Adoption-Related Complex Trauma

Also called Cumulative Trauma – The research is definitive. Adopted kids are not only traumatized by the original separation from their parents, they may also have been traumatized by the events that led to them being put up for adoption. In addition to that, foster care itself is considered an adverse childhood experience.

I recently wrote a blog titled “It’s Simply NOT the Same.” Though the traumas may originate similarly, the outcomes are not the same because just like any other person, no two adoptees are exactly alike. That should not prevent any of us from trying to understand that adoptees carry wounds, even if the adoptee is unaware that the wounds are deep within them.

It is not uncommon for an adopted person and/or the adoptive family to seek mental health services due to the effect of the adoptee experiencing traumatic events. Unfortunately, for psychology and psychiatry clinicians, adoption related training is rare. In my all things adoption group, the advice is often to seek out an adoption competent therapist for good reason.

“What does an adopted baby know ? She knows her mother, she knows her loss, sadness and hurt, she knows that those who hold her today may be gone tomorrow and that she will be the only one left to pick up the pieces that no one seems to think are broken.”
~ Karl Stenske, 2012

The reasons a child is put up for adoption or relinquished are many – an unwanted or unplanned pregnancy, often compounded or driven by a lack of financial resources (poverty) or no familial support to care for a child. Becoming a single parent may simply seem too daunting to an unwed expectant mother. Sadly, for some, a chronic/terminal illness or certain diseases may lead the mother to believe she cannot provide proper care for her baby. Certainly, prolonged substance addiction and/or severe mental health issues (which may be related to addiction) can cause parental rights to be forcefully terminated by child welfare authorities. Adoptees who come out of the child welfare system (legal termination of parental rights by a court of law) cannot legally be returned to their birth families due to safety or other reasons that are considered serious.

Adoption is not always a success. Disruptions and dissolutions do sometimes occur.

Disruptions can happen after the adoption has been finalized when the adoptive parents then experience difficulties with their adopted child. The adoptive parents may have difficulty finding support and the resources they require to deal with the issues that come up.

Risk factors leading to a higher rate of disruptions are: older age when adopted, existing emotional and behavioral issues, having a strong attachment to their birth mother, having been a victim of pre-adoption sexual abuse, suffering from a lack of social support from relatives causing the adoption to occur, unrealistic expectations surrounding the adoption and the child on the part of hopeful adoptive parents, and a lack of adequate preparation and ongoing support for the adoptive family prior to and after the placement.

A devastating occurrence is a dissolution or breakdown. This applies to an adoption in which the legal relationship between the adoptive parents and the adoptive child is severed, either voluntary or involuntarily. Usually this will result in the entry or re-entry of the child into the foster care system, or less commonly a second chance adoption, or even the private transfer of the child from the adoptive parents to a non-vetted receiving parent.

Adoption has been subject to both positive and negative assumptions related to the practice and this is of no surprise to anyone who has studied the practice of adoption for a period of time.

There are 6 main assumptions about the practice of adoption –

[1] Adoption is a joyous event for all involved – known as the Unicorns and Rainbows Fantasy in adoption centric communities; [2] adoption parallels genetic birth experience and a biological family life – which close observation and mixed families (who have both biological and adopted children often belie); [3] once adopted, all of the child’s problems disappear and there will be no additional challenges – rarely true – and often attachment or bonding fail to occur; [4] creating a family through adoption is “false,” only biological families are “real” – this goes too far in making a case because many adults create chosen families – the truth is as regards children, family is those persons we grow up with – believing we are related to them – in my case, both of my parents were adopted and all of my “relations” growing up were non-genetic and non-biological but I have a life history with them and continue to have contact with aunts, an uncle and cousins I obtained through my parents’ adoptions; [5] the adoptive life is better than the biological life the child had or would have had – never a known assumption – more accurately, the adoptee’s life is different than that child would have had, if they had not been adopted; and, [6] closed adoptions are in the best interest of the child – this one was promoted with the intention of shielding adoptive parents from original parents who regretted the surrender, from the child who might yearn for their original family and often in some cases to shield a person operating unscrupulously, such as the baby thief Georgia Tann who sold ill-gotten children. Popular media has reinforced both the positive and the negative messages about adoption and many myths and stereotypes regarding adoptive families and birth parents are believed in society as a whole.

The term “adoption-related complex trauma” is rarely used in discussing symptoms and behaviors. It is more common to see terms such as “developmental trauma” or “complex trauma” to describe the psychological effects found within the adopted population.

The terms complex trauma and complex post-traumatic stress disorder have been used to describe the experience of multiple and/or chronic and prolonged, developmentally adverse traumatic events, most often of an personal nature such as sexual, physical, verbal abuse or of a societal nature such as war or community violence. These exposures often have occurred within the child’s caregiving environment and may include physical, emotional and/or other forms of neglect and maltreatment that begin early in childhood. In the case of infant adoptions, the trauma is non-verbal but stored in the body of that baby – not conscious but recorded.

Some of this content has been sourced from a long dissertation titled Treatment Considerations For Adoption-related Complex Trauma. Anyone interested is encouraged to read more at the link.

No Answers

I have a friend with a similar problem to today’s story. Her daughter is not adopted. Her situation is as complex but not as fraught – perhaps. Unless we have the experience our self, we really can’t judge how someone else copes or not with the challenges of their life. I have no answers or even ideas for this one, only empathy and compassion for the whole situation. Though an adoption problem is mentioned at the beginning of this piece, it isn’t clear that the daughter is adopted but she may very well be. Adoptees often (though not all) have relationship issues.

“We dissolved the adoption of our son 5 years ago.”

“We currently have a daughter in a private residential treatment center. She is beginning to own her problems and making an attempt to work on her life, maybe 5% of the time. The staff says they see improvement, we have seen very little, if any, plus her usual tactic is to put forth just enough effort to get you off her back but then regress severely. I have zero faith that the effort they see is going to be genuine, granted she has never had full support 24/7 when she would achieve these moments of trying to cooperate before, so maybe this time is different. Anyway, staff is telling us we need to give her the benefit of the doubt. ‘She is beginning to see that there is a better way to work through her trauma, but doesn’t fully believe she has what it takes. She needs to see you believe in her, that you think she can do it.’ This came after we cut a phone call short because she refused to engage. Kinda like a smack on the wrist.”

“Her program has periodic 10 day home visits and one is coming up the end of this month. To say I am dreading it, is putting it mildly. She causes chaos and pain at every turn and I am the one stuck with her for the whole 10 days. I am really struggling with the ‘Trust her more,’ issue. I don’t trust her one bit. She has stabbed me in the back, figuratively, so many times over the years when I gave her one bit of trust.”

“It feels to me like my daughter is all that matters, no matter what she does to our family, her siblings suffer too, we are to put that behind us and give her the benefit of the doubt. I have always had issues with healthy boundaries and am actively working on that area. This issue feels like I am to push all that aside because my daughter’s life matters more.”

She posted this in an adoption disruption group. She felt the members would understand her point of view. Many of them have shared stories about their challenges and know all about the trauma and grief these children bring into a family.

The woman goes on to write – “I want to love her, but she makes it incredibly hard to do so. My question is, how do you stay emotionally healthy when you feel as though your needs don’t matter? Are you to ignore your own needs, while giving a child who has destroyed so much, the benefit of the doubt? How do you begin to process it? I crashed emotionally on April 1st because I know this is the month for her next home visit…I can’t keep reacting this way.”

Un-Adopted

The Stauffer Family minus Huxley

The video began like so many others. YouTubers Myka and James Stauffer, in the glow of camera-friendly lighting, staring into the lens. But this time, instead of energetically updating their roughly 1 million subscribers (over 700,000 on Myka’s YouTube channel and over 300,000 on the family’s vlog, The Stauffer Life) on their “kiddos” or Myka’s “mommy morning routine” or vegan-meal ideas, the couple had somber expressions.

“This is by far the hardest video James and I have ever publicly had to make,” said Myka. Wearing white shirts that matched the linens on the bed where they sat, the Stauffers revealed that they had placed Huxley, their then almost 5-year-old autistic son from China — whose adoption process and life they had documented for more than three years — with “his now new forever family.” Myka and James tearfully explained that the extent of Huxley’s needs had not been clear when they’d adopted him, that it was never supposed to happen this way, and that they loved him.

In the kindest light, Myka, now 33, and James, 35, were painted as well-meaning but naïve parents who had gotten in over their heads; in the harshest, they were fame-hungry narcissists who’d exploited a child for clicks and profit only to discard him when caring for him proved too difficult.

According to the US Department of Health and Human Services, anywhere from one percent to 5 percent of the more than 100,000 adoptions in the U.S. each year are legally terminated in what’s called a “dissolution”. The Stauffers’ decision to relinquish custody of Huxley could be called rare but it is not uncommon in adoptionland.

Myka said she’d long wanted to adopt; at one point, she and James talked about having six or seven children, with multiple adoptions, and were specifically interested in a child from Africa. James was more reluctant, she said, and after several conversations, she finally pleaded, “Can you please, please in your heart just consider adoption? Just really genuinely think about it, because it’s really important to me.” He ultimately agreed, and, later in 2016, the couple posted a video announcing their plans to adopt and their intent to take viewers along with them on their “journey.”

Sharing information about a child’s adoption before he or she is in the home is frowned upon by adoption experts. Not only can publicizing an adoption jeopardize it, but it’s often seen as playing into the stereotype of white families swooping in to “save” foreign children.

International adoptions to the U.S. have dropped to a fraction of what they were a decade and a half ago, as many countries, including China, have revised their protocols. (For the 2019 fiscal year, the U.S. Department of State reported just 2,971 adoptions to the US from other countries, down from almost 23,000 adoptions in 2004.) China still accounts for more adoptions to the US than any other country, but now almost all adoptees from China to the US are toddler age or older, and many have existing health conditions. If the Stauffers adopted from China, they would almost certainly be choosing a child with special needs.

Myka and James asked viewers to invest not only time in Huxley’s adoption story but money. In October 2017, Myka and James, along with their three biological children, traveled to China to pick up Huxley. The accompanying video, which they called Huxley’s “Gotcha Day” — a term popular on YouTube but criticized by the adoption community — racked up more than 5.5 million views. Myka and James dedicated it “to all the orphans around the world” and set the video to “You Set My World on Fire,” by Sweden’s Loving Caliber, an acoustic track with the lyrics “Just tell me you’ll stay or take me away / I want you for myself every single day.”

Since adopting Huxley, Myka and James’s online success had grown substantially. Total earnings are difficult to estimate, but the Stauffers earned from $4,100 to $66,700 from their three channels in April and May 2020, according to analytics site Social Blade, a number that does not include revenue from sponsorships. Myka had hired a manager to handle all the direct marketing from companies that wanted to work with her.

The Stauffers began to consider a way out that was never part of the “journey” they had expected to experience, much less share. When they finally broke their silence in late May, they said they had initially kept quiet because they didn’t want to jeopardize Huxley’s transition to his new family. In their video, Myka said that Huxley was thriving in his new home, that he was happy, and that “his new mommy has medical-professional training and is a very good fit.” But the optics of their situation were fraught. In the middle of a pandemic and a national reckoning over racial injustice, when the president and multiple other right-wing leaders repeatedly referred to the coronavirus as the “kung flu” or “Wuhan flu,” Myka and James were a privileged white couple who’d given away their Chinese son.

Other adoptive parents have described situations that seem to echo the Stauffers’ sense of hopelessness. In her memoir The Best of Us, author Joyce Maynard describes adopting two girls from Ethiopia and then, just over a year later, placing them with another family whose mother she met during the adoption process. “With an ignorance that staggers me now — ignorance, and some arrogance, no doubt — I had believed my love would be there like an eternal flame, and that this love of mine could fix whatever had been broken in my daughters’ lives.” When this proved not to be the case, that the road to attachment would be a long one, she describes it as “the most profound sense of despair I had ever known.”

One of the biggest misconceptions is that dissolutions happen because the child is bad. Nine times out of ten, it is NOT the child’s behavior. It seems like it’s the child’s behavior, but it’s the child’s behavior triggering something in the family. The most common reason for dissolution is that the parents feel incompetent to manage the child’s behaviors.

These are just excerpts. You can read the entire story here – Why Did These YouTubers Give Away Their Son? I had encountered the story previously but I didn’t know it in depth. It is a cautionary tale about international adoptions as well as chasing after lucrative clicks and sponsorships. It is a double edged sword waiting to cut the next victim.

Doing The Previously Unthinkable

People change. With all that is known about the effect of adoption on children, why is it that adoptive parents don’t work towards reuniting the family ? This is exceedingly rare if it happens but things are changing and it is beginning to be considered by a relatively few.

Here’s one woman’s thinking –

I adopted through foster care three years ago. I believe my child’s parent has changed tremendously since the termination of parental rights. Am I allowed to let her have overnights with the parent? Or would that be considered endangerment because of the reasons written in the termination of parental rights ? Also, what if we choose to allow her to live with her parent ? Can I dissolve the adoption to give the child back to their parent ? I think that the child living with their parent might be a ways off, but the child is still young, and I can see them wanting, in the future, to live with their parent. I’m trying very hard not to be possessive of my child. And if their parent is safe, who am I to keep them from their parent and why would I do that anyways ? I don’t know, I just want to start giving the parent more control of their child, but I’m also afraid that the state would have something to say about that. I feel like I have no idea what I’m doing over here (mostly because I don’t). Has anyone here given their adopted child back to the child’s birth parents ? What did that path look like for you ?

Immediately, an adult adoptee replies – what you’re considering is beautiful and shows true love. I just want to commend you for that.

Generally speaking, I believe this is true – once the adoption is finalized, the child is considered “as if born to” you. If you want to place the child for adoption, you have every legal right to do that (that’s why “second chance adoptions” are legal). The birth parents (or hopeful adoptive parents in this situation) would have to go through the same process as any other hopeful adoptive parent. So if they can’t pass the background/home inspection, they probably won’t be approved to adopt their own child back.

Though not the happiest answer, states do allow adults to be adopted. So the birth parents could adopt the child back when he/she turns 18. There is no vetting process then.

So immediately the question arises – would it be possible to allow her to live with parent until she turns 18 ? And would I have to have my rights to her terminated after she’s 18 ?

Someone with apparent experience replies – you can give guardianship back to the parents but if the parents neglect the child in any way, it will come back on the adoptive parent for giving the parents guardianship back. Only a judge can give guardianship back without the adoptive parent risking liability, if something happens to the child in their parents’ care.

And one person did a return of guardianship without going to court but a judge still had to approve the paperwork created by lawyers – after child protective services was out of the picture. However, the adoptive parent had to sign a paper saying they were aware that they were still liable for any potential neglect or harm the child might suffer when returned to their original parents.

Some believe that anyone can usually do guardianship, which would allow their parent to take care of all of their child’s needs, those that require a legal adult (school, medical, etc). Then, when the child is an adult, they could choose to have their parent adopt them, thus becoming their legal parent once more (that sounds weird but for legal purposes, as a parent is never not the parent).

One positive to all of it is that guardianship would still offer the adoptive parent a role in supporting and a continuing connection, if original parent and their child needed that. For example, if the parent relapses for a period, the child could go back with the adoptive parent again, while their original parent is being treated, thus keeping everyone safe, healthy, and out of the child protective services system.

There seems to be some validity to the thought that once a child has been adopted through the state and the child welfare case is closed, then it’s as if the child was born to the adoptive parent. You are allowed to let your child have sleepovers at other people’s house’s, as long as you feel like those people are safe. The child can visit people without you being there. The child can even go on a vacation with someone else, if you have decided is safe for them to be there.

And perhaps before even embarking on such a course, an adoptive parent would do well to consider this perspective –

As an adoptee, I would be really messed up if my adoptive parents wanted to give me back. It’s one thing to allow overnights and even let her live with them, change her name back, etc, but if my adoptive parents pursued legally surrendering me without my consent, I would feel betrayed and like everything they ever told me was a lie. I would never be able to stop wondering – did they just get sick of me and didn’t want me anymore ? I would rather the adoptive parents live with any feelings of regret and remorse about the adoption – while allowing me to have a relationship with my family of origin – than hear they ever even thought about legally abandoning me.

What would really make me happy would be to see them all happy, healthy, and getting along – knowing that I could freely interact with any of them with everyone’s full love and support, no matter what *my* ultimate decision about where *I* belong is.

Bottom line though – if an adoptive parent is serious about seeking this possibility of reuniting a family previously torn apart, then speaking with a family lawyer in your own state would be the best advice before doing anything – legally.

Special ?

A child that has been told he is “special”
will feel that he has to be perfect
in order to retain the love and acceptance
of his adoptive parents.

Whether or not the adoptive parents exert any pressure,
the child may feel a need to live up to unattainable expectations.

Unable to do so, the child may feel inadequate and worthless.

~ The Primal Wound by Nancy Newton Verrier

Sadly, some of those children will end up in need of adoption a second time. It is easy to understand how deeply disrupted this will be for their lives. Such an experience could leave the child with lifelong doubts about their worth.

To be separated from one’s original mother is always traumatic. But an adoption dissolution carries a significant risk of additional trauma to the child.

Such a child is at high risk for forming insecure attachments and will have difficulty trusting adult caregivers. May have difficulty maintaining any caring relationship once they are mature.

Is it any wonder ?