Informed Consent: Ignorance vs. Alternatives

January 14, 2010

Recently a co-trainer in adoption education mentioned that at a recent training she encountered participants who said that merely mentioning adoption to a pregnant person was trying to ‘sell it.’
I’m of the opinion that all options should be discussed so that the person facing the choice has a clear understanding of the options.

In the 1980s the Reagan Administration instituted a ‘gag order’ that declared health care workers at pregnancy clinics receiving government funds were absolutely prohibited from discussing abortion with a pregnant patient, even if she asked about terminating her pregnancy. In an op-ed piece at the time, the writer said that by not mentioning any option, there was an implied negativity associated with that option. If it’s so bad that you can’t even say the word, then there must be something wrong with abortion even if it was her legal right to know about terminating her pregnancy, the writer said.

Something clicked inside me. As a pregnancy counselor at the time, I had pondered how rarely the word adoption was mentioned by health care people, while abortion was frequently offered as a solution to an unplanned pregnancy. By mentioning ONLY abortion as an alternative to carrying out the pregnancy, it was implied that abortion was the preferable choice.

Once there is an unplanned pregnancy, there are no outcomes without heavy residuals: Abortion, often a secret to the outside world, still weighs heavily on the person who experiences it, just as adoption may, particularly because it is harder to hide adoption than it is to hide abortion. Even parenting as a choice has its drawbacks, like the pain felt by the mother who cannot provide an active and loving father for her child. In my opinion, knowledge of all her options is the best approach to counseling a woman facing this difficult turning point in her life and the life of her child.

Haiti; We Live in A Smaller World Today

January 14, 2010

I was driving home from my office yesterday when I heard news of the devastating earthquake in Haiti. I made a beeline to the computer as soon as I got in the house, to check with my FB friends Lena and Bob, who are in the process of adopting two little boys from an orphanage in Haiti. Sure enough, Lena was online asking for prayers for her boys and their country. I checked back periodically through the evening hours, as they put together an impromptu prayer meeting at their house, posted links to early online postings from Haiti (one in French), and posts from other waiting adoptive parents they’ve met.

Finally, at 11:02 PM, a msg from a Haitian missionary :
UPDATE: Just got back from upper Delmas area – Abbey and the children from 3 Angels are all fine St. Joseph’s home for boys is demolished but the boys got out safely.

All day today I’ve thought of other connections to Haiti in my life:

The daughter of my best friend’s sister went to Haiti twenty years ago, as a twenty year old college student. She was doing missionary work there when she was killed in an automobile accident. Life has been very hard on her family, after the senseless loss of their firstborn.

Then I think of children from Haiti who have been adopted by friends and families of friends: I thought of Stephanie, of Jemellie, of Kenson and Kenley, Haitian brothers I knew in foster care. How are these young people, all adults now, feeling today? Are they thinking of their homeland and wishing they could help?

In reality we are a small Universe, and we all share passage on this Planet’s Journey. It is right to be concerned for our fellow passengers. Times are tight, but we’ll all feel better when we reach out a hand to help. Suggestion for donations: www.ThreeAngelsRelief.org

The Best Pay

April 14, 2009

The paycheck is never the main reward for any of us in helping fields; otherwise, we would have chosen another field! But in today’s mail I got the best kind of pay. I thought it was an early birthday card, this small envelop that arrived four days before my 66th birthday. Instead, it is a Thank You card from a former client, with this message:

Beth. It was so meaningful that you sent me a card and let me know I am still on the right path!! I have started my undergraduate courses and will be finished in 2/2011!! It ls in Human Service / Management. I want to give back and help survivors of abuse like you helped me!!
Love always and God Bless, Charity

“Then She Found Me” – Book vs Movie

March 4, 2009

Back in May 2008 when I saw the movie “Then She Found Me” starring Helen Hunt and Bette Midler, I was impressed with the extensive adoption issues covered: infertility, ‘adopted child’ vs ‘home grown’, being found vs searching, the poignancy of the adoptee’s longing for a child of her body rather than through adoption, the anxieties expressed about search. When the credits ran, I noticed that it was based on a book. A friend said she had read it and it was different from the movie.

This week I found and ordered the book from Amazon. The author’s blog linked through the Amazon site acknowledged that the movie was different from the book, and the author, Elinor Lipman, was magnanimous about the changes made by Helen Hunt, the actress who spent ten years getting the movie produced.

Now that I have read the book, I see the changes that Helen Hunt brought to the project. She didn’t loaf while she tried to get the film funded; she delved into the field of adoption even more, and fleshed out the issues of adoption even better than the book.

The one major change which is better in the book is the birth father’s identity. In the movie version, there were several different stories told by the birth mother, and this viewer was left wondering which, if any, of the stories was true. In the book, it is clear who the father is, and his role is handled respectfully too.

Read the book or see the movie, now out on DVD. Both are good ways to educate ‘civilians’ (i.e., those not directly involved in adoption) to the issues faced by adoption triad members and their extended families.

Exploring A New E-Book @ Tapestry

February 27, 2009

Tapestry Books sent out an announcement that they have an e-book, “A Birth Mother Perspective on Open Adoption” available on its website.   Actually, it is a Two-in-one of first person accounts by birth mothers Patricia Dischler and Melissa Nilsen.  It’s good to for an adoption-focused site to give space to birth mothers, the often silent side of adoption. For a limited time, this is downloadable for free. Take advantage of the offer and connect to these two articulate women and their personal stories.   Included are links to each author’s blogs.  Take a look.

Best Seat in the House

February 20, 2009

So, I’m sitting next to Rachel One as we watch Rachel Two on the stage. Cheryl and Tony are behind us, proud parents taking pictures of their Star on the Stage.

From the corner of my eye I see Rachel One silently mouthing the words to all the songs, and it’s then that I recall that she was in this same musical as a high school student. Now her daughter is in the same play. The serendipity is not lost on any of us.

As their social worker, I was a part of the placement of Rachel Two 15 years ago when she joined the family of Cheryl and Tony as a newborn. In the years before they opened their adoption and began arranging their own meetings, I was the conduit for gifts and photos. Since then Rachel One has shared her pictures and so I’ve seen Rachel Two nurtured by Cheryl and Tony, as she developed those singing genes gifted by Rachel One and her extended family.

The house lights come up; I hurry to wipe away tears of pride. I turn to see the glistening eyes of THREE proud parents — birth mother, adoptive mother and adoptive father. I am honored to be here.

Review: “Odyssey of an Unknown Father” by David Archuletta

February 4, 2009

Don’t be taken in by the tease on the back cover: “This book will teach you [prospective adoptive parent] what to look for to spot fraud or unethical maneuvers in the adoption process and to avoid this terrible scenario when you welcome a child into your home.” Sadly, it doesn’t follow through on that promise.
What it is: This is David Archuletta’s personal story as an alleged father whose former partner committed perjury by signing an Unknown Father Affidavit [in New Jersey] in spite of his having been somewhat involved in the pregnancy until she left her Colorado home to do an adoption — but the reader has to make it through a third of the book to learn that. Convoluted sentences, mis-matched syntax, sarcastic comments that don’t relate to the material — it’s difficult to find the meat.
Mr. Archuletta has two important messages to deliver: don’t assume that adoption is the best solution to every unwed pregnancy, and the baby’s father has important information to share, including (in his case) potentially dire medical history. Mr. Archuletta should not have been left out of this important decision for his child. Whether his involvement might have meant a different outcome or not, his rights were discounted.
Mr. Archuletta’s story should be a reminder to adoption agency workers and adoption attorneys why a best services practitioner should refuse to do an adoption when a pregnant client refuses to identify the father. To do less is to risk loss of licensure.
HOWEVER, this is one of those books that takes one situation and generalizes it to all adoptions. It well may be that Mr. Archuletta’s real intent was to scare prospective adoptive couples away from adoption all together. If that’s the goal, he may have succeeded, but not in the way he planned.
You know that saying in legal circles that “The person who serves as his own attorney has a fool for a client”? Well, meet the book publishing version: “The self-publishing author who acts as his own editor shows himself as a fool.” By the tedious end of this book, the author comes off as a wigged-out psychopath on a rant against his own personal injustice. Where I once had a modicum of sympathy for his cause, he’s done his cause a disservice by going on and on and on and on. David, get an editor!
Beth Kozan, Phoenix

Review: “Reading Adoption” by Marianne Novy

January 30, 2009

This is a unique read, much out of “the usual” in adoption books. The author, as an adoptee, admits to having been sensitive along her educational journey to themes of abandonment, parental exchanges and orphans. But unlike other students exposed to the Greek plays, Shakespeare, Charles Dickens, Thackery and the Bronte novels — for Marianne Novy, the dark brooding stories of human foibles awakened knowledge of shared fate.  Ms. Novy has written a book that interweaves her professorial knowledge of literature with her personal story of search and reunion.  Her extensive exploration of Barbara Kingsolver’s The Bean Tree and Pigs In Heaven gave me a glimmer of what it would have been like to have found someone to discuss these books when I read them — and longed for that discussion!

And to think, I was under the impression that adoption books started being written about thirty years ago!  I was wrong, as Ms. Novy points out.  The theme was all around me.  And that is her point.  Our view of adoption, of the roles the players “should” play, is unconsciously influenced by what we read, even if we don’t realize it.

Let this be a good ‘heads up’ for all of us educators in adoption (and we are all ‘educators in adoption’), to be aware of the subtle influences on all students!  A great read!  Thank you, Marianne Novy, for opening my eyes!

Beth Kozan, Phoenix, AZ

January 16, 2009

sfdsfsfds

Reviewing: “Without a Map, a Memoir” by Meredith Hall

January 13, 2009

The year was 1965; the place was a small town in New Hampshire. A 16 year old high school student with plans to go to college finds herself pregnant after a brief summer liaison. The ensuing unraveling of her life begins with the admission to school staff that indeed, she is pregnant. The swift reaction of her parents, her family, her church, her community is unexpected. She finds herself shunned, sent away and given no option but adoption for her baby. A casualty of “pretend it never happened,” Meredith Hall spent the next 21 years a lost and wandering soul. Although she never uses the word “forgiveness,”  she does recount the years of rebuilding her life. 

This intense memoir tells in poignant prose the extent to which an erasure of those nine months of her life affected who she became. And who she became is a strong female writer, a voice of that era caught in the cusp of social transition. It’s as if one of Anne Fessler’s interviewees in “The Girls Who Went Away” published in 2007 stepped out of the book to tell her personal story.

Halfway through reading this book, I did the math. Meredith Hall was 16 in 1965; so was my little sister, who also got pregnant that year.

My parents — with Sis in tow — appeared unannounced at the office to take me to lunch. Overjoyed to see them, but wary because they had never driven 50 miles to meet me for lunch, I drove the family car off the lot of the business where I worked as a secretary. In the backseat, my mother burst into tears. “Your sister has to get married.” “Be careful,” said my dad, “she’s driving.” (Like I couldn’t see this coming, I thought to myself.) My sister piped up: “But we wanted to get married anyway. This way, we just hurried it up a little.”

My mother was mortified. Raised on ‘what will people think,’ a generation of girls had come to put our parents’ reputation first — their standing in the community. “What must her mother think” my mother would say every time another peer got married and had an eight pound premature baby less than nine months later. “Her Mother!” I would silently think to myself. “What about HER!”

It’s hard to remember the binding morality of those days. Teenagers today hardly believe those seering days of control by image, although as I did private interviews of prospective adoptive parents through the years I would hear them say, “I never misbehaved. I wouldn’t have dared to; it would have killed my mother!”

So, are we better off as a society without that crushing burden of protecting our families’ reputation? Is the trend of pride about being a parent at 16, at 15, even younger — a healthier attitude? What about the fatherless boys and girls growing up wondering what they did to drive away an absent parent?  When I started doing pregnancy counseling in 1979, in my mind the student had four options: marriage, abortion, adoption, single parenthood. “I’m too young to get married,” my startled students would say, realizing the magnitude of sustaining a relationship over the years. Why didn’t they also think, “I’m too young to be a parent”? But they didn’t. These young women would blythly step into parenthood, more often than not to be disappointed by the friends who promised to ‘help’ them. I began to suggest to my clients: Ask them How will they help? Will they provide a ride to the 24 hr pharmacy to pick up ear-ache medicine at 3 AM? Will they buy formula for your baby? Will they provide diapers? Shoes?

The teen pregnancy recidivism rate is high; I pressed onward, informing the students of their options. Maybe in a few years one would say to me, “I remember you. You came to my school with a panel of teens who had placed their babies for adoption. I didn’t want to listen to you then.” And she would drop her eyes to her hands in her lap and say, “I never thought I would be where I am today.” She would explain how deserted and alone she felt with the decision of what to do with a second, a third or a later baby. All their ‘helpers’ were going on with their lives; had new boyfriends, were going away to school — these young women had learned that ‘helping’ meant ‘come and talk to me when you’re blue.’

The decision of adoption is still a lonely path. Getting to know other women who have made the same choice somewhat eases the pain, but it’s still an isolating event. In my new career as counselor to people with adoption-related issues, I listen as women in their 30s, 40s and even older — recall the baby they never met. As they prepare to search, as they wonder if they have the audacity to interrupt a life they said goodbye to years ago, I encourage them to open the door and seek the child, now grown. I have a new quote for them, from Meredith Hall:  ”He looked for me.  I didn’t realize I should have been the one looking for him. He needed to know I loved him at least that much!”

And onward we travel that path, finding a few friends along the way to share the journey.


Follow

Get every new post delivered to your Inbox.