Growth and Development
Growth and Development
Course Purpose
To expose students to issues in health education.
Expected Learning outcomes
On completion of this course, the students should be able to:
1. Describe the meaning, development and significance of Health Education;
2. Explain the various components of Environmental Health;
3. Describe the general principles of physical, mental and sexual health;
4. Describe good nutrition and social habits; and
5. Explain how to provide emergency care and treatment in varied circumstances
Course Description
Introduction to Health Education: Definition, Scope, Development and Significance;
Environmental Health: Public Health, Safety and Hygiene; Physical Health: Stages of Growth
and Development, Significant development disorders and care, Prevalent Human Diseases
(HIV/AIDS, Cancer, Malaria, Diabetes, Emerging Diseases like COVID among others);
Physical fitness; Mental Health: Common Mental Disorders, Stress and Stress Management,
Depression, Suicide and Coping Strategies Social Health: Relationships, Social Virtues, Human
Rights, Gender Equality, Disability Mainstreaming; Sexual and Reproductive Health: Family
Planning and Population Control, Good Sexual habits and Rights, Sexually, Transmitted
Infections; Health and nutrition: Principles of Nutrition, Significant Human Nutrients,
Balanced Diet; Substance Abuse: Common Substances abused and their related effects
(Alcohol, Tobacco, Marijuana, Other Hard Drugs); Emergency Care Treatment: Overview of
Disaster Management, First Aid.
Teaching Methodologies
Lectures, oral presentations, additional activities e.g. writing on chalk board, exercises, class
questions and discussions or student presentation. Tutorials to give the students more
attention.
Instructional Materials/Equipment
White- board, chalk, white board marker, duster, computer and projector, videos and visual aids
Course Assessment
One sit-in End of semester written Examination=70%; Continuous Assessment 30% (one 1 hr.
Sit-in written test=10%; one assignment=10%; one presentation=10%) Total =100%.
Reference Journals
1. International Journal of Education and Health
2. International Journal of Health Sciences Education
3. African Journal of Health Professions Education
EBooks
1. Benes, S., & Alperin, H. (2016). The essentials of teaching health education: Curriculum,
instruction, and assessment.
2. Doyle, E., Ward, S., & Oomen-Early, J. (2019). The process of community health education
and promotion.
Meaning of Health Education
Health Education is concerned with promoting health as well as reducing behaviour induced
diseases. In other words health education is concerned with establishing or inducing changes in
personal and groups’ attitudes and behaviour that promote healthier living.
Health education as the sum of experiences, which favorably influence habits attitudes and
knowledge relating the individual community and social health.
-Thomas wood
Health education like general education is concerned with changes in knowledge, feelings and
behaviour of people. In its most usual form it concentrates on developing such health practices as
are believed to bring about the best possible state of well being
.
–W.H.O technical Report
Definition
Health education has been defined in many ways by different authors and experts. as “a
combination of learning experiences designed to facilitate voluntary actions conducive to
health.”
The terms have significant implications in this definition. Combination: emphasizes the
importance of matching the multiple determinants of behavior with multiple learning experiences
or educational interventions. Designed: distinguishes health education from incidental learning
experiences as systematically planned activity. Facilitate means create favorable conditions for
action. Voluntary action means behavioral measures are undertaken by an individual, group or
community to achieve an intended health effect without the use of force, i.e., with full
understanding and acceptance of purposes.
GROWTH AND DEVELOPMENT
Most people use the terms „growth‟ and „development‟ interchangeably and accept them as
synonymous. But in reality, the meanings of these two terms are different.
Growth refers to physical increase in some quantity over time. It includes changes in terms of
height, weight, body proportions and general physical appearance.
Hurlock has defined Growth as “change in size, in proportion, disappearance of old features and
acquisition of new ones”. Growth refers to structural and physiological changes (Crow and
Crow, 1962). Thus, growth refers to an increase in physical size of whole or any of its part and
can be measured.
In Encyclopedia Britannica is the term development defined as “the progressive change in size,
shape and function during the life of an organism by which its genetic potential are translated
into functioning adult system.” So, development includes all those psychological changes that
take in the functions and activities of different organs of an organism.
1. Development involves change:- The human being is undergoing changes from the moment
of conception to the time of death. There are different types of change occur such as, changes
in size, proportions, disappearance of old features and acquisition of new features etc. The
goal of these developmental changes is self-realization, which Abraham Maslow has labeled
as self-actualization. Each individual is equipped with certain abilities and potentialities at
birth. By utilizing the innate or inborn abilities one tries to realize and strive for self-
actualization during the total life period. Children‟s attitude toward change are generally
determined by his knowledge about these changes, social attitudes toward this change and the
way people of society treats to children when these changes take place.
This is the principle of proximodistal development that describes the direction of development
(from nearer to far apart). It means that the spinal cord develops before outer parts of the body.
The child‟s arms develop before the hands and the hands and feet develop before the fingers and
toes.
This is called the cephalocaudal principle. According to this principle, development occurs from
head to tail. The child gains control of the head first, then the arms and then the legs.
7. Early development is more critical than later development:- Milton writes “ The
childhood shows the man, as morning shows the day.” Similarly, Erikson views “childhood
is the scene of man‟s beginning as man.” He explains that if parents gratify the needs of the
child for food, attention and love etc., his perception towards people and situation remains
positive throughout his life. He develops positive attitudes, feels secure, emotionally stable
and adjust well with the environment. If negative experiences occur during early life of the
child, maladjustments may take place. Glueck concludes that delinquents can be identified as
early as 2-3 years of age. Different researchers’ view that the preschool year’s age are most
important years of development as basic foundation is laid down during this period which is
difficult to change.
8. Development involves Social expectations:- In every society there are certain rules,
standards and traditions which everyone is expected to follow. Development is determined
by social norms and expectations of behaviors form the individuals. Children learn customs,
traditions and values of the society and also what behaviors are expected from them. They
realize from the approval or disapproval of their behavior. Social expectations are otherwise
known as “developmental tasks”. Havinghurst defines developmental task as a “task which
arises at or about a certain period in the life of an individual. Developmental tasks arise
mainly (a) as a result of physical maturation, (b) form the cultural pressures of society, (c)
out of the personal values and aspirations of the individual. The developmental tasks remain
the same from one generation after another in a particular culture. As societies are evolving,
changing traditions and cultural patterns of a society are learned automatically by children
during their development process. These developmental tasks help in motivating children to
learn as well as help parents to guide their children.
Human development is the process in which the changes occur in all the aspects of an
organism from conception to death. It is a natural process for each and every child to
grow. But it is observed that all children do not grow in the similar fashion. Some
children‟s physical growth occur earlier than others, some Individual differences in the
development process Development depends on maturation and learning Development is
predictable Early development is more critical than later development. Development
involves social expectation Development has potential hazards Happiness varies at
different periods of development are physically stronger than others, some are taller than
others and so on. So far as mental development is concerned, some children have better
cognitive ability, memory, reasoning, thinking ability etc. than others. All children also
do not have same type of intelligence. Some have more musical talents, others have more
intrapersonal intelligence, others also have more linguistic abilities etc. So, children differ
from each other because several factors influence on their development. Some of the
important factors have been enumerated below:
The human growth and behaviors can be understood from the characteristics mentioned below:
PERSONALITY:
Personality is a controversial concept. People used this in various ways. The term „personality‟
is derived from the Latin word „Persona‟ which means a theatrical mask used by actors in those
days to indicate their role in theatrical play. People usually think that personality means physical
attractiveness or reputation etc. So different terms are used to type a person, such as „he is shy‟,
„he is introvert‟ etc. Thus, everyone has got a personality. This personality includes both outer
self and inner self and both of these interact with each other. Several attempts have been made by
sociologists, philosophers and psychologists to define personality in different ways. All these
definitions emphasized on the total person, i.e., his external appearance, his abilities, tendencies,
innate and acquired characteristics. Some of these definitions are discussed below: Coleman
(1960) defined personality as “the individual’s unique pattern of traits, the pattern that
distinguishes him as an individual and accounts for his unique and relatively consistent way of
interacting with his environment”. According to Mischel (1986) personality as “what usually
refers to the distinctive patterns of behavior (including thoughts and emotions) that characterize
each individual’s adaptation to the situations of his or her life”. One of the most appropriate
definitions of personality has been given by G.W. Allport. He defined personality “as the
dynamic organization within the individual of those psychophysical systems that determine his
unique adjustment to his environment”. Thus, personality is the sum total of physical abilities
and mental traits of the individual which are dynamic and they help one to adjust to his
environment.
Characteristics of Personality
a. Personality is unique.
b. Personality refers to relatively stable qualities of an individual.
c. Personality represents a dynamic orientation of an organism to the environment.
d. Personality is greatly influenced by social interaction.
THEORIES OF PERSONALITY
They are:
1) Trait theories
2) Psychodynamic theories
3) Behavioral theories
4) Humanistic theories
Trait Theories
Trait theories attempt to describe personality as the sum of certain traits. According to Kimble
and Garmezy “trait is a stable and enduring attribute of a person which is revealed consistently in
different situations.” Allport believed that the pattern of these traits is unique in each individual
and determines his behaviours. Therefore, traits are consistent personality characteristics and
behaviours manifested in different situations. Trait theorists assumed that all people possess
certain traits, but the degree to which a particular trait applies to a specific person varies and can
be quantified. It is necessary for trait theorists is to identify specific primary traits in order to
describe personality. For example, If we compare the personalities of two persons, one being
extrovert and another being introvert. The extrovert person would be social, happy go lucky and
would make friends easily while the introvert’s behaviour would be shyness, lack of initiatives in
social interactions etc. Gordon Allport suggested that there are three major traits, viz. cardinal,
central and secondary traits in personality. The special trait which provides uniqueness to the
person is known as cardinal trait. The cardinal trait is observed in almost all the behaviours
throughout one’s life. A child who becomes the monitor of the class since beginning tries to be a
leader in the state. Central trait refers to the major characteristics of an individual. These traits
make up the core of personality. Central traits, such as honesty and sociability, they usually
number from five to ten in any one person. Secondary traits are characteristics that affect
behaviours of a person in fewer situations. These traits are less enduring. For example, a person
is invited to attend a marriage party, He may wear sherwani for this purpose but in general he
may like to wear casuals. Personality psychologist Raymond Cattell (1965) viewed that
personality is made of two types of traits – the surface traits and the source traits. He suggested
that sixteen pairs of source traits represent the basic dimensions of personality. He called source
traits as the core factors of personality and they are underlying internal traits responsible for
behaviours. On the other hand, surface traits are some general traits and are possessed by all
which are observable patterns of behaviour. He conducted research on these surface traits and
applied factor analysis. Another trait theorist Hans Eysenck (1992, 1994, and 1995) also used
factor analysis method to identify patterns of traits to discuss about the nature of personality. He
viewed that personality could be described in terms of just three major dimensions: extroversion,
neuroticism and psychoticism. The extraversion dimension relates to the degree of sociability,
the neurotic dimension emphasizes emotional stability and psychoticism encompasses to the
degree to which reality is distorted. Eysenck suggested that behaviour of a person can be
predicted accurately in a variety of situations by evaluating along these three dimensions. The
most influential trait approach contends that five traits or factors – called the “Big-Five” – lie at
the core of personality. Now-a-days the “Big-Five” represent the best description of personality
traits. The “Big-Five” factors are: (a) Extroversion, (b) Agreeableness, (c) Conscientiousness, (d)
Emotional stability and (e) openness to experience. Extroversion refers to a personality
dimension describing someone who is sociable, gregarious and assertive. Agreeableness
describes someone who is good natured cooperative and trusting. Conscientiousness is a measure
of reliability that describes someone who is responsible, dependable, persistent and organized.
Emotional stability characterizes someone as calm, self-confident, secure. The person with high
negative scores can be nervous, anxious, depressed and insecure. Openness to experience
dimension of personality characterizes someone in terms of imagination, sensitivity and
curiosity. Trait theories have also been criticized by some theorists. They have cautioned that
personality traits will not be expressed in the same way across different situations. Walter
Mischel has discussed about trait-situation interaction, in which the situation is assumed to
influence the way in which a trait is expressed. Trait theories do not reveal the origin of different
traits and how do they develop and can be modified or changed. These theories are empirical or
data oriented. Factor analysis theory has been criticized on the ground that individuality is lost.
The advantage of trait theories is that traits can be measured and persons can be compared on the
basis of different traits. Traits can be used to explain consistency in behaviours as well as why
people behave differently in a particular situation.
STRUCTURING PERSONALITY
a. the conscious,
b) the preconscious or the subconscious and
c) the unconscious.
The conscious mind consists of all the things of which a person is aware at any given moment. In
other words, it refers to the experience or awareness of an object at the present moment. Freud
compared the human mind to an iceberg and viewed that only one-tenth part of the mind deals
with conscious experience. The segment of the mind where the readily recallable is to be located
is called by Freud the preconscious or subconscious.
The subconscious is the storehouse of surface memories and are readily retrieved though are not
conscious at the moment. The subconscious process is weak and when it gets some force from
the outside, it comes to the conscious level. Freud emphasized the unconscious mental process
which is about 9/10 part of the mind. He believed that the unconscious part of the mind is the
important determining factor in human behavior and personality. It is the level of mind where
thoughts, feelings, memories and other information are kept that are not easily or voluntarily
brought into consciousness.
Dynamic aspect of mind: Freud in his theory of personality has described that personality
consists of three separate but interacting components: the id, the ego and the superego.
According to Freud, the dynamic aspects of self-refer to the agents through which conflicts
arising in the instincts are resolved.
1) The id:- The primitive part of the personality is id. It is derived from the Latin word which
means „it‟. It is the raw, unorganized and innate part of personality. It is representative of the
unconscious and the storehouse of instinctual desires. The Id is completely amoral part of the
personality that exists at birth which contains all of the basic biological drives related to hunger,
sex, aggression and irrational impulses. Those drives are fuelled by „Psychic energy‟ which
Freud termed as „the libido‟. The id is guided by the pleasure principle, in which the goal is the
immediate reduction of tension and the maximization of satisfaction. The pleasure principle can
be stated as “if it feels good, do it”.
2) The ego: - It begins to develop soon after birth. The ego comes from the Latin word for „I‟
which is mostly conscious and is far more rational, logical and cunning than the id. The ego is
the „executive‟ of personality. The ego maintains balance between the desire of the id and the
realities of the objective, outside world. It is guided by the reality principle. Therefore, the ego
satisfied the demands of the id and reduce libido only in ways that will not lead to negative
consequences. Sometimes ego decides to deny the id to satisfy its desires because the
consequences would be painful.
3) The superego: - The final part of personality is called the superego. The superego is derived
from the Latin word which means „over the self-‟. It develops in childhood as the child learns
rights and wrongs of society and modeled by parents, teachers and other significant individuals.
The superego is guided by the moral principle. There are two parts to the superego: the ego ideal
and the conscience. The ego ideal is the sum total of all the behaviors which the child has learned
about from parents and others of the society. The conscience is another part of the superego that
makes people feel pride when they do the right thing and guilt, when they do the wrong thing.
The superego works at both conscious and unconscious level.
According to Sigmund Freud, both the id and the superego are unrealistic. They do not consider
the practical realities imposed by the society. As a result, the ego acts as a mediator between the
demands of the id and the superego. When the ego is pressurized with anxiety by id and
superego, it uses a number of defense mechanisms to release the anxiety and save the personality
from disintegration. The use of defense mechanisms is a common phenomenon and used
normally by everyone. The defense mechanisms function in the unconscious level. Sigmund
Freud conceived that much of the work on development of defense mechanisms was done by his
daughter, Anna Freud. According to Lynn M. Levo “Defense mechanisms are a means of
distancing, transforming or falsifying a person’s reality which reduce anxiety and allow the
individual to cope with whatever he/she is facing.” Defense mechanisms can be healthy or
unhealthy depending on the situations and the way the person uses them.
(i) Sublimation :
It is considered as the most complete and successful of all defense mechanisms.
It is the transformation of sexual and aggressive urges into creative work into
socially acceptable directions. Thus, it is the form of channeling socially
unacceptable impulses and urges into socially acceptable behaviour. For example,
a person who is very aggressive becomes a professional cricket player.
(i) Denial :
It is a type of defense mechanism in which the person refuses to acknowledge a
threatening situation. It is the most primitive form of defense mechanism. For example, a
person who is a drug addict denies being a drug addict.
(ii) Regression:
It is a form of defense mechanism in which a person falls back on child like patterns of
responding in reaction to stressful situation. It refers to a state where an adult behaves
like a child. For example, a six year old baby starts wetting his bed after his parents bring
home a new baby.
(iii) Repression:
It is a primary defense mechanism and it is a direct method of dealing with anxiety.
Repression is a defense mechanism in which the person refuses to consciously remember
a threatening or unacceptable event, instead putting those events in to the unconscious
mind. For example, a person who was sexually abused as a child can not able to
remember the incident because bad memory has got repressed inside.
(iv) Projection:
The literal meaning of projection is “throwing out”. It is commonly used by everyone.
Projection is a form of defense mechanisms by which one transfers the blame of his own
shortcomings, mistakes and misdeeds to others and attributes to others his own
unacceptable thoughts. For example, a lady is attributed to her friend’s husband but
denies this and believes the friend’s husband is attracted to her.
(v) Rationalization:
It is the invention of unconsciously acceptable motives by the ego to cover up those
unconscious motives which it cannot accept. In other words, it refers to the substitution
of a socially approved motive for a socially disapproved one. In this type defense
mechanism a person invents acceptable excuses for a unacceptable behaviour. For
example, a person who gives a lot of donation to charity may consider himself to be a
very generous but in fact he is motivated by guilty conscience.
(vi) Reaction Formation:
It is the defense mechanism by which a person forms an opposite emotional or
behavioural reaction one’s true feelings. Reaction formation is the development of
behaviour which is opposite to the unconscious desires of the person. For example, a
person is very angry but overtly he may state that he is not angry by showing smiles.
(vii) Displacement:
Displacement is commonly found in dreams of normal adults. It implies that redirecting
feelings from a threatening target to a less threatening one. In this defense mechanism
the discharge of an unconscious impulse by shifting from one original object to a
substitute takes place. For example, a child may be angry with his mother, he may not
express his anger towards his mother due to social restriction, but may do so by breaking
his doll into pieces.
(viii) Identification:
It is a mechanism which is very often used by normal people. In this defense mechanism
a person tries to become like someone else to deal with anxiety. For example, a student
may identify himself with a bachelor professor whose qualities he may like.
(ix) Compensation:
Compensation is also called as substitution. In this defense mechanism a person makes
up for inferiorities in one area by becoming superior in another area. In the process of
compensation a person tries to maintain balance of his weaknesses by overemphasizing
strengths in other areas. For example, a person who is not a good player, he may put all
his energises to become a good academician. Besides the above mentioned defense
mechanisms there are some other mechanisms like isolation, fantasy, fixation, etc. people
use to overcome their unpleasant experiences. When the ego of the individual is
threatened, the various defense mechanisms are used to resolve conflict and the person
would have able to maintain a balanced personality. However, excessive use of defense
mechanism is dangerous for the ego. Defense mechanisms are generally learned by the
person during childhood.
In the first stage of psychosexual development the mouth is the primary site of a kind of
sexual pleasure. If there is frustration at oral stage, it may result in verbal hostility. The
second stage of psychosexual development which begins from 12 months and continued
up to 03 years, during this period the area of getting pleasure changes from mouth to the
anus and the child gets pleasure by retaining and controlling feces and urine. The phallic
stage begins at about age of 03 years. During this stage the sex energy is localised in the
genital organs. In this stage the child must also negotiate the important hurdle of
personality development, the oedipal conflict through the process of identification. After
the resolution of oedipal conflict, the child enters in to the latency stage of psychosexual
development which lasts until puberty. In this period, the sexual interest becomes
dormant. The last stage is the genital stage which extends until death. At this stage the
sexual instinct starts to develop with the aim of reproduction. This theory has been
criticised on the ground that it lacks scientific validity. Freud made his observations by
observing few patients and developed his theory. His theory has had an impact on
western culture. This theory emphasizes that personality of the individual is influenced
by childhood experiences. This theory neglects the importance of healthy personalities.
The other psychodynamic theories have been advanced by Carl Jung and Adler.
According to Carl Jung we have a universal collective unconscious which means a
common set of ideas , feelings, images, and symbols that we inherit from our relatives,
the whole human race and even nonhuman animal ancestors from the distance past. Jung
proposed that collective unconscious contains archetypes, universal symbolic
representations of a particular person, object or experience of good or bad. Another
important contribution of Carl Jung was his interests in the concept of introversion (a
turning inward) and extroversion (a lowering outward). Alfred Adler, another Neo-
Freudian psychoanalyst proposed that the primary human motivation is a striving for
superiority. People do not have any control over their experiences during childhood
period. So they grow with a feeling of inferiority. As they grow old they try to cope with
this feeling. Those people who are able to cope effectively this feeling, they become
normal adults where as those fail to cope or have continuous anxiety over this, they
develop inferiority complex. However, these theories are criticized for their
overemphasis on heredity factor and childhood experiences in determining behaviours.
Behaviour or Learning theories
The trait and psychodynamic approaches have focused on the “inner” person whereas the
behaviour or learning approaches to personality focus on the “outer” person. According
to learning theorist personality is the sum of learned responses to the external
environment.
Learning theorists’ view that personality is best understood by taking account the
person’s environment. In early 1940s, Dellard and Miller developed a scientific theory
and emphasized the role of learning.
The main tenets of this theory are observable behaviours and processes. All of us
possess certain innate needs like food, water, oxygen etc. which have to be fulfilled.
These needs are inherited but the way to fulfill these needs people learn to respond. The
researchers remarked that any response that reduces our need is reinforced and that
response is repeated to strengthen by fulfilling need in future. Thus, they learn to elicit
responses to different needs.
Skinner discussed about two important concepts such as: generalization and
discrimination. People learn to elicit similar responses in similar situations and learn to
discriminate among responses.
Classical conditioning was developed by Ivan Pavlov. It is learning a connection between two
stimuli, a neutral or conditioned stimulus and unconditional stimulus. For example, if a child is
ill, he associates his illness with the doctor from whom he may receive medicine. In operant
conditioning, B.F Skinner suggests a kind of learning in which a person learns to associate his
behaviour with the consequences of his own behaviour. For example, a child learns to respond
the answer of a question in a similar manner, in which the answer has been rewarded earlier.
Social learning theory was developed by Albert Bandura and Walter Mischel. These theories of
behaviour emphasize role of cognitive processes. According to Skinner internal cognitive
processes such as thinking or feelings are not very important to behaviours. But social learning
theories emphasize the cognitive interpretation as being important in shaping the personalities.
Social learning theory holds that children learn by observing and imitating models.
Bandura’s theory is based on three components: (i) the behaviour of a person, (ii) the
environment in which one interacts or behaves others and (iii) to understand that a particular
behaviours would achieve the goal.
These three factors help in interaction in shaping behaviours. People are able to assess various
situations on the basis of their experience and also their capabilities to deal with various
situations. The behavioural and social learning theories emphasized upon social factors which
play an important role in developing and changing the personalities. These theories also indicate
as to why certain behaviours continue and same behaviours may change from situation to
situation. Skinner’s theory neglects the importance of hereditary factors. It does not take into
account the internal forces. But learning theory believed that events have cognitive analysis
dimensions. The behaviourist theorists were interested in modifications of behaviours. They
emphasized that the interaction between cognitive factors and environmental factors result in
modification of behaviour.
Humanistic Theories
A group of psychologists founded the association of Humanistic Psychology in the year
1962. They developed the theories, called as Humanistic theories, which gave
importance to the growth potential of human beings. These theories are the outcome of
researches on healthy persons.
Humanistic approaches discussed about people’s inner goodness and their tendency to
grow to higher levels of functioning. These approaches are based on the assumption is
that the personality of a person cannot be assessed by looking at his environment and
responses he elicits to the environment. Each individual is motivated to develop and tries
to develop his full potential and capabilities. Self-concept of a person grows from
infancy to adulthood on the basis of the accumulation of experiences.
During this process the person develops his self-image. All people possess the need for
self-actualization. According to Roger conflict may grow between people’s experiences
and their self-concept. In other words, Roger believed that self-image is the „real self-‟
of the person. A person strives for an ideal. This is termed as „ideal self-‟. If there is a
vast gap between the real self and ideal self the person became labelled as maladjusted
person. Roger suggests that unconditional positive regard provides people the
opportunity to evolve and grow both cognitively and emotionally and to develop more
realistic self-concepts.
Self-perception of the society is subjective and on the basis of that behaviours cannot be
explained. These theorists also ignore experimental factors in shaping the behaviours of a
person. Another criticism of humanistic approach is that whether unconditional positive
regard does, in fact, lead to greater personality adjustment. This approach is also
criticized on the ground that people are basically „good‟ – that is unverifiable. In spite of
these criticisms humanistic theories have been important in highlighting the uniqueness
of human beings and guiding the development of a significant form of therapy to
alleviate psychological problems.
DEVELOPMENTAL STAGES
They are:
Human development can be explained in terms of both heredity and environment. There is a
debate among theorists that heredity is important in the development of human beings or
environment influences development. It has been observed that some children are introvert while
others are extrovert.
The argument is that these characteristics are hereditary or environmentally determined. John
Locke, a philosopher remarked that the child’s mind is just like a blank state and things are
written in interaction with environment and experiences. John Watson was a behaviourist who
argued that it is the environment that influences development of human beings. He said, “If I get
some children, I can make them what I want to make”. J. J. Rousseau and Gesell were of the
view that heredity influences development of individuals. It is revealed from the research studies
that both heredity and environment influence human development. In Indian settings, it may be
observed that children who are reared up in enriched environment behave differently than to their
peer groups who raised in impoverished environment.
There is a question that whether people are active in their own development or they are more
passively shaped by external forces. Some theorists believe that human beings always try to
discover and shape their own environment for their development. For example, children are
curious creatures and they actively construct their environment during their role playing games.
Some other psychologists emphasize that developments of human beings are controlled by
outside environment. For example, teachers and parents are blamed for not providing good
environment… … if a child does not perform well in his study.
3. Stages of Development
Human development is described in terms of stages covering the period from conception to
death. Each stage of development includes a time period during the life span and has its own
characteristics and a specific rate of development. But people vary with respect to time and rate
of development from one stage to another. Even though there is no consensus on classification of
various stages of development, the human life span can be divided into eight developmental
stages:
Erik Erikson (1902 – 1994) was a German born psychoanalyst, a pioneer in a life span
perspective. Erikson viewed that ego development occurs through one’s life time. Erikson’s
(1950, 1982) theory of psychosocial development covers eight stages across the life span.
According to Erikson each stage involves a “crisis” in personality – that is important at that time
and will remain an issue to some degree throughout the rest of life. In each stage there is the
balancing of a positive tendency and a corresponding negative one. Initiative vs. guilt is a
conflict children face between their urge to form and carry out goals. When they fail to reach
their goals, they feel guilty. The sense of right and wrong morality emerges as a result of
identification with the parents. Children can resolve this crisis to acquire the virtue of purpose.
Erikson defines it as the courage to envisage and pursue valued goals. Children can then develop
into adults who combine spontaneous enjoyment of life with a sense of responsibility. Those
who cannot resolve this crisis may become repressed. If initiative dominates, they must continue
to believe. Erikson’s last stage is ego-integrity. The virtue of this stage is wisdom.
As Erikson mentioned different stages of human development, crisis is very typical of each stage
and resolution of it is a must. Resolution requires balancing a positive trait and a corresponding
negative trait. Both are required for healthy development. If either of the two predominates, there
will be imbalance and the conflict remains. Hence, the development of ego suffers.
Sigmund Freud (1953, 1964a, 1964b) proposed that people are born with biological drives that
must be redirected so as to live in society. The personality of the child is formed in childhood, as
children deal with unconscious conflicts between these inborn urges and the requirements of
civilized life. These conflicts occur in an unvarying sequence of five maturational based stages
of psychosexual development, In different stages of development, sexual pleasure shifts from
one body zone to another, i.e. from the mouth to the anus and then to the genitals. According to
Sigmund Freud there are five stages of development. Freud believed that personality is formed in
first three stages which includes first few years of life, as children deal with conflicts between
their biological, sexually related urges and the pressures of the society. At each stage there a
change in the main source of gratification. Each stage is characterized by a typical pleasure
gaining behaviour as well as a conflict due to the social pressures. These stages are named
according to the source of pleasure at the particular stage.
They are:
It begins at birth and extended till 12 to 18 months. In this stage the mouth is the primary organ
of giving pleasure. The experience of the child and mother relationship has an impact on
unconscious mind of the child. This stage relates to the activities like feeding, crying, teething,
biting and thumb sucking, etc.
The child gets sensual gratification from withholdings and expelling feces during this stage.
Anus is the chief source of pleasure. The child’s real experiences during this stage have an
impact upon the unconscious and behaviours. Pleasure derived from body parts are the centre of
the world during this stage.
Phallic Stage (3 to 6 years):
During this period the child derives pleasure from genital region. Many of the normal sexual
behaviour of human personality develop in this period. The child’s sexual longing is intensified
at this time. This is the stage in which conflicts related to reproductive issues are resolved.
This stage is a stage of learning skills rather than a psychosexual stage. There is no sexual
development takes place during this period. This is the time of relative calm between more
turbulent stages. Previous experiences, fears and conditioning have shaped many of the child’s
feelings and attitudes.
This the time of mature adult sexuality. In this stage many hormonal and physical changes take
place. Children are engaged in sex-related thoughts and feelings. Narcissism takes place during
this stage.
One is early childhood and another is late childhood. This period covers the period between the
ages of 3 to 11 years. Sometimes the girls at 13 years and boys at 14 years of age are considered
as adolescents and till then the child is considered being in the childhood stage. During this
period significant physical and psychological changes take place. But compared to infancy,
growth rate is slow but stable during the childhood. In this stage, children gain 2 to 3 inches in
height and 5 to 6 pounds in weight every year. They learn to walk, run, jump and play. They can
gain knowledge to distinguish between what is good and what is bad. Their physical capacities
increased independently, they perform tasks and meet adult expectations in several ways.
Early childhood stage covers the age range from 3 to 6 years. Children begin to develop athletic
appearance and they lose their babyish roundness. As abdominal muscles develop, the trunk,
arms and legs grow longer. Their brain and head grow rapidly than any other parts of the body.
The late childhood period extends from 6 to 11 years. This period is known as pre-adolescence.
The different parts of the body become stronger during this period. Children learn to use their
body parts appropriately with speed and for proper behaviours. During late childhood period
some of the habits like table manners interactions with others, eating appropriately, etc. may also
be modified wherever needed. In this period importance is given to physical strength of children.
If a particular child is not growing physically at per with other children of his age, the child may
be emotionally and socially depressed.
Psycho-Social Development:
In early childhood stage children can say full sentences, express their feelings and emotions and
communicate their needs and feelings and emotions and communicate their needs and feelings
with others. During early childhood children have better control of their physical movement and
can have better coordination of their body parts. They also learn how to cooperate with other
children and conflict resolution when they are about the age of five or six years they are
independent in various ways. There are three important socio-emotional developments, such as;
development of self, gender roles and moral development, take place during childhood period.
Through the process of identification the child comes to know who he is and differentiates from
who he wants to be. The child is aware of this process through his observation and imitation of
parents and significant others. The child’s personality is laid down by this identification. The
child learns the socially appropriate behaviours by observing and participating in the social
events. When the children are about the age of 5 to 6 years they can understand that they belong
to a particular gender and also learn to behave gender roles. When the children enter into school,
their interaction changes from supervising adults to classmates. As the social environment
changes the children begin to experience feelings of independency and freedom from authority
through negotiation, compromise and discussion. Social identification and social comparison
help them to describe themselves. For example, I am a student of DAV Public School,
Chandrasekharpur, Bhubaneswar and I got more marks than Dinesh. Parenting style plays an
important role in psycho-social development of children. A balanced parenting style which is
neither permissive nor authoritative is acceptable and helps in social and emotional development
of children. But children of authoritative parents are afraid of their parents and children of
permissive parents are impulsive and immature. Besides parenting style peer group influence has
also an impact on socialisation process of children. During childhood period the children can
able to differentiate between right and wrong. They experience feeling of guilt by doing a
mistake, feel sorrow and happiness for them. These are experienced by the children due to their
moral development.
Cognitive Development:
The childhood period is important for cognitive development of children. Children are curious to
know the answers of questions like, “why”, “Where” and “How” for everything that happens.
Cognitive abilities include memory, reasoning, perception, problem solving and thinking abilities
which continue to emerge throughout childhood. Jean Piaget worked on childhood cognitive
development. He concluded that children are not less intelligent than adults but they simply think
differently. Piaget explained that human beings acquire knowledge through interaction with the
environment in which he lives in, Piaget named early child hood (2 to 7 years) as the
preoperational stage of cognitive development which there is a great expansion in the use of
symbolic thought, or representational ability. But they are not able to use logic. In this stage
children do not need to be in sensory motor contact with an object, person or event in order to
think about it. They are aware that superficial alternations do not change the nature of things and
also understand the cause-effect relationship. They develop the ability to classify objects, people
and events. Children can count and deal with quantities. They become more able to imagine how
others might feel and aware of mental activity and the functioning of the mind. For example,
Ranu saw a pencil rolling down from behind and she looks back for the person who threw it.
According to Piaget children enter the concrete operational stage during middle childhood period
which begins at about age 7 and ends at age 12 years. In this period children can use mental
operations to solve actual problems and they can think more logically. They can perform many
tasks at a much higher level than before. They have developed abilities to use maps and models
and to communicate spatial information improve with age. They have a better understanding of
cause and effect relationship, of categorization of inductive and deductive reasoning and of
conservation.
Adolescence
The term adolescence is derived from the Latin word adolescere, which means to sprout into
maturity. It is the intermediate period between childhood and adulthood. This period is otherwise
called as the age of teenagers. It includes three sub periods, such as: early adolescence (12 yrs. -
14 yrs), middle adolescence (14 yrs -17 yrs) and late adolescence (17 yrs -19 yrs). Adolescence
is the developmental transition between childhood and adulthood entailing major physical,
cognitive and psychological changes. During this period physical changes that occur are
universal, but social and psychological changes largely depend on the cultural contexts. As this is
the transitional phase of life adolescents’ rebel against their parents and society most often.
Therefore, this period is labelled as storm and stress period.
Physical Development
Sexuality and identity formation are two major challenges of the period of adolescence. During
this period the most rapid physical growth occurs. There are changes in the growth rate, sexual
characteristics, and behaviour. Adolescent boys and girls develop in their height, weight, strength
and development of bones, muscles, etc. Puberty and sexual maturity for both boys and girls
marks the beginning of the adolescent period. Growth spurts and development of secondary sex
characteristics signal about the onset of adolescence. Menstruation is the first sign of puberty for
girl whereas appearance of few whiskers is the sign of puberty for boys. The approximate age for
sexual maturation is 12.5 years for boys and 10.5 years for girls. Puberty begins in response to
changes in the hormonal system. Sex hormones like testosterone in males and estrogen in
females are secreted from the sex glands. The secretion of sex hormones help in pubertal
development and also closely associated with emotions. During this period emotion like
aggression is found in boys and depression is marked in girls. They try to imitate their idols.
Girls are conscious about their shapes and do what their friends do while boys try to go for body
building.
Psycho-Social Development
During this period the physical changes in adolescents bring about a wide variety of
psychological changes. Adolescents become innovative and take interest in learning various
skills with great interest. They feel that no one understands them, and they often consider
themselves to be „superman‟. Their sense of uniqueness is expressed in the form of personal
fable around them away from the world of reality. They are argumentative and they have a
tendency to find fault with the authority figures. They do not able to differentiate between ideal
and real. Adolescents are very self-conscious and it is expressed in the concept of imagery
audiences. These imaginary audiences criticise, encourage and motivate an adolescent. Peer
group influence is very important during adolescence. They want to do what their friends are
doing, Adolescents abuse alcohol and drugs under peer pressure. Developmental psychologists
viewed that adolescence as a period of risk, turmoil, uncertainty and conflict, if proper care is not
taken during this period children became antisocial, abusive or depressed. They also develop
eating disorders if they are not getting proper love and affection from the parents. In this period
if adequate atmosphere is provided to them and they get high parental support, then they can
develop their abstract thinking, reasoning skills and other social behaviours. The important task
of adolescents is to establish an identity independent of their parents. They do not like anyone to
interfere in their opinions, trust, believes and decision making process. They have their own
expectations and they are also very emotional during this period. Adolescents suffer from
different problems like teenage pregnancy and juvenile delinquency. So, positive relationship
with parents, peers, siblings and adults play an important role during adolescence period.
Cognitive Development
During adolescence not only there are changes in body structures occur but also they think
differently from younger children. Jean Piaget opined that adolescents enter the highest level of
cognitive development, i.e. formal operational stage of cognitive development. During this
period adolescents thoughts change from concrete objects to abstract events. They can think
flexibly enough about the world. They accumulate knowledge through interaction and apply the
learned concepts to new tasks. Teenagers develop their reasoning skills and engage in
hypothetical deductive reasoning. As adolescents develop their logical thinking, they are
becoming aggressive and argumentative. They are able to understand abstract concepts such as
congruence and mass and they think in terms of theoretical concepts. They are conscious about
others opinion regarding them and curious enough to know about spirituality, traditions and
beliefs. Thus, during adolescence people deal with problems on an abstract level, to form
hypothesis and to reason from proposition that are contrary to fact. Paget’s theory of cognitive
development has been criticised on the following grounds:
a) Piaget has given too much emphasis on physical maturation based on cognitive development.
b) He has not included environmental factors and experiences that people accumulate during the
process of growing up.
c) He has overlooked the concept of the individual differences in his theory
Adulthood
Stage An adult is someone who is responsible, mature, self-supporting and well integrated into
society. Also people do not develop these attributes and characteristics at the same time and with
same skills. This adult stage has three sub-stages of development. First stage is early adulthood,
second stage is middle adulthood, and third stage is late adulthood. In early childhood period
adults are at the peak of physical health, strength and energy. Sensory and motor systems are at
their highest functioning. Adults gain weight and their height increases. They develop intimate
relationships, they marry and begin their families. At this period of life adults take many
important decisions of life like choice of career, type of friends, residence, etc. independently
and accept responsibility and consequences for their own decisions. Every adult tries for
recognition, job security and to excel in his job. Middle adulthood period is explained in terms of
a gradual decline in one’s physical abilities, physical health, stamina etc, but the decline is
gradual in nature. Both men and women feel tired easily. In this period people experience stress
due to the double responsibility of caring for the aged parents and the growing children. Women
usually experience hormonal changes which results in the loss of ability to reproduce, a process
called menopause. Many psychological and intellectual changes occur in middle age. During this
period, women express more assertiveness and men are more nurturant. The term “late
adulthood” is roughly equivalent to old age.
This is the final stage of physical change. Robert Havinghurst lists major tasks in the middle
years: Accepting and adjusting to physiological changes, such as menopause.
Physical Development
Physical growth and development is at its maximum during this period. Physical strength usually
is more than previous years due to mature physical structures. Strength, speed, coordination and
endurance for activity is greatest during this period. A number of sensory and neural functions
are optimal levels during this period. Full brain weight and mature brain wave patterns are
observed at this stage of development. Changing life style pattern has an impact on growth and
development. In the middle adulthood period (during 20s) there is a decline in our physical
stamina and health. At that time physical functioning are generally perfect, but physical
attractiveness declines and biological changes in the sexual life occurs. The physical changes like
loss of elasticity of the skin, resulting in facial lines as well as looseness in other parts of the
body are easily noticeable through external physical appearance. There is a marked change in
visual activity. People suffer from presbyopia – the far sightedness associated with aging. The
auditory problem is also associated with increasing age, i.e. presbycusis. It means progressive
loss of hearing. In this period loss of taste, smell and sensitivity to touch also occurs. Some
physiological changes like enlargement of prostrate gland, less enzyme secretion in the
gastrointestinal tract, diminished ability to pump blood, reduced kidney functioning, etc. take
place
Psycho-Social Development
During early years of adulthood, people face the problem of choosing, preparing for and
entering into careers brings a lot of social changes in the adult. They have cordial relationships
with their siblings. They spend very few times with friends because their energies are consumed
for family and work. Middle adulthood people have children of adolescent age. It is very difficult
to handle their problems. Conflicts occur between parents and children regarding „giving‟ and
„getting‟ independence. Parents have to help their children in their search for identity. Middle
aged adult also have important responsibilities towards their parents. In this period they also try
to b satisfied at work place. People are worried about their jobs and pay packages because they
have to meet the daily needs of themselves and of the family.
Cognitive Development
Intellectual ability and cognitive skills are high in early adulthood. Middle adulthood people can
not learn new skills. Recent research suggests that intellectual development continues into late
adulthood. Intellectual development continued and that are influenced by the accumulation of the
experiences of life, i.e. verbal skills, social knowledge and moral judgements. During this period
people show changes in logic and morality. It is observed that creativity peaks in the early
adulthood but forms of creativity that require experience, revision and interpretation either
remain unchanged or increase in middle age. People utilise their cognitive skilss and creativity
particularly at the work place in order to get recognition. Studies revealed that intelligence
declines with age, but there is no certainty that intelligence and age are related with each other.
Late Adulthood
The term late adulthood is rightly equivalent to old age. This is the final stage of physical
change. It is difficult to consider the exact age of a person for being old. The onset of old age
may vary from country to country. Although the retirement age is considered as one of the
criteria of old age, it varies from job to job. For example, in India the retirement age for
government organisation is 58 years while for Universities it is 62 years and in some other
institutions like IIT and IIM it is 65 years. Now-a-days people beyond 70 years are considered as
old. It is the period of decline where the person thinks that he has done what he wanted to do and
most of his life span is over. Today researchers used two categories to describe old age people.
This category of older people irrespective of their actual age, are vital, vigorous and active.
Those older individuals who are infirm, inactive and suffer from physical problems include in
this group. As most of older persons suffer from physical problems, they became less active.
There are changes in body like wrinkles in face, rough skin, gray hairs, problems in hearing and
eye sight, bones and joints problems, change in voice, etc. They may suffer from various
diseases. Old people also suffer from irreversible mental problem, which is organic in nature and
is called „Alzheimer’s disease. During late adulthood period significant changes take place
which are mentioned below.
The experiences of old age are not same for everybody. Some people are worried about old age
particularly those who are single or there is nobody in the family to support them economically
or have continued physical ailments. It is a period in one‟s life span that is characterized by
physical decline.
Primary ageing is that in which bodily deterioration occur by the passage of time or by genetic
factors which is gradual and inevitable. Secondary ageing results from disease, disuse or abuse of
body which is preventable. Many structural and functional changes occur as people reach old
age.
Common physical changes like decrement in sensory abilities of vision, hearing, taste,smell and
other senses, skin becomes inelastic, decrease in fat and muscle tissue, loss of teeth, deterioration
of bone tissue, decline in height due to compression of spinal disc and postural strop etc. occur
due to primary ageing. Physical changes occur due to secondary ageing are also different for
different people. For example, physical changes of diabetic people are different from persons
who are suffering from arthritis.
Old people are also inefficient in sensory-motor coordination. They can not respond to the
physical demands of stressful situations as quickly or efficiently as possible. They are prone to
accidents due to decline of reserve capacity of physical energy. Thus, ageing affects appearance,
sensation and motor abilities of a person. However, despite the problems of old age some people
lead a happy life due to their positive thinking towards life and they are physically fit by doing
yoga and exercises. They are developing and enjoying their hobbies and their perception of old
age for relaxation help them free from different ailments.
Many psycho-social changes happen to people during old age. The statement that old age is a
period for waiting death can prove to be a myth. Commonly people believe that old age is a curse
so far as physical and psychological aspects of life are concerned. According to Erikson during
late adulthood the outcome of a well-integrated person is wisdom.
Wisdom means accepting life as it is, accepting imperfections in self, parents and in life and
having no regrets. Old people remain in a state of inward depression and dissatisfaction. These
internal feelings are manifested in reaction formations for which they become over sensitive and
demanding. Some old people depend on their children to a large extent.
This undue dependence makes them sad. But those people who are independent and less
expectations from their children and other support system, they are happy in their old age and
they engage themselves in various activities. They think that old age is the golden age because
they are free from family responsibilities and burdens of job. There are many social and cultural
factors influence3 the process of successful ageing. Financial security and close relationship with
children or other relatives or good friends make people healthy in old age. Ageing is a process of
growing old.
The most important theory that explains the psychosocial aspects of ageing are:
This theory states the relationship between keeping active and ageing well. According to this
theory, persons who age successfully keep themselves busy in many activities and they find
substitutes for activities which they have lost due to retirement and also they perform many roles.
As role decreases, ageing increases.
This theory reveals that successful ageing by mutual withdrawal between society and the older
person. Generally, older people voluntarily minimize their activities by retiring and also society
encourages this by making individuals retire.
People commonly believe that with old age intellectual decline occurs. Intellectual decline is
associated with respect to certain functions such as; speed, perceptual integration ability,
memory and inductive reasoning. People show variability in intellectual functioning in late
adulthood period. Researchers classified intelligence into two types.
They are:
Fluid intelligence declines as age increases. Fluid intelligence involves ability to perceive
relations, form concepts and reason abstractly. Crystallized intelligence involves the ability to
remember and use learned information. Fluid intelligence includes reasoning, memory and
information, processing capabilities, whereas crystallized intelligence is the acquired knowledge
of the person. During old age people forget that may lead to dementia or Alzheimer’s disease
which is possible due to Fluid intelligence, because it relates to neurological functioning. On the
other hand, crystallized intelligence helps in storing information. Therefore, in old age people
should keep their minds active by mental exercises such as problem solving analysis and other
operations etc.