Child Growth and Development Chapter 5: Birth and the Newborn
Transcription
Child Growth and Development Chapter 5: Birth and the Newborn
Child Growth and Development Chapter 14: Psychosocial Development in Middle Childhood Prepared by Debbie Laffranchini From Papalia, Olds, and Feldman The Developing Self •Self-Concept Development •Self-Esteem •Emotional Growth •Prosocial Behavior Self-Concept Development • Judgments about self more realistic and balanced. • Self-description can focus on more than one dimension of self. • Contributes to self-esteem, global self-worth. – Self concept = Self esteem Self - Concept Circle • The person I think I am. • The person others think I am. • The person others think I think I am. As I See Myself Other’s Reactions To Me My Actions As Others See Me Self-Esteem • Major determinant of self-esteem is child’s capacity for productive work • Erikson’s fourth stage of psychosocial development: Industry versus inferiority – Child learns skills valued in their society – Virtue: competence – If child feels inadequate (inferior) when compared to peers, may retreat to protective embrace of family – If child becomes too industrious, may neglect social relationships and become workaholic Emotional Growth • As child grows, more aware of their own feelings and feelings of others – Better regulate their emotions and respond to others’ emotional distress – Understand difference between guilt and shame • Guilt imposed by others • Shame is intrinsic (internal) process – Better understand conflicting emotions • I love my brother but he gets on my nerves – Understand culturally appropriate expression of emotions and cultural expectations • Emotional self-regulation involves voluntary effort to control emotions, attention and behavior – Children low in effortful control become angry or frustrated – Children high in effortful control stile impulse to show negative emotions at inappropriate times • May be temperamentally based • Low effortful control may predict later behavior problems Prosocial Behavior • School-age children more empathic and more inclined to prosocial behavior • Prosocial children: – Act appropriately in social situations – Relatively free of negative emotion – Cope with problems constructively • Parents acknowledge children’s feelings of distress and help them deal with the source of distress – Fosters empathy, prosocial development and social skills • When parents respond with disapproval or punishment, anger and fear become more intense and impairs social adjustment or causes child to be secretive and anxious about negative feelings The Child in the Family •Family Atmosphere •Family Structure •Sibling Relationships Family Atmosphere • School-age children spend more free time away from home – Spend more time at school and on studies and less time at family meals than 20 years ago • 65% of children have dinner with at least one parent – 25% of children don’t talk or play with a parent at least once a day Family Atmosphere Parenting Issues: Coregulation and Discipline • • • Control of behavior gradually shifts from parents to child Parents manage less and discuss more Affects discipline – More likely to use inductive techniques • • • – Mothers who used guilt to discipline but were highly affectionate produced child with more behavior problems • • Moral values “big strong boy shouldn’t…” Appeal to self-esteem “helpful boy…” Consequences “no wonder you…” Inconsistent messages? If family conflict is constructive, helps children see need for rules and standards Family Atmosphere Effects of Parents’ Work • 70% of US mothers with children work • More satisfied mother is with employment status, more effective parent she is • Impact on family depends on: – – – – – – – – – Family’s SES Kind of care child receives before and after school Child’s age Sex Temperament Personality Whether mother works full- or part-time Why mother is working Whether she has a supportive partner • 9% of school age children care for themselves Family Atmosphere Poverty and Parenting • 17% of US children live in poverty – 33% black children – 29% Hispanic children – Children living with single mothers 5 times more likely to be poor than children living with married couples • 42% compared to 9% • Poor children more likely to have emotional or behavioral problems • Parents in poverty more likely to be anxious, depressed, irritable, less affectionate and less responsive to children, discipline inconsistently, harshly and arbitrarily • Patterns for parents and children not inevitable • Effects of persistent poverty are complex: transitory poverty during first four years of child’s life less damaging than later, chronic poverty – Most damaging to children are unstimulating home environment, unstable adult relationships, psychiatric problems, violent or criminal behavior, lack of maternal sensitivity Family Structure • 1970 87% of children lived with two married parents • 2004 67% of children lived with two married parents – – – – 10% of two-parent families are stepfamilies 4% are cohabiting families Gay or lesbian families are increasingly more common Grandparent-headed families increasingly more common Family Structure • Children (biological and adoptive) tend to do better in families with two continuously married parents than cohabiting, divorced, single-parent, stepfamilies or when the child is born outside of marriage – Outcome better for children growing up with two happily married parents • • • • • Children have higher standard of living Parents more effective in parenting More cooperative co-parenting Closer relationships with both parents (especially fathers) Fewer stressful events – 20% children live in households with no father – 13% of children have never seen their fathers • Poor children, black children, Hispanic children most likely to have no father in home • Father’s frequent, positive involvement from infancy on related to physical, cognitive and social development Divorce Topics for Discussion You have probably known someone who has gone through a divorce. What were the positive outcomes of this? What were the difficulties they had to go through? Do you think they could have worked it out? Would it have been better if they did? “I’d Just As Soon Go” By: George Strait You say you want to talk it over Want to try again But there's no way of workin' out This love that we're not in We could talk and talk and accomplish nothin' We've tried it all before It's time somebody did some walkin' And I can see the door So I'd just as soon go I'd just as soon say goodbye There's no reason to prolong What we should just let die And I'd just as soon stop I'd just as soon end the madness Knowin' what I know I'd just as soon go It's not an easy thing to do Leavin' seldom ever is But stayin' just to see us through Just ain't no way to live It's hard for you to understand But we're better off this way I can't fake it one more night Or take it one more day So I'd just as soon go I'd just as soon say goodbye There's no reason to prolong What we should just let die And I'd just as soon stop I'd just as soon end the madness Knowin' what I know I'd just as soon go Knowin' what I know I'd just as soon go Family Structure When Families Divorce • US has one of highest divorce rates in world – Divorces have tripled since 1960 – 1 million children involved in divorces each year • Divorce is stressful for children – Marital conflict, parental separation, departure of one parent (usually father), don’t understand, standard of living likely to drop, relationship with noncustodial parent suffers, remarriage, feelings of loss – Children exhibit more emotional and behavioral problems • Anxiety, depression, antisocial behavior – Adjustment depends on child’s age, gender, temperament, psychosocial adjustment prior to divorce • Younger child more anxious, may blame themselves, adapt quicker • School-age child has loyalty conflicts, fear of abandonment, rejection • Harder for boys to adjust, boys more susceptible to social and conduct problems Family Structure When Families Divorce • Custody, Visitation, Co-parenting – Better outcome for child if custodial parent is warm, supportive, authoritative, monitors child’s activities, has age-appropriate expectations, parental conflict subsides, and nonresident parent maintains close contact and involvement – Most children live with mothers and child adjust better when father pays child support • May be barometer of tie between father and child and cooperation between parents • Frequency of contact not as important as quality of relationship and level of parental conflict • Cooperative parenting improves relationships, hard to do • Children in joint custody are better adjusted, have higher selfesteem and better family relationships than sole custody and as well adjusted as children in nondivorced families • “For adults, divorce brings a world to an end; for young children, whose lives are focused in the family, it seems to bring the world to an end.” (Heatherington & Kelly, 2002) Adjusting to Divorce • The impact of divorce on children can affect their self-concept, school performance, peer relationships and needs. • Parents can help children adjust to divorce by decreasing conflict, relationship with parents, economic stability, and consistent visitation. Effects of Divorce by Age Age 2-5 Theme Abandonment Symptoms Sleep disturbances What to do Explain custodial parent will return. 5-9 Displaced, Grief School difficulties Discuss fears, Contact with non-custodial parent. 9-12 Acting out Spying, fight with parents. Patience, love 13+ Relationship failure Independence, promiscuous Communication, encourage relationships. Family Structure When Families Divorce • Long-Term Effects – Most children adjust reasonably well – Modestly lower levels of cognitive, social, emotional well-being – In adolescence, increased antisocial behavior, difficulty with authority figures (common for all adolescents) – 25% of children have serious social, emotional, or psychological problems in adulthood compared with 10% of nondivorced children – Lower SES, lower educational levels – Lower psychological well-being – Great chance of having child outside of marriage – Marriages for 2 more generations poorer quality and more likely to end in divorce – Anxiety may surface in adulthood as they form intimate relationships Topics for Discussion What are some of the challenges a single parent faces? What are some ways to deal with those challenges? Single Parenting • Single parents must overcome the loss of an efficient economic unit, where the labor is divided between two adult. • A large majority of single parents do not receive child support, and if they do, it is often insufficient. • Child care becomes a problem when there are young children in the home. • Time is a scarce commodity. Balancing the responsibilities of the mother, father, homemaker and breadwinner is difficult. Family Structure Living in a One-Parent Family • One-parent families result from divorce, separation, unwed parent, death • Single-parent families tripled since 1970 • 25% of US children live with one parent – – – – 11% of these households are cohabiting households 50% black children live with single parent 26% Hispanic children live with single parent 19% white children live with single parent • More likely to live with mother – – – – Do well overall Lag socially and educationally Exposed to more stressors Tend to be economically disadvantaged • 37% with mothers; 16% with fathers Family Structure Living in a Cohabiting Family • Parents tend to be more disadvantaged – – – – Less income Less education Poorer relationships More mental health problems • Children have worse emotional, behavioral, and academic outcomes • 25% cohabiting parents no longer together 1 year later • 31% cohabiting parents break up after 5 years Topics for Discussion What are some of the challenges a blended family faces? What are some ways to deal with these challenges? Family Structure Living in a Stepfamily • Most divorced parents eventually remarry • Many unwed mothers marry men not the father of their children • 15% of children live in blended families • Stress for child – Loyalty – Forming ties – Noncustodial mothers keep in touch more than noncustodial fathers and offer more social support – Boys benefit more from stepfather • Mothers use gentler discipline when with partner, married or not, better relationships with children – Supervision greater in stable single-mother families Blended Family Case Scenarios • The new parent has brought two new children into a family, where there are already three children. How should physical space be divided? • How should the new family handle discipline? Which parent would discipline which child? Is the other parent given the authority necessary to discipline? • Who will decide upon issues such as household chores and responsibilities? How is the work divided? • By what names will the new parent be called? Family Structure Living with Gay or Lesbian Parents • 9 million US children have at least one gay or lesbian parent – Some gays and lesbians raise children born from previous heterosexual relationship – Some conceive by artificial means, use surrogates, or adopt • No consistent differences between homosexual and heterosexual parents in emotional health or parenting skills – When present, favor gay/lesbian parents • Children no more confused about gender but may be teased and may hide parents’ sexual orientation Family Structure Adoptive Families • 1.4 million US children live with at least one adoptive parent – 60% of adoptions are by stepparents or relatives (usually grandparents) – Adoptions usually through public or private agencies • Confidential • No contact between birth parents and adoptive parents – Independent adoptions are agreements between birth and adoptive parents • Often open adoptions with information shared and contact maintained – Open adoptions not correlated with child adjustment or parent satisfaction with adoption • Challenges: integrating child into family, adolescence (especially boys), interracial rules, older children (particularly foreign) Family Structure Living with Grandparents • 5% of US children live with grandparents – 40% no parent present – Blacks more likely – Grandparents often on fixed income or dire financial straits – Many are widowed or divorced – Without legalizing through foster or custody, no legal status • “Parents by default” – Often result of teenage pregnancy, substance abuse, illness, divorce, or early death • Do it out of love for the children – But still may feel cheated out of traditional role – May lack stamina for parenting • Working grandparents entitled to federal Family and Medical Leave Act Sibling Relationships • Number of siblings, spacing, birth order, gender determine roles and relationships • Siblings are motivated to resolve conflict – Same sex quarrel the most, boys more than girls • Siblings influence gender development – Firstborns more influenced by parents, secondborns more influenced by sibling’s attitudes, personality, and activities • When parent-child relationship has conflict, sibling conflict is more likely The Child in the Nourishment Peer Group • Positive and Negative Effects of Peer Relations • Gender Differences in Peer-Group Relationships • Popularity • Friendship • Aggression and Bullying Positive & Negative Effects of Peer Relations • Children benefit from doing things with peers – – – – – Develop skills for sociability and intimacy Gain sense of belonging Motivated to achieve Get sense of identity Learn leadership and communication skills, roles, and rules – Compare to others their age and gauge their abilities more realistically – Gain clearer sense of self-efficacy Positive & Negative Effects of Peer Relations • Peer groups reinforce prejudice – “Outsiders” – Especially racial or ethnic groups – Biases toward children like themselves – Prejudice and discrimination do real damage • Peer group can foster antisocial tendencies – Shoplift, drugs Gender Differences in Peer-Group Relationships • Boys: – Groups of boys play in large groups with well-defined leadership hierarchies – More competitive and rough-and-tumble play – Less emotional support from friends • Girls: – More intimate conversations with prosocial interactions and shared confidences – Seek social connections and more sensitive to others’ distress – More likely to worry about relationships, express emotions, and seek emotional support Popularity • Becomes more important in middle childhood • Children who don’t get along with peers more likely to develop psychological problems, drop out of school, become delinquent • Popularity measured two ways: 1. Sociometric popularity measured by asking children which peers they like most and least • 2. Five peer status groups identified: popular, rejected, neglected, controversial, average Perceived popularity measured by asking children which children are best liked by peers • High status, may be dominant, arrogant, aggressive, physically attractive, athletic, and to a lesser extent may have academic ability • Unpopular children tend to be aggressive, hyperactive, inattentive, withdrawn, silly, immature, anxious, uncertain, insensitive to others’ feelings and not adapt well • Popular children tend to come from authoritative families Friendship • Children look for friends who are like them – – – – Same age Same sex Same ethnicity Same interests • Strongest friendships involve equal commitment and mutual give-and-take • Unpopular children can make friends, but have fewer friends and tend to have younger friends • Friends help children to learn to communicate and cooperate • Quarrels help children learn to resolve conflicts • Peer rejection has long-term effects • Selman’s Stages of Friendship Aggression and Bullying • Aggression declines and changes in form – As child grows less egocentric and more empathic, more cooperative, better able to communicate • Instrumental aggression is less common • Hostile aggression proportionately increases • School-age boys who are physically aggressive may become juvenile delinquents in adolescence Aggression and Bullying Gender Differences • Boys are more physically aggressive • Relational or social aggression is more typical of girls – Some research indicates both boys and girls use relational aggression • Consequences more serious for girls – More preoccupied with relationships • Boys are more aggressive when a group is forming – Compete for dominance • Girls seek status through manipulative means involving indirect or relational aggression – Perceived to be most popular in class Aggression and Bullying Types of Aggression and Social Information Processing • Instrumental, proactive aggressors – – – – View force and coercion as effective ways to get what they want Act deliberately, not out of anger Expect to be rewarded and when they are, belief is reinforced Stops when not rewarded • Hostile, reactive aggressors – – – – Hostile attribution bias, see other children as trying to hurt them Strike out in retaliation or self-defense Rejected children and children exposed to harsh parenting Can be stopped through teaching recognition of feeling angry and teaching conflict resolution Aggression and Bullying Does Media Violence Stimulate Aggression? • Children spend about 4 hours screen time daily • 60% of US TV programs portray violence – Usually glamorized, glorified, or trivialized – Music videos disproportionately feature violence against women and blacks – Motion picture, music, and video game industries aggressively market violent, adult-rated products to children • Children take violence for granted and less likely to intervene • More time with screen is less time with friends who can balance the negativity – Long-term influence greater for school-age than earlier ages • AAP recommended media time: 1 – 2 hours daily Aggression and Bullying Bullies and Victims • Aggression become bullying when it is deliberate, persistent, against a particular target who typically is weak, vulnerable, and defenseless – Hitting, punching, kicking, taking personal belongings, name calling, threatening, psychological (isolating and gossiping) • Bullying occurs in 42% of middle schools and 21% high schools at least once a week – Associated with student suicide and suicidal thoughts and behavior • Most bullies are boys who tend to victimize other boys Aggression and Bullying Bullies and Victims • Victims decrease over time as children learn how to discourage bullying, leaving a smaller pool of available victims • Bullies and victims exhibit psychological problems – Both tend to be disliked – Both say they are victims • Bullies are aggressive, impulsive, hostile, domineering, antisocial, uncooperative • Risk factors for victimization: don’t fit in, are anxious, depressed, cautious, quiet, submissive, cry easily, argumentative, provocative, have few friends, may live in harsh punitive families • Victims may: develop hyperactivity, become more aggressive, become more depressed Cyberbullying • http://www.myfoxboston.com/dpp/new s/special_reports/Cyberbullying Mental Health •Common Emotional Disturbances •Treatment Techniques •Stress and Resilience Mental Health • 1 in 10 children and adolescents has a diagnosed mental illness severe enough to cause some impairment – Half of all mental disorders begin by age 14 • 55.7% of children diagnosed with emotional, behavioral, and developmental problems have disruptive conduct disorders: – Aggression, defiance, antisocial behavior • 43.5% have anxiety or mood disorders – Feeling sad, depressed, unloved, nervous, fearful, lonely Common Emotional Disturbances Disruptive Conduct Disorders • Oppositional defiant disorder (ODD) – Pattern of behavior until age 8 including temper tantrums, defiance, argumentative, hostile, deliberately annoying behavior, disobedience and hostility toward adult authority lasting at least 6 months and beyond normal childhood behavior – Child constantly fights, argues, loses temper, grabs things, blames others, angry, resentful, has few friends, constantly in trouble at school, tests limits of adult patience • Conduct Disorder (CD) – Some children with ODD also have CD – Persistent, repetitive pattern beginning at early age • Aggressive, antisocial, truant, setting fires, habitual lying, fighting, bullying, theft, vandalism, assaults, drug and alcohol use – 25 – 50% of highly antisocial children become antisocial adults – Neurological deficits, genetics, hostile parenting, family conflict Common Emotional Disturbances School Phobia and Other Anxiety Disorders • School phobia: unrealistic fear of going to school – Some have realistic reasons • Sarcastic teacher • Overly demanding work • Bully – Change the environment, not the child – May be type of separation anxiety disorder (4% of children) • Social phobia or social anxiety: extreme fear and/or avoidance of social situations (5% of children) – Runs in families, genetic component, triggered by traumatic experiences, increases with age Common Emotional Disturbances • Generalized anxiety disorder – Not focused on any specific aspect of child’s life – Worry about everything • Grades, storms, earthquakes, hurting themselves, amount of gas in the tank – Self-conscious, self-doubting, excessively concerned with meeting expectations of others – Seek approval and need constant reassurance • Obsessive-compulsive disorder (OCD) – Far less common, obsessed by repetitive, intrusive thoughts, images, impulses or behaviors – Runs in families, more common in girls • Vulnerability to anxiety begins as early as 6 years – Girls more vulnerable to anxiety which often goes with depression, which may be neurologically based plus environment Common Emotional Disturbances Childhood Depression • Goes beyond normal temporary sadness • Occurs in 2% of elementary school children • Symptoms – – – – – – – – – – – Inability to have fun Inability to concentrate Fatigue Extreme activity or apathy Crying Sleep problems Weight change Physical complaints Feelings of worthlessness Prolonged sense of friendlessness Frequent thoughts of death or suicide Common Emotional Disturbances Childhood Depression • May be a signal of a recurring problem that can persist into adulthood • Specific causes unknown – Tends to come from families who have high levels of: • Parental depression, anxiety, substance abuse, antisocial behavior – 2 specific genes related to depression • One controls brain chemical serotonin and affects mood • Another gene is associated with enlargement of a brain region that involves negative emotions Treatment Techniques • • • • Individual psychotherapy Family therapy Behavior therapy (behavior modification) Art therapy – Children with limited verbal and conceptual skills or who have suffered emotional trauma • Play therapy • Drug therapy – CONTROVERSIAL – Sufficient research on effectiveness and safety for children is lacking – Selective serotonin reuptake inhibitors (SSRIs) treat obsessivecompulsive, depressive, anxiety disorders, risks of suicidal behavior, especially in early months of treatment Stress and Resilience Stresses of Modern Life • Elkind’s “Hurried Child”** – Children expected to do well in school, compete in sports, meet parents’ emotional needs – Tightly schedule pace of life is stressful – Exposed to adult problems on television and in real life Stress and Resilience Stresses of Modern Life • With added stress comes increased anxiety • Presence of street gangs and violence in schools – 94% of middle schools reported incidents of violent crime • Rape, robbery, physical attacks with or without weapons • Children more susceptible than adults to psychological harm from a traumatic event such as war or terrorism – Reactions vary with age – Reactions vary with exposure – Reactions vary with how directly affects child • Response to traumatic event occurs in two stages: – First: fright, disbelief, denial, grief, relief if loved ones unharmed – Second: several days or weeks later, signs of anxiety, fear, withdrawal, sleep disturbances, pessimism about future – If symptoms last more than 1 month, child needs counseling Talking to Children About Terrorism and War • Listen to children – Create a time and place and don’t force • Answer children’s questions – Avoid stereotyping groups of people by race, nationality, or religion – Be honest and be prepared – You may need to repeat information • Provide support – Don’t let them watch the events on TV Stress and Resilience Coping with Stress: The Resilient Child • Those who weather circumstances that would devastate others, bounce back from traumatic event • Two primary protective factors for resiliency: 1. Family relationships 2. Cognitive functioning (high IQs) • Other protective factors: – – – Child’s temperament and personality Compensating experiences (school, sports, music) Reduced risk (only one risk factor: exposed to psychiatric disorder, parental discord, low social status, disturbed mother, criminal father, experience in foster care or institution) Great minds discuss ideas, average minds discuss events; small minds discuss people. -Eleanor Roosevelt