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PubMedDate not supplied

PARTNERS: a model program for special-needs adoptive families in stress.

That adoption status, once begun, does not end for any adoptive family, and that agencies must be ready to help adoptive families whenever needed, has been generally agreed. For families that adopt special-needs children, the availability of help at all times is imperative and involves special considerations. This article sets forth the kinds of services that are needed, and describes a program particularly designed for this purpose.

Adoption↗
PubMed1991

[Foreign adoptions. The state of research and sequelae].

Reviewing European, American, and Australian studies about international adoptions the characteristics and motives of adoptive parents, the family climate, and the parent-child relationships are discussed. Research results about the physical, language, cognitive, social, personality, and identity development of foreign-born adopted children are presented. Data about the adoption success and behavior disorders of these children are reported. Finally, consequences for practical work are discussed.

Adoption↗
PubMed1989

Fathers' and mothers' perceptions of temperament in Israeli neonates: effects of adoption and social class.

As part of a longitudinal follow-up study of the development of adopted and biological children in Israel, 87 couples were administered the Bates Infant Characteristics Questionnaire when their first infants were 21 to 30 days old. Middleclass adoptive parents and a middle-class biological-parent control sample constituted one group. A second group comprised a lower-class sample. Mothers in all groups saw the child as more difficult in terms of strength of cry and reactions to being dressed as compared to fathers. Mothers perceived the child as more predictable for diaper changes and sleep. Adoptive parents saw their child as easier, that is, having more stable and positive mood states. Adoptive mothers saw their neonates as more active than the biological mothers. Middle-class parents saw their children as more soothable and as less disturbing in their emotional behavior than lower-class parents. The results indicate that neonatal temperament can be studied and that parental perception is influenced by sex of parent, biological relationship to the child and environmental factors, such as social class and early intervention.

Adoption↗
PubMedDate not supplied

The physician's responsibility in adoption, Part I: Caring for the birthmother.

The unmarried pregnant woman considering adoption needs more than medical care from her family physician. She needs an advocate who can help her reach the right decision about her untimely pregnancy, advice about the options for adoptive placement of her child, and respect as the child's mother during her hospital stay. After the birth and adoptive placement of the child, the physician can help the birthmother resolve her grief and may serve an ongoing role as an intermediary between the adoptive family and birthmother.

Adoption↗
PubMed1985

Symptomatology of adopted and nonadopted adolescents in a psychiatric hospital.

This study compared the symptomatology and diagnoses of adopted and nonadopted adolescents in a psychiatric hospital. Data were gathered from the hospital charts of adolescents who already had been discharged from the hospital. Contrary to expectations, adoptees were no more likely than nonadoptees to have received personality disorder diagnoses, nor were they more likely to be hospitalized as the result of antisocial behavior. However, in comparison with nonadopted adolescents, the adopted adolescents were younger upon admission to the hospital, significantly less often diagnosed psychotic, and significantly more often diagnosed adjustment reaction. It was suggested that adopted adolescents may be less likely than nonadopted adolescents to require severe or prolonged pathology in order to be admitted to a psychiatric hospital. It was also suggested that the antisocial symptomatology so frequently observed in adopted children in mental health settings does not account for the hospitalizations of those receiving inpatient treatment.

Adjustment Disorders↗
PubMed1983

The Colorado Adoption Project.

This report provides an overview of the Colorado Adoption Project (CAP), a longitudinal, prospective, multivariate adoption study of behavioral development. Examples of the types of analyses that can be conducted using this design are presented. The examples are based on general cognitive-ability data for adoptive, biological, and control parents; assessments of their home environment; and Bayley Mental Development Index scores for 152 adopted children and 120 matched control children tested at both 1 and 2 years of age. The illustrative analyses include matched control children tested at both 1 and 2 years of age. The illustrative analyses include examination of genetic and environmental sources of variance, identification of environmental influence devoid of genetic bias, assessment of genotype-environment interaction and correlation, and analyses of the etiology of change and continuity in development.

Adoption↗
PubMed1995

Microvessel origin and distribution in pulmonary metastases of B16 melanoma: implication for adoptive immunotherapy.

To elucidate the role of tumor vascularization on the localization of adoptively transferred, interleukin 2-activated natural killer (A-NK) cells, pulmonary B16 melanoma metastases were analyzed with respect to location, morphological appearance, origin and density of microvessels, and infiltration by A-NK cells. The B16 melanoma metastases could be divided into four subtypes according to their location (superficial or deep in the lung parenchyma) and morphological appearance (compact or loose). Localization of adoptively transferred A-NK cells into the four subtypes of B16 pulmonary metastases differed significantly. More than 800 A-NK cells/mm2 were found in metastases of the deep-loose type, compared to approximately 400/mm2 A-NK cells in the superficial-loose metastases, and less than 200 A-NK cells/mm2 in the compact subtype, regardless of its location (deep or superficial). Although the origin (pulmonary or bronchial) of the blood supply to the metastatic subtypes (as revealed by electron microscopic analyses of lungs perfused with a lanthanum solution) did not account for this difference, the density of microvessels in the metastatic subtypes correlated with the number of A-NK cells that localized into these metastases. The resistance of metastases of the compact type to infiltration of adoptively transferred effector cells might explain, in part, why adoptive immunotherapy seldom results in complete eradication of disseminated cancer.

Animals↗
PubMed1995

[Transmission of hepatitis B from an adopted child to an adult].

A case of acute hepatitis B infection in a 43 year-old male is presented. Seven months before admission the family had adopted a two year-old boy from India, and the child was later found to be seropositive for HBsAg. The patient had no other risk factors of hepatitis B infection and transmission of hepatitis B virus from the adopted child is suspected. It is recommended that children who are adopted from countries with high hepatitis B virus prevalence should be examined for HBsAg, and adoptive family members be vaccinated if the child is found to be HBsAg seropositive.

Adoption↗
PubMed1995

Growing number of overseas adoptions leads to recommendations from Manitoba MDs.

Four Manitoba physicians have developed recommendations to help doctors provide medical advice and counselling to families that want to adopt children from foreign countries. Foreign adoptions are appealing to would-be parents, who might wait years to adopt a Canadian-born child, but in many countries there is a high risk that children placed for adoption will have medical conditions, infectious diseases and developmental problems.

Adoption↗
PubMed1993

[Trisomy 21 and abandonment. Infants born and placed for adoption in Paris].

BACKGROUND: Most handicapped newborns that are abandoned suffer from Down's syndrome. This report describes the frequency of the practice. POPULATION AND METHODS: All children (95% less than 1 month old) born between 1985 and 1987 in Paris who were placed for adoption by approved agencies were included in this study. Sociofamilial, medical and psychological histories were collected. RESULTS: A total of 326 infants were abandoned during these 3 years. 38 (12%) of them had Down's syndrome. 25 of the 34 mothers were 30 years old or more. 23 of 27 infants had two known parents. 134 newborns with Down's syndrome were registered in Paris during this period. Thus 27.6% of the total number of Down's syndrome children were abandoned. 87.2% of the abandoned non-trisomic infants were adopted, versus 31.6% of those with Down's syndrome (10.5% died before adoption). The 19 children with Down's syndrome who were not adopted live in foster families. CONCLUSION: 2/3 of the mothers who have abandoned their trisomic infant were less than 35 years old and had a middle-class background. Further studies are necessary to better understand the emotional context of abandonment.

Adoption↗
PubMed1993

[The adoption problem in treatment of a 15-year-old boy].

In a brief review of the literature, the typical psychological problems associated with adoption are summarized. There is a marked discrepancy between the positive prognosis for adoption seen in the prospective studies on the one hand and the often dubious outcome of clinical treatment on the other. Our case study suggests that the apparently ubiquitous "issue of adoption" needs other co-factors to become a "pathology of adoption". Clinical experience underlines the difficulty in and importance of finding an adequate therapeutic setting for severely disturbed adolescent adoptees: outpatient treatment is sometimes overtaxed by the tendency of the family to reject the adoptee and the noisy often dissocial behaviour of the adoptee, but an inpatient setting may repeat the trauma of separation, and often there is not a sufficient period of time for treatment. In this "therapeutic dilemma" where there is a high risk of personal relationships we see the need for a better connection between inpatient and outpatient treatment: The inpatient therapist should be able to continue treatment on an outpatient basis after the patient is discharged.

Adolescent↗
PubMed1977

A migrant study of adopted Apache children.

Reservation-born Apache children adopted into non-Apache homes off the reservation at an early age were studied for incidence of three illnesses common on the reservation--pneumonia, diarrhea and otitis media. The illness rates were compared with those of non-Apache siblings in the adoptive home and with those of reservation children. Adopted Apache children had more illness than their non-Apache siblings, but less than Apache children on the reservation. Particularly striking was the low rate of multiple episodes of illness for adopted Apaches compared with those on the reservation. Intensive programs are needed to improve living conditions on the reservation.

Adoption↗
PubMed1996

An adopted analysand's transference of a 'hole-object'.

The author describes the vicissitudes of the transference and countertransference in cases where the internal object transferred by the patient on to the analyst is experienced by the former as non-existent. A case history involving a 'hole-object' of this kind is presented, the patient concerned having been adopted at the age of six months and having the fantasy that she did not exist before her adoption. The hole-object is created by the patient to defend against psychic suffering and aggressive drives towards the object. A careful distinction is made between the hole-object, which is defined in terms of its non-existence, and the absent object, the 'psychic hole', the melancholic object and the bad-breast feeling, all of which exist or have existed at some time. The author describes the 'double transference', in which she represented both the idealised albeit well cathected adoptive parents and the disavowed, abandoning biological parents; in the latter case indifference took the place of love and hate in the transference. The analyst in this situation must in the author's view interpret his transference role as a hole-object so as to confer existence on this object and make it representable, and for this purpose a vital role falls to the countertransference. The split between the abandoning and the adopting aspects of the parents can then be resolved, giving rise to a single identificatory parental image.

Adoption↗
PubMedDate not supplied

Effects of age and race on the odds of adoption versus remaining in long-term out-of-home care.

Permanency planning philosophy and law express a preference for adoption over long-term out-of-home care when children cannot be reunified with their families. Yet, little research has considered the likelihood of a child being adopted as compared to remaining in long-term care. This study followed 3,873 children who were under six years of age when they entered out-of-home care to determine whether over the next six years they were reunified with their biological families, adopted, remained in out-of-home care, or experienced another outcome. Age at the time of placement and race/ ethnicity were found to have substantial direct effects on outcomes, but there were no significant age by race interactions or gender-based significant direct or interactive effects. Suggestions for improving the likelihood of adoption are presented.

Adoption↗
PubMed1997

[Being raised by lesbian parents or in a single-parent family is no risk factor for problem behavior, however being raised as an adopted child is].

Modern reproductive techniques and alternative family structures (with single or homosexual parents and adoption situations) raise questions about the consequences for the growing children involved. Genetic links appear to be less important for the functioning of a family than a strong wish for parenthood; parents who have become parents only through great efforts display a better quality of parenthood than average natural parents. Characteristics of the parent/parents, such as paedagogic qualities, and the quality of the parent-child relationship appear more important than the type of family. Published results of research reveal no reason why lesbian families should be judged differently from heterosexual ones as family types for the raising of children. The main negative factor for the functioning of the child growing up in a single-parent family is the marriage conflicts that have led to the single-parent situation; being raised by a single parent in itself has no adverse effect. Raising adopted children from other countries makes far greater demands on the adoptive parents than parents of biological children have to meet. The raising of a foreign adopted child by a single parent entails additional risks for the child's development. Data on the development of children in alternative family structures frequently concern exceptionally competent parents, which may have biased the findings.

Adoption↗
PubMed1996

Intercountry adoption of Latin American children: the importance of early bilingual/bicultural services.

Because of major worldwide demographic changes, many Latin American children are frequently adopted in the U.S. This article presents an overview of the historical and contemporary circumstances and controversies surrounding intercountry adoptions (ICAs), and a review of possible risk factors for later child or adolescent maladjustment. Although a number of follow-up studies indicate a 70-80% positive outcome, some ICAs end in painful family-child disruptions. There is, therefore, a growing need for bilingual/bicultural mental health services to improve the initial adjustment process and to facilitate a positive long-term outcome. These services are especially needed when the child is older at arrival and the adopting family lives in a mostly homogeneous community. Suggested prearrival, arrival, and follow-up interventions with the family, the child, and the school are described. A case illustration of the interventions offered to a U.S. family and their recently adopted Latin American child is provided.

Adjustment Disorders↗
PubMed1998

Successful adoptive cellular immunotherapy is dependent on induction of a host immune response triggered by cytokine (IFN-gamma and granulocyte/macrophage colony-stimulating factor) producing donor tumor-infiltrating lymphocytes.

Adoptive immunotherapy with tumor-infiltrating lymphocytes (TIL) and systemic low dose rIL-2 effectively eradicates pulmonary metastases of the murine MCA-105 sarcoma. We described earlier that host CD8+ T cells are critical for tumor eradication and that successful treatment is associated with production of high levels of IFN-gamma and granulocyte/macrophage (GM)-CSF by donor TIL in vitro. Here, we propose the mechanism through which adoptively transferred Thy-1.1+ TIL induce a host antitumor response in congenic Thy-1.2+ tumor-bearing mice. Donor Thy-1.1+ TIL were detected at the tumor site 12 h after transfer. These Thy-1.1+ cells produced IFN-gamma and GM-CSF in situ. The percentage of Thy-1.1+ TIL at the tumor site increased up to 16.4 +/- 4.9% 24 h after transfer but decreased to undetectable levels thereafter. In contrast, the percentages of host cells producing IFN-gamma and GM-CSF continued to increase at the tumor site. These increases were significantly higher in TIL + rIL-2-treated mice compared with untreated mice and rIL-2-treated mice 48 h after TIL transfer. The appearance of IFN-gamma+ and GM-CSF+ cells was followed by a large influx of host CD4+, CD8+, and Thy-1.2+ TIL and eventually by tumor eradication. This response was tumor specific since TIL obtained from MCA-205 did not induce high levels of IFN-gamma and GM-CSF and did not induce tumor eradication of MCA-105 tumor. Coinjection of Thy-1.1+ TIL and anti-IFN-gamma or anti-GM-CSF mAb significantly inhibited antitumor efficacy of the TIL + rIL-2 treatment. We conclude that successful adoptive immunotherapy in this model is mediated through cytokine production by adoptively transferred TIL that induce a host T cell-dependent antitumor response.

Adoptive Transfer↗
PubMedDate not supplied

Adoption: from chaos to normalcy.

This article acknowledges the risk factors and psychological demands of the adopted child and adoptive parents. Despite many biologic and psychosocial obstacles, most adoptions are considered successful because most of the adopted children do not encounter long-term psychological difficulties.

Adolescent↗