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Although adoption agencies take pains to gather medical and family history information, it is often not possible to have full information for the entire birth family.

In a closed or semi-open adoption, there may be no way for an adopted child to ask questions or clarify vague or missing information that may only become relevant long after the adoption occurred.

This feeling of loss may be especially intense in closed or semi-open adoptions where little or no information or contact is available with birthparents.

Such grief feelings including when they first learn of their adoption, during the turbulent teen years, upon the death of other family members, or even as when becoming a spouse or parent.

The following cultural patterns may represent many African Americans, but do not represent all people in a community.

Each person is an individual, as well as a community member.

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The following guides emphasize information that can be used to stimulate thinking about cultural differences and prompt questions that will help providers understand how their patients identify with and express their cultural backgrounds.There can also be significant concerns about coupled with specific hurt feelings over the birthmother's choice to "reject" the child" to "give me away" or "not wanting me enough." Such hurtful and vulnerable feelings may be compounded should the child learn that the birthmother later had other children that she chose to raise herself.Adopted children may also suffer from a loss of access to important medical or genetic birth family histories.Traditionally, many elders eat a large noon meal on Sunday after church.Traditional African-American food—sometimes referred to as “soul food”—is diverse and flavorful with origins in Africa, the West Indies, and American southern states.