As I read through this chapter, I carried immense hope. When
it was suggested that the 4 year old child may have infantile anorexia, that
sounded like the most ridiculous thing. To imagine a 4 year old who is doing it
to herself intentionally, and to have the cognitive capacity ot have those feelings
towards herself or others, is just wild. While I don’t disagree with the
medical professionals wanting to rule out serious medical conditions, it is
rather odd they didn’t think to ask the mother for her own background or even
consider a mental health issue.
When I
looked up failure to thrive to find out more information, the majority of the
informative websites online (assumingly meant for parents) never mention
anything to do with the childrearing practices, attachment, or the possibility
of it being a mental health issue. This infuriates me in a way, because I often
feel like social work or psychology is viewed as a “soft science” by those in
the medical field. In one article it suggests those who may be beneficial
resources for the family. It mentions needing a social worker if the family
needs to be connected to more food resources, or a psychologist for any
behavioral issues (Gupta, 2014). But no suggestion of any kind of mental unrest
was anywhere to be found within the article.
It made
me very sad to hear about the adoption issues of Virginia, and how despite
having a willing family, her biological family made this so difficult and
impossible for them, disadvantaging their child in the long run. I saw this
time and time again at the residential treatment center, and it broke my heart.
IT is so inherently selfish to not do something in the best interest of the
child, because of your own desires. When thinking about play therapy, I wonder
if children like Virginia display many nurturing behaviors or often play with
baby dolls within a play room. I wonder how much play therapy could have had a
positive effect on her.
I was
so impressed by Mama P’s ability to understand the children she worked with. I
think it is so amazing to have caregivers who are not afraid to provide safe
touch and to help heal the needs many of the children had been neglected upon
during their earlier years. It amazes me even further that she was willing to
take a mother and a child into her home, and provide the care and learning
experiences for both of them. What a true healing force this woman must be.
While I have done a lot of rocking and safe touch, I can only hope to grow up
to be like Mama P (#goals).
When
reading about how the brain plays a part in Laura’s situation, I found it
interesting that even if the basic needs are being met, the “physical
stimulation” for her body to grow, wasn’t being met. This puts Maslow’s
hierarchy of needs (Maslow, 1943) at question. Her physiological needs were
technically being met, as well as safety. Love/belonging was where it was
lacking, and yet she was failing to thrive. An argument could be made that
physiological needs includes affection, since it includes sex. However, there
is no mention throughout the various charts. When Dr.Perry brings in the
information about the “mirror” neurons and how they also probably contributed
to the current situation, the thought of a mother not really smiling at her
baby or making happy faces for the child to reflect, is also an interesting
thought. If we don’t see happiness often, and we don’t know how to display it,
can we really be happy?

I love that rupi kaur poem! Adds a very nice touch to this post!
ReplyDeleteI can totally understand why medical professionals were being meticulous in attempting to discover the source of Laura's physiological concerns. It can be important to rule out medical issues if there is a mental health concern. But, in this case, it's frustrating that there was insufficient biopsychosocial assessment. There is such a connection between mental health and physical health, and thank god Perry decided to do some deeper mental health investigating. I'm pretty passionate about working as a social worker in healthcare settings because I want to bring more attention to patients mental, emotional, and behavioral health needs.
Hmmmm.... on this whole "failure to thrive" internet search that does not generally mention that it could be cause for a mental health issue....what.the.heck. I can picture parents googling failure to thrive and never considering that it could be related to the child's mental and emotional health. I just want everyone in the world to study infancy and early childhood attachment to realize the importance of a healthy emotional bond in reducing developmental deficits.
That's interesting that you bring up Maslow's hierarchy of needs as maybe needing a more fluid approach. In regards to infancy, it definitely seems like just meeting a baby's physiological needs is going to have adverse effects. While a baby cannot survive without food and water, a there has to be a focus on providing love, belongingness, safety, and security because if not, a baby, such as Laura, may have severe physical concerns.