Clinical psychologist, Michael Grand, brings a compassionate understanding to all members of the adoption constellation. Drawing upon a lifetime of personal experience, research and clinical practice, he challenges conventional ways of thinking about adoption. The limitations of attachment theory as an explanation of adoption outcome are presented. In its place, he suggests a narrative understanding of adoption. Core themes of identity, grief, mattering and trust, permeate these narratives and shape the experience of members of the constellation. As a passionate advocate for openness, Grand explores the psychological costs of denying identifying information to adopted individuals and their birth kin. Parallels are also drawn to an impending crisis as offspring of assisted reproduction seek answers to their identity questions. The book concludes with a consideration of alternative permanency arrangements and a primer for opening closed adoption records. This book will change how we approach adoption in all of its manifestations. Adoptees, birth and adoptive kin, social workers, clergy, teachers, therapists, and legislators alike will find meaning within these pages.