complete and the child was cleared for adoption. The family had been in Taiwan for three weeks and now they were ready to come home. The baby was referred to the family living in New York about six months ago. This sweet little girl was born to a teenage mother who was 14 during the pregnancy and was 15-year-old at the time of the birth.

The child was placed in an orphanage at birth after the grandparents and unmarried adolescent parent examined the challenges and made the decision not to parent this child, but rather to "make an adoption plan." The child has since been in two foster placements and by the end of the week, she will be living in a permanent home in a transracial family with an older male sibling. During the six months of this child's life, the birth family has been very invested in the child's safety and security; they have visited the child and the child clearly knows this family's faces, their voices, their smell, their style of communication, and their sadness and commitment to her well-being.

The adoptive family spent three weeks living in a foreign city learning about their new little girl. She will be named with her Taiwanese name in addition to an American name that reflects family tradition. They visited with her in their hotel and played with her and fed her and had her overnight. Her six-year-old brother adores her and has become a key focus of the baby's life. This brother is playful and somehow intuitively knows how to charm his baby sister who is a bit reserved and anxious about all the newness around her. New adults of another race are especially suspect after a birth family, orphanage, and two foster care placements. A playful brother who has no expectations is a welcome moment for the baby.

The adoptive family met the foster family and was very assured that their daughter had been cherished. The foster family is an urban family with two parents in their early 40s and their two daughters who attend local schools. This family has had other foster kids over the past 15 years and they are well-trained in the adoption/foster care network of their city.

And the adoptive family has spent time with the birth family. They have had their unofficial "giving and receiving" ceremony. The youngest daughter and aunt, is 12 and the birth mother is now 15. The visit was quiet and thoughtful; the birth mother has held her baby and she has said her goodbyes. There have been photos taken of the grandparents with their daughters and their grandbaby. It was all open and shared and still mysterious because of the language barrier and cultural puzzles.

And I have seen the photos and they tell a story that is inexplicable and important. When I get up in the morning, I look at the photos and agonize over their meaning. They tell the story of what could be if we could change attitudes about unplanned pregnancies and invest in social work and communities... if we could stop laying blame and keep our eyes on the prize which is about permanency.

This little girl can look at the photos and ask questions someday. There will be memories that can be shared with her and there can be satisfaction in knowing that everyone was able to have some closure to a very challenging and impossible moment in life. There was a process and there was support for the families involved. The baby can grow up and even consider going back to learn more about her roots... and meet her foster mother and her birth family.

And the 15-year-old birth mother, who is a good student, will finish high school and has plans to go to college. She is resolved and on her way to healing from a deep loss.

The baby girl is home in New York, eating well, recovered from jet lag, and adapting to her new life.

She was a little cranky and hard-pressed to give up her night bottle and because she slept with her foster mother, she is sleeping with her new "mama." She is giggly and excited at the end of a day when her daddy comes home from work and her brother comes home from kindergarten.

In the vast majority of adoptions, there are stories with only tiny tidbits of a secret life that existed and no social workers to help mothers consider their options. Adoption occurs and there is a new permanent life for the abandoned or relinquished baby, but the cycle of poverty has not been broken for the birth mother who is uneducated and homeless and living in the streets, perhaps... or worse.

I was fortunate enough to be able to visit with the family to see how the little one was faring. We met in the street as I was approaching their home and we stepped into a local café to pick up my hot chocolate and mom's coffee. The baby was in a sling with a hooded sweater covering her sleepy head. Mom pushed the hood back and there she was... a relaxed and secure Asian face, no stress or vigilance apparent. She was snuggling with her "mama" and people in the neighborhood were engaging with her in the shop. The cashier spoke to her in Mandarin and she lit up. It was plain to see that she understood those tones and was happy to hear them. It was a memory sparked and a safe moment. An adoring adult friend threatened to "eat her up." That is so New York... and then we went home and watched her play and enjoy old plastic hair rollers and a salad spinner. Nothing fancy needed at this age. She is curious and sitting up, proud of her achievement to look out at a new level. She is noticeably unperturbed and comfortable; loved and clearly fitting into her new home and family. And her parents were very happy... deliriously appreciative of her presence in their lives.

 

Follow Dr. Jane Aronson on Twitter: www.twitter.com/wworphans

As an adoption medicine specialist for more than 20 years, I have read and agonized over the social histories of thousands of children adopted domestically and internationally. These stories are fragm...
As an adoption medicine specialist for more than 20 years, I have read and agonized over the social histories of thousands of children adopted domestically and internationally. These stories are fragm...
 
 
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09:31 AM on 02/21/2012
As a birthmother in an open adoption (21 years!) and an adoption professional, I have to ask; why did this family have to travel so far (clearly at great expense) when they could have completed an open adoption here in the states? And why did this baby have to leave her culture and birth family when perhaps the blow could have been lessened by her being adopted by someone in her own community?

I honestly don't know if domestic open adoption is possible in Taiwan, but certainly those of us who believe in the process would have preferred to hear that story, over one of this child losing so much and of a family going to such great lengths to adopt from a 1st world nation. Let's face it, that long flight is going to make visits a little difficult! (Or, perhaps that was the point?)
09:15 PM on 03/07/2012
We adopted our daughter from Taiwan. The Asian culture is not nearly as willing to adopt as ours is. There are many superstitions and cultural issues that make these children "un-adoptable" in their own country/culture: skin color, being the product of rape, cleft palate or other special needs, being a girl in a culture where boys are prized, etc. We were open to adopting from any culture or country, and Taiwan is the opportunity that presented itself. A child who needs a home is a child who needs a home, regardless of their nationality or skin color!
11:23 PM on 03/07/2012
I'm an AP of a four year old child born in Taiwan and adopting a second child from foster care in Taiwan. The orphanage we adopted our first child from houses infants. At the 1st time we adopted, 60% of their adoptions were domestic. Infants being referred internationally were older babies not chosen by domestic families or children that would have a harder time being placed domestically because of health concerns or something in their social background. Social background issues often include parental history of mental health problems or very low functioning... living in group home, etc... or other things that would be undesirable to a Taiwanese person. Most families adopting from Taiwan have a wealth of social background information about their children's birth family, and I totally agree with verbeach that there are many cultural issues including skin color and numerology about the date time a place that the child was born that can make a child undesirable.

It wasn't possible for my children to live with their first families. They were available for domestic adoption in Taiwan but were considered undesirable. One child was born a super preemie with medical problems. The other is indigenous (aboriginal) Taiwanese, a group of people who are about 2% of the population and are discriminated against by the ethnic Han majority.

All children deserve a family. My children were no less deserving of a family than American born children because they were born on the other side of the world.
10:45 AM on 02/18/2012
As usual, Dr. Aronson hits the nail on the head. This is the way an intercountry adoption should be done whenever possible. And is it so impossible? Most adoptions are not abandonments, and if our agencies and the contacts in the foreign countries put their mind to it, it can be done more often than not.
Dr. Aronson focuses on the welfare of the adoptee and the birth mother, and that is where the focus should be.
Thanks for a great article.
02:28 AM on 02/18/2012
A beautiful story indeed, but in today's adoption world that story would be an exception and not a rule. There are many children in countries sold into adoption because their parents are so poor (married and unmarried) the stories told are often times not the truth. Especially when dealing in countries where the Hague Convention is not ratified. Ghana, Morocco, Ethiopia are a few countries where independant adoptions are acceptable and fraud is rampant. Morocco is particular pathetic, an adoptive parent must convert to Islam to adopt.
Most adoptive parents are ethical to the core, but many follow along with their adoption agency in their quest to have that new baby in their arms. They suddenly care nothing about the child's bio family or their culture. After all they got their $35,000+ purchase.
Aronson should start caring for the orphans and children in American foster homes. A sad day for America when people from Europe are adopting US kids out of foster care.
Yet some American gets sold a bill of goods on the exotic jolie-ist ventures of adoption internationally and many get caught up in the frenzy of it.
No surprise that International Adoptions to the USA have shrunk in 6 years from 22,000+ to barely 9,000 adoptions last year (2011)
Meanwhile over 130,000 American children sit in foster care paper ready for their forever home.
http://www.adoptuskids.org
04:08 PM on 02/17/2012
Thank God adoptions have changed since the 1950's when asian children were adopted after WWII. So many GI's leaving behind pregnant women carrying half asian babies. Don't know if the women really expected the men to marry them. When the women had their babies, they were abused by their own families and were often forced to give up the child to an orphanage. No background family history, no medical history. No knowledge passed on to the child as to who the father is. Asians were terrible about children without a lineage.
03:17 PM on 02/17/2012
Thank you very much for your incredible work. You are bringing joy and hope to countless families.

I will be saddened if our abortion culture, which we encourage abroad, makes your job and those of others like you obsolete.
jjtx
We need to look for the Third Way.
01:13 PM on 02/17/2012
Thank you for a wonderful article.

I am the mother of two grown children who were adopted as infants from Asia. They have always been a joy to our lives. They know as much of their birth background as we do and have visited their birth country as well.

I hope and pray everything continues to go well with this lucky family.
12:49 PM on 02/17/2012
Dr. Aronson,

If you would truly like to do some good look at how fathers are treated right here in the U.S. The U.S. Family Court system and the state attorney generals offices across this country discriminate routinely against fathers, in my mind in violation of the 14th Constitutional amendment and to the detriment of families.
Men are routinely denied primary custody of their children they dearly love to be given over to the mother. The men are then required to pay exorbiant child support payments or risk going to jail (debtor's prison). These men can barely support themselves and their children when they are lucky enough to have them with them under this system. The states hire private firms to collect these "child support" payments and get federal matching money in what they collect. It's fraud and in the state's eyes in their best financial interest to continue these vile practices. Who benefits? The private firms, the state. Who does not benefit? The children, fathers, mothers, families.
Want to do real good then check it out. Men are out there that want to step up to the plate for their children and are disregarded.
11:16 AM on 03/29/2012
If I had a dollar for every child I have known that was raised by a single mother working way too hard to support her family due to lack of support from the father, I'd have a good size nest egg. Nice try, but the statistics are against you. If you can't afford to support a child, have protected sex, or better yet, don't have sex that can result in pregnancies until you are a man... which means ready willing and able to support a family. If there weren't so many *deadbeat* dads out there, and children being raised on the taxpayers dime, there wouldn't be the need for such measures to be taken to collect support.
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11:44 AM on 04/04/2012
Agreed, Kelley, but that scenario also requires women who protect themselves from becoming pregnant, expecting the "taxpayers' dime" as you put it. Boys look for easy sex, which is why the world is over-populated. Strong women need to take charge, because each new life depends on someone in the chain of life having a sense of responsibility.