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1 TOPIC 1: INTRODUCTION TO CHILD PSYCHOLOGY 2 GROWTH • Growth is a quantitative process of change – i.e. change in weight/height, size and structure, physical and mental aspects. • Changes can be measured & assess - from one stage to the other. • Growth will reach its peak once a person mature. 3 DEFINITION “Growth is an individual development in body size, for ex. changes in muscles, bones, hair, skin & glands” [Karl E. Garrison] “Growth is a change that can be measured from one stage to the other, and from time to time” [Atan Long] “Growth as an increment in a person external attributes. For examples in terms of size, height and body weight” [D.S Wright & Ann Taylor] 4 DEVELOPMENT • Developmental is defined as change. • Human development refers to a particular type of change or the pattern of change that begins at conception and continue through the life span. • Development occurs in the context of the significant social environment of life process (family, school, peer group, community). 5 THUS….CHILD DEVELOPMENT IS… • A scientific study of understanding all aspects of human constancy and change from conception through adolescence. • A part of a larger discipline known as developmental psychology or human development, which includes all changes experienced throughout the lifespan. 6 BEHAVIORAL CHANGE AS A DEVELOPMENTAL CHANGE • Three general condition/criteria – The change is orderly or sequential. – The change results in a permanent alteration of behavior. – The change results in a new behavior or mode of functioning that is more advanced, adaptive or useful than prior behaviors. 7 THE STUDY OF CHILDHOOD: BASIC CONCEPTS • Developmental Processes: Changes and Stability – Quantitative change (growth) – Involve changes in size or amount, such as height, weight. – Qualitative change – a change in types, structure, or organization, such as the ability for verbal communication, motor skill ability. • Changes cannot be ‘measured’ but can be observed and compared with earlier development. E.g. ability of a newborn & 5 months old baby – Stability – constancy or enduring characteristics • Changes in development is continues from one stage to the other but maintaining a pattern • Specific characteristics Cephalacaudal, proximodistal, mass to specific 8 DEVELOPMENTAL STAGES • • • • • Prenatal Infancy (0-2 year) & Toddlerhood (2-3 year) Early childhood(3-6 year) Middle childhood Adolescence (11-19 year) – Early (11-14 year) – Middle (15-17 year) – Late (18-19 year) • Adulthood(≥ 20 year) – Early (20-30 year) – Middle (40-50 year) – Late (60 year and above) 9 DOMAINS OF DEVELOPMENT • Physical development – Body, brain, senses, motor skills • Cognitive development – Learning, memory, language, thinking, moral reasoning • Psychosocial development – Personality, emotions, social relationships • Interrelated throughout development 10 DOMAINS OF DEVELOPMENT (CON’T) Domain Physical Changes in •Body size & proportions, appearance •Function of body systems, health •Perceptual & motor capacities Cognitive • Intellectual abilities Social •Emotional communication •Self-understanding, knowledge about others •Interpersonal skills & relationships •Moral reasoning & behavior 11 INFLUENCES ON DEVELOPMENT • Factors that can influence development are:– Nature (sejadi) • Genetic (Warisan/baka/genetik) – Nurture (Asuhan) • Environment (Persekitaran) • Food intake (Pemakanan) • Health (Kesihatan) 12 MAJOR CONTEXTUAL INFLUENCES • Normative Influences – Normative age-graded influences/event, i.e. biological or social • Example = puberty or entry into formal schooling – Normative history-graded event, i.e. cohort (a group of people who share a similar experience) • Example = living during the Great Depression/Tsunami • i.e. Atypical events, e.g. having a birth defect • Non-normative Influences – Individual events that impact the person – Events can be traumatic or happy 13 Historical Foundation: How the study of childhood has evolved? • Early Approaches – Medieval times – The Reformation – The Enlightenment • John Locke • John Jacques Rousseau • Darwin 14 SCIENTIFIC BEGINNINGS – Baby biographies • Charles Darwin • G. Stanley Hall – Normative Period of Child Study – Mental Testing Movement 15 AN EMERGING CONSENSUS • All domains are interrelated. • Normal development includes a wide range of individual differences. • Children help to shape their own development and influence others’ responses to them. • Historical and cultural contexts strongly influence development. • Early experience is important, but children can be remarkably resilient. • Development in childhood is connected to development throughout the rest of the lifespan. 16 THEORIES IN DEVELOPMENTAL PSYCHOLOGY 17 WHAT IS A THEORY? • A theory is a set of logically related concepts or statements, which seeks to describe and explain development and predict what kinds of behavior may occur under certain conditions. • Hypotheses are tentative explanations or predictions that can be tested by research. 18 THEORY An orderly, integrated set of statements that – Describes – Explains behavior – Predicts Benefits of Theories in Developmental Psychology • Explain the meaning of an event/facts • Able to relate these facts 19 THEORIES Psychoanalytic Psychosexual (S. Freud) Psychosocial (E. Erickson) Learning Behavioral Learning Classical Conditioning (Pavlov) Operant Conditioning (Skinner) Social Learning (A. Bandura) Cognitive Cognitive Developmental Theory (J. Piaget) Socio-cultural (L. Vygotsky) Moral Development (Reasoning) (Kohlberg) Human Ecology System (U. Bronfenbrenner) 20 Freud’s Three Parts of the Personality Id •Largest portion of the mind •Unconscious, present at birth •Source of biological needs & desires Ego •Conscious, rational part of mind •Emerges in early infancy •Redirects id impulses acceptably Superego •The conscience •Develops from ages 3 to 6, from interactions with caregivers 21 PSYCHOANALYTIC • Psychosexual (S. Freud) *Psychosexual stages •Oral stage •Anal stage •Phallic •Latency •Genital • Psychosocial (E. Erickson) * 8 stages of dev. • • • • • • • • Trust versus mistrust Autonomy vs shame Initiative vs guilt Industry vs Inferiority Identity vs Identity Confusion Intimacy versus isolation Generativity vs stagnation Integrity vs despair 22 PSYCHOANALYTIC • Psychoanalytic theory proposes that morality develops through humans' conflict between their instinctual drives and the demands of society. • Freud identified three parts of the personality that become integrated during five stages of development • Id • Ego • Superego 23 PERSONALITY STRUCTURE Superego Ego Id 24 PERSONALITY STRUCTURES • ID (unconscious element) – the largest portion is the source of basic biological needs and desires. • EGO (semi-conscious element) – the conscious rational part of the personality, emerges in early infancy to redirect the id’s impulses so they are discharged in acceptable ways • SUPEREGO (The conscious element that function on the basis of morality). – the conscience that develops between ages 3 and 6 through interactions with parents, who insist that the child conform to the values of society. 25 FREUD PSYCHOSEXUAL STAGES • Oral stage [0- 1 year] – – Mouth is the focus of stimulation & interaction. Feeding & weaning are central • Anal stage [1-3 year] – – Anus as the focus of stimulation & interaction. Elimination & toilet training is central 26 FREUD PSYCHOSEXUAL STAGES • Phallic [3-6year] – The genital is the focus of stimulation. Gender role & moral development are central. – Conflict between id & superego – Children interested to know more different sexes, babies etc. – 2 main conflict: • Oedipus Conflict son attracted to mother • Electra Conflict daughter attracted to father » Penis envy 27 FREUD PSYCHOSEXUAL STAGES • Latency [6-12 year] – A period of suspended sexual activities; Energy shift to physical and intellectual activities. Focus on achievement • Genital [Adolescent – adulthood (12 & above)] – Genital are the focus of stimulation with the onset of puberty – Mature sexual relationship develop 28 ERIKSON’S PSYCHOSOCIAL STAGES Late Adulthood (60 above) Integrity vs Despair Middle Adulthood (40’s-50’s) Generativity vs Stagnation Young Adulthood (20-30’s) Adolescent (12-19) Identity vs Role Confusion Middle childhood (6-11) Early Childhood (3-5) Toddler (1-2) Infancy (0-1) Intimacy vs Isolation Industry vs Inferiority Initiative vs Guilt Autonomy vs Shame/doubt Trust vs Distrust 29 BEHAVIORISM & SOCIAL LEARNING Classical Stimulus – Response Conditioning (Pavlov) Operant Conditioning (Skinner) Reinforcers (Reward) and Punishments Social Learning (Bandura) Modeling 30 BEHAVIORAL THEORY • Classical Conditioning (Ivan Pavlov) • Stimulus & Response • Learning based on association of a stimulus that does not ordinarily elicit a response with another stimulus that does elicit the response. • Operant Conditioning (B.F. Skinner) • Learning based on reinforcement (punishment) or punishment • Positive reinforcement • Negative reinforcement • Punishment • Behavior modification 31 BEHAVIORAL THEORY • Social Learning Theory • Albert Bandura • Modelling (Role model) • Theory that behaviors are learned by observing and imitating models – Observational learning – Models – Importance of values and thoughts in imitating behavior of a model – Practical implications? 32 BEHAVIORISM & SOCIAL LEARNING • Development results from learning • Behaviorism – a mechanistic theory – Continuous change – Quantitative change • Importance of the environment • Associative learning 33 COGNITIVE THEORY • Jean Piaget • Cognitive Development • Socio-Cultural Theory • L. Vygotsky • • Sensorimotor (0-2) • Preoperational (2-6) • Concrete Operational (6-11) • Formal Operation (11-adulthood) • Community & culture influence on development Focus is the social, cultural, and historical complex of which the child is part. Social Interaction • Zone of proximal development – The difference between what a child can do alone and with help • Scaffolding – Temporary support to help a child master a task. 34 VYGOTSKY’S SOCIOCULTURAL THEORY • Transmission of culture to new generation – Beliefs, customs, skills • Social interaction necessary to learn culture – Cooperative dialogue with more knowledgeable members of society • Zone of proximal • Scaffolding 35 COGNITIVE THEORY • Moral Development • Kohlberg • Lvel 1: Preconventional morality (4-9 years) – Punishment and obedience orientation – Instrumental/Egoistic orientation • Level 2: Convensional morality (10-15 years) – Good boy-nice girl orientation – Law and order • Level 3: Postconventional – Social contract – Universal ethical principles 36 THE ECOLOGICAL-SYSTEMS APPROACH • Human Ecological System • U. Bronfenbrenner • View of development that sees the individual as inseparable from the social context • Urie Bronfenbrenner’s bio-ecological theory – Understanding processes and contexts of development • • • • • Micro system Meso system Exosystem Macrosystem Chronosystem 37 ECOLOGICAL SYSTEMS THEORY 38 RESEARCH METHODS IN STUDYING CHILDREN HOW THEORY AND RESEARCH WORK TOGETHER? • Which theory is generally accepted today? • What is the relationship between theory and research? 39 RESEARCH METHODS Qualitative and quantitative research Scientific method – system of established principles and processes of scientific inquiry Identifying a problem Formulating hypotheses Collecting data Analyzing the data Disseminating findings 40 SAMPLING • Groups of participants chosen to represent the entire population • The sample should adequately represent the population under study – Generalization • Random selection 41 FORMS OF DATA COLLECTION • Naturalistic and laboratory observations • Parental report/self-reports – Clinical interview – Open-ended interview – Structured interview – Questionnaire 42 SYSTEMATIC OBSERVATION • Observe respondent in their natural setting • Naturalistic Observation – In the “field” or natural environment where behavior happens • Structured observation – Laboratory situation set up to evoke behavior of interest – All participants have equal chance to display behavior • Participant observation – Incognito – Record data: • • • Audio Video Manual 43 INTERVIEWS Clinical Interview • Flexible, conversational style • Probes for Structured Interview participant’s point of • Each participant is view asked same questions in same way • May use questionnaires, get answers from groups 44 BASIC RESEARCH DESIGNS • • • Case studies – Collect various information about a subject to be studied (people/event) – Make a conclusion about subject understudied. Ethnographic studies – Participant observation Correlational studies – – To examine the relationship between 2 variables (independent and dependent variables) – Research intended to discover whether a statistical relationship between two variables exists • Problems of control and interpretation of causality – Survey - A study on respondent’s views on certain issues • Use Questionnaires/Structured interview schedule 45 CORRELATION COEFFICIENTS Magnitude • Size of the number between 0 and 1. • Closer to one (positive or negative) is a stronger relationship • r value Direction • Indicated by + or - sign. • Positive (+) means, as one variable increases, so does the other • Negative (-) means, as one variable increase, the other decreases. 46 CORRELATIONS 47 EXPERIMENTAL STUDIES • To examine the cause & effect of a phenomena understudied • Rigorously controlled, replicable procedure in which the researcher manipulates variables to assess the effect of one on the other. – Independent variable - the condition over which the experimenter has direct control – Dependent variable - the condition that may or may not change as a result of changes in the independent variable – Experimental group and control group 48 INDEPENDENT AND DEPENDENT VARIABLES Independent • Experimenter changes, or manipulates • Expected to cause Dependent changes in another • Experimenter measures, variable. but does not manipulate • Expected to be influenced by the independent variable 49 MODIFIED EXPERIMENTS Field Experiments • Use rare opportunities for natural assignment in natural settings Natural Experiment • Compare differences in treatment that already exist • Groups chosen to match characteristics as much as possible 50 DESIGNS FOR STUDYING DEVELOPMENT Longitudinal Same participants studied repeatedly at different ages Cross-sectional People of differing ages all studied at the same time Longitudinal-Crosssectional Same groups of different-aged people studied repeatedly as they change ages. 51 CHILDREN’S RESEARCH RIGHTS • • • • Protection from harm Right to Informed consent Knowledge of results Beneficial treatments 52 CHILDREN’S RESEARCH RIGHTS • Avoidance of deception – Debriefing, providing a full account and justification of research activities, should take place with children, but does not always work as well • Right to privacy and confidentiality 53 TOPIC 2: PRENATAL DEVELOPMENT 54 SPERM Sperm is the male reproductive cell Chief Characteristics: 1. Tightly packed tip (acrosome) that contains 23 chromosomes that carry genetic information 2. Short neck region 3. Trail to propel it in its search for the ovum 4. Microscopic Fact: • Remains capable of fertilizing egg for 24-48 hours after ejaculation • Of 200 million sperm that enter the vagina, only about 200 survive the journey to the fallopian tubes, where fertilization occurs • Males, at birth, have in their testes those cells that will eventually produce sperm 55 OVUM (EGG) The ovum is the female reproductive cell Chief Characteristics: 1. Round 2. .01 mm in diameter 3. Consistency of stiff jelly 4. Contributes 23 chromosomes Fact: • Females already have 1-2 million primal eggs at birth • Eggs usually fertilized about 12 hours after discharged from the ovary or they die within 12-24 hours 56 PREGNANCY • If the egg is fertilized by a sperm cell as it travels down the fallopian tube, then pregnancy occurs, it becomes attached to the lining of the uterus 57 PREGNANCY • In order for conception to occur, though, there must be three factors present: – the egg, – the sperm – a medium in which the sperm can travel to reach the fallopian tubes. • Women produce cervical fluid under the influence of increasing levels of estrogen in the first part of the cycle. • Sperms can live up to five days in fertile quality cervical fluid 58 3 STAGES IN PRENATAL DEVELOPMENT • Germinal stage • Embryonic stage • Fetal stage • Principles – Cephalocaudal principle – Proximodistal principle 59 FIRST STAGE: GERMINAL • Starts at conception (fertilization) until implantation 14 days. • Conception process When the sperms meets the egg (ovum) in the fallopian tube travel down into the uterus where it implants in the uterine lining and begin to grow (implantation). 60 CONCEPTION • Conception occurs when the sperm meets and penetrates the ovum, or egg ovum sperm 61 CONCEPTION • Normally, only one sperms will succeed penetrating through the ovum wall. 62 CONCEPTION • When one sperms succeeded penetrating the ovum wall, a protective lining will form around it preventing other sperms to enter/penetrate. • The combination of ovum & sperms form zygote (with one nucleus). • Zygote will later develop into blastosist a complex organism with millions of cells with various functions. 63 Germinal Stage (Fertilization to 2 Weeks) • Rapid cell division, increasing complexity and differentiation, and implantation • Mitosis • Blastocyst – Embryonic disk • Ectoderm, endoderm, mesoderm • Trophoblast – Placenta & umbilical cord – Amniotic sac & chorion 64 Germinal Stage (Fertilization to 2 Weeks) 65 Fetal Development Fertilization: the sperm and egg join in the fallopian tube to form a unique human being. • a fertilized egg, only thirty hours after conception. 66 ZYGOTIC PERIOD (CONCEPTION - 1ST WEEK) • A zygote is a fertilized egg with 46 chromosomes • Genetic potential determined at this time • Egg is 2.5 mm in diameter at end of 1st week • Mitosis, a process of cell division, occurs during this period 67 EARLY DEVELOPMENT OF A HUMAN EMBRYO 68 EARLY DEVELOPMENT OF A HUMAN EMBRYO 69 EARLY DEVELOPMENT OF A HUMAN EMBRYO 70 Embryo: Blastocyst burrows into the uterine lining 71 Embryo: Blastocyst burrows into the uterine lining • As soon as the fertilized egg burrows into the lining, it starts releasing a pregnancy hormone, HCG (Human Chorionic Gonadotropin) which sends a message back to the corpus luteum left behind on the ovarian wall. • HCG signals the corpus luteum to remain alive beyond its usual maximum of 16 days and continuing to release progesterone long enough to sustain the nourishing lining. • After several months, the placenta takes over, not only maintaining the endometrium, but providing all the oxygen and nutrients the fetus needs to thrive. 72 CELLS DIVISION • There are two type of cell division: – Mitosis and meiosis • Reproductive cells divide through meiosis process, while all other body cells divide through the mitosis process 73 CELLS DIVISION • • • • Mitosis is cell division that results in the duplication of cells; the daughter cells genetic copies of the parent cell. This cell multiplication allows for replacement of old cells, tissue repair, growth and development. Mitosis – The creation of new cells through duplication of chromosomes & divisions of cells cells duplicates (From 1 24 16 32, etc) – Cells developed into organs, brain, heart etc. Growth & Development – You grew from a zygote, or fertilized egg (the fusion of two cells: an egg and a sperm) into an organism with trillions of specialized cells. – Mitosis is the process that enabled you to grow and develop after that fateful meeting of ovum and sperm became ‘you’. Cell Replacement – Cells must divide in order for an organism to grow and develop, but cell division is also required for maintenance, cell turnover and replacement. 74 Meiosis is Sex Cell (Gamete) Formation • In sexually reproducing organisms, some cells are able to divide by another method called meiosis. • Meiosis is a complex process by which gametes form; involves duplication and division of reproductive cells and their chromosomes. – The number of chromosomes in cells divide into two’s, and each set of cell will receive 1 from each sets of chromosomes makes up 23 sets. • This type of cell division results in the production of gametes (eggs or sperm). • Meiosis is much more complex than mitosis involves the duplication and subsequent division of chromosomes, meiosis involves two divisions of genetic material. As is the case in mitosis, in meiosis the cell duplicates its chromosome number prior to beginning cellular division. Then nuclear division, the sorting out of the genetic material, begins, and unfolds over the course of 2 cellular divisions that result in 4 gametes. 75 Meiosis is Sex Cell (Gamete) Formation • • Gametes & Gonads – Gametes are haploid (1n) with half the number of chromosomes than the progenitor cell that they arose from. These haploid sex cells arise in specialized reproductive tissue called the gonads. Ovaries (female gonads) and testes (male gonads) are the sites of meiosis. Fertilization & Development – Sexual reproduction results in the merging of sperm and egg at fertilization, and brings the chromosome count back to the 2n diploid number necessary for a zygote to have complete genetic information; 2 sets of genetic instructions in 23 pairs of chromosomes. – As cells divide, the zygote develops and grows into an embryo, fetus and beyond. These 23 pairs of chromosomes are duplicated with every cell division, and are the genetic material inside nearly every cell of the body. 76 What's the Difference between Mitosis & Meiosis • Mitosis is how the cells of our body make more cells for growth, development and repair. • Meiosis is how our body makes sex cells, or gametes (eggs or sperm). 77 MECHANISMS OF HEREDITY • The Genetic Code – Basis of heredity is a chemical called deoxyribonucleic acid (DNA), which contains all the inherited material passed from biological parents to children – Every cell except the sex cells has 23 pairs of chromosomes--46 in all – Genetic action that triggers growth of body and brain is often regulated by hormones 78 MECHANISMS OF HEREDITY • The genetic code – DNA and chromosomes – Human genome – 23 pairs of chromosomes in every cell (46 total) – except sex cells • Meiosis – division in sex cells (23 single chromosomes) • Mitosis – division in body cells 79 GENETIC CODE • Genetic information are kept in chromosomes ie. A long & complex set of DNA molecules. • Genes is a segment of DNA molecules contains instructions for making protein. • Human being is said to have 100 trillions of cells in the body with specific functions; and is distributed through 46 chromosomes, ie. 23 from father & 23 from mother. 80 GENETIC FOUNDATION • Genotype (genetic makeup) • Phenotype (observable characteristics) 81 HEREDITARY COMPOSITION OF THE ZYGOTE 82 What determines sex? • Autosomes – chromosome pairs 1- 22 • Sex chromosomes – 23rd pair of chromosomes – XX = female – Xy = males 83 Determination of a child’s sex 84 What determines sex? – Sex chromosomes are either X chromosomes or Y chromosomes – When an ovum (X) is fertilized by an X-carrying sperm, the zygote formed is XX, a female – When an ovum (X) is fertilized by a Y-carrying sperm, the resulting zygote is XY, a male 85 CHROMOSOMES • Boy or girl? • Chromosomes determine sex : – 23 pairs of sex chromosomes – Female : XX pairs of sex chromosomes – Male : XY pairs of sex chromosomes FATHER=XY XY (male) MOTHER=XX XX (female) 86 PATTERNS OF GENETIC TRANSMISSION – When an offspring receives two contradictory traits, only one of them, the dominant one shows itself – The expression of a recessive trait, occurs only when a person receives the recessive traits from both parents 87 DOMINANT AND RECESSIVE INHERITANCE 88 • What Causes Multiple Births? – Dizygotic (two-egg) twins=fraternal twins – Monozygotic (one-egg) twins=identical twins – The rise in multiple births is due in part to a trend toward delayed childbearing • Infertility – Inability to conceive a baby after 12 to 18 months of trying 89 GENETIC AND CHROMOSOMAL ABNORMALITIES – Some defects are due to abnormalities in genes or chromosomes, which may result from mutations – Many disorders arise when an inherited predisposition interacts with an environmental factor, either before or after birth 90 Sex linked inheritance of a birth defect 91 NATURE AND NURTURE • Some Characteristics Influenced by Heredity and Environment – Adopted children's IQs are consistently closer to the IQs of their biological mothers than to those of their adoptive parents and siblings. – Monozygotic twins generally look alike; they are also more concordant than dizygotic twins in their risk for such medical disorders as hypertension (high blood pressure), heart disease, stroke, rheumatoid arthritis, peptic ulcers, and epilepsy – Heredity seems to exert a strong influence on general intelligence and also on specific abilities – A strong hereditary influence on schizophrenia and autism, among other disorders; found in families 92 2ND STAGE IN PRENATAL DEVELOPMENT STAGE EMBRYONIC STAGE 93 EMBRYONIC STAGE (2 TO 8 WEEKS) • Rapid growth and development of major body systems and organs • A critical period • Trimesters • Spontaneous abortion (miscarriage) • Stillborn 94 PHASES IN PREGNANCY: • First trimester (week 1-12) • 2nd Trimester (week 13 -24) • 3rd Trimester (week 25 & above) 95 PROCESS OF FERTILISATION Father (Sperm) ½ cell (23 chromosome X or Y) Mother (Ovum) ½ cell (23 chromosome X) FERTILISATION Zygote Embryo Fetus Baby 96 2nd Stage: Embryonic Period (2nd Week - 2nd Month) • The phase after implantation. after the development of zygote and developing its blastosist. • Embryo composed of millions of cells with various functions (week 3-8) 97 2nd Stage: Embryonic Period (2nd Week - 2nd Month) • The differentiation of embryonic cells into layers marks the beginning of the embryo, or embryonic period • Period when all body systems form • Highly sensitive for susceptibility of congenital malformations, or abnormal conditions with which an infant is born 98 Embryonic Period: End of The 1st Month • 1/4 inch (6 mm) long • 1 oz. Weight • Crescent-shaped with small limb buds on sides • Tail with tiny ridges • Rudimentary circulatory system is forming • Heart begins to beat • Growth acceleration 99 Embryonic Period: End of The 2nd Month • 1.5 inches long • Beginning of face, neck, fingers, toes develop • Limb buds lengthen • Muscles enlarge • Sex organs begin to form • Rapid brain development • Embryo is firmly planted on uterine wall and is receiving nourishment from placenta and umbilical cord 100 7 weeks Facial features are visible, including a mouth and tongue. The eyes have a retina and lens. The major muscle system is developed, and the unborn child practices moving. The child has its own blood type, distinct from the mother's. These blood cells are produced by the liver now instead of the yolk sac. 101 3rd stage: Fetal Stage (8 weeks to birth) • Embryo develops fetus (baby in the uterus). • Cells that represents eyes, head, body, hands, legs further develops larger. • The period of consumption until baby is born 40 weeks (sometimes 38-36 weeks). 102 Fetal stage • Increased detail of body parts and greatly enlarged body size • Finishing touches • Fetal behavior – Ultrasound 103 Early Fetal Period: 3rd - 6th Month • Period of the fetus begins around the 3rd month and continues until delivery • Movement first becomes apparent to mother at this time • No new anatomical features appear during this period, yet still critical time 104 Early Fetal Period: 3rd Month • Rapid growth, 3 inches long at end of 3rd month • Sexual differentiation continues • Teeth buds emerge • Stomach and kidneys begin to function • Vocal cords appear • Reflex actions felt: opens/closes mouth, clenches fist, sucks thumb 105 Early Fetal Period: 4th Month • Most rapid growth rate (doubles in length to 6-8 inches) • 6 oz. Weight • Hands fully shaped • Bony tissue begins to form 106 Early Fetal Period: 5th Month • Reaches 1/2 of birth length (8-10 inches) • Only 10% of birth weight (1/2 lb.) • Skin, hair, nails appear • Internal organs grow and assume proper anatomical positions • Pigmented hair on head & eyebrows appears 107 Early Fetal Period: 6th Month • 13 inches long • 1 lb. Weight • Eyelids reopen and are completed • Structurally complete but functionally immature 108 Later Fetal Period: 7th-9th Month/Birth • From the 7th month to birth, the fetus triples in weight • This is a period of filling out • Preparation for birth 109 Later Fetal Period: 7th Month • A layer of adipose tissue begins to form under skin (serves as both insulator & food supplier) • Rapid 2-4 lb. Weight gain • 14-16 inches long • Fetus is quiet for long periods of time • Brain more active and is increasing control over body systems 110 Later Fetal Period: 8th Month • Fetus is more active (frequent changes in position) • Fatty deposits distributed • 16-18 inches long • 4-6 lbs. 111 Later Fetal Period: 9th Month (Birth) • 19-21 inches long • 6-8 lbs. • Birth process is initiated by placenta and contraction of uterine muscles • Birth generally occurs after week 40 of gestation (normal is 38-42 wks.) 112 IMPORTANT PARTS IN THE UTERUS • • • • Amniotic Sac Placenta Amniotic fluid Umbilical cord 113 ENVIRONMENTAL INFLUENCES (TERATOGENS) • Maternal factors – Teratogenic – capable of causing birth defects 114 MATERNAL FACTORS (CONTINUED) • Prescription and Nonprescription Drugs – Medical drugs • Thalidomide • DES • Aspirin – Caffeine – Cocaine, heroin, or methadone 115 MATERNAL FACTORS (CONTINUED) • Tobacco/Nicotine • Alcohol – Fetal alcohol syndrome – Fetal alcohol effects Sexually transmitted diseases and other maternal illnesses – Acquired immune deficiency syndrome • Radiation • Environmental Polution • Maternal Diseases 116 OTHER MATERNAL FACTORS • • • • • Exercise & Physical activity Nutrition Emotional Stress Rh Incompartibility Maternal age 117 THE BIRTH PROCESS • Stages of childbirth – First stage – Second stage – Third stage – Fourth stage • Electronic fetal monitoring 118 STAGES OF CHILDBIRTH 119 TOPIC 2: PRENATAL DEVELOPMENT (Continue.) 120 Stages of Childbirth What signs indicate that labor is near? Stage 1: Time interval? What happens? Stage 2: Time interval? What happens? Stage 3: Time interval? What happens? 121 The Birth Process 122 Stage 1 : Dilation of the cervix • The longest stage of labor – First baby 12 - 14 hours – Sebsequent babies 4 - 6 hours • Dilation of the cervix – is the widening and thinning of the cervix resulting in a clear pathway from the uterus into the birth canal. • Contractions are forceful and regular Gradually, they get closer together, occurring every 2 to 3 minutes, and become more powerful, continuing for as long as 60 seconds. • Transition is reached when the frequency and strength of contractions are at their peak and the cervix opens completely. 123 The Birth Process Stage 1 Figure124 7.10.1 Stage 2 : Delivery of the Baby • First baby 50 minutes • Subsequent births 20 minutes • Strong contractions continue mother feels a natural urge to squeeze and push with her abdominal muscles forcing the baby down and out. • An episiotomy is a small incision at the perineum increases size of the vaginal opening permits baby to pass without damaging the mother’s tissues. • The baby’s head crowns when the vaginal opening stretches around the entire head. 125 Stage 2 Stage 3 Figure126 7.10.2 Stage 3: Delivery of the Placenta • The final stage lasts about 5 to 10 minutes. • The final contractions and pushes cause the placenta to separate from the uterine wall and be delivered. 127 Factors influencing the development during prenatal period • Parents age – Too Young – Mum too old – Dad too old • Mother’s Pregnancy History – Frequent pregnancy – Frequent miscarriage/abortion • Mother’s Physical condition – Size (too fat/ thin) • Mother’s Diet • Mother’s Emotion • Teratogenic Agent 128 TOPIC 3: POSTNATAL DEVELOPMENT 129 The Baby’s Adaptation to Labor and Delivery Newborn’s appearance 130 The Newborn Baby • Newborn are called Neonate. • First four weeks of life (neonatal period) – A time of transition from the uterus, where a fetus is supported entirely by the mother to an independent existence. • When neonate are first born: – – – – – Covered by fluid from amniotic sac Blood from placenta Brownish fluid from own faeces. Covered with lanugo (fuzzy prenatal hair) Covered with vernix caseosa (cheesy varnish) 131 The Newborn Baby • Size and Appearance – New babies have distinctive feature a large head and a receding chin – On the head Fontanels (the soft spots) – Newborns have a pinkish cast skin so thin that it barely covers the capillaries through which blood flows. – Boys tend to be slightly longer and heavier than girls, and a firstborn child is likely to weigh less at birth than laterborns 132 The Newborn Baby • • • • • Weight : 2.8 -3.2 kg Length : 51-53 cm (Boy > girl) Head Circumference: 30-33 cm Breathing: – Initially fast, short & irregular – Later more stable & with rhythm Blood pressure become stable in 10 days. 133 Is the Baby Healthy? • • Medical and Behavioral Screening 1. Apgar Scale 2. The Brazelton Neonatal Behavioral Assessment Scale 3. Checks are also done for any structural or physical deformities (eg. spinal defect, cleft palate) Silver nitrate or tetracycline is usually dropped into neonate eyes to prevent from bacterial infection while passing through birth canal. 134 Apgar Scale • • • • Apgar Scale is a standard measurement of a newborn’s condition Introduced by Dr. Virginia Apgar Access newborn • 1 min after birth • 5 min after birth Assess: – Appearance (colour) – Pulse (heart beat rate) – Grimace (reflex) – Activity (muscle tone) – Respiration (breathing) 135 APGAR SCALE Sign 0 1 2 Appearance Blue, pale Body pink, extremities blue Entirely Pink Pulse Absent Slow (below 100) Rapid (over 100) Grimace No response Grimace Coughing, sneezing, crying Activity Limp Weak, inactive Strong, active Respiration Absent Irregular, slow Good, Crying Score: Above 7 = good/normal 4 -7 = average, need monitoring 3 & Below = need immediate attention, high risk situation 136 Brazelton Neonatal Behavioral Assessment Scale – The Brazelton Neonatal Behavioral Assessment Scale (NBAS) (Dr. Berry Brazelton) serves 3 purpose: • As an index of neurological integrity after birth • To predict future development • To assesses neonates' responsiveness to their physical and social environment – Screening done on 3rd day and repeat again after several days. 137 Brazelton Neonatal Behavioral Assessment Scale (NBAS) • • • Test on four distinct areas: – Social behavior (interactive behaviors in the home) – Motor behaviors (reflexes & muscle activities) – Control of physiology (baby’s ability to quiet himself) – Stress response (startle reaction) High score a neurologically well developed infant Low score a sluggish infant who need help in responding to social situations, or possible brain damage. 138 Babies In-born Reflexes • • • • Reflexes an inborn, automatic response to a particular form of stimulation. Full term newborns come equipped with a variety of reflexes for use in dealing efficiently with stimuli present in their environment. Some reflexes are necessary for survival (eg. Rooting & sucking reflexes) Reflexes are probably genetic in origin & include a timing mechanism that allows them to fade away after a period of time. 139 Examples of Newborn Reflexes • • • • • Eye Blink Withdrawal Rooting Sucking Swimming • • • • • Moro Palmar Grasp Tonic Neck Stepping Babinski 140 In-born Reflexes Reflexes Eliciting Stimulus Response Developmental duration Babinski Gentle stroke along sole of foot (heel toe) Toes fan out: big toe reflexes Disappears by end of first year Moro Sudden lost of support Arms extended, then brought towards each other Disappear in 6 months Palmer Grasp Rod of finger pressed Object grasp against infant’s palm Disappear in 3-4 months Rooting Object lightly brushes Baby turns towards infant’s cheek object and attempts to suck Disappear in 3-4 months Sucking Insert Finger in mouth Rhythmic sucking Disappear in 3-4 months Walking Held baby upright. Infant step forward as if Disappear in Sole of feet placed on walking 3-4 months hard surface 141 Rooting • Stroke cheek near corner of mouth or object brushes the area • Infant response by turning head toward stimulation • Disappears at 3 weeks when child begins to be able to voluntarily turn head • Helps infant find nipple 142 Moro Reflex • Hold infant horizontally on back and let head drop slightly or produce sudden loud sound against surface supporting infant • Infant response is to make an embracing motion by arching back, extending legs, throwing arms outward and then bringing them in toward the body • Disappear at 6 months • Probably in human evolution helped baby cling to mother 143 Palmer Grasp • Spontaneous grasp of adult’s finger • Disappears at 3-4 months to allow reaching and grasping • Prepares infant for voluntary grasping 144 Tonic Neck Reflex • Turn baby's head to one side while lying on back • Infant responds by lying in a “fencing position” with one arm extended in front of eyes on side to which head is turned other arm is flexed • Disappears at 4 months • May prepare infant for voluntary reaching 145 PATTERNS OF GROWTH • Children grow faster during the first years, especially during the first few months. • This rapid growth rate tapers off during the second and third years Physical growth and development follow the maturational principles of the cephalocaudal principle and proximodistal principle. 146 Influences on Growth • Genes interact with environment, i.e. nutrition and living conditions, general health and well-being • Well-fed, well-cared-for children grow taller and heavier than less well nourished and nurtured children • Better medical care, immunization and antibioticsbetter health 147 Growth And Nutrition • Nourishment – Breast milk is almost always the best food for newborns and is recommended for at least the first 12 months – Parents can avoid obesity and cardiac problems in themselves and in their children by adopting a more active lifestyle for the entire family--and to breastfeed their babies 148 The Brain • First 3 years of life is critical to baby’s brain development. • Before & after birth brain growth is fundamental to future development. • It is estimated that about 250,000 brain cells are form every minute in the uterus. • By birth, almost 100 billion nerve cell are formed, but not fully develop. 149 Molding the Brain: The Role of Experience • Smiling, babbling, crawling, walking, and talking are possible due to rapid development of the brain, particularly the cerebral cortex 150 …BRAIN • Each part of the brain is very important in infuencing a child development integration between child emotions and behavior. Middle brain: Limbic System • Covers motivation, emotions, & long term memory, aggressive behavior, body temperature, hunger, nerve system activities, hormon secretion Outer Brain: Cortex & neocortex • Divided into lobes/sections (folds) with specific functions. • Placement of ‘intelligence’ & higer mental process, learning, memory, thinking, language (last to develop) • Also control vision, hearing, inventing. Brain stem Contro process such as breathing, heartbeat muscle movement, kidney process, reflex behavior, sleep, arousal, attention, balance/movement etc. 151 Regions of the Cerebral Cortex Thin layer on the brain’s surface that include lobes or sections: • Occipital lobe – Process vision. • Temporal Lobe – Process hearing • Parietal Lobe – Process sensory stimuli • Frontal Lobe – Critical thinking & problem solving – Frontal cortex area of the cortex that controls personality and the ability to carry out plans 152 Molding the Brain: The Role of Experience • Early experience can have lasting effects on emotional development and the capacity of the central nervous system to learn and store information • Sometimes corrective experience can make up for past deprivation 153 Brain and Neurons ...OTAK & NEURON First 3 years of life children’s brain are actively building and developing connections between the neurons cells. Connections are developed when the brain are actively receiving stimulus process between receiving and sending impulses between the cells. Through axons/dendrites send signals to other neurons & receive incoming message through connection called synapses. 154 Infant States of Arousal • States of arousal are different degrees of sleep and wakefulness • Infants move in and out of 5 states throughout the day and night: – Regular sleep – Irregular sleep – Drowsiness – Alert Activity – Waking activity and crying • Striking individual differences in daily rhythms exist that affect parents’ attitudes toward and interactions with baby. 155 Early Sensory Capacities • • • • • Touch Hearing Vision Taste Smell 156 Touch and Pain • Touch seems to be the first sense to develop • Sensitivity to touch, pain, and temperature change is well-developed at birth. • Pain experienced during the neonatal period may sensitize an infant to later pain, perhaps by affecting the neural pathways that process painful stimuli • Relieve pain with anesthetics, sugar, gentle holding • Reflexes reveal sensitivity to touch, for example touch on mouth, palms, soles, genitals • Touch helps stimulate physical and emotional development. 157 Newborn Senses of Taste and Smell • Prefer sweet tastes at birth • Quickly learn to like new tastes • Have odor preferences from birth • Can locate odors and identify mother by smell from birth 158 Taste • Babies are born with the ability to communicate their taste preferences to caregivers. • Infant facial expressions indicate they can distinguish among several tastes. • Newborns' rejection of bitter tastes is probably another survival mechanism, since many bitter substances are toxic 159 Smell • The responsiveness of infants to the smell of certain foods is similar to that of adults showed that some odor preferences are innate. • A newborn infant is attracted to the odor of her own mother’s lactating breast helps to find food source and to identify own mother a survival mechanism. • Newborns can identify the location of an unpleasant odor and turn head away. • A preference for pleasant odors seems to be learned in utero and during the first few days after birth 160 Studies conducted: Smell and Taste • Lipsitt, Engen & Kye (1963): Baby showed negative response to the smell of ammonia. • Steiner: Baby showed different facial expression when exposed to different type of scent. • Mac Farlane (1977): Baby can differentiate between own mother’s milk and other mothers’ milk. • Schmidt & Beauchamp (1988): Baby’s ability to smell is almost equivalent to a 3 years old ability to smell. • Harris & friends: By aged 4 months old, baby like the taste of salt 161 Smell • • Baby LIKES the smell of: • Banana, • Margerine • Tangerine Baby DISLIKES the smell of: • Amonia • Rotten egg 162 Hearing • Well developed at birth - sensitive to voices and biologically prepared to learn language • Hearing is functional before birth ability to discrimination sound develops rapidly after birth. E.g. Infants respond with changes in heart rate to loud sounds (even in the womb) • Can hear wide range of sounds but are more responsive to some than others – i.e. prefer complex sounds to pure tones • Newborns prefer complex sounds such as voices and noises to pure tones - learn sound patterns within days • Newborns prefer speech that is high-pitched and expressive. • There are only a few speech sounds that newborns cannot discriminate, and their ability to perceive speech sounds outside their language is more precise than an adult’s. • Hearing is a key to language development thus hearing impairments should be identified as early as possible 163 Developments in Hearing 4 – 6 months 6 months Sense of musical phrasing “Screen out” sounds from non-native languages Recognize familiar words, natural 7 – 9 months phrasing in native language 10 months Can detect words that start with weak syllables 164 Studies conducted: Hearing • De Casper & Fifer (1980): Baby can differentiate mother’s voices from others through baby sucking pattern. • Birnhold & Benacerraf (1983): 28th week baby showed his/her response through facial expression. • Wertheimer (1961) : Baby able to follow source of sound through the “clicker” test. 165 Vision • Vision - the least developed sense at birth • Newborns cannot focus their eyes very well and their visual acuity fineness of discrimination, is limited • However, newborns explore their environment by scanning it for interesting sights & tracking moving objects. • They can’t yet discriminate colors but color vision will improve in a couple of months. • Visual perception is poor at birth but improves to 20/100 by age 6 months • Binocular vision using both eyes to focus • Perception of depth & distance at 4/5 months 166 Infants’ Scanning of Faces 167 Face-like Stimuli 168 Studies conducted: Sight • Langlois & friends (1990): Babies are more attracted to attractive and beautiful human faces. • Fantz (1993): Babies prefer to look at pictures of human. • Aslin (1987): 4 days old babies can differentiate between green and red. • Babies prefer blue and red as compared to other colors. • Gibson & Walk (1960): Visual cliff experiment. 6 months babies has already develop in-dept perception in visual. 169 Steps in Depth Perception Birth – 1 month Sensitivity to motion cues 2–4 months Sensitivity to binocular cues 5 –12 months Sensitivity to pictorial cues. Wariness of heights 170 Steps in Pattern Perception 3 weeks Poor contrast sensitivity. Prefer large simple patterns 2 months Can detect fine-grained detail. Prefer complex patterns. 4 months Can detect patterns even if boundaries are not really present 12 months Can detect objects if two-thirds of drawing is missing 171 Improvements in Vision Brain development helps infants reach adult levels of vision skills: • 2 months: Focus and color vision • 6 months: acuity, scanning & tracking • 6–7 months: depth perception 172 Integrating Sensory Information • By 1 month, can integrate sight and touch • By 4 months, can integrate sight and sound • 4- and 7-month-olds can match facial appearance (boy or man) with sound of voice 173 Motor Development • Maturity affect infant perceptual and motor abilities. • Milestones of Motor Development – Babies first learn simple skills and then combine them into increasingly complex systems of action • Week 1 • Month 1 • Month 2 : Motor ability progress : Chin lift : Reach for object Denver Developmental Screening Test measures: Gross motor skills (those using large muscles), such as rolling over and catching a ball, and Fine motor skills (using small muscles), such as grasping a rattle and copying a circle. Language development (for example, knowing the definitions of words) Personality and social development (such as smiling spontaneously and dressing without help). 174 Motor Development • Newborn are not able to control their body movement no coordination. • Most movements are due to inborn reflexes (rooting, moro, palmer grasp etc.) • Humans begin to walk later than other species, possibly because babies' heavy heads and short legs make balance difficult 175 Milestone in motor development 176 Motor Development How Motor Development Occurs: Maturation in Context • According to Thelen, normal babies develop the same skills in the same order because they are built approximately the same way and have similar physical challenges and needs 177 Motor Development Cultural Influences on Motor Development • Chances to explore their surroundings motor development likely to be normal • Some cultures actively encourage early development of motor skills 178 Motor Development Training Motor Skills Experimentally • Gesell concluded that children perform certain activities when they are ready, and training gives no advantage • Interaction of biology and environment are involved in infant motor development 179 Social Development • Baby's ability to interact with other people • Develops through regular interaction with babies: – Feeding – Cleaning – Caring/loving • Newborn can imitate facial expression. 180 Attachment • What is attachment? – The most important form of social development that occurs during infancy is ATTACHMENT, the positive emotional bond that develops between a child and a particular individual. – Bowlby viewed attachment as based on infant's needs for safety and security (especially from the mother) 181 Infant Attachment • Attachment – an infant responds positively to specific others, feels better when they are close, and seeks them out when frightened. • Attachment provides – a sense of security to the child – information about the environment 182 Infant Attachment Infant Attachment • Critical for allowing the infant to explore the world • Having a strong, firm attachment provides a safe base from which the child can gain independence. • Attachment:– adaptive – suggests that the tendency to form relationships is at least partly biologically based. 183 Infant Attachment • Mary Ainsworth (1978) identified three major attachment styles:– Secure strong bonding – Avoidant negative bonding – Anxious/ambivalent display a combination of positive and negative bonding 184 TOPIC 4: PHYSICAL DEVELOPMENT IN CHILDREN 185 Physical Development • Growth • Motor skills • Puberty Maturity 186 Growth • Changes in – size – body weight – height – head & arm circumference – body muscles – teeth – bones – etc. 187 Changes in Body Size • Body grows more rapidly – Growth occurs in small spurts • Length – 50% greater at age 1 – 75% greater at age 2 • Weight – Doubled by 5 months – Tripled by 1 year – Quadrupled at 2 years 188 Changes in Body Proportions 189 Body weight • Changes in body weight is more dramatic – New born 2.7 – 3.6 kg. – 5 mths body weight 2 x weight at birth) – 1 year old 3 x – 2 year old 4 x • 2-3 yr. old rapid change in weight (spurt) • After 3 yr. old slower rate • The first 6 mths changes focused > on muscle growth. • 6-12 mths dev. focused > on movement • 2 yrs – pre puberty body weight increase 2.5 kg per year • Girls slightly shorter and lighter • Ethnic differences 190 Growth Trends • Cephalocaudal trend – proceeds from head to tail – head and chest develop/grow first before trunk and legs. • Proximodistal trend – Center of the body outward – arms and legs before hands and feet. 191 Body Fat/Appearance • Subcutaneous fat begin to form in the fetus about 6 weeks before birth. • First 9 months sub. fat continue to accumulate rapidly making baby look rounded & filled up. • Gain “baby fat” until about 9 months After 9 months, fat accumulation slows down. • 1 year old – middle childhood less fat accumulation Toddlers become more slender (slimmer) • Muscle tone increase • Helps maintain constant temp. • Muscle tissue increases slowly Peaks in adolescence • Girls= more fat than boys 192 Body fat and muscle contributes to the development and body structure: – Ectomorph small/tall, slim, skinny – Endomorph flabby, obese – Mesomorph tough, musculine 193 Height • • • • • Child of same age may differ in height. Baby length increase 30% until 5 mths old By age 1 yr length increase to 50% 5 years old height doubles/triples 2yrs old - puberty height increase 2-3 in. per year. • Adolescent sudden changes in height & weight (growth spurt) 194 Head circumference • Baby – Brain mass of a newborn about 2/3 of adult size – Head circ. of a new born 30-38 cm – 6 mths old baby 42.5 cm • Head circ/size increase parallel to brain development. • Newborn head bigger than body size due to rapid brain development during pre natal period. • 5 yrs. Old brain weigh about 90% of adult brain. • 6 yrs. old brain equivalent to adult weight. 195 What is brain? • Body most vital organ. • Each person is born with over 100 billions brain cells (neurons). • Brains can send signals to thousands of other cells in the body at speed of more than 200 miles per hr. • Brain growth before & after birth is fundamental to future development. • Sensitive Periods in Brain Development – Several growth spurts in first 2 years – Rich and varied experiences stimulate brain development • Experience-expectant growth – Ordinary experiences “expected” by brain to grow normally • Experience-dependent growth – Specific experience, varies widely 196 1 organ with 3 mini brains: Brainstem (inner core) – Breathing, heartbeat muscle movement, reflex behavior Limbic system – Covers the brainstem – Motivation, emotions, & long term memory – Cerebellum – control automatic movements & balance Cerebral cortex – Higher mental process. – Learning, memory, Thinking, Language – Last to develop Structure of the Brain 197 Regions of the Cerebral Cortex 198 Skeletal Growth • Embryonic skeleton – Soft, pliable tissue (cartilage) – Beginning at week 6 • At birth babies have soft bones cartilage. • Changes is bones structure: – Lengthen – Harden – Increase 199 Lengthened – Bones become longer, bigger & thicker – Bones will stop growing when it harden (reach maturity) 200 Hardened • At birth/baby soft bones (cartilage) water content is high. • During the process of ossification, bones harden calcium deposited. • Eg. As baby skulls harden & fuse Fontanel gradually close (about 2 years old). • Ossification occurs before birth and ends when a person reach maturity. • Nutritious food calcium, phosphorous & vitamins helps ossification 201 Increase – Number of bones increases parallel to its function – Eg. Number of bones in the wrist & ankle increases with age • 1 yr. 3 wrist bones; • adult 9 wrist bones 202 Growth of the Skull (Rapid during first 2 years) • At birth – Bone of the skull separate – These gaps are called fontanels – Sutures = seams of the skull • By 2 years Gaps filled in 203 Motor Skills • Motor skills are – Voluntary movements of the body or parts of the body. – Controlled development of body movement through the coordination of central nervous system , sensory system and body muscles. • A child motor skill contributes to child further development able to control movement assist adaptation in the environment. 204 Motor Development • Gross motor development – Large movements • Eg. Crawling, Walking, Running, Jumping – Head proceeds arms and trunk – Improves dramatically during preschool years • Fine motor development The ability to carry out smoothly small movements that involve precise timing but not strength. – Smaller movements • e.g. Reaching and grasping – Sequence the same – Large differences in rate of motor progress – Eg. Reaching, grasping, pinching, writing, drawing – Involves the coordination between hand control and vision 205 (Eye-Hand coordination) Voluntary Reaching • Vital role to cognitive development • New ways for exploring environment 206 Fine motor skill development Steps in fine motor skill development: Pre-reaching (newborn) - Palmer grasp (reflex grasp) • Ulnar Grasp (3-4 months) • Changing/passing object from one hand to the other (5-8 months) • Pincer grasp (9- above) 207 Reaching and Grasping • Pre-reaching (0-2 months) (Palmer grasp) • Ulnar grasp (3-4 months) • Pincer grasp (9 months) 208 Reaching and Grasping • Pre-reaching (0-2 months) – Uncoordinated, primitive reaching – Palmer grasp (reflex grasp) – Hand grasping & movement without coordination. – Often fail to grasp object successfully may make contact with object but fail to enclose it in their fingers • The grasp reflex should disappear in 2 -3 months 209 Reaching and Grasping • Ulnar grasp (3-4 months) – Clumsy grasp – Fingers close against the palm 210 Reaching and Grasping • Pincer grasp (9 months) – Well-coordinated grasp – Oppositional use of the forefinger and thumb 211 Early Experience and Reaching • Trying to push infants beyond their current readiness to handle stimulation can undermine the development of important motor skills. • As infants’ and toddlers’ motor skills develop, their caregivers must devote more energies to protecting them from harm. 212 213 Influences on Early Growth • Heredity • Nutrition – Breast v. Bottle Feeding – Malnutrition • Emotional Well-Being – Problems can cause Failure to Thrive 214 Benefits of Breastfeeding • • • • • • • Correct fat-protein balance Nutritionally complete More digestible Better growth Disease protection Better jaw and tooth development Easier transition to solid food 215 Malnutrition Marasmus Types Kwashiorkor Iron-deficiency anemia Food insecurity Physical symptoms Growth and weight problems Consequences Poor motor development Learning, attention problems Passivity, 216 irritability, anxiety MOTOR-PHYSICAL DEVELOPMENT BY 3 MONTHS OLD: – – – – – – – lift head when held at your shoulder lift head and chest when lying on his stomach turn head from side to side when lying on his stomach follow a moving object or person with his eyes often hold hands open or loosely fisted grasp rattle when given to her wiggle and kick with arms and legs 217 MOTOR-PHYSICAL DEVELOPMENT BY 6 MONTHS OLD: – – – – – – – – – – – – hold head steady when sitting with your help reach for and grasp objects play with his toes help hold the bottle during feeding explore by mouthing and banging objects move toys from one hand to another shake a rattle pull up to a sitting position on her own if you grasp her hands sit with only a little support sit in a high chair roll over bounce when held in a standing position 218 MOTOR-PHYSICAL DEVELOPMENT BY 12 MONTHS OLD: – – – – – – – – – – – – drink from a cup with help feed herself finger food like raisins or bread crumbs grasp small objects by using her thumb and index or forefinger use his first finger to poke or point put small blocks in and take them out of a container knock two blocks together sit well without support crawl on hands and knees pull himself to stand or take steps holding onto furniture stand alone momentarily walk with one hand held cooperate with dressing by offering a foot or an arm 219 MOTOR-PHYSICAL DEVELOPMENT BY 18 MONTHS OLD: – – – – – – – – like to pull, push, and dump things pull off hat, socks, and mittens turn pages in a book stack 2 blocks carry a stuffed animal or doll scribble with crayons walk without help run stiffly, with eyes on the ground 220 MOTOR-PHYSICAL DEVELOPMENT BY 2 YEARS OLD: – – – – – – – – – – drink from a straw feed himself with a spoon help in washing hands put arms in sleeves with help build a tower of 3-4 blocks toss or roll a large ball open cabinets, drawers, boxes operate a mechanical toy bend over to pick up a toy and not fall walk up steps with help take steps backward 221 MOTOR-PHYSICAL DEVELOPMENT BY 3 YEARS OLD: - feed himself (with some spilling) - open doors - hold a glass in one hand - hold a crayon well - wash and dry hands by himself - fold paper, if shown how - build a tower of 54 blocks - throw a ball overhead - try to catch a large ball - put on shoes (but not tie laces) - dress herself with help - use the toilet with some help - walk up steps, alternating feet - walk on tiptoes if shown how - walk in a straight line - kick a ball forward - jump with both feet - pedal a tricycle 222 MOTOR-PHYSICAL DEVELOPMENT BY 4 YEARS OLD: - feed herself (with little spilling) - try to use a fork - hold a pencil - try to write name - draw with the arm and not small hand movements - draw a circle & a face - try to cut paper with blunt scissors - sometimes unbutton buttons - try to buckle, button, and lace, even though she probably needs help - completely undress herself if wearing clothes with simple fasteners - brush teeth with help - build a tower of 7-9 blocks - put together a simple puzzle of 4-12 pieces - pour from a small pitcher - use the toilet alone - try to skip - catch a bouncing ball - walk downstairs using a handrail and alternating feet - swing, starting by himself and keeping himself going 223 Motor Skills • 4-5 years old Child able to control most of his movement (jump, run, walk, climb). • Above 5 yrs. old good fine motor development able to do more complex coordinated movement (throw & catch ball, writing, hold object with care) • The sequence in motor skill development also follows cephalocaudal, proximodistal and mass to specific principle. 224 MOTOR-PHYSICAL DEVELOPMENT BY 5 YEARS OLD: – – – – – – – hops and skips dresses without help good balance and smoother muscle action Skates rides bicycles and scooter prints simple letters ties shoes • girls small muscle development about 1 year ahead of boys. 225 MOTOR-PHYSICAL DEVELOPMENT BY 6-8 YEARS OLD: – – – – – – – – – – – – skilled at using scissors and small tools shows development of permanent teeth enjoys testing muscle strength and skills has good sense of balance can tie shoelaces enjoys copying designs and shapes, letters and numbers may have gawky awkward appearance from long arms and legs throwing at targets, running, jumping rope, tumbling aerobics may be of interest 226 MOTOR-PHYSICAL DEVELOPMENT BY 12 YEARS OLD: • (Boys 80% adult height; Girls 90% of adult height) • Growth is slower than in preschool years, but steady. – Eating may fluctuate with activity level. – Some children have growth spurts in the later stages of middle childhood. • Transition towards adolescent – Pre puberty period Body changes (hips widen, breasts bud, pubic hair appears, testes develop) indicate approaching puberty. – Beginning of Puberty menstruation in girls (menarch) 12-14 years old First ejaculation in boys 12-13 years old (semenarch) – Recognize differences between boys and girls. 227 MOTOR-PHYSICAL DEVELOPMENT BY 12 YEARS OLD: – Children find difficulty balancing high energy activities and quiet activities. – Intense activity may bring tiredness Children need around 10 hours of sleep each night. – Muscle coordination and control are uneven and incomplete in the early stages, but children become almost as coordinated as adults by the end of middle childhood. – Small muscles develop rapidly, making playing musical instruments, hammering, or building things more enjoyable. – Baby teeth will come out and permanent ones will come in. – Permanent teeth may come in before the mouth has fully grown, causing dental crowding. – Eyes reach maturity in both size and function. – The added strain of school work (smaller print, computers, intense writing) often creates eye-tension and leads some children to request eye examinations. 228 TOPIC 4: PHYSICAL DEVELOPMENT IN EARLY CHILDHOOD 229 Physical Development in Early Childhood • Body Growth Slows – Shape becomes more streamlined • Skeletal Growth Continues – New growth centers – Lose baby teeth • Asynchronies – Brain, lymph nodes grow fastest 230 Brain Development in Early Childhood • Frontal lobe areas for planning and organization develop • Left hemisphere active – Language skills – Handedness • Linking areas develop – Cerebellum – Reticular formation – Corpus callosum 231 Linking Structures of the Brain 232 Handedness • Begins as early as 1 year and strengthens • 90% are right-handed • Left-handedness not caused by brain problems • Affected by Experience – Practice 233 Influences on Physical Growth & Health • Heredity and Hormones – Growth hormone – Thyroid-stimulating hormone • Emotional Well-Being – Psychosocial dwarfism • Sleep • Nutrition • Infectious Disease – Immunization • Childhood Injuries 234 Helping Young Children Sleep • Regular bed time – Early enough for 10-11 hours of sleep • • • • Special pajamas No TV or computer games before bed Bedtime ritual Respond firmly but gently to bedtime resistance • No sleeping medication 235 Nutrition in Early Childhood • • • • Appetite becomes unpredictable Like familiar foods Need high-quality diet Social environment influences food choices – Imitate admired people – Repeated exposure to foods – Emotional climate, parental pressure – Poverty 236 Factors Related to Childhood Injuries • Individual Differences – Gender – Temperament • Poverty, low parental education • More children in the home • Societal conditions – International differences 237 Motor Skill Development in Early Childhood • Gross Motor Skills – Walking, running smoother – Catching, throwing, swinging, riding • Fine Motor Skills – Self-help: dressing, eating – Drawing 238 Progression of Drawing Skills • Scribbles: during 2nd year • First Representational Forms – Label already-made drawings: around age 3 – Draw boundaries and people: 3–4 years • More Realistic Drawings: preschool to school age • Early Printing: Ages 3–5 239 Development of Children’s Drawing 240 Development of Printing in Early Childhood Up to Age 3 Around Age 4 Scribbles Varied pencil grips “Drawing print” Between Gradually realize writing stands for Ages 4 and language, identify individual letters Adult pencil grip by age 5 6 241 Variations in 3-Year-Olds’ Pencil Grip 242 Individual Differences in Motor Skills • Body Build – Taller, longer limbed better at running and jumping • Sex – Boys: better at power and force – Girls: fine motor skills, balance, foot movement 243 Enhancing Early Childhood Motor Development • Mastered through everyday play – Formal lessons have little impact • Daily routines support fine motor development • Provide appropriate play space and equipment • Promote fun and positive attitude 244 PHYSICAL DEVELOPMENT IN “MIDDLE CHILDHOOD” 245 Body Growth in Middle Childhood • • • • • • Slow, regular pattern Girls shorter and lighter until about age 9 Lower portion of body growing fastest Bones lengthen Muscles very flexible All permanent teeth arrive 246 Middle Childhood Growth Worldwide • Shortest children: South America, Asia, Pacific Islands, parts of Africa • Tallest children: North & central Europe,Australia, Canada, U.S. • Secular trend in industrialized countries toward larger and heavier children 247 Brain Development in Middle Childhood • Myelination increases white matter in – Frontal lobes – Corpus callosum • Children acquire complex abilities • Neurotransmitters and hormones may affect cognition and behavior 248 Common Health Problems in Middle Childhood • Vision – Myopia • Hearing – Otitis media (middle ear infection) • Malnutrition • Obesity • Bedwetting • Illnesses • Injuries 249 Causes of Myopia • Genetics – Myopic parents – Asian heritage • Early biological trauma – Low birth weight • Experience – Reading & close work – Computer use 250 Nutrition Problems in Middle Childhood • • • • Little focus on eating Fewer meals with family Too few fruits and vegetables Too many fried foods and soft drinks • Poverty and lack of nutritional food 251 Causes of Obesity in Middle Childhood • • • • • • • Overweight parents Early rapid growth or malnutrition Low SES Family eating habits Response to food cues Low physical activity Television 252 Risks for Obese Children • More likely to be overweight adults • Health risks – Blood pressure, cholesterol – Respiratory problems – Diabetes – Liver, gall bladder – Cancer • Psychological risks – Feeling unattractive – Stereotyping and teasing – Depression – Problem behaviors – Early puberty and sexual problems 253 Illnesses in Middle Childhood • More acute illnesses first two years of school – Exposure – Still developing immune system • Chronic Diseases - 15–20 percent – Asthma – Severe illnesses – 2% 254 Accidents in Middle Childhood • Most common types: – Motor vehicle – Bicycle – Pedestrian • Prevention – Teach safety – Model safe behavior – Require helmets – Watch high-risk children more 255 Motor Development in Middle Childhood • Gross Motor Skills Improvements – Flexibility – Balance – Agility – Force • Fine Motor Skills Gains – Writing, Drawing 256 Six-Year Old’s Drawing 257 Eight-Year Old’s Drawing 258 Ten-Year Old’s Drawing 259 Individual Differences in Motor Skills • Body build • Sex • Family encouragement, expectations • SES • School & community lessons available 260 Physical Play Development in Middle Childhood • Child-Organized Games with Rules – Sports – Invented Games • Video Games • Adult-organized sports • Physical Education 261 Providing Developmentally Appropriate Sports • Build on children’s interests – Emphasize enjoyment – Let kids contribute • Teach age-appropriate skills – Limit practices • Discourage unhealthy competition – Focus on personal and team improvement 262 Rough and Tumble Play • Friendly chasing and play-fighting • Common in many mammals and across cultures • Peaks in middle childhood • Boys do more • May help establish dominance hierarchy 263