Monday, April 30, 2007

Soul Autopsy and China Adoption Disruption

It looks like most of the posts at CHEW have been taken down. Thank goodness. Maybe that woman understood the harm she was doing.

So I won't go into full detail describing the nastiness of the blog's tone.

The basics are that a woman starts the China adoption process. Halfway through she gives up and gets a child from Guatemala instead. Three weeks after bringing her child home from Guatemala, she changes her mind and decides to go through with a last-minute China adoption. After picking up her 18-month-old child, "M" she decides "M" is not healthy enough and returns her. By the way, I am not sure if I remember the age correctly but it was definitely between 1 and 2. The Chinese officials are understandably irritated and tell her she won't get a new child. On top of that, since she returned "M", due to the way the bureaucracy works, the little girl almost certainly won't be deemed adoptable again and is going to age out in an orphanage. Now, this woman has given up on getting a new child but she wants her money back.

Reading her account, two really wrong things jumped out at me.

1) A US pediatrician who makes a diagnosis of PDD autism over the phone. The woman calls him up, describes symptoms her child is exhibiting a few days after being taken into a strange environment, and he tells her to give the child back. Either she's lying or exaggerating to make herself feel better, or this doctor needs to be brought up on ethics charges.

I'd like to quote, with permission, sarahs_mom, a mother who adopted from China I know from another forum, who made some even-tempered but hard-hitting comments on the original blog posts.

Sarah was just like this woman describes M. We just came home from spending a wonderful morning at the beach where Sarah played in the sand... a major first for her. Sarah does not have autism. She has some behaviors that were pretty severe that have gone away and she has some we are working on. We have a generalist, a speech therapist and an occupational therapist and all of them think Sarah will be fine. If not, we will deal with it.

My heart breaks for M. It's clear she wasn't as bad as Sarah because Sarah did not make much progress at all in China. It wasn't until after 3 months that I started to have hope. By that lady's own account, this girl made progress.

[...]

This story should not be about her or her agency. It needs to be about M. It needs to be about people getting educated and trying to get the US off the list of families with the greatest number of disruptions in China.

[...]

I can tell you that Costa Rica closed its adoptions to US Citizens because of the antics of people like this woman. I wanted to adopt from there because that is where I was born and I called and spoke to PANI (their version of the CCAA) and was told that the corrupt agencies in the US and the unreasonable demands by the US citizens led them to stop adopting to the US. Until the US implements the Hague they will not allow a US citizen to adopt.



2) She kept making excuses for the fact that she didn't take the child back to America and disrupt there.

Now, this second one is the part I'm qualified to comment on. I have no problem sitting in judgment on this woman and telling her what she should have done. She should have taken "M" back to America. Maybe "M" really had special needs that were beyond the ability of this woman to care for. In that case, as so many others have been sadly forced to do, she could have made an adoption plan. She could have found another family that wanted to adopt "M" and legally relinquished her to them. She could have even left her at a damn fire station and run off, and it would have been better. I'm not saying she should have done something that extreme, since it probably would have been legally easier to do private relinquishment than go through the foster care system. Anyway, there would be many families (and I bet quite a few lower-income Chinese-American families) who would leap at the chance to adopt a baby like "M".

If you've been to photolisting sites before and are ready for the emotional sledgehammer effect, go to adoptuskids.org and do a search on 2-year-olds legally available for adoption in the foster care system. The tiny few you will find have needs that are so severe. Many will never walk or speak or feed themselves. Most of them will mention "lifetime" care, which means that if you adopt the child and they live longer than you, you need to figure out who else will take care of them. The reason there are so few very young children on these sites is that they are so quickly adopted that they don't need to be photolisted.

From what I've heard of other people with more knowledge of the subject, the fate of "M" if left in the orphanage is not very bright. But since this story has affected so many people, hopefully someone will find a way to get her out of the orphanage system and into a good foster or adoptive home in China.

I believe that when you have set out to adopt a child and have made that commitment and take them in your arms, you are responsible for them for the rest of their life. Even if you can't be a family for them, you are duty-bound to look out for their best interests. Both "M" and the first mother who gave her up are owed more than this.

Duty, honor, obligation: these are universal values.

Anyone who adopts from China should educate themselves to the fullest extent and think about what they would do in their worst-case scenario.

9 comments:

Lisa said...

I've been reading your blog for awhile but have never commented. I agree with everything you've said on this topic.

That blog broke my heart for many reasons, not the least of which was that I'd been reading that blog for awhile and was pretty shocked by the attitude the blogger had in regards to this whole situation. I was pretty disgusted not only with the way that she accepted a diagnosis over the phone (most doctors won't even diagnose a sinus infection over the phone, let alone a lifelong illness) but also the way that she disrespected some of the places she visited (one example, the "Mildew Palace" hotel) and her attitude towards her visit in general.

My heart absolutely BREAKS for poor M. When the blogger writes that the baby had been gaining weight, growing her hair back, etc, after a couple weeks with her, I thought, how could a person return a child to an environment where she'd clearly been malnourished? I think protecting children is a basic human instinct, and I don't understand how a person could return a child to a place where they weren't receiving adequate care.

I really, really hope that M finds a safe, happy home.

MomEtc. said...

I do have hope that this little girl may get the chance to have a family (I pray). I remember talking to another blogger who adopted a little Chinese girl who had been "returned" after her parents had gotten home with her! Turns out this child is 100% healthy.

I think had CHEW done her homework and the agency done their job, they would have realized that what they were seeing in this child was typical institutional behavior. We all know that before we get over there what we may see and have to be prepared to handle it. I see this as our job as aparents to kids from institutions.

naechstehaltestelle said...

Reading that blog made me physically ill. Every comment left that said "Oh, I'm so sorry you went through that!" but what about the little girl? Chew gets to be home with her daughter and only has to live with her guilt. That poor little girl may never have a normal life. She has had two people abandon her. I don't know how Chew could she see M getting better and keep insisting on returning her. And then turn it around into "oh, poor me, what horrors I've suffered".

Stilla Momma said...

This post evoked some very strong emotions in me and almost moved me to tears. The very nature of adoption is risky. I don't think I could ever give a child back, no matter what the situation. On paper, sure the child could be medically and emotionally perfect, but coming home and adjusting is a whole other ballgame. :( It's sad that this woman chew did not have the courage to move on. It actually makes me sick to my stomach. And yes, I judge her too.

vanishing point said...

Thanks so much for writing this post.
My heart breaks for M too. I have felt so horrible for judging chew
but, her description of M as skinny, not wanting to cuddle, even giving her a bath so she wouldn't smell, seemed so cruel and cold. Every time she made another excuse, I felt sick to my stomach.

Viv said...

I agree with you so much.
Dignosis over the phone?????
I also just want to make the comment that I am a mum of 2 kids adopted as older kids (3.5 and 4 years old) from China and we have dealt with institutional behaviour.
it has taken differen professionals and a lot of work but it ISN'T autism and it isn't the end of the work and it DOES get better!

I hate to think that my kids would have been given that diagosis and stayed there, but then the reality is that perhaps someone did this to them, too, and that is why they had to wait for their family.

Rumpus and Ruckus walk into a kitchen... said...

I'm not a prospective adoptive parent, but I've always found that becoming a parent is risky business, whether it's adoption or your own genetic lottery. When a child *can* be returned like a bag at Macy's, the parent has already shown their base ideal for the adoption- which was to acquire a child, not start a family. Two completely different things.

Andie & Scott G. said...

It breaks my heart to think about "M". I can't speak for the actions of CHEW, but I wonder what I would do if I find out our child seems like they have special needs.

As a person who chose adoption because I am a genetic carrier which causes severe mental retardation/physical deformity and the sibling who is effected by the genetic condition, I don't know what I would do. I went through adoption so I could have a normal child.

However, I think that CHEW was hasty. It does take a while for children to open up and show their true nature. Geez! A child doesn't downshift that quickly and they like routines.


It gives me a lot to think about, but I do think China does the very best to catagorize SN and NSN children. What SN are in China, may be mitigated in the US with our patience, love,and medical intervention.

I have been rather relaxed on not reading up on international adoption. Since we have a long wait, I will be reading about attachment and adoption.

Andie

ChinaMom said...

A DIFFERENT POINT OF VIEW

As the mother of two from China, I have to say that my children are the light of my life. I must admit that I am not a big fan of all the venting that Chew does; however I do believe that China assigns children with special needs to families expecting healthy children. We are a case in point. We accepted our referral for our second child from China and said, "She is our child we will accept her regardless of any issues we find." When we accepted the referral we knew that she was very small - that was okay with us. Our first child was very small and very very sick and had issues that still impact her today.

When we had our 'gotcha' moment, we couldn't believe that the child we got was the same child we had been referred. She had IV lines in her head, both hands and one foot. She was about 5 lbs less than the referral stated. She had a faraway look that never changed over the five days we had her. We loved her. We had a pediatrician who traveled with our agency. She told us that this child had significant cognitive issues. We asked for more time. We next went to an international clinic for a second opinion. She concurred with our pediatrician. Next we went to the Children's Hospital and met with two doctors: a pediatrician and a neurologist. Both concurred. Trust me, making the decision to reject a child is the most gut-wrenching decision we have ever had to deal with. As older parents had we brought her home we would be passing the day-to-day care of her on to our older daughter. Would that be fair? We got comments from some that said, "shame on you" - have they walked in our shoes? We got comments from people comparing having a birth child with issues to getting an adoptive child with issues as the same and that we should accept the cards that were dealt. For heavens sake, the CCAA is not God! Everyone makes mistakes.

We disrupted. We had never heard the word "disruption' before. It was sad. While we were dealing with this, we were told by our agency that we may not get another referral. We decided that we could not bring this child home and if that meant that we did not get another referral then so be it.

All the while we were in the process of trying to figure out what to do, we were in contact with Love Without Boundaries to see if they could help us. We loved this child and felt a certain responsibility for her. A week after returning home we learned that LWB had indeed made arrangements for her to be put on a SN waiting list for her cognitive issues.

We also were assigned another child - a healthy child. A child who needs OT and speech therapy and possibly PT. All of that is fine. We expect institutional delays - we welcome them.

We've walked in the shoes of a family who has disrupted and it is awful. From this experience I have learned not to judge those who have walked this path before us and those who will follow. It is a personal decision and there are so many factors that can never be fully understood by someone who hasn't experienced it.

Thank you.