No‐man's Land: Adoption Storied Through the Aotearoa/New Zealand Adoption Act 1955

The Aotearoa/New Zealand Adoption Act 1955 legislated and governed adoption practices from 1955 to 1985. Through an exploration of the historical, cultural and social assumptions underlying the Adoption Act 1955, this article questions how the social power relations complicit with adoption legislation and policy produce and reproduce subject positions for adoptees. In‐depth narrative interviews were conducted with 12 adoptees from throughout Aotearoa/New Zealand. The researchers found the legal constitution of adoptees produces them as legitimate; however, they remain ‘other’ through dominant discourses of heteronormative blood kinship that reiterates their illegitimacy. The legal fiction of their legitimacy as if born to failed to secure them space within normative narratives of kinship and compromised adoptees' ability to take up responsibility as neoliberal citizens. Current New Zealand debate on adoption fails to take account of the experience of adoptees, focusing instead on the rights of married couples, including same‐sex couples, to continue practices of adoption. Our analysis informs the critical importance of listening to how adoptees experience repeated exclusions and enduring loss represented by the metaphor of no‐man's land. Copyright © 2015 John Wiley & Sons, Ltd.     

Reconstruction of Adoption Issues: Delineation of Five Phases Among Adult Adoptees

Five adoption‐reconstruction phases were identified in narratives of 100 adoptees ages 35 to 55 years. Phases ranged from no awareness of adoption issues (Phase 1) to acute awareness accompanied by anger, resentment, and sadness about adoption (Phase 3) to a sense of peace and acceptance (Phase 5). Consistent quantitative and qualitative differences were found among adoptees at the 5 phases on multiple measures of functioning.     

Orphan Sunday: Narratives of Salvation in Transnational Adoption

Abstract : The article is a critical analysis of public narratives about transnational adoption that equate adoption with the salvation of “orphans.” The stories I weave together from in‐depth interviews, social science and humanities research, law and policy, and public dialogues make visible the scaffolding of power that shapes families’ lives. I tell a specific story about Korean American adoption that speaks to the power inequalities shaping the transnational transfer of children from developing countries all over the world. These stories reframe the circumstances of adoptees’ births and relinquishments as issues of social inequality rather than as individual choice.     

Adoptees' Contact with Birth Parents in Emerging Adulthood: The Role of Adoption Communication and Attachment to Adoptive Parents

As adoptees transition to adulthood, their roles in the family may shift, providing them with opportunities to have increasing autonomy in their decisions about contact and initiating conversations about adoption. Research has often focused more on adoptees as children, yet in emerging adulthood, there are important shifts in the life roles and relationships of adoptees during which adoptive parents continue to be meaningful. This study examined associations among attachment and communication within the adoptive family during adulthood with emerging adult adoptees' experience of birth family contact (frequency of and satisfaction with birth family contact), in a sample of 167 emerging adults with varied contact with birth family (from no contact to frequent contact). Results suggest that perceptions of secure parent–child attachment relationships, as well as sensitive and open communication with adoptive parents about adoption, continue to be important for emerging adult adoptees and lead to greater satisfaction for adoptees with birth parent contact—regardless of whether adoptees actually have birth family contact. In particular, positive family communication about adoption during adulthood was predictive of satisfaction with birth parent contact. Limitations and implications are discussed.     

Adopted Individuals’ Views on the Utility and Value of Expanded Carrier Screening

Adoptees may not have family medical history and ethnicity information. Carrier screening assesses reproductive risk. Expanded carrier screening (ECS) screens for many genetic conditions regardless of a patient’s knowledge of family history and ethnicity. This study aimed to better understand the opinions and attitudes of adopted individuals on the use of ECS in determining a patient’s reproductive genetic risks. Specifically, the study assessed how adopted individuals feel that results of ECS may be useful to them and whether adoptees feel that meeting with a genetics professional in the process of undergoing ECS would be useful. Adult adoptees (N?=?124) were recruited online. Their opinions on ECS were explored. The majority reported they had never been offered carrier screening (92%). The majority of adoptees wanted ECS (76%). Neither the amount of contact with biological relatives nor having medical knowledge about biological relatives was significantly associated with adoptees’ desire to pursue ECS. There was a significant positive correlation between adoptees of higher education levels and the amount they would pay for ECS (p?=?0.004). The majority of participants (95%) indicated a genetics professional would be helpful when undergoing ECS. The findings suggest this population may want ECS and support from genetics healthcare professionals. Advocacy for genetic counseling and testing for adoptees appears justifiable.     

Adoptive parents' satisfaction with the adoption experience and with its impact on family life

In this study, we discuss the relevance of adoptive families' satisfaction in the assessment of adoption processes. The effects of adoption on a sample group of 272 adoptive families are analyzed. Most families show high levels of satisfaction as to: their decision to adopt, the features of their adopted children and how adoption has affected them as individuals and as a family. Statistical analyses show that these families can have different satisfaction levels depending on certain features of the adoptees, of the adoptive families or of their educational style. Life satisfaction of the adoptees is also related to how their adoptive parents evaluate the adoption.     

Possible olfaction-based mechanisms in human kin recognition and inbreeding avoidance

Three studies explored kin recognition through olfaction. In Study I, adults (N=22) were tested for ability to identify the odors of themselves; their mother; their father; a sister; a brother; a familiar, unrelated individual; and a stranger. Acquaintances were identified as accurately as biological kin, implicating an association mechanism. However, biological kin were often confused, implicating phenotypic matching. Same-sex kin were confused more than opposite-sex kin, but mainly when same-sex kin had odors of similar intensity. Study II implicated phenotypic matching. Mothers (N=18) could identify their biological children but not their stepchildren. The preadolescent children (N=37) identified their full siblings but not half-siblings or stepsiblings. Thus, olfactory cues may help mediate favoritism of blood relatives. In Study III, mutual olfactory aversion occurred only in the father-daughter and brother-sister nuclear family relationships. Recognition occurred between opposite-sex siblings but not same-sex siblings. Thus, olfaction may help mediate the development of incest avoidance during childhood (the Westermarck effect).     

Changes in Attachment‐Related Behavioural Problems of Internationally Adopted Toddlers in Finland: Results from the FinAdo Study

This study investigated attachment‐related behavioural problems and their change over time among internationally adopted toddlers (N = 171, boys 40%) in Finland. The parents filled in questionnaires posted in 2007 and again in 2009. At the baseline (on average, 1.9 years from adoption), the mean age of the adoptees was 2.8 years. The comparison group (N = 244, boys 46%) was collected through well‐baby clinics. Results from the paired t‐test and mixed models showed that the adoptees' attachment‐related behavioural problems decreased during the 2‐year follow‐up and that they did not manifest more problems than their age‐mates any more 4 years after adoption. The decrease in behavioural problems was associated with the child's female gender, country of origin and adoptive parents' positive experience about adoption. A child's stereotypic or self‐injurious behaviour was not associated with the change in attachment‐related behaviour over time, although both were associated with behavioural problems. Copyright © 2014 John Wiley & Sons, Ltd.     

Birth Parents Who Relinquished Babies for Adoption Revisited

The fact that adoption records may be opened by court decree to enable adoptees to have access to identifying information about their birth parents makes it incumbent upon those concerned with adoption practices to study the impact of this on adoptees, adoptive parents, birth parents, and professional practice. This paper reports on research addressed to the attitudes and feelings of birth parents years after they relinquished babies for adoption.     

Why Bioethics Should Be Concerned With Medically Unexplained Symptoms

Biomedical diagnostic science is a great deal less successful than we've been willing to acknowledge in bioethics, and this fact has far-reaching ethical implications. In this article I consider the surprising prevalence of medically unexplained symptoms, and the term's ambiguous meaning. Then I frame central questions that remain answered in this context with respect to informed consent, autonomy, and truth-telling. Finally, I show that while considerable attention in this area is given to making sure not to provide biological care to patients without a need, comparatively little is given to the competing, ethically central task of making sure never to obstruct access to biological care for those with diagnostically confusing biological conditions. I suggest this problem arises from confusion about the philosophical value of vagueness when it comes to the line between biological and psychosocial needs.     

Does Lack of “Genetic-Relative Family Health History” Represent a Potentially Avoidable Health Disparity for Adoptees?

Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as (for older adopted children) language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history (GRFHx). Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropriate screening for conditions for which the adopted person may be at increased risk. In this article, we draw out common features of traditionally understood “health disparities” in order to identify analogous features in the context of adoptees’ lack of GRFHx.     

Toward an Organizational-Relational Model of Open Adoption

Clinicians and social scientists have attempted to demonstrate the advisability of open versus closed adoption (communication and/or contact vs. no communication and/or contact between biological and adoptive parents) from a variety of theoretical perspectives. In our article, we seek a conceptual framework that will (a) elaborate how such divergent conclusions about openness versus confidentiality have heretofore been drawn, and (b) provide a comprehensive analysis of the behavior and experiences of all members of the adoption triad (birthparents, adoptive parents, adoptees). Employing structural aspects of organismic-developmental theory ( Werner, 1957 ) and dynamic aspects of self-in-relation theory ( Miller, 1976 ), we propose an organizational-relational approach to open adoption. Preliminary research findings are also provided.     

Taking Representation Seriously: Rethinking Bioethics Through Clint Eastwood��s Million Dollar Baby

In this article, I propose a new model for understanding the function of representation in bioethics. Bioethicists have traditionally judged representations according to a mimetic paradigm, in which representations of bioethical dilemmas are assessed based on their correspondence to the "reality" of bioethics itself. In this article, I argue that this mimetic paradigm obscures the interaction between representation and reality and diverts bioethicists from analyzing the tensions in the representational object itself. I propose an anti-mimetic model of representation that is attuned to how representations can both maintain and potentially subvert dominant conceptions of bioethics. I illustrate this model through a case study of Clint Eastwood's film Million Dollar Baby. By focusing attention on the film's lack of adherence bioethical procedures and medical science, critics missed how an analysis of its representational logic provides a means of reimagining both bioethics and medical practice. In my conclusion, I build off this case study to assess how an incorporation of representational studies can deepen-and be deepened by-recent calls for interdisciplinarity in bioethics.     

Transracial adoptees bridging heritage and national cultures: Parental socialisation,ethnic identity and self‐esteem

Transracial adoptees represent a specific group of immigrants who experience unique immigration processes that bring them face‐to‐face with two cultural backgrounds: that of their heritage culture on one hand and that of their national culture on the other hand. However, there is a scarcity of studies focused on the way these processes unfold within adoptive families. This study was aimed at exploring how transracial adoptees cope with the construction of their ethnic identity. Administering a self‐report questionnaire to 127 transracial adoptees and their mothers, for a total of 254 participants, we first investigated the association between mothers' cultural socialisation (enculturation and preparation for bias strategies) and adoptees' ethnic identity (i.e. ethnic identity exploration and ethnic identity affirmation dimensions). We then investigated whether ethnic identity affects self‐esteem by testing the hypothesis that national identity moderates the relationship between ethnic identity and self‐esteem. Results revealed that mothers' enculturation (but not their preparation for bias) supported adoptees' ethnic identity exploration, which in turn was positively associated with ethnic identity affirmation. Moreover, we confirmed the moderation effect: ethnic identity affirmation enhanced the level of self‐esteem, but only for those adoptees who perceived a higher degree of national identity affirmation.     

Perceived information ownership and control: Negotiating communication preferences in potential adoption reunions

In this study, the tension adoptees feel between learning information about their past and protecting themselves from negative or unwanted information about their birth/adoption was explored. Specifically, communication privacy management theory was used to explore adoptee preferences for information during a potential reunion with their birth mother/family. Findings suggest adoptees' preferences for information ownership and control correspond to the following privacy rules: (a) permeably boundary privacy rules, (b) privacy rule calibrations of boundary access, (c) protection privacy rules, and (d) privacy rules restricting boundary access. In addition, adoptees often expressed that they would like their birth mothers to serve as information guardians, revealing desired information and concealing unwanted disclosures. By assuming this guardian role, birth mothers and adoptees might have less stressful reunions, especially if both parties have similar expectations for information preferences.     

A fairy tale with a twist: pastoral counseling with adoptive families

Adoption counseling often focuses primarily on the enigmatic issues faced by adoptees. Very little attention, however, is pointed in the direction of the adoptive parents and their unique struggles. This article begins by providing some current information on adoption in the United States and ensuing implications for pastoral caregiving. Some of the unique challenges associated with the adoption experience are delineated, primarily focusing on systemic and personal issues faced by many adoptive families. Several practical interventions are suggested for pastoral caregivers working with adoptive families. Finally, the entire adoption experience is framed within a theological perspective offering hope to adoptive parents and adoptees.     

The Porosity of Autonomy: Social and Biological Constitution of the Patient in Biomedicine

The nature and role of the patient in biomedicine comprise issues central to bioethical inquiry. Given its developmental history grounded firmly in a backlash against 20th-century cases of egregious human subjects abuse, contemporary medical bioethics has come to rely on a fundamental assumption: the unit of care (and the unit of value) is the autonomous self-directing patient. In this article we examine first the structure of the feminist social critique of autonomy. Then we show that a parallel argument can be made against relational autonomy as well, demonstrating how this second concept of autonomy fails to take sufficiently into account an array of biological determinants, particularly those from microbial biology. Finally, in light of this biological critique, we question whether or to what extent any relevant and meaningful view of autonomy can be recovered in the contemporary landscape of bioethics.     

Pre-adoptive risk factors and behavioural problems in children adopted from Poland

Behavioural problems in adoptees have been related to adverse circumstances prior to adoption. We examined pre-adoptive risk factors and post-adoptive behavioural problems in children adopted from Poland. Dutch adoptive parents of 133 Polish adoptees (M_age = 8.7 years, range 2.8–15.2; M_ageadoption = 3.0 years, range .4–6.9) answered the Child Behaviour Checklist and questions regarding pre-adoptive risk factors, such as institutionalization, neglect and abuse. Polish adoptees in our sample were four times more likely to have clinical behavioural problems than non-adopted children. Compared with a group of children adopted from various countries, predominantly from Asia, Polish adoptees had higher levels of behavioural problems as well. Multiple pre-adoptive risk factors were present. Only a history of abuse was found to be associated with behavioural problems after adoption. Special attention and support after adoption are needed for these children and their adoptive parents, especially when a pre-adoptive history of abuse is known.     

What is bioethics without Christianity?

The author uses the essays in this issue as a springboard for making three points. First, he argues that most, if not all, current institutional versions of Christianity have failed to provide a meaningful framework for the spiritual life. Second, he argues that there is no ethics other than Judeo-Christian ethics and that there can be no bioethics other than Judeo-Christian bioethics. Finally, he argues that the overriding issue we face is not whether to address bioethical issues from a Christian perspective or from a non-Christian perspective, but rather whether we shall address biological and medical issues from an ethical or a scientific-technological perspective.     

Ethical androcentrism and maternal substance addiction

In this paper, I argue that bioethics suffers from a masculinist approach--what I call "ethical androcentrism." Despite the genesis of other legitimate approaches to ethics (such as feminist, narrative, and communicative ethics), this masculinist tradition persists. The first part of my paper concerns the problem of ethical androcentrism, and how it is manifest in our typical ways of "doing" bioethics (as teachers, ethicists, policymakers, and medical practitioners). After arguing that bioethics suffers from a masculinist ethic, I consider the case of maternal substance addiction to show how this ethic negatively affects the treatment of pregnant addicts. I argue that by treatment maternal substance addiction from an androcentric approach, we fail to serve both pregnant addicts and their fetuses; furthermore, we misrepresent the intentional state of pregnant substance addicts and label them "prenatal abusers." If maternal substance addiction is to be ethically addressed--and if pregnant substance addicts are to be effectively treated--we cannot tacitly accept an androcentric ethic.