Adopted Children Admitted to Residential Psychiatric Care

In an investigation of adopted children admitted to residential, psychiatric care over a five year period it was found that the percentage of adoptees far outnumbered their proportion in the general population. Clinical variables related to adoption were analyzed and early deprivation in the child and family pathology were found to be major factors in many cases. It was suggested that these findings should not discredit adoption as such, but rather that they pointed out areas to which attention could be directed, namely, more careful selection of adoptive parents together with post adoptive counselling and follow-up for the adoptive families.     

Adoptive Parents’ Attitudes toward Adoption and Domestic Adoption Development in Korea: Adoptees’ Specific Needs for Origin

This study aimed to find out how Korean adoptive parents were carrying out their adoptions in Korea and to see if adoptive families truly understood the meaning of adoption and their adopted child's specific needs to know about his genetic roots. This understanding on the adoptive parents’ part is needed to help the child to form a self‐identity for his well‐being. The study sample of 352 adoptive parents may be the largest study ever done involving families currently raising their adopted children in Korea. Results showed that families did not seem to understand adoption with its characteristics well. Though families’ satisfaction with the adoption was very high, it appeared that their satisfaction was limited to when their adoptees were young, not being extended to when children became old enough to know of their adoption. For adoption development in Korea, however, it was encouraging that parents’ participation in local (regional) meetings with other fellow adopters from self‐support groups appeared to be the most significant consistent factor in contributing to the families’ understanding of adoption and their positive attitudes for the adoptees’ well‐being and to their satisfaction with the adoption.     

Peer relationships during late childhood in internationally adopted and institutionalized children

The aim of this study was to analyse the interpersonal relationships in the school context of children living in different care settings (adoptive families, residential care centres, birth families). Participants were 76 children between eight and fourteen years of age (M = 10.78, SD = 1.38), belonging to one of three groups: international adoptees, children living in residential care in Spanish institutions, and a comparison sample of Spanish children living with their birth families with no connection with child protection. Sociometric information was collected in the classroom of each child during school hours. Internationally adopted children from Russia showed considerable difficulties in their relationships with peers; they were more likely to be rejected and their peers described them as less prosocial and somewhat more aggressive. With a better sociometric position than the adoptees, children in residential care were rated by their peers as more aggressive and less prosocial than the normative population. Coordination and integrated work between the family, protection centres, schools, and other social services should be a strategic priority in the promotion of healthy social development in these groups of children.     

Beyond attachment theory and therapy: Towards sensitive and evidence-based interventions with foster and adoptive families in distress

Elements of attachment theory have been embraced by practitioners endeavouring to assist foster and adopted children and their parents. Attachment theory articulates the potential risks of experiencing multiple caregivers; emphasizes the importance of close social relationships to development; and recognizes that substitute parents may not always have close relationships with children who have experienced adversities before joining them. Attachment theory offers concerned parents what they believe to be a scientific explanation about their lack of the close, satisfying parent–child relationship they desire. Yet the scientific base of attachment theory is limited both in terms of its ability to predict future behaviours, and especially with regard to its use as the underpinning theory for therapeutic intervention with children experiencing conduct problems. There is a critical need to review the role of attachment theory in child and family services and to consider its place among other explanations for children's disturbing behaviour. An important step towards pursuing alternative approaches is for researchers and practitioners to understand the reasons the attachment paradigm appeals to so many adoptive and foster parents, given the apparent widespread prevalence of attachment‐based interventions. Such understanding might assist in the development of adoption‐sensitive uses of appropriate evidence‐based treatment approaches.     

Predictors of parenting stress in portuguese adolescents' adoptive parents

Parenting stress is related to the characteristics of both the child and the parents, as well as to parent–child interactions. In adoptive families, parenting stress has been identified as an indicator of the family's adjustment to adoption. The stress experienced by parents of adopted adolescents deserves special consideration, as adolescence is a critical period in the adoptees' developmental pathway. The present study aims to identify the adoptee, parents and family related predictors of the adoptive parents' parenting stress, exploring direct and indirect effects. Fifty Portuguese adolescents' adoptive parents participated in this study. Parenting stress was measured by the Stress Index for Parents of Adolescents, and the Strengths and Difficulties Questionnaire was used to evaluate the adoptees' (mal)adjustment, according to the parents' perspective. Variables related to the parents' experience of adoption were assessed resorting to the Parent's Interview about the Adoption Process. Results showed that parents' satisfaction and adoptees' adjustment were sequential mediators of the relationship between the parents' experience of family life and parenting stress. These findings provide new insights into adoption research in parenting stress, highlighting the importance of adoption‐related variables such as the parents' adoption experience within the family and family relationships.     

EXPOSING ADOPTION MYTHS: ACCESS TO INFORMATION ABOUT ORIGINS IN VICTORIA

Victoria was the first State to allow adopted persons unqualified access to their original identity and to provide natural parents and others with conditional access to identifying information. This article examines findings from 1985 to 1988 to examine four assumptions. These are that: few adoptees would want to know about or meet their natural parents and so few would register with the Adoption Information Service; few adoptees would welcome an approach from or on behalf of their natural parents and most would reject such an approach; few relinquishing parents would wish to meet or know about their relinquished child and consequently most would reject an approach by or on behalf of their child; and adoptive parents would not wish to acknowledge the adoptive status of their children by providing information to the natural parent facilitating a meeting between the natural parent and the child. The data suggest that the above assumptions do not reflect the experience or behaviour of adopted persons, natural parents or adoptive parents.     

Age at placement and adult adopted people's experience of being adopted

Older age at placement has long been recognized as a risk factor in successful adoption outcomes. The findings of the present study emerged as part of a larger study that looked at the adoption experiences and reunion outcomes of 472 adults who had either searched for or been sought by one or more of their birth relatives. As part of the investigation, adopted adults were asked to evaluate their adoption experience. Age at placement was used as a key variable in examining whether or not adopted people felt different to their adoptive family, felt they belonged in their adoptive family, and felt loved by their adoptive parents while growing up. Respondents were also asked to evaluate their overall experience of being adopted. Older age at placement significantly increased the risk of adopted people viewing major aspects of their adoption experience with either mixed or negative feelings.     

Parent–child relationships as perceived by Arab adolescents living in Israel

This article concerns how Arab adolescents living in Israel perceive their relationships with their parents by examining six domains of the adolescents' worldviews: caring and trust, family support, control and supervision, general attitudes towards parents, and parent–child communication, both instru-mental and intimate. The sample consists of 662 twelfth-grade Arab adolescents from seven high schools. Findings show significant differences in various domains of Arab adole-scents' worldviews according to gender, form of residence and level of religiosity.     

Choosing intercountry adoption: an Australian study of the motivations and attitudes of intending and recent adoptive parents

Humanitarian reasons are often reported as the main motivating force for undertaking intercountry adoption. This article reports on a qualitative interview‐based Australian study in which 32 adoptive parents and prospective adoptive parents talk frankly about their desire to use intercountry adoption as a pathway to parenthood, rather than as an altruistic method of providing a child with a family. The study aimed to investigate motivations of intending and recent adoptive parents for deciding to form a family through intercountry adoption and to contribute to understanding about why intercountry adoption is the preferred option over available alternatives for family formation. The findings from this study raise interesting questions regarding recruitment efforts for children needing families; not only in relation to intercountry adoption, but also in developing recruitment strategies for foster carers for local children needing care.     

International adoption and the formation of new family attachments

Clinical studies of children in international adoption reveal unique patterns of psychological adjustment to permanent family care. Pre‐adoption history often includes early object loss, medical and nutritional deprivation, multiple care‐giving disruptions, and the lack of primary care‐giving relationships. These factors and the age at the time of adoption are risks to positive emotional and cognitive development. Adoptive parents may be unprepared for the resulting developmental problems. Most significantly, parents and children are often at different points in readiness to establish an attachment relationship. The parents are eager to claim their child, but the child is unready to respond because of emotional fragility and lack of previous attachment experiences. Two clinical vignettes illustrate the importance of a developmental and medical framework in assessing the unique needs of these survivor children, as well as the necessity of an empathic therapeutic holding environment that can sustain the emerging family attachments under stress. The psychological impact of cross‐cultural adoption and traumatic early beginnings reverberates across time but with empathic parental care and treatment recovery can be significant.     

Becoming mother and father in late adoption: a case study

Adoption in Brazil has long been related to practices of not disclosing the child's history and origins, which become a family secret. As a consequence, most couples who apply for adoption prefer newborns. Late adoption is still an uncommon practice and requires a 'family project' which accepts a different family model, new meanings of motherhood and fatherhood, and different ways of building affectionate bonds. It is important to investigate how a man and a woman become parents under those circumstances. This study aimed to follow up the emergence of adoption, motherhood and fatherhood meanings, in the discursive practices involved in the construction of adoptive parenthood in the Brazilian setting. This paper presents important meanings regarding parenthood produced by a couple who adopted two sisters, aged 4 and 5 years. Analysis revealed that to better understand the late adoption process, the meanings that emerge in the discursive practices should be considered. Those meanings pervade and circumscribe the family relationships, influencing how the individuals constitute their roles in the family. It is through the analysis of this dialogical process of construction that it is possible to identify the challenges in late adoption and to unravel the process of constructing affectionate relationships.     

Achieving permanency for youth in foster care: assessing and strengthening emotional security

For some youth in foster care, the closest family or family‐like relationships are with the foster parents with whom they have lived for extended periods of time. Nonetheless, child welfare agencies often do not explore these relationships and the potential they may hold for youth for legal permanence through adoption or guardianship. Recognizing that social workers often lack resources to help them initiate permanency conversations, Casey Family Services, a direct service child welfare agency in the USA, developed a tool that social workers can use to explore youth's sense of emotional security with their foster parents and foster parents' sense of claiming and attachment with youth in their care. The research literature that suggests that emotional security is a critical component of successful permanence provided the foundation for the development of the Belonging and Emotional Security Tool (BEST). When used with youth and foster parents, the BEST was found to advance meaningful permanency conversations. The authors provide case examples of its use and discuss future directions for using the BEST and broadening its application.     

Openness in adoption: Challenging the narrative of historical progress

One significant change in adoption practice that has occurred over the last four decades is the shift away from an expectation of confidentiality towards an expectation of openness in adoption. Openness is typically conceived in terms of the level of contact between adoptive and birth families following adoption or the extent to which adoption is openly discussed within the adoptive family. While these shifts in practice have generated controversy, they are largely supported by research evidence and have become a feature of contemporary adoptive family life. As a result, the narrative that has emerged in relation to openness in adoption is one of historical progress. In this paper, I argue that the lived reality of adoption is less straightforward than this narrative suggests. An analysis of the social and cultural context in which adoption operates suggests instead that the persistent feature of adoption throughout this historical period of increasing openness can be more accurately described as a state of enduring ambiguity regarding the nature of post‐adoption relationships. The paper highlights the potentially damaging consequences of overlooking this aspect of adoptive family life and comments on the role of policy in shaping openness in adoption.     

Contested attachments: rethinking adoptive kinship in the era of open adoption

Since its legal inception in 1926, adoption work has been centrally concerned with the matter of the adopted child's ‘first’ or prior life, whilst also focussed on achieving a new and secure substitute family for that child. Adoptive kinship has been formed through this dual and contradictory concern, a concern that has produced diverse policies and practices over the last 90 years. Drawing on Foucault's concept of technologies of the subject, this paper is an exploration of adoptive kinship within the new context of open adoption, a set of practices that more actively promotes the involvements of the adopted child's former family. These practices both promote a radical reworking of adoptive kinship, as well as confirming its more orthodox moorings. Drawing on an adoption archive study, the paper concludes with an analysis of letterbox contact to explore how far this form of open practice transforms adoptive kinship in the contemporary era.     

Young children returning home from care: the birth parents' perspective

While a wide range of literature exists on the experiences of children in foster care or adoption, much less is known about children who return home from care to their birth parents. This paper focuses on the perspectives of a small sample of birth parents of young children who returned home from care. It draws on findings from the Northern Ireland Care Pathways and Outcomes Study that has been following a population ( n  = 374) of children who were under 5 years and in care in Northern Ireland on the 31st of March 2000. As part of this study, interviews were conducted with the foster parents of 55 children, the adoptive parents of 51 children and the birth parents of nine children who had returned home from care. The paper explores the birth parents' views on how they coped while their child was in care, how they were coping after the child had returned home and how their child was faring at home. Results revealed that these parents, and their children, were experiencing multiple difficulties and struggled to cope after the children had returned home.     

Internationally adopted children's general and adoption‐specific stressors,coping strategies and psychological adjustment

We examined stress, coping and psychological adjustment of 68 children, aged 8–12, who were internationally adopted to Spain. Using the Kidcope, all children were asked about the most stressful general and adoption‐related problem they experienced and the use and effectiveness of various coping strategies when dealing with the problem. For all reported problems, the nature of the problem (personal, interpersonal, regarding others), the content, the degree of stress it created and its perceived controllability were analysed. Emotional and behavioural functionings were assessed with the Behaviour Assessment System for Children. About half of the children mentioned specific problems concerning the adoption, with inracial adoptees reporting less adoption‐related problems than transracial adoptees. For general and adoption‐related problems, interpersonal problems were mentioned most often. With regard to the content, ‘relationships’ and ‘victimization’ were mentioned most often for general and adoption‐related problems, respectively. Adoption‐related problems were appraised as less controllable. No differences emerged in terms of coping with general or adoption‐related problems except for ‘self‐criticism’. Overall, the children used many coping strategies and were generally well‐adjusted. Identifying the problems and coping strategies of adoptees is important in order to help these children and their families tackle these stressors.     

Motivations and Family Functioning of Foster Families in Italy

ABSTRACT

The aim of this paper was to investigate foster family care to better understand this unique care-giving context. The research objective was to understand motivation, family functioning, and individual attachment styles in foster families. Participants were 33 foster parents who completed a questionnaire that included the motivations for choosing foster care, the relationship with the birth family and with social service workers, a measure of family functioning and adult attachment. The motivations for becoming a foster family were very different between families with a birth child and families without a birth child. The results showed that for the foster mother, the relationship with the birth family constituted a very critical element of the fostering experience. The same trend emerged in the relationship with the minor. The results showed that foster families were cohesive and expressive. With respect to attachment style, foster parents had lower scores than a normative sample on the discomfort with closeness, the tendency to consider relationships as secondary and the need for approval subscales. These results have implications for the practices of social work for foster family support and developing a shared commitment to the needs of the foster family in terms of both resources and weaknesses.     

The inclusive family support model: Facilitating openness for post‐adoptive families

Open adoptions have increased over the past few decades, and although guidance for considering and creating open adoption agreements exist, one area of needed post‐adoption support is helping adoptive birth/first families navigate open‐adoption relationships after finalization. Adoption agencies have a responsibility to assist adoptive parents, who may have fears and concerns about openness, see the potential benefits rather than only the challenges. This article describes a practice model designed by one agency to help families navigate post‐adoption openness. The Inclusive Family Support model is conceptualized through the theoretical perspectives of family systems theory, ambiguous loss and disenfranchised grief, and the transtheoretical model of change. We highlight the major dimensions of the model, how it will be implemented and evaluated at one agency, and discuss implications for practice and policy.     

Social disclosure among Korean domestic adoptive parents: the role of self-esteem

This study examines the relationship among involuntary childlessness, social support, and social disclosure of Korean domestic adoptive parents. Data were collected from a sample of 90 such parents who had already disclosed the adoption to their child. Path analysis revealed that involuntary childlessness does not directly affect social disclosure of adoption, but it does affect the self-esteem of adoptive parents, and parental self-esteem was significantly and positively related to social disclosure. Social support reinforces the self-esteem of adoptive parents, thus contributing to the social disclosure of adoption. This research highlights the importance of pre- and post-adoption counselling that address the unique experiences of adoptive families in South Korea.