Unit I Growth and Development
Unit I Growth and Development
OBJECTIVES
After the discussion and participation in varied activities designed for this concept, the
second year students will be able to:
1. Analyze the human life span from the neonatal period through old age
and death including development patterns, sequence, and rates.
2. Apply the knowledge on the principles of growth and development and the factors
influencing it through the assessment of own growth and development.
3. Familiar to major human development theories including those of Erik Erikson,
Jean Piaget, Lawrence Kohlberg, Carole Gilligan, Sigmund Freud, and other
contemporary theorists.
4. Determine the physical, cognitive, social and emotional changes that occur in
infancy, early childhood, late childhood, adolescence, young adulthood, mature
adulthood and old age
INTRODUCTION
Child development can be defined as the process by which a child changes over time. It covers
the whole period from conception to an individual becoming a fully functioning adult. It’s a journey
from total dependence to full independence.
A number of factors affect the course and progression of child development within a given
individual. These include the innate or the biological makeup of the child themself and external
influences such as family, society, economics, health and culture. Thus, growth and development are
directly related to the child’s nutrition, affluence, parenting styles, education and interaction with peers.
KEEP IN MIND
Growth - an increase in physical size of the body.
- Reflects the quantitative change of body.
- Refers to the changes that can be measured. (kilograms, lbs, centimeters)
Example: Taking the height and weight of a pediatric client and comparing the measurement
to the standardized growth charts
Development - a progressive increase in skills and capacity to function.
- Reflects the qualitative change in the body and are difficult to measure in exact units.
- Proceeds from simple to complex, general to specific, from head to toe and from trunk
to the extremities.
Example: A child’s progression from rolling over to crawling to walking are developmental
changes
Physical Growth
- The measurable aspect of an individual’s increase in physical measurements
- Measurable indicators include changes in height, weight, teeth, skeletal structures and
sexual characteristics
Maturation
- The process of aging
- The individual begins to adapt and show competence in new situations
- Involves an individual’s logical ability, physiological condition and desire to learn more
mature behavior
Principles of Growth and Development
1. Growth and development are continuous processes from conception until death.
2. G and D proceed is an orderly sequence.
3. Different children pass through the predictable stage at different rate.
4. All body systems do not develop at the same rate.
5. Development is cephalocaudal.
6. Development proceeds from proximal to distal body parts.
7. Development proceeds gross to refined skills.
8. There is optimum time for initiation of experiences or learning.
9. Neonatal reflexes must be lost before development can proceed.
10. Skill and behavior are learned by practice.
Rate of Growth
• Rapid – fetal, infancy, adolescence
• Slow – school age
• Alternating rapid and slow
– toddler - decline in growth
– preschooler – slow and steady growth
REMEMBER
o Children resembles one another but each child is unique.
o Play is the universal language of children.
o Behavior is the most sensitive indicator of development.
Major Factors Influencing Growth & Development
I. Nature Forces
A. Heredity
B. Genetic endowment determines race, hair/eye color, physical growth and psychological
uniqueness
C. Temperament
- Characteristic psychological mood with which the child is born - includes behavioral
styles
- Influences interactions bet. individual and the environment- early indication of
personality.
- individual's characteristic level of emotional excitability or intensity and is typically
recognized within the 1st few weeks after birth
Types of Temperament
• Difficult babies are often irritable and fussy. upset easily and unpredictable when it
comes to feeding schedules.
• Easy babies are calm and relaxed, follow predictable feeding schedules but are also
flexible within their day, seen as friendly and happy.
• Slow-to-warm-up babies do not like new situations. They are cautious and sometimes
fussy, but they do warm up to new stimuli or situations with repeated exposure.
II. External Forces
A. Family
- Protect and nurture its members.
- Influences through its beliefs, customs and specific patterns of interaction and
communication.
B. Life experiences
- A learning process that allow individual to develop by applying what has been learned
C. Peer Group
Provides:
• different learning environment
• different patterns of interaction and communication →different styles of behavior
• learn about success and failure
• Validate and challenge thoughts, feelings and concepts
• Receive acceptance, support, rejection as unique persons apart from family
• Achieve group purposes by meeting demands, pressures and expectations
D. Health Environment
- Level of health affects individuals responsiveness to environment and responsiveness of
others to the individual
E. Prenatal Health
– Pre-conception ( genetic, chromosomal factors, maternal age, health)
– Post-conception ( nutrition, weight gain, use of tobacco/alcohol, medical problems)
DEVELOPMENTAL THEORIES
Five Areas of Theory Development
1. Biophysical development
2. Psychoanalytic/Psychosocial development
3. Cognitive development
4. Moral development
5. Spiritual development
Virtue - moral excellence, it is a positive trait or quality deemed to be morally good and is valued
as a foundation of principle and good moral being.
1. Biophysical Development
- describe the way our physical bodies grow and change.
- process of biological maturation
- biological influences on development include factors such as genetics and exposure to
teratogens. (Any agent that can disturb the development of an embryo or fetus.)
2. Psychoanalytic/Psychosocial Development
- describe the development of the human’s personality, behavior and emotions.
- thought is influenced by internal biological forces and external societal/cultural forces.
- Has stages that children go through while attempting to resolve conflicts between
biological drives and social forces.
3. Cognitive Development
- Focused on reasoning and thinking process including changes on how people come to
perform intellectual operations.
- Mental processes including perceiving, reasoning, remembering and believing.
4. Moral Development
- Focuses on the description of moral reasoning ( people think about the roles of ethics or
moral conduct but does not predict what a person would actually do in a given situation)
- ability of an individual to distinguish right from wrong and to develop ethical values on
which to base his/her actions.
5. Spiritual Development
- Refers to individual’s understanding of their relationship with the universe and their
perceptions about the direction and meaning of life.
PSYCHOANALYTIC/PSYCHOSOCIAL THEORY
• Sigmund Freud
• Erik Erickson
• Robert Havighurst
– Implications
o Feeding produces pleasure and sense of comfort and safety
o Feedings should be pleasurable and provided when required
Characteristics
– Occurs during toilet training (best 2½ y/o ; earliest 1½ y/o ; mastery 4y/o
*Fixation : result in obsessive-compulsive personality traits.
– Fixation manifested by: obstinacy, stinginess, cruelty, and temper tantrums.
Obstinacy: Unreasonable firmness and stubborness,
OCD -Perfectionism, preoccupied w/ order, rules, details, over conscientious, rigid, inflexible
Implications
o Controlling and expelling feces provide pleasure and sense of control
o Toilet training should be a pleasurable experience
o Appropriate praise can result in a personality that is creative and productive.
Characteristics
– Focus: Sexual and aggressive feelings associated with genitals
– Masturbation offers pleasure
– *Fixation : can result in difficulties with sexual identity and problems with authority.
– Implications
o Child identifies with the parent of the opposite sex
o Later takes on a love relationship outside the family
o Encourage identity.
Stage IV: Latency (6-12 yrs) School Age
– Sexual urges from the earlier Oedipal stage are repressed and channeled into productive
activities that are socially acceptable.
– Period of calmness
– Mastery of learning.
Characteristics
– Energy is directed to physical and intellectual activities.
– Sexual impulses tend to be repressed.
– Unresolved conflicts can result in obsessiveness and lack of self-motivation.
Implications
– Encourage child with physical and intellectual pursuits
Stage V: Genital (Puberty – Adolescence)
– Renewed sexual drive - directed to an individual outside family circle.
– Phase of sexual maturity directed toward heterosexual relationship.
– Unresolved prior conflicts surface during adolescence - once resolved, will have
a mature adult sexual relationship.
Characteristics
– Energy is directed toward attaining mature sexual relationship.
– Reactivation of pre- genital impulses
– Conflicts can result in sexual problems:
1. Frigidity
2. Impotence
3. inability to have a satisfying sexual relationship
Implications
– Encourage separation from parents
– Achievement of independence and decision making
II. PSYCHOSOCIAL THEORY
– Erik Erikson (1902-1993 (US) was a student of Sigmund Freud
– believed that children go through stages of personality development
– Each stage has its own crisis, or struggle between positive and negative outcomes, which must
be worked through successfully
Eight Stages/Crises of Man
– each stage builds on successful completion of earlier stages.
– completion of each stage - a virtue or strength emerges.
– stages not successfully completed- expected to reappear as problems in the future.
– believed that treatment as an infant determines to a large degree, how a person views the world.
*Object Permanence – knowledge that an object continues to exist independent of our seeing, hearing,
touching, tasting or smelling it!
* The child is incapable of solving problems. Around 18 months the child realizes the object has fallen
and will search for it. The child can form a plan to retrieve it, but success tends to be a trial and error
process. For example, a 20 - month old may finally figure out how to open a door by turning the
doorknob after many attempts, but may forget the next day and have to re-solve the problem.
2. Preoperational Stage (2-7yrs)
2.1 Preconceptual Phase (2-4 years)
• Uses an egocentric approach to accommodate the demands of an environment
• Magical thinking
• Everything is significant and relates to “me”
• Explores the environment
• Language development is rapid
• Ability to use symbols
• Associates words with objects
*By age 2, the child can use language to control the environment and help solve problems. The child
can sing a song, tell what happened and can understand some opposites. However, she cannot
understand abstract concepts, such as death or honesty.
2.2 Intuitive Thought Phase (4-7 years)
• Egocentric thinking diminishes
• Thinks of one idea at a time – one characteristic of an object.
• Includes others in the environment
• Lack conservation
• Words expresses thoughts
• No responsibility
*Conservation: understanding that, although an object’s appearance changes, it still stays the same
in quantity.
Eg. when you pour a liquid into a different- shaped glass, amount of liquid stays the same.
Reversibility: that numbers or objects can be changed and then returned to their original state.
Eg. A ball that deflates is not gone and can be filled with air, a ball of clay, once flattened, can be made
into a ball of clay again.
Classification: the ability to name and identify sets of objects according to appearance, size or other
characteristic, classification, conservation mass/ area/liquid
From age 6-12, the child can see complex relationships, classify objects and put in order, solve simple
arithmetic problems, and read. S/he still has difficulty dealing with hypothetical situations.
For example, a child might be able to recognize that his or her dog is a Labrador, that a Labrador is a
dog, and that a dog is an animal, and draw conclusions from the information available, as well as
apply all these processes to hypothetical situations.
LEARN MORE
V. MORAL DEVELOPMENT
• Jean Piaget
• Lawrence Kohlberg
• Carol Gilligan
*LAWRENCE KOHLBERG
A. 1927-1987 (New York)
B. Has studied development of moral development in children
C. Believed that children go through stages of moral development
Stages of Moral Development - Kohlberg
a. Level I Preconventional
*Standards of right from wrong are set down by parents
*Actions-based from satisfying one’s own personal needs.
Stage 1: Punishment and Obedience Orientation
- The activity is wrong if one is punished, and the activity is right if one is not punished.
Eg: Nurse follows a physician’s order so as not to be fired
Stage 2: Instrumental-relativist Orientation
- Action is taken to satisfy one’s needs rather than society
Eg: A client in hospital agrees to stay in bed if the nurse will buy the client a newspaper
b. Level II Conventional
- Children’s actions are based on standards and expectations of the group.
Stage 3: Interpersonal Concordance (good boy, nice girl)
- Action is taken to please another and gain approval
Eg: A nurse gives elderly clients in hospital sedatives at bedtime because the night
nurse wants all clients to sleep at night
Stage 4: Law and Order Orientation
- Right behavior is obeying the law and following rules
Eg: A nurse does not permit a worried client to phone home because hospital rules
stipulate no phone calls after 9PM.
BEHAVIORISM OVERVIEW
– Behaviorism is more concerned with behavior than with thinking, feeling, or knowing.
– It focuses on the objective and observable components of behavior. The behaviorist theories all
share some version of stimulus-response mechanisms for learning.
– Behaviorism originated with the work of John B. Watson, an American psychologist. Watson
held the view that psychology should only concern itself with the study of behavior, and he was
not concerned with the mind or with human consciousness.