ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Loss Ruminates about lost child initially, loss merges with other life events; leads to social isolation changes in body and self image; relationship losses. Infertility equated with loss of self and immortality. Issues of entitlement lead to fear of loss of child & over protection. Fear, ultimate abandonment; loss biological, genetic, cultural, history, issues of holding on and letting go.
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Rejection Personalize placement for adoption as rejection; issues of self-esteem; can only be "chosen" if first rejected. Anticipate rejection; misperceive situations. Reject selves as irresponsible, unworthy because permit adoption; turn these feelings against self as deserving rejection; come to expect & cause rejection. Ostracized because of procreation difficulties; scape-goat partner; escape rejection may expel adoptee to avoid anticipated rejection.
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Guilt/Shame Deserving misfortune; shame of being different; may take defensive stance/anger. Party to guilt secret; shame/guilt for placing child; judged by others double bind; not OK to keep child & not OK to place child. Shame of infertility; may believe childlessness is curse or punishment; religious crisis.
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Grief Grief may be overlooked in childhood, blocked by adult, leading to depression/acting out; may grieve lack of "fit" in adoptive family. Grief acceptable only short period but may be delayed 10-15 years; lack rituals for mourning; sense of shame blocks grief work. Must grieve loss of "fantasy" child; unresolved grief may block attachment to adoptee; may experience adoptee's grief as rejection.
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Identity Deficits in information may impede integration of identity; may see search for identity in early pregnancies, extreme behaviors in order to create sense of belonging. Child as part of identity goes on without knowledge; diminished sense of self & self worth; may interface with future parental desires. Experience diminished sense of continuity of self; are and are not parents (Kirk's role "Role Handicap")
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Intimacy Fear getting close and risk reenacting earlier losses; concerns over possible incest; bonding issues may lower capacity for intimacy. Difficulty resolving issues with other birth parent may interfere with future relationships; intimacy may equate with loss. Unresolved grief over losses may lead to intimacy/marital problems; may avoid closeness with adoptee to avoid loss.
ADOPTEE BIRTH PARENT ADOPTIVE PARENT
Control Adoption alters life course; not party to initial decisions; haphazard nature of adoption removes cause and effect continuum. Relinquishment seen as out of control, disjunctive event, interrupt drive for self actualization. Adoption experiences lead to "learned helplessness" sense mastery linked to procreation lack generativity.