Human Behavior and the Social Environment I Part VII Chapter 13 Physical Development in Early Childhood

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PART DEVELOPMENT IN EARLY CHILDHOOD Learning Objectives I Explore and connect Psychosocial , Cognitive , and Psychosexual Development I Explore and connect another Theory , Approach , or Perspective to work in critical thinking skills for client assessments I Exploring important aspects of a experience and ability to justify why they are important Development in Early Childhood 461

Vignette , has been demonstrating increased emotional and behavioral issues at her preschool . Her parents , and Taylor have been called to meet with the Director to discuss these concerns . They report the same issues occurring at home , stating We have no idea why she been having such a hard time , it was like she went to sleep our sweet girl one night and woke up a completely different child the next morning , refusing to listen , tantrums anytime she doesnt get her way , Photo by Sarah Louise on she just fights us on everything . splash They report they adopted when she was an infant and had minimal issues with her until several weeks ago when they report the change in behavior occurring . The Director discussed increased struggles with at school , also refusing to comply with requests from her teachers and showing increased aggression with her peers with hitting and biting , and possible need to dismiss from their program if her disruptive behaviors did not stop . and Taylor admit they have really struggled with what to do , so we usually just end up letting her have her way because we get so tired and frustrated with fighting with her we just do know what to do . The Director explores a referral for mental health services that could be provided at the school , discussing how professional interventions may be needed due to her history and the Taylors agree to an initial assessment . 462 Development in Early Childhood

and Taylor meet with a Licensed Certified Social Worker ( for an initial assessment . He greets them warmly and then invites to choose some toys to play with while he speaks with her parents . seems uncertain at first and slowly begins to explore the toys in the room . The Social Worker invites and Taylor to share their story and concerns while plays and they report their history of struggling to conceive and how happy they were to finally have a child when came into their lives . They discussed how everything was going very well until the past several weeks when the emotional and behavioral struggles began . The Social Worker asked if any changes had occurred around the time and Taylor noticed change in behavior and they reported none they could think of . The Social Worker then explored any information they were given about and her biological before she came into their care . They reported minimal information was given but remembering hearing her biological mother had struggled with drug use before becoming pregnant but had reported stopping use of all drugs except for marijuana while pregnant . Taylor states her biological mother had also reported struggles with caring for her first few months but I don really know what that means . They reported not thinking this had affected as she had not had any major issues during her first couple of years with them but are starting to wonder what she may have experienced in her first several months before coming to live with them . During this time , the Social Worker notices engages in some aggressive play with various people figures and hitting toys together . He also notices she is rocking back and forth at times in between her play . She also gets increasingly louder when she hears her parents speaking . The Social Worker reflects this and sticks her tongue out at him . Development in Early Childhood 463

Critical Thinking . What stage of Theory of Cognitive Development is the client currently in ?

Are they meeting expectations of this stage ?

Examples ?

Are they demonstrating any delays in this stage ?

Examples ?

What stage of Theory of Psychosocial Development are they currently in ?

Are they meeting the goals of this stage ?

Examples ?

Are they demonstrating any struggles with their goals in this stage ?

Examples ?

What theory , approach , or perspective from previous Dimensions ( PIE , Sociocultural , or Social Change ) would you use to assess this client ?

Why ?

What do you feel are the most important aspects ( physical development , attachment , sexual development , etc ) to consider for this client ?

Why ?

References , 2019 ) Dimensions of human behavior ( Sixth edition ) Sage Publications , 464 Development in Early Childhood Chapter 13 Physical Development in Early Childhood Summarize the overall physical growth Describe the changes in brain maturation Describe the changes in sleep Summarize the changes in gross and motor skills Describe when a child is ready for toilet training Describe sexual development Identify nutritional concerns Overall Physical Growth Children between the ages of two and six years tend to grow about inches in height and gain about to pounds in weight each year . Just as in infancy , growth occurs in spurts rather than continually . According to the Centers for Disease Control and Prevention ( 2000 ) the average weighs between 23 and 28 pounds and stands between 33 and 35 inches tall . The average Chapter 13 Physical Development in Early Childhood 465

weighs between 40 and 50 pounds and is about 44 to 47 inches in height . The is still very similar to a toddler with a large head , large stomach , short arms , and legs . By the time the child reaches age , however , the torso has lengthened , and body proportions have become more like those of adults . This growth rate is slower than that of infancy and is accompanied by a reduced appetite between the ages of and . This change can sometimes be surprising to parents and lead to the development of poor eating habits . However , children between the ages of and need to calories , while children between the ages of and need to calories ( Mayo Clinic , Figure . 466 Chapter 13 Physical Development in Early Childhood

Brain Maturation Brain weight The brain is about 75 percent of its adult weight by three years of age . By age , it is at 95 percent of its adult weight ( 2006 ) Myelination and the development of dendrites continue to occur in the cortex and as it does , we see a corresponding change in what the child is capable of doing . Greater development in the prefrontal cortex , the area of the brain behind the forehead that helps us to think , strategize , and control attention and emotion , makes it increasingly possible to inhibit emotional outbursts and understand how to play games . Understanding the game , thinking ahead , and coordinating movement improves with practice and myelination . Growth in the Hemispheres and Corpus Between ages and , the left hemisphere of the brain grows dramatically . This side of the brain or hemisphere is typically involved in language skills . The right hemisphere continues to grow throughout early childhood and is involved in tasks that require spatial skills , such as recognizing shapes and patterns . The corpus callosum , a dense band of fibers that connects the two hemispheres of the brain , contains approximately 200 million nerve fibers that connect the hemispheres ( 2011 ) The corpus callosum is illustrated in Figure . Figure Chapter 13 Physical Development in Early Childhood 467

Figure Corpus RIGHT HEMISPHERE CALLOSUM CHOROID corpus callosum is located a couple of inches below longitudinal fissure , which runs the length of the brain and separates the two cerebral hemispheres ( Garrett , 2015 ) Because two hemispheres carry out different functions , they communicate with each other and integrate their activities through the corpus callosum . Additionally , because incoming information is directed toward one hemisphere , such as visual information from the left eye being directed to the right hemisphere , the corpus callosum shares this information with the other hemisphere . The corpus callosum undergoes a growth spurt between ages and , and this results in improved coordination between right and left hemisphere tasks . For example , in comparison to other individuals , children younger than demonstrate difficulty coordinating an Etch A Sketch toy because their corpus callosum is not developed enough to integrate the movements of both hands ( 2016 ) 468 Chapter 13 Physical Development in Early Childhood

Motor Skill Development Early childhood is the time period when most children acquire the basic skills for locomotion , such as running , jumping , and skipping , and object control skills , such as throwing , catching , and kicking ( Clark , 1994 ) Children continue to improve their gross motor skills as they run and jump . Fine motor skills are also being refined in activities , such as pouring water into a container , drawing , coloring , and buttoning coats and using scissors . The table highlights some of the changes in motor skills during early childhood between and years of age . The development of greater coordination of muscle groups and finer precision can be seen during this time period . Thus , average may be able to run with slightly better coordination than they managed as a toddler , yet they would have difficulty peddling a tricycle , something the typical can do . We see similar changes in fine motor skills with who no longer struggle to put on their clothes , something they may have had problems with two years earlier . Motor skills continue to develop into middle childhood , but for those in early childhood , a play that deliberately involves these skills is emphasized . Figure 43 Chapter 13 Physical Development in Early Childhood 469

Children Art Children art highlights many developmental changes . 1969 ) noted that children drawings underwent several transformations . Starting with about 20 different types of scribbles at age , children move on to experimenting with the placement of scribbles on the page . By age they are using the basic structure of scribbles to create shapes and are beginning to combine these shapes to create more complex images . By or children are creating images that are more recognizable representations of the world . These changes are a function of improvement in motor skills , perceptual development , and cognitive understanding of the world ( Cote . 2007 ) The drawing of tadpoles ( see Figure ) is a pervasive feature of young children drawings of self and others . Tadpoles emerge in children drawing at about the age of and have been observed in the drawings of young children around the world ( Keller , 2015 ) but there are cultural variations in the size , number of facial features , and emotional expressions displayed . et al . found that children from Western ( urban areas of Germany and Sweden ) and urban educated 470 Chapter 13 Physical Development in Early Childhood

Western ( urban areas of Turkey , Costa and ) drew larger images , with more facial detail and more positive emotional expressions , while those from rural ( rural areas of and India ) depicted themselves as smaller , with less facial details and a more neutral emotional expression . The authors suggest that cultural norms of traditionally rural cultures , which emphasize the social group rather than the individual , maybe one of the factors for the smaller size of the figures compared to the larger figures from children in the Western cultures which emphasize the individual . Table IT ' III In ! I DUKE nouns Chapter 13 Physical Development in Early Childhood 471 I , can

Toilet Training Toilet training typically occurs during the first two years of early childhood ( months ) Some children show interest by age , but others may not be ready until months later . The average age for girls to be toilet trained is 29 months and for boys , it is 31 months , and 98 of children are trained by 36 months ( Fitzgerald , 2010 ) The child age is not as important as physical and emotional readiness . If it started too early , it might take longer to train a child . If a child resists being trained or is not successful after a few weeks , it is best to take a break and try again later . Most children master daytime bladder control first , typically within two to three months of consistent toilet training . However , nap and nighttime training might take months or even years . Figure According to the Mayo Clinic ( the following questions can help parents determine if a child is ready for toilet training Does your child seem interested in the potty chair or toilet , or 472 Chapter 13 Physical Development in Early Childhood

in wearing underwear ?

Can your understand and follow basic directions ?

Does your chi complain about wet or dirty diapers ?

Does your chi tell you through words , facial expressions or posture when he or she needs to go ?

Does your chi stay dry for periods of two hours or longer during the day ?

Can your pull down his or her pants and pull them up again ?

Can your sit on and rise from a potty chair ?

Some children ex ) elimination disorders that may require intervention by the child pediatrician or a trained mental health practitioner . Elimination disorders include enuresis , or the repeated voiding of urine into bed or clothes ( involuntary or intentional ) and , the re ) eated passage of feces into inappropriate places ( involuntary or intentional ) American Psychiatric Association , 2013 ) The prevalence enuresis is for , for and approximately for those 15 years of age or older . Around of olds have , and it is more common in males than females . Sleep During early childhood , there is a wide variation in the number of hours of sleep recommended per day . For example , olds may still need hours per day , while a may only need hours . The National Sleep Foundation 2015 recommendations based on age are listed in Figure . Figure Chapter 13 Physical Development in Early Childhood 473

gun AA Sexual Development in Early Childhood Historically , children have been thought of as innocent or incapable of sexual arousal ( Aries , 1962 ) Yet , the physical dimension of sexual arousal is present from birth . However , to associate the elements of seduction , power , love , or lust that is part of the adult meanings of sexuality would be inappropriate . Sexuality begins in childhood as a response to physical states and sensation and can not be interpreted as similar to that of adults in any way ( Carroll , 2007 ) Infancy Boys and girls are capable of erections and vaginal lubrication even before birth ( 1981 ) Arousal can signal overall physical contentment and stimulation that accompanies feeding or warmth . Infants begin to explore their bodies and touch their genitals as soon as they have sufficient motor skills . This stimulation is for comfort or to relieve tension rather than to reach orgasm ( Carroll , 2007 ) 474 Chapter 13 Physical Development in Early Childhood

Early Childhood is common in early childhood for both boys and girls . Curiosity about the body and about others bodies is a natural part of early childhood as well . As children grow , they are more likely to show their genitals to siblings or peers , and to take off their clothes and touch each other ( 1997 ) Masturbation is common for both boys and girls . Boys are often shown by other boys how to masturbate , but girls tend to find out accidentally . Additionally , boys masturbate more often and touch themselves more openly than do girls ( Schwartz , 1999 ) Hopefully , parents respond to this without an undue alarm and without making the child feel guilty about their bodies . Instead , messages about what is going on and the appropriate time and place for such activities help the child learn what is appropriate . Nutritional Concerns In addition to those in early childhood have a smaller appetite , their parents may notice a general reticence to try new foods , or a preference for certain foods often served or eaten in a particular way . Some of these changes can be traced back to the just right ( or ) phenomenon that is common in early childhood . Many young children desire consistency and may be upset if there are even slight changes to their daily routines . They may like to line up their toys or other objects or place them in symmetric patterns . They may arrange the objects until they feel just right . Many young children have a set bedtime ritual and a strong preference for certain clothes , toys or games . All these tendencies tend to wane as children approach middle childhood , and the familiarity of such ritualistic behaviors seem to bring a sense of security and a general reduction in childhood fears and anxiety ( Evans , Gray , 1999 Evans , 2015 ) Chapter 13 Physical Development in Early Childhood 475

Malnutrition due to insufficient food is not common in developed nations , like the United States , yet many children lack a balanced diet . Added sugars and solid fats contribute to 40 of daily calories for children and teens in the US . Approximately half of these empty calories come from six sources soda , fruit drinks , dairy desserts , grain desserts , pizza , and whole milk ( 2015 ) Caregivers need to keep in mind that they are setting up taste preferences at this age . Young children who grow accustomed to a high fat , very sweet and salty flavors may have trouble eating foods that have subtler flavors , such as fruits and vegetables . Consider the following advice ( See Box ) about establishing eating patterns for years to come ( Rice , 1997 ) Notice that keeping mealtime pleasant , providing sound nutrition and not engaging in power struggles over food are the main goals Figure Nutritious Lunch 476 Chapter 13 Physical Development in Early Childhood

Tips for Establishing Healthy Eating Patterns Recognize that appetite varies . Children may eat well at one meal and have no appetite at another . Rather than seeing this as a problem , it may help to realize that appetites do vary . Continue to provide good nutrition , but do not worry excessively if the child does not eat at a particular mea . Keep it pleasant . This tip is designed to help caregivers create a positive atmosphere during mea time . Mealtimes should not be the time for arguments or expressing tensions . You do not want the child to have painful memories of mea times together or have nervous stomachs and problems eating and digesting food due to stress . No chefs . While it is fine to prepare that children enjoy , preparing a different mea for each child or family member sets up an unrealistic expectation from others . Children probably do best when they are hungry , and a mea is ready . Limiting snacks rather than allowing children to graze can help create an appetite for what is being served . Limit choices . If you give your young child choices , make sure that you give them one or two specific choices rather than asking What would you like for lunch ?

If given an open choice , children may change their minds or ask for something that is not available or appropriate . Serve balanced meals . This tip encourages Chapter 13 Physical Development in Early Childhood 477 caregivers to serve balanced meals . A box of macaroni and cheese is not a balanced meal . Meals prepared at home tend to have better nutritional value than fast food or frozen dinners . Prepared foods tend to be higher in fat and sugar content , as these ingredients enhance taste and profit margin because fresh food is often and less profitable . However , preparing fresh food at home is not costly . It does , however , require more activity . Preparing meals and including the children in kitchen chores can provide a fun and memorable experience . Do not bribe . Bribing a child to eat vegetables by promising desert is not a good idea . The child will likely find a way to get the desert without eating the vegetables ( by whining or fidgeting , perhaps , until the caregiver gives in ) In addition , bribery teaches the child that some foods are better than others . Children tend to naturally enjoy a variety of foods until they are taught that some are considered less desirable than others . Most important is not to force your child to eat or fight overeating food . References , Howe , 2013 ) Power in sibling conflict during early and middle childhood . Social Development , 22 , 754 . 478 Chapter 13 Physical Development in Early Childhood

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