Unsettled adoptive identity: Understanding relationship challenges in adopted adolescents' identity narratives.

Adopted adolescents create identity narratives conceptualizing their connections to their families of adoption and birth. Previous work with a sample of adoptive adolescents identified a sub-group who reported negative experiences regarding adoption as part of their navigating of adoptive identity processes (the "Unsettled" group). The current study examined interviews with adolescents in the "Unsettled" group to elucidate these negative experiences, specifically through identifying the relationship challenges linked to adoption. Participants included 30 adopted adolescents (18 females, 12 males) from a longitudinal study of adoptive families. All the adolescents (M age = 15.2 years) were domestically adopted in infancy by heterosexual couples who were the same race as the adolescents (29 White, 1 Mexican American). Thematic analysis revealed six themes reflecting adolescents' relationship challenges as related to adoption, both in terms of interpersonal interactions and how relational experiences influenced adolescents' thoughts and feelings of past, present, and future selves: (a) Negative experiences in relationships with adoptive family members, (b) Negative experiences in relationships with birth family members, (c) Difficulties in the adoptive kinship network, (d) Negative thoughts and feelings toward the self as an adopted person, (e) Negative views toward adoption as a form of building a family, and (f) Negative connections between adoption and future relationships. Multiple subthemes were also identified that built upon topics within the adoption and family systems literature, such as communication among family members, navigation of birth family contact, and adopted adolescents' perceptions of loss. Also identified were four profiles across themes. Implications for mental health providers and adoption professionals are discussed.

Adoptive family contexts of adolescent and adult adjustment: Dyadic and systemic approaches.

Research has identified family dynamics within adoptive families as essential to understanding adopted individuals' adjustment. However, there has been a lack of attention to the intricacies of adoptive family context, especially dyadically and as a group. This study examines data from 177 adoptive families from the Minnesota/Texas Adoption Research Project, a longitudinal study of families who participated in domestic U.S. infant adoptions. Study participants are from the second and third collection waves, during adolescence and emerging adulthood. Participants completed interviews and questionnaires at home (Wave 2) or online (Wave 3). The present study examines family context in relation to parent-child incompatibility (match between parent expectations and child's behavior from the Parenting Stress Inventory) and how family context during adolescence (Family Assessment Device, Family Inventory of Life Events, Brief Symptom Inventory) is associated with concurrent and later adjustment (Youth and Adult Self Reports). Family context variables were hypothesized to predict parents' and their spouses' ratings of incompatibility using actor-partner interdependence models. Varied actor and partner effects of family dysfunction, parent distress, and family stressors on ratings of parent-child incompatibility were found. Using regressions, family context variables were hypothesized to have positive associations with adolescent and adult adjustment. Variables accounted for significant variance in adopted individuals' outcomes when considering symptom type (internalizing, externalizing) and age (adolescence, emerging adulthood), though many variables did not have a significant main effect. Results allow for better understanding of differential associations of family context with adjustment for adopted individuals and families. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Development of the Tool to Empower Parental Telling and Talking (TELL Tool): A digital decision aid intervention about children's origins from donated gametes or embryos.

Objective: This study aimed to create and develop a well-designed, theoretically driven, evidence-based, digital, decision Tool to Empower Parental Telling and Talking (TELL Tool) prototype. Methods: This developmental study used an inclusive, systematic, and iterative process to formulate a prototype TELL Tool: the first digital decision aid for parents who have children 1 to 16 years of age and used donated gametes or embryos to establish their families. Recommendations from the International Patient Decision Aids Standards Collaboration and from experts in decision aid development, digital health interventions, design thinking, and instructional design guided the process. Results: The extensive developmental process incorporated researchers, clinicians, parents, children, and other stakeholders, including donor-conceived adults. We determined the scope and target audience of the decision aid and formed a steering group. During design work, we used the decision-making process model as the guiding framework for selecting content. Parents' views and decisional needs were incorporated into the prototype through empirical research and review, appraisal, and synthesis of the literature. Clinicians' perspectives and insights were also incorporated. We used the experiential learning theory to guide the delivery of the content through a digital distribution plan. Following creation of initial content, including storyboards and scripts, an early prototype was redrafted and redesigned based on feedback from the steering group. A final TELL Tool prototype was then developed for alpha testing. Conclusions: Detailing our early developmental processes provides transparency that can benefit the donor-conceived community as well as clinicians and researchers, especially those designing digital decision aids. Future research to evaluate the efficacy of the TELL Tool is planned.

Profiles of Adoptee Adjustment in Young Adulthood.

The developmental stage of young adulthood, the period from one's late twenties through thirties, has grown in attention and research focus among general populations. However, little is known about the adjustment of adopted individuals during this phase. The present study sought to expand our understanding of the various patterns of adoptee adjustment in young adulthood. Latent profile analysis was used to identify profiles across eight domains of functioning spanning physical and mental health to relationships, achievement, and engagement. Three profiles were identified, demonstrating varying levels of adult functioning. Adoption related and non-adoption related variables were explored using a series of multinomial logistic regressions to determine which factors differentiated between profiles. It appears that, although some adoption related variables remain significant in young adulthood, non-adoption related variables are more strongly linked to adoptee adjustment at this developmental stage. Implications and future directions for clinical care and research are discussed.

Birth Family Contact from Childhood to Adulthood: Adjustment and Adoption Outcomes in Adopted Young Adults.

Experiences of contact between adopted persons and birth family members have implications for psychological adjustment of adopted persons. The current study utilizes four contact trajectory groups, spanning from middle childhood to young adulthood and encompassing three aspects of birth family contact, in predicting psychological adjustment and adoption-related outcomes in adopted young adults. Data come from a longitudinal study of adoptive families in which adopted persons were domestically adopted in infancy by same-race parents in the United States. Adopted young adults in the group characterized by sustained high levels of contact and satisfaction with contact over time ('Extended Contact') displayed lower levels of psychological distress and higher levels of psychological well-being than adopted persons in the group characterized by contact that increased over time but remained limited ('Limited Contact'). Generally, adopted persons within the group characterized by consistent lack of contact ('No Contact') and the group characterized by contact that was initially present but ended ('Stopped Contact') did not differ in distress and well-being from those in the 'Extended Contact' group. No group differences were found on adoption dynamics and identity, however young adults in the 'Extended Contact' group generally reported more positive relationships with their birth mothers than those in the other groups. Findings are discussed in the context of heterogeneity in contact experiences and implications for policy and practice.

Parents' adaptation from conflict: Bicultural socialization beliefs and acculturative family conflict in Chinese American families.

Many Chinese American parents desire for their children to take on both Chinese heritage and mainstream American values and behaviors, referred to as their bicultural socialization beliefs. Parents' development of such beliefs appears linked with parent-adolescent conflict concerning cultural values, yet the direction and temporal ordering of this relation is unclear. The present study aimed to resolve discrepancies in the literature through examining the bidirectional relations between Chinese American parents' bicultural socialization beliefs and the acculturative family conflict they experience with their children. Relations were examined across two developmental periods of the children: adolescence and emerging adulthood. Data came from a longitudinal study of 444 Chinese American families from the west coast of the United States. Mothers and fathers reported on their own bicultural socialization beliefs for their children. Mothers, fathers, and adolescents/emerging adults each reported on levels of acculturative family conflict within mother-adolescent and father-adolescent dyads. Higher levels of family conflict in adolescence consistently predicted greater increases in parents' desires for their children to be bicultural in emerging adulthood. Results have implications for interventions with Chinese American families and demonstrate Chinese American parents as capable of adapting and growing from challenging, culturally based interactions with their children. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Alpha Test of the Donor Conception Tool to Empower Parental Telling and Talking.

OBJECTIVE: To conduct an alpha test of the prototype of a digital decision aid to help parents disclose donor conception to their children, the Donor Conception Tool to Empower Parental Telling and Talking (TELL Tool). DESIGN: Convergent mixed-methods design. SETTING: Virtual interviews in places convenient to the participants. PARTICIPANTS: A purposeful sample (N = 16) of nine gamete-donor and embryo-recipient parents and eight clinicians, as one parent was also a clinician. METHODS: We conducted cognitive interviews to explore participants' perceptions about the TELL Tool prototype and observe patterns of use. The International Patient Decision Aid Standards (i.e., usability, comprehensibility, and acceptability) guided the development of the qualitative interview guide and directed the qualitative analysis. We also collected data about participants' perceptions and ratings of the helpfulness of each of the prototype's webpages regarding parents' decision making about disclosure. Descriptive statistics were used to analyze the helpfulness ratings before we merged the two data sets to optimize understanding. RESULTS: Participants reported that the TELL Tool was a helpful digital decision aid to help parents tell their children how they were conceived. Most (93.7%) webpage rating scores indicated that the content was very helpful or helpful. The participants identified content and technical areas that needed refinement and provided specific recommendations such as adding concise instructions (usability), tailoring adolescent language (comprehensibility), and softening verbiage (acceptability). CONCLUSION: Alpha testing guided by the International Patient Decision Aid standards was an essential step in refining and improving the TELL Tool prototype before beta testing.

Parents' experiences telling children conceived by gamete and embryo donation about their genetic origins.

OBJECTIVE: To gain an in-depth understanding of parents' experiences telling children conceived by gamete and embryo donation about their genetic origins. DESIGN: Qualitative, descriptive. SETTING: Families' homes. PATIENTS: Gamete or embryo donation recipient parents living in the United States and who told their children, from birth to 16 years, about their genetic origins. INTERVENTIONS: Individual semistructured (n = 12) or dyadic (n = 2) parent interviews. MAIN OUTCOME MEASURES: Directed qualitative content analysis. RESULTS: Fourteen families that comprised 16 gamete or embryo donation recipient parents and represented 24 donor-conceived children between the ages of 4 months and 16 years participated in the study. Single parents (n = 3) and both parents in most two-parent families (n = 9) led the initial telling conversations. Parents recounted personal short stories using language that was both developmentally and medically appropriate. Multiple strategies, including children's books, were used by parents to aid them in their telling. The oldest donor-conceived children in each family were first informed of their genetic origins at birth (n = 10 families) or at 6 months (n = 1 family; "practice runs") or from 3.5 to 12 years (n = 3 families). The telling conversations took place during routine family activities that naturally brought parents and children in close proximity, usually in the home. CONCLUSIONS: Awareness of the nuances of parents' telling conversations with their children through the age of 16 years can help guide clinical counseling and the development of tools to aid parents in their telling conversations.

Tech-Mediated and Traditional Communication Modes in Adult Adoptees' Contact With Birth Parents.

OBJECTIVE: To understand how adult adoptees use traditional and tech-mediated modes of communication in contact with birth parents. To examine associations between desire for increased use of both modes and quality of relationship. BACKGROUND: As tech-mediated modes of communication become more commonplace, it is important to understand their implications for family relationship quality. Limited research has examined the use of tech-mediated modes of communication between adult adoptees and birth parents. METHOD: Participants (M age = 31 years) were adopted as infants (N = 90). Participants reported their current and desired future use of traditional and tech-mediated communication modes and their satisfaction with contact, current closeness, desired future closeness, and psychological presence of birth parents. RESULTS: Those with current contact reported using both traditional and tech-mediated modes of communication. Desired increase of traditional modes was associated with greater psychological presence and desired future closeness with birth mothers, while both traditional and tech-mediated were associated with these outcomes for birth fathers. CONCLUSION: Adult adoptees use both traditional and tech-mediated modes of communication with their birth parents. However, these modes may play distinct roles in maintaining close relationships with birth parents. IMPLICATIONS: Family professionals should consider the unique roles traditional and tech-mediated modes of communication may play when supporting adult adoptees in contact with birth relatives.

Relational Competence in Emerging Adult Adoptees: Conceptualizing Competence in Close Relationships.

Little research has focused on the positive adjustment of emerging adult adoptees (Palacios & Brodzinsky, 2010). Given the developmental context of emerging adulthood (Arnett, 2000), it is important to select an indicator of adjustment that reflects the associated ambiguity. The present study aims to provide empirical support for the construct of relational competence, or competence in one's closest relationship regardless of relationship type (i.e., romantic vs. nonromantic) among emerging adult adoptees. Participants included 162 adoptees who had been adopted before the age of one in the United States through private domestic adoption in to same-race families. Relational competence was measured by adapting a measure of romantic competence in emerging adulthood (Shulman, Davila, & Shachar-Shapira, 2011). Indicators of relational competence were coded from interviews in which participants discussed their self-identified closest relationship (White, Speisman, Jackson, Bartis & Costos, 1986). Confirmatory factor analyses showed that the proposed model of relational competence was a good fit to the data and was invariant across relationship type and gender. No differences in relational competence scores were found by relationship type or by gender (all p's >. 552). Relational competence was positively associated with adaptive functioning (ß = .325, p = .006) and negatively associated with internalizing (ß = -.246, p = .035) and externalizing behavior (ß = -.347, p = .003).

Adoptive Parenting Cognitions: Acknowledgement of Differences as a Predictor of Adolescents' Attachment to Parents.

OBJECTIVE: Adoptive parents' acknowledgement of differences is defined as the propensity to think that adoptive and nonadoptive families are different in important ways. Few studies have examined the implications of such cognitions for the parent-child bond. DESIGN: Structural equation modeling was utilized to examine the relation between adoptive parents' acknowledgement of differences and adolescents' later attachment to their parents in a sample of within-race domestic infant adoptions. Data from 189 adoptive families were drawn from two waves (middle childhood, adolescence) of the Minnesota/Texas Adoption Research Project, a longitudinal study of openness in adoption. RESULTS: Levels of acknowledgement of differences displayed by the adoptive mother and adoptive father during middle childhood positively predicted adopted adolescents' feelings of attachment towards the respective parent 8 years later. This relation depended on adopted adolescents' attitude toward adoption-related communication during middle childhood as well as the adoptive family's level of openness during middle childhood. CONCLUSIONS: Acknowledgement of differences in adoptive families has positive implications for the parent-child bond.

Ethical Considerations in Adoption Research: Navigating Confidentiality and Privacy Across the Adoption Kinship Network.

Adoption research often includes multiple members of the adoption network, each of whom has distinctive perspectives. Participants may include adopted individuals and their siblings as well as adoptive parents, birth parents, and adoption professionals. Due to these multiple informants and the sensitivity of the topics explored in adoption research, researchers encounter several unique ethical concerns when working with populations impacted by adoption. The current paper addresses confidentiality and privacy issues that arise when conducting adoption research. Examples from a longitudinal study on openness in adoption are provided to highlight strategies that can be used to address these issues.

Minding the (Information) Gap: What do Emerging Adult Adoptees Want to Know about their Birth Parents?

The formation of an adoption information gap was examined for a group of 169 emerging adults (M= 25.0 years) who were adopted as infants. Participants completed interviews and questionnaires at adolescence and emerging adulthood (late teens to 20's). The Adoption Curiosity Pathway model guided research questions about formation of an adoption information gap, which exists when there is a difference between what an adopted person knows and what he or she desires to know, regarding his or her adoption. In addition, specific issues were identified about which emerging adults were curious. Differences in these specific issues were examined across gender and openness arrangement with birth parents at emerging adulthood. The most frequently sought information was medical and health history. Logistic regression analyses revealed that the formation of an adoption information gap, which contains the specific items of curiosity, was more likely for those who were less satisfied with the amount of openness with birth parents during both adolescence and emerging adulthood. Implications for practice are presented.

Trajectories of birth family contact in domestic adoptions.

Emotional distance regulation theory (Broderick, 1993; Grotevant, 2009) guided this examination of the changes in family structure and process in adoptive kinship networks experiencing different arrangements of contact between birth and adoptive family members. Group-based trajectory modeling was used to reveal four trajectories of postadoption contact experienced between adoptive and birth family members in adoptive kinship networks of same-race, domestic infant adoptions. Data were drawn from the Minnesota Texas Adoption Research Project, a study of 190 adoptive families and 169 birth mothers followed across four longitudinal waves (middle childhood, adolescence, emerging adulthood, young adulthood). Three aspects of the birth family adoptive family relationship measured at four times were used to create the groups: frequency of contact between the adopted person and birth mother, satisfaction of the adopted person with the openness arrangements, and number of adoptive and birth family members involved in the contact. Four trajectory groups emerged: no contact (41.6% of sample), stopped contact (13.7%), limited contact (26.3%), and extended contact (18.4%). Group membership was validated by coders who matched interview transcripts with group descriptions at levels significantly above chance. Knowledge of trajectories will assist professionals providing postadoption services. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Claiming What Is Rightfully Mine.

Although adopted persons did not choose to be adopted, their life-long task is to come to terms with its meaning, which includes absence of important information about their family health history. Problematic encounters with health care professionals inspired contributors' narratives recognizing compelling need for accurate information about themselves as well as access to empathic and resourceful medical professionals. A key issue pervading the narratives was loss: loss of birth name and identity, loss of birth relatives and history, and often loss of birth culture. In response to this deeply felt sense of loss, many authors expressed the need to claim what they believe to be rightfully theirs, namely, information about their own history. Policy and practice recommendations regarding training of health care professionals as well as access to original birth records and ongoing family health information are discussed.

Adoptive identity and adjustment from adolescence to emerging adulthood: A person-centered approach.

Adopted persons face special challenges in the development of identity, as aspects of their histories may be unknown, making it difficult to construct a coherent narrative linking past, present, and future. Extensive literature on adjustment outcomes for adopted persons indicates an elevated risk for adjustment problems. In this study, a low-risk sample of adopted youth is involved to examine, longitudinally, connections between adoptive identity and adjustment. Participants included 145 adopted youth who participated in Waves 2 (W2: adolescence: mean age = 15.7) and 3 (W3: emerging adulthood: mean age = 25.0) of a longitudinal study with a nationwide sample. Children were placed with same-race adoptive families (over 95% White) as infants through domestic private adoption agencies in the U.S. Internalizing and externalizing behaviors were assessed by the Youth Self Report (W2) and the Adult Self Report (W3). Adoptive identity was assessed by ratings of 6 dimensions coded from interviews which, using cluster analysis, revealed 4 adoptive identity subgroups: unexamined, limited, unsettled, and integrated. Factorial ANCOVA examined mean differences in W3 internalizing problems across identity clusters while controlling for W2 internalizing. The main effect for adoptive identity cluster was significant: F(3, 840.72) = 3.724, p = .011. Adopted adolescents in the unsettled group had significantly higher levels of internalizing problems in emerging adulthood than persons in the unexamined and limited categories. A similar ANCOVA for W3 externalizing behavior was not significant. Identity profiles high in negative affect may be at particular risk of increased levels of internalizing problems. (PsycINFO Database Record

Adoptive parenting.

Challenges in adoptive parenting continue to emerge as adoption policies and practices evolve. We review three areas of research in adoptive parenting that reflect contemporary shifts in adoption. First, we highlight recent findings concerning openness in adoption contact arrangements, or contact between a child's families of birth and rearing. Second, we examine research regarding racial and cultural socialization in transracial and international adoptions. Finally, we review investigations of parenting experiences of lesbian and gay adoptive parents. Overall, parenting processes (e.g., supportive vs. problematic family interaction) are better predictors of child adjustment than are group differences (e.g., open vs. closed adoptions; adoption by heterosexual vs. same-sex parents). The distinctive needs of adopted children call for preparation of adoption-competent mental health, casework, education, and health care professionals.

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.

The role of siblings in adoption outcomes and experiences from adolescence to emerging adulthood.

In many families, siblings play important roles in shaping each other's outcomes and experiences across development. In adoptive families, siblings may affect adoptees' feelings about adoption and birth family contact. Among "target adoptees" (i.e., 1 participating adopted individual within adoptive families) with siblings who may have also been adopted or the biological children of the adoptive parents, we examined how adoption experiences and individual adjustment from adolescence into emerging adulthood were associated with sibling relationship dynamics. We present 3 studies using longitudinal, mixed method data within the same overarching sample of adoptive families. Study 1 was a follow-up to Berge et al.'s (2006) study of adolescent adoptees and their adopted siblings with birth family contact; we found evidence of changes in the status of contact collectively experienced by 26 adopted sibling pairs when target adoptees were emerging adults. In Study 2, we found that target adoptees (n = 91) with siblings (adopted or not) who were more involved with target adoptees' birth family contact demonstrated more favorable behavioral outcomes than target adoptees who had uninvolved siblings. Finally in Study 3, for target adoptees with siblings who were also adopted (n = 51), results showed that target adoptees felt more positively about their own adoption when siblings expressed similar positive feelings about individual adoption experiences. Implications of our findings are discussed in terms of the enduring contributions of sibling relationships from childhood into adulthood and the unique ways in which adoptive siblings are important in shaping one another's experiences of adoption.