Counseling Guide Vol. 2

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R. Lanier Britsch and Terrance D. Olson, eds., Counseling: A Guide to Helping Others, 2 vols. [Salt Lake City: Deseret Book Co., 1983-1985], Volume 2  © 2001, Deseret Book, GospeLink 2001, Used by permission

16 Childlessness and Adoption
Harold C. Brown

        My earliest recollection of adoption was as a young boy visiting a cousin who had been adopted. Having never known anyone adopted, I asked my cousin many questions about what it was like to be adopted. I discovered that he was prepared for my questions, but finally, after one too many, he must have taken my inquisitiveness personally. "My parents chose me," he said. "Your parents had to take what they got!" End of conversation!

        One out of five American couples can't have children. fn The feelings of infertile couples vary from depression, anger, and frustration to exhilaration upon conception or adoption. Emotions run high, and the need for help often exists. Few who have not endured them are aware of the feelings childless couples suffer.

        But much can be done to help couples with the challenges of infertility. Friends, Church leaders, and others in a position to help should be aware of the challenges and frustrations that accompany infertility and adoption.

        Although much could be said about the baby that is adopted or the parents who relinquish a child for adoption, this chapter will focus on the childless couple.

Adoption Opportunities
   
     Only a few decades ago many more children were available for adoption. Orphanages were not uncommon, and it was difficult to find enough families interested in caring for homeless children. (This is still true for children with physical, social, or emotional handicaps.)

        Today, however, there is a growing number of families wishing to adopt and a decreasing number of available infants. The foremost reason for this lack of infants is that in 1969, 90 percent of unmarried females bearing children relinquished their children for adoption. But in 1979, just ten years later, 90 percent of this same group kept their children rather than relinquishing them for adoption. The percent of unwed mothers who keep their children is even higher today. This trend to keep infants has been dramatic and has shown no sign of reversing itself.

        This has led to frustration for many childless couples, and it has also widened the door for black-market and other illegal or unethical adoption practices. Some couples wishing to adopt have paid large sums of money for supposedly "legitimate" adoption expenses that later turned out to be illegal. Some have paid in advance and after an expenditure of considerable time and money have found that no child was forthcoming. Because fewer children are available for adoption, this experience has become more common. There were approximately 65,000 adoptions in 1983 in the United States. But with one in five couples unable to conceive, the "baby gap" continues to grow.

Sterility
   
     Most couples wishing to adopt do so because one of the partners is sterile. Sterility may exist in either the man or the woman. Approximately 40 percent of sterility is related to the male and another 40 percent to the female. Twenty percent of infertility cases are related to both people in the partnership.

        There are numerous causes of infertility. The most common cause in women is infection. In men, varicocele is one of the most common causes. Varicocele is a varicose vein near one of the testicles. Though there is some question on exactly how varicocele causes sterility, it is felt that the added temperature brought to the testicle by the varicose vein causes a lack of sperm development. Couples who have infertility problems should be referred to a physician.

        Because a couple has not been able to have children it should not be assumed that sterility is permanent. Numerous couples have been helped to have children through accurate information and competent professional help. For various reasons, couples may hesitate to seek such assistance, but they should be encouraged to do so. A lay counselor may help couples overcome feelings of embarrassment or inadequacy so that they are willing to receive the best possible medical care available.

Problems Facing Childless Couples
   
     Society values children. This is especially true among the Latter-day Saints. The Church teaches that a major reason for earth life is to marry, have a family, and live faithfully so that family associations may be eternal. Church lessons, activities, and programs are geared toward the family and child care. This can be frustrating to couples without children. Their feelings are not always rational, but examples of how some childless couples have viewed their situation might help you understand their problems. One woman said, "I never had such a black period in my life. Being unable to have children was very difficult for me to resolve. I was very depressed and everything seemed black."

        These are the words of an adoptive mother recounting her feelings after discovering that she could not conceive and bear children. Most childless couples experience periods of hopelessness and loneliness. They often feel misunderstood and depressed.

        Another woman noted, "I was very much aware of babies and other people with babies. I was conscious of the need for my son to have playmates. [This particular woman delivered one child before discovering she could have no more.] Though at the time my feelings were exaggerated, they were nevertheless real and frustrating."

        It is common for couples who are unable to have children to have feelings of frustration, especially when visiting with couples who are rearing children. They watch their friends hold, cuddle, feed, and care for their new babies. They long to have the same sweet experience and often find friendships strained by their feelings. Their experiences and interests begin to vary, adding to the loneliness. One woman said, "I began hating pregnant people. I would ride the bus to work, see a pregnant woman, and want to slap the person sitting next to me." fn

        Often childless couples generate feelings of guilt. While no obligation to explain childlessness exists, couples often want to do so. They often feel a need to say, "We are trying! We want children too."

        One couple explained that they felt the accusing glances, real or imagined, of friends and neighbors who commented, not so subtly, about the freedom and selfishness of not having children. The wife felt guilty for working. She thought at times that her friends were accusing her of a lack of commitment to children and family life.

        This same couple indicated that family gatherings were often unpleasant. Each of the wife's brothers and sisters had several children. Family discussions revolved around childrearing and the growth and development of each child. Grandparents cuddled, held, and spoiled grandchildren. Mothers were busy changing diapers and feeding and caring for little ones, and they would laugh about the latest accomplishment or stage of life. And although the couple were happy for their brothers and sisters, they felt left out and lonely: "We would see our brothers and sisters with their babies, holding them. It really tore my heart apart. I felt that we were on the outside looking in through a window."

        This couple wondered if being childless was some form of punishment or discipline perhaps they were unfaithful or in some way undeserving. They sought many answers but found few to comfort them.

        "We felt there was no one to talk to," they said, "no one who understood enough to say, 'How do you feel.?' Even one of the adoption agencies we called left us with the impression that they cared about the child more than us. And while we understood their position, we wanted someone to understand us so we wouldn't be all alone." This couple has since found the joy of having children through adoption.

        Couples often look back and realize that their situation wasn't as desperate as they felt at the time, yet their feelings were real. Much can be done to help couples deal with such feelings. A counselor can usually do little to actually provide children, but listening, understanding, and providing support can do a great deal to help.

How the Lay Counselor Can Help
   
     Often counselors want to solve all the problems of those who come for help. But a counselor can best help by providing perspective and balance. One of the questions often asked by those unable to have children is "Why can't we have children? Why us?" The question bears eternal import in the mind of the person asking it. While usually such questions have no direct answers, much can be done to help couples focus on what they can do rather than on what they cannot understand.

        A counselor should not give false hope to a childless couple. Many couples will never have biological children of their own. On the other hand, modern medicine and technology have increased the chance of conception. The American Fertility Society claims that specialists can help 70 percent of infertile couples. fn Couples should be aware of these facts and be encouraged to seek competent help.

Listen and Understand
   
     Most counselors have had the experience of listening to someone seeking help and after the interview being thanked generously by the one seeking help. Often little has been said by the counselor, but the person felt relieved that someone listened and cared.

        Counselors can convey a feeling of understanding by expressing sympathy and understanding. Comments such as, "It must be difficult at times to want children so much," or "You probably don't always feel that your friends understand," or "At times you must feel all alone" can be helpful. Such empathic comments can give hope and courage to the couple who may feel that someone important finally understands how they feel.

Reaching Out to Others
   
     It is important to remind childless couples that they are worthwhile and capable of doing good for others. The problem of infertility can be attended by feeling sorry for oneself and by turning inward. This in turn can add to the loneliness and frustration and isolation. Happiness comes from reaching out and serving others. There is much adoptive couples can do. Service can be in the form of Church callings or community service. Some couples might consider taking care of a child on a temporary basis. Numerous infants and children need shelter and foster care for brief periods of time. Such service can be rewarding personally and might provide good training. Losing oneself in the cause of serving others can lighten burdens and broaden perspectives.

President Kimball's counsel has meaning in this regard:
   
     Should we be protected always from hardship, pain, suffering, sacrifice or labor? Should [God] immediately punish the wicked? If growth comes from fun and ease and aimless irresponsibility, then why should we ever exert ourselves to work or learn or overcome? But if we look upon the whole of life as an eternal thing stretching far into the pre-mortal past and into the eternal post-death future, then all happenings may be in proper perspective and may fall into proper place.

We knew before we were born that we were coming to the earth for bodies and experience and that we would have joys and sorrows, ease and pain, comforts and hardships, health and sickness, successes and disappointments, and we knew also that we would die. We accepted all these eventualities with a glad heart, eager to accept both the favorable and unfavorable. We were willing to come and take life as it came and as we might organize and control it, and this without murmur, complaint or unreasonable demands. fn

Adoption
   
     If it is determined that sterility is permanent, then pursuing the adoption route may be desirable and rewarding. Even though there are not many infants available, adoption is within the reach of most couples who are persistent and show adequate parenting skills. A counselor can encourage the couple to seek a professional, reputable adoption source. Because the desire to have children is often so great, there is a temptation to seek a child from any source. Careful selection is important to assure competent help and to avoid pitfalls that may lead to frustration, undue expense, and possible legal and ethical complications. Help in selecting an adoption source is one of the greatest aids a counselor can offer.

Selecting an Adoption Source
   
     There are several pitfalls that should be avoided by prospective adoptive couples. A careful check of adoption agencies and individuals offering adoption services is essential. A call to the state or county family or social services office can help. Respected church, community, or other private agencies can also provide helpful information. Latter-day Saints can inquire at their nearest LDS Social Services agency.

International Adoptions
   
     Once a couple called me indicating that they had been promised a child from another country. They had paid a large sum of money in advance and had made additional payments over more than a year's time; the costs had exceeded their original commitments. Much time had passed, and there were many "reasons" why the child had not arrived. This couple's hopes were alternately raised and then shattered by promises and disappointments. They had been persuaded that there was a particular child in great need, and that they were the ones to help. They could imagine a child needing them and could see themselves offering that needed love. Eventually they stopped their pursuit of empty promises. There were legal, immigration, and other problems. The person promising the child eventually disappeared with their money. They were left with empty arms and heartache. Unfortunately, this story has been repeated all too often.

        There are reputable international agencies who can and do provide safe, legal adoptions. Again, the best source of in- formation is a local Social Services office. International adoption requires competence and knowledge. Complex and varying laws often make international adoptions a challenge. If they are not handled properly, immigration and legal problems may lead to unwarranted expenses and disappointments.

        For example, on one occasion a family in the United States had been contacted by someone in another country, telling them a child was available for adoption. They were most eager to respond. The child had been relinquished by its father when his wife died unexpectedly. The father was emotionally upset and confused. He was worried about how he could care for his large family. There were problems trying to get the child out of the country. The couple wishing to adopt the child called me for help. Under the circumstances my advice was to no longer be involved with the situation. The legal and immigration problems were serious. The circumstances surrounding the relinquishment of the child raised serious ethical questions. Would this father regret giving up his child after his emotions settled and his circumstances changed?

        Intercultural adoptions often bring additional challenges to the family and child. It is critical that international adoptions be approached cautiously and preceded by a thorough investigation of the adoption source.

Confidentiality
   
     Confidentiality about the adoptive child's family must be assured. Today a controversy exists over whether or not or under what conditions adoption records should be opened. Some advocate that an adopted child has a right to know who his or her biological parents are and the circumstances surrounding the adoption. This same group generally argues that the biological parents also have a right to know where the child is placed and to learn of its growth and development.

        Others feel that the relinquishment given by biological parents is final and that contact between the parties should not be made. In the Church, most adopted children can be sealed in the temple. The Church member must consider this fact carefully.

        It can be argued that the adoptive parents have worked and sacrificed to raise their adopted child. They have made the financial and emotional sacrifices required to be a parent. Many resist having a biological parent come into the picture. Adoptive parents often fear that contact with the biological parent could weaken or destroy the relationship they have with their child.

        The compromise position most often advocated is one of allowing mutual registration by both the adoptee and the biological parents when the adoptee reaches a certain age, usually eighteen. If both register and agree to a contact it would then be arranged by a neutral party. To allow contact of either party without the consent of the other has many potential problems. Often the biological parents do not want their identity revealed. Relatives, friends, and sometimes immediate family members of the biological parents may be unaware that another child ever existed. While some argue that total revelation of all information in such cases is preferred, such solutions are not always simple. Biological parents, adoptees, and adopting parents have rights, feelings, and circumstances that need careful consideration. Counselors should exercise great care when exploring this matter. The right of confidentiality is sacred and should be approached cautiously.

        This controversy is still alive and far from being settled. A great deal of federal and state legislation is still in progress. This issue will undoubtedly eventually be decided in the courts.

        On one occasion a couple adopted a child from a woman in the same ward in which they lived. An attorney assisted with the adoption, and although he was competent in his specialty, he was not fully aware of the adoption laws in the state in which he lived. He also expressed to the couple that there was no reason to have a serious concern about the confidentiality with the natural mother, who knew the couple.

        She had assured him she had no desire to raise the child, and she had given her word not to interfere or disrupt the child or the adoptive parents' lives. However, it wasn't very long until the natural mother changed her mind and wanted the child back. Although the adoptive couple moved to another state, the biological mother—with the help of an attorney— found a flaw in the adoption proceedings and eventually got the child back after six years in the adoptive home. There were heartache and tears, with the greatest tragedy being that the child was caught between a biological mother and adoptive parents.

        While this example may be somewhat unusual, such tragedy and heartache occur too often. Confidentiality is imperative.

Legal Protection
   
     An adoptive couple should be assured of the best legal protection when adopting a child. While there is no guarantee that litigation will not be pursued with any adoption, careful selection of an attorney can minimize legal exposure. Not only does federal legislation affect adoptions, but laws vary from state to state, and often smaller government entities have laws that affect adoptions. Even individual courts and judges are given a great deal of latitude in child placement decisions. Presently, adoption laws are rapidly changing, and couples should take extra care or they may be caught in painful legal technicalities.

        Professional adoption agencies provide excellent protection. When agencies who have placed children face litigation, they often do so without even contacting adoptive parents. Inquiries from biological parents are handled in a sensitive but routine manner. A great deal of protection for the families and children involved comes from these professional, licensed agencies.

Education and Preparation
   
     A couple wishing to adopt should prepare adequately to receive a child. This includes learning about agencies and adoption procedures. It also includes commitment to the child who is to be theirs in every sense but biological. Granted, millions of couples have children biologically without counseling and help. This is natural, normal, and usually desirable. However, when mortals become involved in the placement of infants, they should take care to assure that the adoptive home is prepared. Counselors should not be extreme or be overinvolved in an adoptive family's life, but taking time to prepare a couple by having them imagine the future, examine goals, and assess priorities can be very beneficial to them.

        Some of the circumstances surrounding adoption produce additional concerns and challenges. Several years ago, the wife of a couple who had adopted a child came to me for help. Their child was very active and full of life. These parents had adopted through a physician who sincerely tried to help them. However, they had had only a limited opportunity to discuss possible problems and challenges they might face with an adopted child. This couple struggled for a great deal of time before they finally sought assistance. During the course of the interview, the adoptive mother finally admitted believing that because the mother of the baby had conceived out of wedlock, that perhaps there was a strong tendency for the child to be hard to handle and discipline. They had actually come to believe that there was little that could be done to help and control him. After some discussion and counseling, they came to understand that their child was not really any different from most children born to parents every day. Through some basic education, training, and prayer, they gained confidence and began to enjoy their parenting experience.

        Often the adoptive couple needs very little information and help, but it is important that help be available. Licensed agencies provide this service as part of their normal duties. Some couples may be hesitant to seek help, fearing that they will be seen as inadequate. Adoptive parents are usually more concerned about appearing to be capable than are biological parents. fn

        No one can guarantee there will be no problems, but careful preparation and continuing education can help assure the happiness of the adoptive couple and the child.

Matching the Child and the Parents
   
     The sacred nature of some adoption stories makes them difficult to tell, for there is often a spiritual side to matching children with adoptive couples. In professional agencies, great care is taken to match the background, interests, and characteristics of the adoptive parents and the biological parents. As much as possible the height, weight, hair and eye color, size, and characteristics of the biological parents are matched with the adoptive parents. Background, education, and interests are all taken into account. It is surprising how often a couple is able to delight in the comments of an unknowing friend or relative who says, "Oh, he looks just like his father!"

        The frustrations and challenges and worries of adoption melt away when those who have the opportunity to adopt finally receive their child. As one woman expressed it, "It was the most exhilarating day of my life! I can remember every detail of that day. I felt complete joy! It seemed so impressive. Such a surprise. I could not understand that I could be that happy. My husband couldn't stop calling people we had not seen in years. To walk into that room and then hold the baby for the first time - there are not words to describe that feeling!"

Childlessness and Adoption
1. "Infertility: New Cures, New Hope," Newsweek (December 6, 1982), p. 102.

2. Ibid.

3. Ibid., p. 103.

4. Spencer W. Kimball, "Tragedy or Destiny," in Faith Precedes the Miracle (Salt Lake City: Deseret Book Company, 1975), pp. 95-106.

5. Janet L. Hoopes, The Delaware Family Study: Prediction in Child Development (New York: Child Welfare League of America, 1982).

Suggested Readings

"Barren Couples." Psychology Today, May 1979, pp. 101-12.

Behrman, S. J., M.D. and Robert W. Kistner, M.D. Progress in Infertility. Boston:

Little, Brown and Co., 1975.

"Infertility: New Cures, New Hope." Newsweek, December 6, 1982.

Menning, Barbara Eck. Infertility: A Guide for the Childless Couple. Englewood Cliffs,

New Jersey: Prentice-Hall, Inc., 1977.

Smith, I. Evelyn. Readings in Adoption. New York: Philosophical Library, 1963.

About the Author

Harold C. Brown, director of Social Services, Employment, and Rehabilitation Services for the LDS Church, received his bachelor's degree from Brigham Young University and his master's of social work degree from the University of Utah. Formerly he has taught seminary and worked with various parts of the social, Indian Placement, and welfare programs of the Church. He is a member of the advisory board of the Graduate School of Social Work at the University of Utah.

He has previously served in the Church in elders quorum presidencies and as a bishop, and he presently serves as a member of the Salt Lake Cottonwood Stake presidency.

He and his wife, Penny, are the parents of eight children.