Antecedents of American Adoption Burton Z. Sokoloff R eference to adoption may be found in the Bible and in the ancient codes, laws, and writings of Babylonians, Chinese, Egyptians, 1,2 Hebrews and Hindus. It is believed that this practice was usually employed to provide male heirs to childless couples, to maintain family lines and estates, or to fulfill the requirements of specific religious practices such as ancestor worship. It is commonly stated that adoption law in the United States is based upon early Roman laws; however, as Presser points out: “In contrast with current adoption law, which has as its purpose the ‘best interests of the child,’ it appears that ancient adoption law and particularly the Roman example, was clearly designed to benefit the adopter, and any benefits to the adoptee were secondary. Roman adoption law served two broad purposes: to avoid extinction of 3 the family and to perpetuate rites of family worship.“ Hollinger adds that the adoptees were all male and usually adults, not children, and concludes that the relationship between adoption as known by the Romans 4 and adoption as practiced by Americans “is tenuous at best.“ Likewise, English common law cannot be cited as the precedent for American adoption law because the former makes no reference to adoption and because the first general adoption statute was not enacted in England until 1926, some 75 years after passage of the first adoption statute in the United States. Thus, as Hollinger states, American adoption is “purely a creature of the statutes which have been enacted in this country since the mid-nineteenth century.“5 The Colonial Era Through the Eighteenth Century The absence of any laws relating to adoption in England at the time of American colonization is commonly attributed to the fact that there was no apparent need for this practice. Adoption would not have provided heirs for childless couples because inheritance was determined solely by blood lineage. Adoption also was not necessary to provide care for dependent children. By the seventeenth century, a variety of customs and practices were in place in England which “made adoption for social welfare purposes unnecessary.“6 These practices included “putting out” (the placement of children in other homes, for domestic service, for varying periods of time), indenture, and apprenticeship. Although centuries earlier these practices had been utilized by families (usually the poor) to seek better care, dis- The Future of Children ADOPTION Vol. 3 • No. 1 - Spring 1993 Burton Z. Sokoloff, M.D., F.A.A.P., is a pediatrician in Los Angeles and a former member of the Committee on Adoption and Dependent Care of the American Academy of Pediatrics. THE FUTURE OF CHILDREN - SPRING 1993 18 cipline, and training for their children, “they came to serve as a convenient means for solving the problem of dependent children . . . .” 7 These customs and practices were brought to the New World by the Puritans and continued to be used throughout the seventeenth and eighteenth centuries to care for dependent children who could not be taken into the homes of relatives. The industrial revolution and massive immigration produced numbers of dependent children which overwhelmed the existing system. Another institution that was brought from England was the almshouse. This was the principal public institution which housed dependent children until they reached the age of 6 or 7 years, at which time they could be “put out” by indenture or apprenticeship. Finally, there was the practice of “informal transfers” of children to substitute families, which existed in the colonial era and which grew steadily as the needs for child labor on farms increased in the rapidly growing country. This practice developed a uniquely American character as owners of large plantations in the South often took large numbers of dependent children into their families.8 These means of caring for dependent children, however, became inadequate to meet the need by the beginning of the nineteenth century. The industrial revolution and massive immigration produced numbers of dependent children which overwhelmed the existing system. The Nineteenth Century During the nineteenth century, adoption laws developed in response to the desire both to give legal status to children whose care had been transferred and to encourage more available and better care for dependent children. For example, Presser writes that the earliest adoption statutes in the United States were, in part, a response to the increasing demand on state legislators for the passage of “Private Acts” which recognized adoption in individual situations. As the number of informal transfers grew rapidly, many adoptive parents wanted to assure that their “adopted” children would share in their estates and sought legal sanction. As Presser observes: “Whatever the genesis and development of the Private Acts, by the middle of the nineteenth century legislatures grew weary of the routine action on private bills for adoption and began to provide an easier way to take new children into the family legally.“9 The first comprehensive adoption statute was passed in Massachusetts in 1851 and contained the following major provisions: (1) that written consent had to be given by the natural parents of the child to be adopted or by a legal guardian; (2) that the child himself had to consent if he was 14 years of age or older; (3) that the adopter’s wife or husband (if he or she was married) had to join in the petition for adoption; (4) that the probate judge to whom the petition for adoption was presented had to be satisfied that the petitioner(s) were “of sufficient ability to bring up the child” and that it was “fit and proper that such adoption should take effect” before he could decree and confirm the adoption; (5) that once the adoption had been approved by the probate court, the adopted child would become “to all intents and purposes” the legal child of the petitioner(s); and (6) that the natural parents would be deprived by the decree of adoption of all legal rights and obligations respecting the adopted child.10 The Massachusetts statute is particularly notable in that, for the first time, the interests of the child were expressly emphasized and the adoption had to be approved by a judge.11 As this Massachusetts statute suggests, providing a legal mechanism to establish heir status was not the only goal of adoption statutes. They also were concerned with the well-being of children. As Presser points out, attributing the passage of the Massachusetts statute and of the others that followed solely to the “weariness” of the legislators in hearing individual petitions for establishing the legal status of adoption is too simplistic. Adoption law developed as part of a larger movement for child welfare which was then under way and widespread. Presser summarizes the social background of adoption legislation as follows: In the first half of the nineteenth century, it became apparent that public means for the care of dependent children were grossly inadequate for the welfare of the children. At first the system of private care was like the old methods of public care, Antecedents of American Adoption with an initial period where the children were kept in an asylum or institution to receive rudimentary education, followed by an indenture or apprenticeship. It soon became apparent that the old systems of apprenticeship and indenture were failing to educate and provide for the needs of children because of changing economic conditions, and through the efforts of philanthropists, private agencies were formed for the care of dependent children. As it became impossible to provide early institutional care for all, private agencies began to channel their energies toward placing children, often at very early ages, in foster homes where they would be treated more like members of the family than like servants. Motivating many, if not all, of these child welfare reformers was a strong religious spirit which was an offshoot of a religious revival then taking place. The reformers believed that the children of the poor were not basically different from the children of the rich. These religious and egalitarian views of many of the child welfare workers led them to abandon the system of indentures and to conclude that the best way of caring for dependent children was to have them accepted into “God’s Reformatory,” a family. Since a child who was not indentured could not be bound to a family in which he was not properly cared for, the effort to provide a proper family atmosphere became paramount. Many of the children placed by such agencies as the New York Children’s Aid Society found themselves in situations which not only resembled “adoption” as we know it today, but which were called by the same name. As the phenomenon of children in adopted homes became more common, there was increased pressure not only to pass laws regulating and insuring the legal relations between adopted children and their natural and adoptive parents, but to guarantee that some benefits of heirship were conferred on the adopted child. This pressure, which originated with the activities of the charitable associations working in child welfare, led to the passage of the general adoption statutes in the third quarter of the nineteenth century.12 The same social forces Presser describes as being at work in Massachusetts during 1851 clearly were also prevalent in other areas of the United States, most prominently in the large urban centers of the East Coast. Among these, New York 19 City epitomized the problems. Early in the nineteenth century, as described by English, “the lower East Side of Manhattan was the most crowded area in the world: The population density of 250,000/square mile was twice that of the most crowded areas of London. Waves of immigration, begun by the Irish following the potato famine of 1846, packed a mass of poorly fed humanity into tenements, with unclean water, inadequate sewage and no facilities for preparation and storage of food.“¹³ The mortality rates for infants and children were horrifying, and those children who survived infancy were frequently left at a young age to fend for themselves. The chief of police, George W. Matsell, estimated in 1852 that between 10,000 and 30,000 vagrant children roamed the streets of New York City.13 Some years earlier, in 1844, Dorothea Dix conducted an inspection of almshouses in NewYork City to seek out abuses of the mentally ill and reported that 15% to 20% of the inmates were children, mixed together with “undesirables” of all ages.14 The revelations about the health conditions on the East Side; the homelessness, vagrancy, and often criminality of children on the streets; and the presence of infants and children in the almshouses prompted public outrage. In response, two seemingly contradictory movements evolved, both of which had major impact on foster care and adoption in subsequent years. Placement of Children with Farm Families The first of these movements was a remarkable effort begun by Reverend Charles Loring Brace, who, in 1853, founded The Children’s Aid Society in New York City. Brace was firmly committed to the belief that institutional life of any sort was detrimental to children and that their placement with families was to be preferred. Brace was convinced that farm families would provide the best homes, and he made these families the focus of his efforts. Brace believed that his plan was bound to be successful in view of the great demand for labor in the rural areas of the expanding “western” areas of the country. He wrote: “The emigration plan of The Children’s Aid Society is simply to connect the supply of juvenile labor of the city with the demand from the country, and to place unfortunate, destitute, vagrant and aban- 20 THE FUTURE OF CHILDREN - SPRING 1993 doned children at once in good families in the country.“15 Initially children were placed on farms in nearby New York, Connecticut, and Pennsylvania. However, the demand for children was so great and the numbers of orphaned, abandoned, and vagrant children so vast that the “orphan train movement” was established to move children, usually 2 to 14 years old, from eastern cities to farm communities in the “west” (primarily those states now characterized as being in the Midwest). Agents of The Children’s Aid Society announced the forthcoming arrival of the trains, which stopped at towns along the way. The children were then “shown” to the eager citizenry, who selected the ones they desired. The majority of the orphan trains ran from 1854 to 1904, although a few ran as late as 1929. It is estimated that 100,000 children were placed on farms throughout the Midwest during those years. Fascinating accounts of the orphan trains, the children, and their futures may be found in the records of the state historical societies of Nebraska, Kansas, and Indiana, among others. An Orphan Train Heritage Society still exists today.16 Although Brace is considered by many to have been a visionary in child welfare, recognizing early on the value of permanent placement and the deleterious effects of institutionalization, others held a contrary view. They believed that many of the children placed probably had living, biological parents who had never consented to the “emigration” of their children and also that The Children’s Aid Society did not adequately screen the families who took children or follow the children’s progress after placement. With regard to adoption, it appears that most of the children placed by The Children’s Aid Society were never formally adopted by their families.17 However, it also appears that close, enduring, loving, and secure family relationships were established in many, perhaps the majority, of these placements. Foundling Homes and Placement in Urban Foster Homes The second response to the problem of homeless dependent children in the large cities was the establishment and proliferation of public and private institutions committed to their care. These institutions, generally referred to as “foundling homes,” were soon afflicted with very serious problems which continued until the beginning of the twentieth century. The most obvious of these problems was the large number of dependent children with which they were confronted as waves of immigrants arrived and as conditions in the urban slums worsened. This problem “made it inevitable that children be placed out in foster homes at an earlier age.“18 Also, the mortality rates in foundling homes were extraordinarily high, particularly among the very young infants who comprised the majority of the residents. These high mortality rates resulted in part from the malnutrition caused by the absence of nursing mothers and the inability to find a sufficient number of wet-nurses. In addition, recurrent outbreaks of diarrhea and respiratory illness, epidemics of measles and other childhood contagious diseases, and overcrowded conditions took a fearsome toll. Moreover, pediatricians began to report on the very striking developmental delay which they observed in children in the foundling homes and which they attributed to institutionalization itself. In 1870, Abraham Jacobi, considered by many to be the father of American pediatrics, reported to the commissioner of public charities in New York that the problems of the children’s institutions were insurmountable. Antecedents of American Adoption Jacobi recommended that these institutions be closed and that infants be boarded out to the homes of wet-nurses.19 Despite major opposition from the foundling home supporters, some healthy infants were placed in the homes of wet-nurses. However, this process alone could never have accommodated the number of infants in the foundling homes, and these institutions continued to experience the very high death rates while entering “the stiffly competitive market for wet-nurses.“19 Because it was virtually impossible to obtain adequate amounts of breast milk from wetnurses, several of the foundling hospitals in the 1890s established “milk laboratories” which studied the development and use of formulas made from cows’ milk for infant feeding. The development of formula not only improved the survival rate among infants, but also set the stage for the beginning of early adoptive placement of babies in the first quarter of the twentieth century. As the frequency with which infants and children were placed with families, rather than in institutions, increased during the last half of the nineteenth century, concerns likewise increased about the adequacy of investigation of the adoptive homes before the placements and the lack of supervision and follow-up of the children after the placements, many of which were little more than informal transfers. In response to these concerns, child welfare reformers pressed for the passage of adop- 21 tion legislation similar to that passed in Massachusetts. During the next 22 years, 16 additional states passed acts which provided for judicial supervision over adoption, and by 1929 all states had enacted some form of adoption legislation.20 Virtually all statutes emphasized the “best interests of the child” as the basis for adoption. The Twentieth Century: First Half During the first half of the twentieth century, secrecy, anonymity, and the sealing of records became statutorily required and standard adoption practice. The Minnesota Act of 1917 is commonly credited with having initiated the secrecy and sealed records aspects of adoption.²¹ Actually, as Hollinger points out, these practices “were not designed to preserve anonymity between biological parents and adopters, but to shield the adoption proceedings from public scrutiny. These statutes barred all persons from inspecting the files and records on adoption except for the parties to the adoption and their attorneys.“²¹ Nevertheless, beginning in the 1920s and extending well into the 1940s, states progressively amended their statutes “to provide not only for the sealing of adoption records, but also for denial to everyone of access to these records except upon a judicial finding of ‘good cause.’”²¹ In these statutes, the identities of the birthparents and the adoptive 22 THE FUTURE OF CHILDREN - SPRING 1993 parents were to remain secret, even from each other. Toward this end, the original birth certificate would be sealed and an amended one would be issued at the time of legal finalization of the adoption. Major factors encouraging infant adoption were the development of successful formula feeding and the perception that environment, not heredity, was the major determinant of child development. The movement toward secrecy is said to have been urged by social workers in child-placing agencies with the goals of removing the stigma of illegitimacy from children born out of wedlock. These workers believed that assuring the anonymity of the birthmothers and the privacy of the adoptive family would make the integration of the child into the adoptive family more secure. This practice is still in place but has come under increasing attack since the 1950s and will be discussed below. In addition to the passage of adoption legislation, the first half of the twentieth century is characterized by a dramatic increase in interest in adoption on the part of childless couples and in the steady trend toward adoption of infants. Prior to the 1920s very few legal adoptions of children actually took place when compared with the numbers of children in institutions, in foster care, or in situations created by informal transfers. Many childless couples and, indeed, many child-placing workers, had serious doubts about the future potential of poor, abandoned, and particularly, illegitimate children. Concerns about inheritance of “bad blood” were widespread, and even families who were motivated to take homeless children in foster care were often unwilling to establish a permanent relationship through legal adoption. The adoption of babies, let alone newborns, was exceedingly uncommon. Added to concern about the inheritance of undesirable traits was the general awareness of the very high infant death rates and of the difficulty of feeding infants without an adequate supply of breast milk. A New Demand for Infants World War I and the influenza epidemic that followed resulted in a sharp drop in the birth rate and an increased interest in infant adoption. During the 1920s, in response to the great demand for babies, unregulated “baby brokers” and “black market adoptions” became commonplace, eventually prompting passage of legislation in most states which required investigation of potential adoptive parents and their homes, and court approval before finalization of adoption. Also in response to the explosion of “private” adoption during this period, the number of adoption agencies—both public and private—grew rapidly throughout the country.²² Major factors encouraging infant adoption were the development of successful formula feeding and the perception that environment, not heredity, was the major determinant of child development. Hollinger describes the end of the first half of the twentieth century as follows: By the 1950s, a complete transition had occurred from the earlier interest in adopting older children to the present desire for adoptable babies; whereas boys were once favored, infant girls became more desirable. From the 1930s on, articles appeared routinely which bemoaned the alleged shortage of adoptable infants. A 1951 survey of 25 states indicated that nearly 70% of children being placed for adoption were under the age of one, although at the time of the filing of the adoption petition, only 40% were under two years. Well over half of the children were born out of wedlock, two-fifths of the mothers being under 18. The remaining children came primarily from “broken homes,” with many divorces and desertions being attributable to World War II. Fewer than 10% of the children were placed because both of their parents were dead.23 The Twentieth Century: Second Half The major issues in adoption today arose during the second half of this century and are represented by the topics selected to appear in this journal issue. With the end of World War II came an increased interest in adoption, particularly adoption of healthy, young infants. For a while during the late 1940s and the early 1950s, the number of infants placed by adoption almost equaled the number of applicants.24 At this time agencies apparently were still concerned about placing infants of uncertain background and desirous of assuring the couple approved for Antecedents of American Adoption adoption of a healthy baby of known and untainted heredity. 25 Accordingly, infants were customarily kept in selected foster homes—termed “study homes”—for six months to a year before placement, during which time physical and developmental assessments were made. According to Cole, “infants with known pathology in their background were considered unadoptable.“²² A Growing Mismatch of Supply and Demand By the mid-1950s the demand for healthy infants clearly exceeded the numbers available, a trend that accelerated in succeeding decades. Agencies, faced with large numbers of applicants, began to develop criteria designed to get the “best parents” for each child and, in particular, the “best fit.” Attempts were made in many instances to match physical characteristics of adoptee and adoptors as well as the presumed intellectual capacity, educational background, and socioeconomic status of the potential adoptive couple and the birthparents. Religion matching was also common as were age restrictions for the applicant couples. To avoid everlengthening lists of applicants, some agencies established time frames in which a placement could be made and after which an unsuccessful couple would be dropped from consideration to give others a fair chance. By 1975 many agencies stopped accepting new applications for white, nondisabled infants and, if time frames were not in place, other agencies informed applicants that the wait for such a child was likely to be 3 to 5 years.26 Because of the lack of success with both public and private agencies, couples seeking white, healthy infants turned with increasing frequency to independent nonagency adoption. Experts postulate that the discrepancy between the number of couples seeking to adopt and the number of available healthy infants is the result of an increased incidence of infertility among married couples and an absolute decrease in the numbers of infants placed for adoption. The latter resulted from greater availability of effective methods of contraception, the rise in the rate of abortion following the 1973 Roe v. Wade decision, and perhaps most significant, the sharp increase in the tendency of unwed mothers to keep their babies rather than place them for adoption. This trend, which has been most pronounced among 23 white unwed mothers (black, Hispanic, and Asian women rarely placed babies for adoption at any time), has been attributed to greater societal acceptance of single parenthood and the expanded availability of social services and financial assistance through welfare programs.27 As the shortage of same-race, non-disabled infants persisted and, in fact, increased, white infertile couples turned to nontraditional sources in the search for adoptable babies. Important among these were transracial and international adoptions, which are discussed in the articles in this journal issue by Arnold R. Silverman and Elizabeth Bartholet. As advances in technology have permitted, couples have sought help through alternative means of reproduction including artificial insemination by donor, in vitro fertilization, embryo transfer, and most recently, surrogate parenting. Examination of these methods of achieving parenthood is beyond the scope of this journal issue but the moral and ethical issues surrounding them continue to stimulate discussion. By the mid-1950s the demand for healthy infants clearly exceeded the numbers available, a trend that accelerated in succeeding decades. In the same time period when increasing numbers of couples and individuals have desperately been seeking infants to parent, the number of older children, children of color, and children with physical, mental, and emotional problems who are in custodial care waiting to be adopted has increased to an alarming degree. These children (in the adoption field termed “special needs children”) are the legacy of the social, economic, and moral upheavals of the 1960s and 1970s which continue today: racism, poverty, unemployment, the drug culture, and most recently, the epidemic of AIDS. They are in care because of abuse, neglect, and abandonment, and for them the numbers of families and individuals wishing to adopt are distressingly small. Finding permanent homes for these special needs children is the most pressing current issue in child welfare. In this journal issue, the articles by Judith K. McKenzie, James A. Rosenthal, and Richard P. Barth address the challenges inherent in special needs adoption. 24 THE FUTURE OF CHILDREN - SPRING 1993 The Concerns of Adoptees and Birthmothers The second half of the twentieth century also marks the time when adoptees and birthmothers began to claim rights which, they believe, were denied them by existing adoption laws and by the policies and practices of the majority of agencies. In the 1940s studies began to identify psychological problems in adolescent and adult adoptees. Investigations in succeeding decades disclosed difficulties in identity formation and low self-esteem among adoptees and attributed these problems, in great part, to the total lack of knowledge about their origins which was caused by the secrecy, anonymity, and sealed records aspects of adoption law and practice.28,29 Many professionals emphasized that “knowledge of one’s heritage is a necessary part of identity formation.“30 Most important, perhaps, as adopted children became adopted adults, a great many developed an urgent need to know, often precipitated by marriage and the prospect of bearing children of their own. As increasing numbers of adoptees entered adulthood, vigorous challenges to the sealed record barrier were raised. Adult adoptees formed activist groups to challenge the confidentiality and sealed records statutes and to gain access to birth records and other background information, to which they believed themselves constitutionally entitled. The earliest of these groups was founded by Jean Paton in 1954.25 The largest and probably the most influential is the Adoptees Liberty Movement Association (ALMA) founded by Florence Fisher in 1971. Birthparents, too, began to press for greater involvement in the adoption process and for the right to know the progress of the children they had relinquished. Toward this end they formed Concerned United Birthparents (CUB). On the other hand, many adoptive parents were deeply alarmed at the prospect of opening records and losing anonymity, and organizations such as the Association for the Protection of the Adoptive Triangle (APAT) were formed in support of sealed records. Significant changes have taken place in the past 25 years. At present, 25 states allow access to confidential records upon mutual consent between the adoptee and the birthparents; 17 states have established search and consent processes through confidential intermediary serv- ices; 3 states permit access to birth certificates upon the request of adult adoptees. The sealed record controversy and the legal response to date are discussed by Joan H. Hollinger in this journal issue. Seeking to avoid the problems that had been attributed to the “closed adoption” policies and practices, Baran, Pannor, and Sorosky in 1976 put forth the concept of “open adoption” placement.³¹ In this practice birthparents and prospective adoptive families meet, share information, and arrange for varying degrees and forms of continuing relationship, including the possibility of continuing direct contact with the child. Open adoption has grown rapidly in recent years, particularly in the practice of private, independent adoption. Also in this issue Annette Baran and Reuben Pannor give their perspective on open adoption; Mark T. McDermott discusses its place in independent adoption; and Marianne Berry reviews the benefits and risks, based upon current research. The Roles of Public and Private Placement In the second half of the twentieth century, “The need to find homes for dependent children and the need to find children for childless couples became more distinct. Public agencies and publicly financed foster care began to work primarily with dependent, mistreated and abused children while private agencies and intermediaries (lawyers, doctors, physicians) began to focus on the task of finding adoptable children for childless adults.”³² This trend has continued, and at present it is estimated that two-thirds of adoptions of newborn babies are accomplished through independent, private placements. However, as discussed in this journal issue, the move to private adoption has been condemned by many adoption professionals and vigorously defended by private adoption practitioners. Arguments for agency and for independent adoption are presented in the articles by L. Jean Emery and by Mark T. McDermott, respectively. As we approach the end of the twentieth century, it is apparent that the major issues in adoption today will continue into the next century. Accordingly, it is appropriate now and it will be necessary in the future to study the outcome of important adoption policies and practices. Therefore, this journal issue presents articles about the outcome of special needs adoption (written by James A. Rosenthal) and 25 Antecedents of American Adoption transracial adoption (written by Arnold R. Silverman), and about the long-term outcome of adoption in general (written by David M. Brodzinsky). Conclusion History shows adoption as a unique and ever-changing phenomenon. “No other form of substitute care offers children— or adults seeking children—the quality of legal, psychological, and familial belonging that adoption creates.“27 Today, as in the past, there are large numbers of couples and individuals who fervently wish to parent and even greater numbers of children needing permanent homes in families. Matching these two needs, with the best interests of the children always at the forefront, has been and will continue to be a challenging task. 1. Kadushin, A. Child welfare services. New York: Macmillan Publishing Co., 1980, pp. 465-66. 2. Cole, E., and Donley, K.S. History, values and placement policy issues in adoption. In The psychology of adoption. D.M. Brodzinsky and M.D. Schecter, eds. New York: Oxford University Press, 1990, pp. 273-74. 3. Presser, S.B. The historical background of the American law of adoption. Journal of Family Law (1972) 11:446. 4. Hollinger, J.H. Introduction to adoption law and practice. In Adoption law and practice. J.H. Hollinger, ed. New York: Matthew Bender & Co., Inc., 1991, p. 1-19. 5. See note no. 4, Hollinger, p. 1-18. 6. See note no. 3, Presser, p. 453. 7. See note no. 3, Presser, p. 455. 8. See note no. 3, Presser, p. 459. 9. See note no. 3, Presser, p. 464. 10. See note no. 3, Presser, p. 465. 11. See note no. 4, Hollinger, p. l-22. 12. See note no. 3, Presser, p. 488. 13. English, P.C. Pediatrics and the unwanted child in history: Foundling homes, disease, and the origins of foster care in New York City, 1860-1920. Pediatrics (1984) 73:699-711. 14. See note no. 13, English, p. 701. 15. See note no. 3, Presser, p. 485. 16. Orphan Train Heritage Society of America, Rt. 4, Box 565, Springdale, AR 72764. 17. See note no. 4, Hollinger, p. l-32. 18. See note no. 3, Presser, p. 481. 19. See note no. 13, English, p. 705. 20. See note no. 3, Presser, p. 466. 21. Hollinger, J.H. Aftermath of adoption: Legal and social consequences. In Adoption law and practice. J.H. Hollinger, ed. New York: Matthew Bender & Co., Inc., 1991, p. 13-5. 22. See note no. 2, Cole and Donley, p. 277. 23. See note no. 4, Hollinger, p. 50. 24. See note no. 1, Kadushin, p. 472. 25. Paton, J. The adopted break silence. Acton, CA: Life History Study Center, 1954. 26. See note no. 1, Kadushin, p. 470. 27. Jaffe, B., and Fanshell, D. How they fared in adoption. New York: Columbia University Press, 1970, p. v. 28. Sorosky, A.D., Baran, A., and Pannor, R. The adoption triangle: The effects of the sealed record on adoptees, birth parents and adoptive parents. New York: Anchor Press/Doubleday, 1978; San Antonio, TX: Corona Publishing Co., 1990. 29. Sachdev, P. Unlocking the adoption files. Lexington, MA: Lexington Books, 1989. 30. See note no. 29, Sachdev, p. 12. 31. Baran, A., Pannor, R., and Sorosky, A.D. Open adoption. Social Work (1976) 22:97-100. 32. See note no. 4, Hollinger, p. 1-51.