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Florence Fisher organized The ALMA Society (Adoptees Liberation Movement Association) in 1972, Emma May Vilardi created International Soundex Reunion Registry (ISRR) in 1975, Lee Campbell and other birthmothers joined the fight for Open Records forming Concerned United Birthparents (CUB) in 1976, and by the spring of 1979 representatives of 32 organizations from 33 states, Canada and Mexico gathered together in DC to establish the American Adoption Congress (AAC).The Triadoption Library began keeping records in 1978 showing 52 search/support/reform organizations, by 1985 there were over 550 worldwide.Government agencies have varied over time in their willingness to facilitate trans-racial adoptions.

Problems with loss, grief, rejection, guilt and shame, identity, intimacy, and control uniquely affect each member of the adoption triad.Critics of transracial adoption question whether white American parents can effectively prepare children of color to deal with racism.Others wonder where the children raised by white parents will find social acceptance as adults.Testimony from many transracially adopted adults who grew up in white families illustrates the "in-between" status many adoptees feel, not belonging to or feeling comfortable in communities of color or among white society.Another source of controversy is the history of the widespread removal of children from families and communities of color, which has been shown by historians to have been a tool to regulate families and oppress communities, dating back to slavery times and during the now-discredited Indian Boarding School movement of the early twentieth century.

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