Sitting in the pediatrician’s waiting room watching her 5-year-old fall apart was a pivotal moment for Berta Serrano -- as life-changing as the appointment in another doctor’s office when it was made clear she could not become pregnant, as clarifying as the Nepal morning when she met the boy who would become her son.


Berta had thought he understood everything about how he’d come to be hers. She and her husband had talked openly with the 5-year-old about his adoption, and even remained in touch with the two boys who’d roomed with him at the orphanage, visiting them and their new families in the U.S. But then, on the afternoon of a random check-up, a bleary-eyed new father had walked into the waiting room with his newborn, and Berta’s son unraveled.


“So little,” Berta had cooed when her son first noticed the infant. “He just came out of his mommy’s belly.”


“Just like I came out of yours!” her son replied.


“No,” Berta said. “Remember, you came from another mommy and pappi. We don’t know them, but we love them for bringing you to us.”


That’s when his tears began. Torrents, Berta remembers. Wails and sobs. Raw grief. “He felt cheated,” she says now, “that he hadn’t been physically connected to me.”


What Berta did next has brought her front and center in an ongoing debate in adoption circles: What to tell? How to tell it? And at what age?


This certainly isn’t the conversation it used to be -- shame around adoption is the stuff of another century, and almost no one believes that it should be a secret. Good riddance. Now the questions are more nuanced, the answers less clear. Not whether to share, but what to emphasize. Not if, but how.


It is progress, to be sure, but more possibility brings more complication -- and more flareups like the one Berta found herself a part of. With so many ways to create, carry and raise a child, how should parents answer what has long been an uncomfortable question? Do you lead with the mechanics or the emotion? You keep it age-appropriate, yes, but what IS appropriate as the ways one can add a child to a family seem to multiply exponentially?


Is "adopted" an adjective, or a verb?


'A REAL DIALOGUE'


The book, everyone agrees, is beautiful. Berta, who is an art gallery consultant by profession, wrote the words, and her brother Alfonso, an award-winning illustrator, created the drawings -- bright tapestries, reminiscent of art from the Serranos’ native Spain, suffused with color and fantasy.


But what was inside sparked a serious debate between some in the adoption community.


Berta titled the book Born From The Heart, and adoption blogger Amber H. (who blogs about open adoption at BumbersBumblings.com) agreed to the publisher’s request for a review. November is National Adoption Month, and many books on the subject are published and sent out for reviews during that time. Amber, whose 8-year-old son and 1-year-old daughter came to her at birth by way of open adoptions, had a small stack of titles waiting to be read. “It was a very nice package,” she said of her decision to choose Berta’s book from the pile and read it aloud with her husband a few weeks ago.


Born From The Heart is a fable about a woman who wants to be a mother and goes to a doctor to learn how. “One pound of love, two cups of enthusiasm and one and a half tablespoon of patience,” is his prescription. So the woman and her husband do a lot of yoga (or something that looks like yoga) and go back for an MRI (or something that looks like an MRI), and the doctor exclaims, “I believe you are going to have a child. I can see something gleaming in your heart!”


The parallels to pregnancy continue, with the woman’s heart expanding so much that she needs new clothes, which she finds at “a special store for special moms like her.” Then, when “it was time,” the expectant parents “flew over marshmallow clouds, crossed landscapes of every imaginable color, and climbed up and down never-ending mountains” until they “arrived at a little house in a green valley” where the woman’s heart bursts with happiness and she “saw her baby for the first time.”


Halfway through, Amber’s husband began to snicker. And she didn't feel much better about the work. As Amber later wrote on her Facebook page[1] :






Amber says she was torn because there's already too much fighting online about the topic of adoption, and she believes everyone in the community -- birth parents, adoptive parents and children -- should support and respect each other.


“I needed to voice how I felt, but I didn’t want to bash her and be hurtful,” Amber says. “I wanted start a real dialogue.”


The next day, Amber went back to her Facebook followers[4] and got started. She felt the book missed the mark in many ways[5] .


Amber started by posting a quote from the YouTube video that Berta’s publisher made[6] to promote Born From The Heart: "It doesn't matter how my child came to me, it just matters that we are a family, that is most important!"


After asking followers for their reaction to that statement, Amber gave them her own: "Don't you understand; It DOES matter how your child came to you; their past matters and you are doing a huge disservice to your child to miss this!"








DOES IT MATTER HOW WE CAME TO BE A FAMILY?


The word adopted can be a verb or an adjective. "You were adopted." "We adopted you." Used that way, it's a means to an end -- the process that brought you together, past tense. It happened, and then it was done.


But the adjective lingers long after the verb is through. "You are adopted." "An adopted child." It continues beyond the judge's order and the signed documents, and it defines a piece of a child's identity.


The conversation Amber sparked, first with her Facebook posts, and then with her review of Born From The Heart on her website, was filled with opinions on both ends of that linguistic spectrum.


There were those who saw it as Berta does. “How a a child became a part of a family unit does not reduce the child's relationship in that unit, e.g., biological versus adopted,” wrote Nathan Lummus in a Facebook comment on Amber's post[9] . “Honestly, I've probably said something similar, and my intention was not to reduce my children's pasts, but more to explain that my love for my children does not depend on being biological or adopted.”


There were others whose view was the same as Amber's. Renee Bergeron, another commenter on Facebook[10] , wrote that to say it doesn't matter how a child came to their parent is to imply that “the child's feelings don't matter at all. As an adoptive mom, I totally 'get' how that view could be tempting. But even my daughter who was adopted at three days old has a history. She came from *somewhere* and she has a right to that information.”


In an interview, Berta explained that she is more than eager to share whatever details she knows about her son’s past, but she stressed that that wasn't what he was asking for last year at the pediatrician's office. What he needed then, she says, was assurance that he and she had a bond as strong as biology.


"When he asks, 'Where is my mom? Where did I come from? Why did my parents leave me?' -- I want to turn it around and instead concentrate our energies on how much your dad and I wanted you, and how much we were fighting to get you. That’s the story that he needed to hear," Berta says.


Or is it? Amber counters that an adoption story should never be portrayed as the fulfillment of an adult’s wish rather than a celebration of a child’s journey. Too many “adoption-related children's books ... want the children to know all the parents went through to become their parents,” she says. “Some books cover infertility, the waiting process, the praying process, etc. While a small part of that is appropriate so the child knows that they were dreamed of and wanted, I think placing too much emphasis on this can be attributed to a majority of 'adoptee guilt and shame.' I do not want our emotional baggage in our path to parenthood and adoption to become any part of my son's baggage.”


That said, even a TMI tale of infertility would suit her better than Berta’s story of outright fantasy, she says. Exploding hearts and magic recipes are no different than the stork or the birds and the bees in her eyes.


“I do not believe that we should give our children misinformation about sex,” Amber writes in her review[11] of the story. “The book is a fantasy-type book and is written in fairytale language, but I think this could very well lead a child to believe that this is the way they are created. That this is fact, not a magical work of fiction.”


'HE UNDERSTOOD'


Someday soon, Berta says, she plans to travel back to Nepal with her son, so he can visit the Children’s Home where she first met him. She wants to go when he is old enough to remember the journey, she says, but not so old that “he has preconceived notions and judgements” about his beginnings -- a tough line to pinpoint at an age when children change so quickly.


Already, she says, he has outgrown the tale she began telling him after that pediatrician’s visit. A year or so ago, she says, “He understood it was poetic and had magic. Once, I asked him what it was about, and he said, 'That you love me.' He understood."


More recently, she says, "He is more scientific in his approach. 'Did this really happen to you Mom?' I answered, 'It really happened, but not like this where everybody could see. It happened inside. I felt my heart was getting bigger and bigger, and when I saw you there was an explosion of happiness.'"


She says she is amused, and somewhat comforted, by the fact that he has begun to use her words as his own, as only an almost-6-year-old can do.


"He wanted a new bicycle, and to let me know how much he wanted it, he said, 'Mom, my heart is growing for the bicycle.' We will keep talking. That's what parents and children do."




Earlier on HuffPost:




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  • <a href="http://www.huffingtonpost.com/2013/01/02/cindy-williams-birth-moms-adoption-portrait_n_2396938.html">Cindy Williams: 'I Didn't Know My Sons For 11 Years'</a> "I don't remember exactly when I found the online support group, but I am so glad I did. I really think that no one understands a birth mom like another birth mom. No one else has ever had the kind of experiences we have had. I can see that all the feelings that I had over the years were normal, and that I am very lucky to have met my birthsons."




  • <a href="http://www.huffingtonpost.com/2013/01/03/intra-family-adoption-story_n_2403300.html">Why Do I Have To Be Adopted? A Story Of Intra-Family Adoptions</a> "Adoption was shameful back then. Terminology like “real mother” was de rigueur. Women who couldn’t have their “own” children were lesser, and the only reason a fertile woman wouldn’t raise her “own” child was her own inadequacy. And if she was pregnant “out of wedlock” (another popular phrase), then it was clearly all her fault. Never mind if she was only twelve."




  • <a href="http://www.huffingtonpost.com/2013/01/04/why-we-will-adopt-story_n_2405249.html">Michelle Mercurio: 'We Realized That We Couldn't Wait Any Longer To Adopt'</a> "Our nephew is at the heart of our adoption story not because we lost him, but because of the love and connections that grew in our hearts because of him. We know now, more than ever before, that we would be compassionate parents who would fiercely love and protect a child to help him or her grow into an amazing adult."




  • <a href="http://www.huffingtonpost.com/2013/01/05/imaginary-redhead-adoption-story_n_2405298.html">Adoption And Family: How Everyone Is Affected, Not Just 'Us'</a> "As an adoptive parent, I struggled with the loss of privacy, the loss of control over this aspect of my life -- becoming a parent -- and the loss of my imagined child -- that redheaded basketball player I had expected."




  • <a href="http://www.huffingtonpost.com/2013/01/05/clarks-voice-adoption-story_n_2405407.html">Jay D. Lenn, Adoptive Parent, On Helping A Child With Speech Delays Find His Voice</a> "Biological parents cannot, of course, control everything about their children’s development. I suppose a primary difference with adoption is learning to accept that loss of control before you even start parenting."




  • <a href="http://www.huffingtonpost.com/2013/01/07/grey-market-adoption_n_2424888.html">Searching For The Truth About My 'Grey Market' Adoption</a> "My adoptive parents are the ones who raised me -- they changed my diapers, fed me, and listened to my terrible teenage poetry. The fact that they didn’t trust me enough to tell me the truth is the only part of the past year and a half that still hurts."




  • <a href="http://www.huffingtonpost.com/2013/01/08/adoption-portrait-foster-adoption_n_2432547.html">Gina Sampaio, Foster Parent, On Navigating The Birth Mother Relationship</a> "I still have no guides to navigating this relationship, but at least for now, I think we’re doing alright forging our own path."




  • <a href="http://www.huffingtonpost.com/2013/01/09/15-and-pregnant-adoption-portrati_n_2440974.html">15 And Pregnant: Why I Chose To Put My Baby Up For Adoption </a> "I knew this was why this horribly terrifying thing was happening to me. It was supposed to happen; it was my job to give someone a baby that they could not have on their own. I was strangely at peace, or at least as peaceful as you can be when you find out you are pregnant at 15."




  • <a href="http://www.huffingtonpost.com/2013/01/10/how-being-adopted-as-a-child-affects-me_n_2447477.html">I Was Adopted As A Child, But That Doesn't Define Who I Am </a> "Having been adopted is part of me, and will probably always have some kind of impact on me, but it doesn't need to define me. I am who I am. Does knowing I was adopted change that?"




  • <a href="http://www.huffingtonpost.com/2013/01/11/merrin-donahue-a-letter_n_2447681.html">A Letter To My Son's Birth Mother </a> "You and I will always be connected: the mother that carried him and gave him life and loves him from so far away, and the mother that has been blessed with the unimaginable gift of being called “Mommy” and being here to kiss the boo-boos and chase away the bad dreams. You are my sister, and although I will never meet you, I have more love for you than you will ever know."




  • <a href="http://www.huffingtonpost.com/2013/01/12/stop-asking-adopted-kids-real-parent-question_n_2449836.html">The 'Real Parents' Question To Stop Asking Adopted Kids </a> "My real mom is an accomplished author and teacher. That’s my mom. There’s no such thing as a REAL mom and a fake mom. Sure, there’s my birthmom, but I don’t ever care or think about her. She did a very selfless thing to give me up, so why would I want to bug her? That’s incredibly selfish of me."




  • <a href="http://www.huffingtonpost.com/2013/01/13/foster-mothers-love_n_2450107.html">How My Foster Mother's Love Saved My Life </a> "It is the love, attention and support of a parent which can make or break the people we turn out to be. Although my foster mother died when I was at a precarious age, the substance she raised me with has been a foundation upon which my life has been built."




  • <a href="http://www.huffingtonpost.com/2013/01/14/adoption-portrait-never-called-mom_n_2450459.html">The Grief In Knowing My Son Will Never Call Me 'Mom' </a>




  • <a href="http://www.huffingtonpost.com/2013/01/15/foster-parenting-and-connection-adoption-portrait_n_2457370.html">Saying Goodbye To The Foster Child I Fell In Love With </a> "I did not enjoy a very real Rayna shattering my “mother fantasy.” I realized I subconsciously had hoped not to like her. I was forced to admit quite the opposite after that first phone conversation."




  • <a href="http://www.huffingtonpost.com/2013/01/16/adoption-portrait-open-adoption_n_2459132.html">We're Still Learning What An Open Adoption Looks Like</a> "To be the adoptive parents there are no descriptions of your relationship with the birth family, no rules, no prescribed etiquette. There’s this tiny person who cannot talk and her mom tethering you to them and them to you. In other words -- you wing it."




  • <a href="http://www.huffingtonpost.com/2013/01/17/looking-for-birth-mother-adoption-portrait_n_2489262.html">How Becoming A Mother Changed My Mind About My Own Adoption</a> "I was also very aware that I was opening myself up for a potential One might ask why would I subject myself to this -- Talia was the reason. She was my only daughter and literally the only blood relative I knew at that point in my life."




  • <a href="http://www.huffingtonpost.com/2013/01/18/foster-to-adoption-process_n_2496567.html">What A Foster-To-Adoption Process Is Really Like </a> "I do not think there is any amount of training that can truly prepare a person to understand the opposing elements of fostering-to-adopt, and the State’s number one goal, which is reunification of families. Sure they warn you, sure your head “understands.” Logically you can spout off to any person who will listen that it is important to keep families together. Realistically, though, to the heart, it is a different matter."




  • <a href="http://www.huffingtonpost.com/2013/01/19/meeting-your-childs-birth-mother_n_2506000.html">Meeting Your Child's Birth Mom: When The Challenge Isn't What You Feared At All </a> "My insecurity and fear are more real to me now than ever. I am afraid. That’s what it boils down to. I am scared. Here’s the thing, though: she gave this precious boy life and decided, for all her many reasons, that she wanted me to be his mommy. This fact doesn’t lessen her importance, in fact, it magnifies it. She did something AMAZING. Something I know I could NEVER do. And now … I am at a crossroads."




  • <a href="http://www.huffingtonpost.com/2013/01/20/adopted-son-dad-greatest-moment_n_2507385.html">Hearing My Adopted Son Call Me 'Dad' Was The Greatest Moment Of My Whole Life</a> "But then the greatest moment of my whole life occurred. My son came home and came out onto the back deck where I was hanging out. We talked a little about nothing in general. Then he turned to me and said: “He is okay as a buddy, but you are my Dad.”"




  • <a href="http://www.huffingtonpost.com/2013/01/21/the-adoption-process-letter-to-birth-mom_n_2507449.html">The Adoption Process: Trying To Write The Perfect Letter To A Birth Mom</a> "The next stage for us is to create our profile, our family marketing plan, if you will. It is this profile, we are told, that will attract our birth mom or birth family. This profile is our best tool to find the proverbial needle in a haystack –- a birth mom who believes we are capable of parenting her child in a way she cannot. This is beyond humbling and mythic in its emotional proportions."




  • <a href="http://www.huffingtonpost.com/2013/01/22/adoption-painful-struggle_n_2507454.html">Our Painful Struggle Over The Son We Desperately Wanted To Adopt </a> "Before she went any further, I felt a warmth rush through my body. My heart started to race and I choked on tears. She hadn't said a word more but something was telling me, almost like a whisper in my ear, "This is your son. Go get him." (I still get chills when I think about it.)"




  • <a href="http://www.huffingtonpost.com/2013/01/23/adoption-walls-of-secrecy-dissolved_n_2528692.html">'The Click': How I Knew I'd Found The Right Family To Adopt My Baby </a> "A few days later, I signed over my parental rights, and William became Jim and Lynn’s, legally. I cried. She cried. Everyone cried. I was so sad and empty going home without him, but I was equally relieved and happy that he was with these amazing people."




  • <a href="http://www.huffingtonpost.com/2013/01/24/this-crazy-wonderful-hectic_n_2536739.html">Notes From A Birth Mom: 'I Have Been Very Fortunate To Be Allowed In Katie's Life' </a> "Our annual visits get easier for me every year, and I think that ease comes from knowing my place with Katie and her knowing that I love her as much as I love E and D. When I saw Katie this past summer, she had changed so much. She had cut her hair shorter; she was wearing braces and she was almost as tall as Carrie."




  • <a href="http://www.huffingtonpost.com/2013/01/25/adoption-stigma_n_2542717.html">I'm Still Waiting For The Stigma Of Adoption To Go Away </a> "And those family ties count for a lot -- more than you think. Just recently I got into a discussion with someone about tracing my birth family. "Why do you need to know?" she asked. And I answered: how often have you heard or said among your family, "she looks like her dad" or "that runs in the family" or "he's just like his grandfather" or "it's in his blood.""




  • <a href="http://www.huffingtonpost.com/2013/01/26/why-my-son-has-a-closed-adoption_n_2544287.html">Why My Son Has A Closed Adoption </a>




  • <a href="http://www.huffingtonpost.com/2013/01/27/friends-becoming-grandparents_n_2544289.html">My Friends Were Becoming Grandparents And It 'Often Felt Like A Stab In The Chest' </a> "She was tired of the drugs, shots, doctor appointments, rude questions from people, and the whole ball of yarn. She wanted to start a family and didn’t want to wait for more tests, more failed pregnancies and more heartbreak. She certainly put things in perspective. How could I blame her for having had enough? Having had two successful pregnancies, I certainly didn’t understand entirely what she was going through both physically and emotionally. She was pursuing another specialist, but she also wanted to pursue adoption options."




  • <a href="http://www.huffingtonpost.com/2013/01/28/we-didnt-get-to-keep-the-other-baby_n_2544377.html">'We Didn't Get To Keep The Other Baby, But This One Is Ours Forever' </a> "We are invited into the room where Cammi is with her son and her family. There is a reverent feeling and lots of tears. I sit down and then think better of it and rush over to give her the biggest hug. This girl, there are no words to express our love and gratitude."




  • <a href="http://www.huffingtonpost.com/2013/01/29/giving-my-baby-up-for-adoption_n_2567272.html">I Finally Understood My Birth Mom When I Gave My Own Baby Up For Adoption </a> "There are so many things I wish I could tell you. The most important of all is that I love you. I've loved you since the day you were born, and I miss you terribly. I spend a lot of time wondering if you know that. I spend a lot of time wondering if you're happy. I pray that you are."




  • <a href="http://www.huffingtonpost.com/2013/01/30/adoptive-father-and-daughter_n_2575154.html">Andrew, Adoptive Father: 'Love And Devotion Do Not Require The Same DNA'</a> "I cannot imagine not being able to feel her hugs or see her smile. Her expressions of love, often in the form of a note or a picture, have always affected me. She is so very complicated, so fiercely independent, and so vulnerable. I love that she wears a storm trooper costume on Halloween and then wears footie pajamas to bed. I love when she talks about her imaginary team of unicorns that pull our car along as we drive. Mostly, I just love her."




  • <a href="http://www.huffingtonpost.com/2013/01/31/getting-in-touch-with-birth-parents_n_2575254.html?utm_hp_ref=parents&ir=Parents">What I Never Expected When I Met My Birth Parents</a> "bMom broke away from bDad and ran the last few steps, grabbed me in a hug. I lost it. Tears steamed down my face. I remember seeing bDad walk up. I heard him say, “What about me?”