Mayo Clinic electronic newsletter

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Recently, the newsletter ran this helpful piece on talking to children about adoption. Topics in the article include when to talk to your child about adoption, how to discuss it, how to address racial or cultural differences, and answering children's questions.

Insights into international adoptions

A story in the New York Times looks at international adoptions, especially adoptions of Korean children in the 1950s to 1980s, and the difficulty with cultural and racial adjustments the children went through. Now adults, numerous adoptees were interviewed for a report, which enlightens many issues of transracial adoptions.

The report was issued by the Evan B. Donaldson Adoption Institute, a nonprofit adoption research and policy group based in New York. Since 1953, parents in the United States have adopted more than a half-million children from other countries, the vast majority of them from orphanages in Asia, South America and, most recently, Africa. Yet the impact of such adoptions on identity has been only sporadically studied. The authors of the Donaldson Adoption Institute study said they hoped their work would guide policymakers, parents and adoption agencies in helping the current generation of children adopted from Asian countries to form healthy identities.

“So much of the research on transracial adoption has been done from the perspective of adoptive parents or adolescent children,” said Adam Pertman, executive director of the institute. “We wanted to be able to draw on the knowledge and life experience of a group of individuals who can provide insight into what we need to do better.”

The study recommends several changes in adoption practices that the institute said are important, including better support for adoptive parents and recognition that adoption grows in significance for their children from young adulthood on, and throughout adulthood. South Korea was the first country from which Americans adopted in significant numbers. From 1953 to 2007, an estimated 160,000 South Korean children were adopted by people from other countries, most of them in the United States. They make up the largest group of transracial adoptees in the United States and, by some estimates, are 10 percent of the nation’s Korean population.

The report says that significant changes have occurred since the first generation of adopted children were brought to the United States, a time when parents were told to assimilate the children into their families without regard for their native culture.

Yet even adoptees who are exposed to their culture and have parents who discuss issues of race and discrimination say they found it difficult growing up.

How our mortality can define the meaning of our lives

The New York Times concluded (for now) its blog series, Happy Times, about "the pursuit of what matters in troubled times recently. The final entry reflects on the meaning of one's life, especially when facing or reflecting upon one inevitable death. The writer observes two lessons in our mortality: First, that death is terrifying because we are essentially future-focused beings, and we do not know when death will occur for us.

The second, less obvious lesson is that death gives our life purpose by defining our lives in time, with finite boundaries. Developing that thought:

And when there is always time for everything, there is no urgency for anything. It may well be that life is not long enough. But it is equally true that a life without limits would lose the beauty of its moments. It would become boring, but more deeply it would become shapeless. Just one damn thing after another.

This is the paradox death imposes upon us: it grants us the possibility of a meaningful life even as it takes it away.

The evolving science of autism spectrum disorder

A recent story in the New York Times describes the ongoing evolution and evaluation of medical and scientific understanding of Asperger's syndrome and similar conditions within the range of autism spectrum disorder.

Here's an excerpt:

If these experts have their way, Asperger’s syndrome and another mild form of autism, pervasive developmental disorder not otherwise specified (P.D.D.-N.O.S. for short), will be folded into a single broad diagnosis, autism spectrum disorder — a category that encompasses autism’s entire range, or spectrum, from high-functioning to profoundly disabling.

“Nobody has been able to show consistent differences between what clinicians diagnose as Asperger’s syndrome and what they diagnose as mild autistic disorder,” said Catherine Lord, director of the Autism and Communication Disorders Centers at the University of Michigan, one of 13 members of a group evaluating autism and other neurodevelopmental disorders for the manual [on psychiatric diagnoses, being revised for publication in 2012].

“Asperger’s means a lot of different things to different people,” Dr. Lord said. “It’s confusing and not terribly useful.”

Taking Asperger’s out of the manual . . .does not mean the term will disappear. “We don’t want to say that no one can ever use this word,” Dr. Lord said, adding: “It’s not an evidence-based term. It may be something people would like to use to describe how they see themselves fitting into the spectrum.”