1.What realization did Letitia have that felt pivotal in shifting the parent-child relationship? What do you think the infant's social and emotional needs were during this time period? How did Letitia meet them?What do you think Letitia's social and emotional needs were? How did they get met for her and by whom?What feelings did this case bring up for you? What was it like to tolerate the risk factors presented in this case? When you imagine your work with young children and parents in the future, do you have any thoughts on what your role might look like? What will be easy for you? Hard for you?Are any of the diversity informed tenets (from the assigned reading handout, Diversity-Informed Tenets for Work with Infants, Children, and Families) helpful to you in considering potential responses in this case? Describe at least one in relation to the case. M1: Risk and ResilienceCase Study: Tiffany and LetitiaThis case study focuses on the healing power and potential of relationships. In this scenario, the homevisitor, Tiffany, is an infant mental health therapist. Letitia, a single mother, has an important realizationthat feels pivotal in her relationship with her infant daughter, Carmine.Although this scenario features a mental therapist, who is playing a different role than an earlychildhood educator would, there are still some important takeaways from the story.Tiffany, an infant mental health therapist who was working in an Early Head Start home-based program, met Letitia and her daughter, Carmine, when she was 4 months old.Letitia was usually ready for the weekly visits. The two adults played with Carmine anddiscussed Letitia's challenges in reading the infant's cues.Letitia, a single mother, also talked about the legal and other challenges she was facingin her relationship with Carmine's father and in juggling multiple responsibilities and alack of money. Gradually, Letitia began to share about her life story and steps she wastaking to heal.Two months into the visits, Carmine developed meningitis. Letitia worked hard toadvocate for Carmine even though doctors missed early symptoms of the illness. In thecourse of staying with Carmine while she was ill, Letitia found that she was important toCarmine. Letitia realized that Carmine only stopped crying when she was there to holdher.Carmine got better, but medical staff worried about the illness' impact on the infant'sskills. Letitia did not want to view a video made of Carmine. Tiffany asked her about herreluctance, and Letitia share that she had been high when the video was made. SinceTiffany was building a relationship based on trust and respect, she asked Letitia to sign acontract saying that she would not be high during the weekly visits and would rescheduleif she needed to. Letitia had a childhood experience of loss that has led to relationshipchallenges and substance use. Tiffany thought that if she stopped working with Letitia,she would take that as a rejection of her instead of her substance use. Tiffany wasconcerned that additional feelings of rejection and abandonment could increase Letitia'ssubstance use and potentially impact Carmine. Plus, Tiffany thought that Letitia wasdoing some important work when not in an altered state.Although Letitia's use was hurtful to her and emotionally damaging to Carmine, Tiffanydid not think it was physically harming Carmine. Tiffany did express concern that Letitia'ssubstance use was negatively impacting her interactions with Carmine. Letitia stressed Case Study: Tiffany and Letitiathat her use was not obvious to anyone and that she did it when Carmine was asleep.Tiffany talked with Letitia about generational cycles of addiction and patterns in Letitia'sfamily.Even though Letitia was struggling with addiction, Tiffany thought that Letitia's use was acoping strategy and that new skills and working through the underlying reasons for heruse would help both her and Carmine. Letitia seemed surprised that Tiffany thought heruse meant that she was hurting and trying to avoid some feelings. Tiffany and Letitiaexplored the feelings that Letitia felt safe from when she was high. Tiffany did not rejectLetitia but kept coming back and indicating that she cares about both Letitia andCarmine. Tiffany sent the message that she would not abandon Letitia as she becamemore vulnerable.Letitia began to trust Tiffany more and began to talk about her life-the sudden death oftwo boyfriends, two school friends, and several relatives, all within a year during highschool. She had little support to navigate these losses and the grief she experienced.Instead, Letitia found alcohol and marijuana and used them to avoid feeling the sadness,fear, and anger she was experiencing. Before her pregnancy, Letitia had given upalcohol but was still struggling with marijuana. She was working her way through layersof defenses and was now facing the most challenging issue to overcome.Letitia recognized that she felt her brother, a year younger than her, was the prize childin the family. She remembered her brother as the one who did everything right, the onethat her parents talked about as if he was most successful. Letitia described feelingalone in life and taking care of others while no one took care of her. Letitia's mother hadleft while she was a teenager and she wished for someone to help her navigate life'schallenges. She found that her fight against addiction was actually about fear ofloneliness and abandonment.Her feelings of loneliness had developed from her relationships with her parents andbeen confirmed by losses that she experienced. Letitia associated pain with closeness toothers. Parenting Carmine and uncovering the roots of her addiction allowed Letitia tostart to heal old wounds.Letitia went to live with her mother for a while, who offered her a place to live and somefinancial support. Conflict eventually began to occur over how to best parent. Letitia grewmore confident in her ability to be a mom but also felt an impulse for her mom to takecharge so she could pursue other interests like getting high. Letitia wondered if she

Substance use disorder is a chronic condition characterized by the harmful use of substances such as…

Answered: 1.What realization did Letitia have…

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ISBN:9780134477961

Author:Saundra K. Ciccarelli, J. Noland White

Publisher:Saundra K. Ciccarelli, J. Noland White

Chapter1: The Science Of Psychology

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Problem 1TY

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1.What realization did Letitia have that felt pivotal in shifting the parent-child relationship?

What do you think the infant's social and emotional needs were during this time period? How did Letitia meet them?
What do you think Letitia's social and emotional needs were? How did they get met for her and by whom?
What feelings did this case bring up for you? What was it like to tolerate the risk factors presented in this case?
When you imagine your work with young children and parents in the future, do you have any thoughts on what your role might look like? What will be easy for you? Hard for you?
Are any of the diversity informed tenets (from the assigned reading handout, Diversity-Informed Tenets for Work with Infants, Children, and Families) helpful to you in considering potential responses in this case? Describe at least one in relation to the case.