1. This kind of ambiguity in adoption, along with the strongly emotionally charged nature of the subject, can make it difficult for adoptees to feel free to discuss their own issues honestly, for fear of being ungrateful, hurting their adoptive parents' feelings, raising subjects they sense are taboo (such as the adoptive parents' true reasons for adopting, especially if this involves infertility) or incurring rejection.

Bei der so genannten halboffenen Adoption kann der Kontakt zwischen leiblichen Eltern und Kind mittels Briefen und Fotos über das Jugendamt oder die vermittelnde Agentur aufrechterhalten werden.