EARLY CHILDHOOD DEVELOPMENT

Physical Development in Early Childhood

  • Ages 2-6:

    • Children grow about 3 inches in height and gain 4 to 5 pounds annually.

    • Growth occurs in spurts, similar to infancy.

  • Weight and Height:

    • At 2 years: weigh 23 to 28 pounds and are 33 to 35 inches tall.

    • By 6 years: weigh 40 to 50 pounds and are 44 to 47 inches tall.

  • Body Proportions:

    • 3-year-olds: resemble toddlers with large heads, stomachs, and short limbs.

    • By 6 years: torso lengthens, and proportions start resembling adult forms.

  • Appetite:

    • Growth is slower than in infancy, leading to a reduced appetite, which can concern parents.

  • Calorie Needs:

    • 2-3-year-olds: need 1,000 to 1,400 calories daily.

    • 4-8-year-olds: need 1,200 to 2,000 calories daily (Mayo Clinic, 2016a).

Brain Development

  • Brain Weight:

    • By age 3: brain reaches about 75 percent of its adult weight.

    • By age 6: it is at 95 percent of its adult weight.

  • Myelination and Dendrite Development:

    • Continue, enhancing cognitive and motor abilities.

  • Prefrontal Cortex:

    • Matures, supporting thinking, strategizing, controlling attention, and emotions.

    • Enables better emotional regulation and understanding of games.

  • Hemispheric Growth:

    • Ages 3-6: left hemisphere (language skills) grows significantly.

    • Right hemisphere (spatial tasks) continues to develop throughout early childhood.

  • Corpus Callosum:

    • A dense band of about 200 million nerve fibers connecting the brain's hemispheres.

    • Experiences a growth spurt between ages 3 and 6.

    • Enhances coordination between hemispheres, improving tasks requiring bilateral movement.

    • Example: Children under 6 struggle with tasks like using an Etch A Sketch because their corpus callosum is still developing.

Motor Skill Development

  • Motor Skill Acquisition:

    • Early childhood is crucial for developing basic locomotion skills (running, jumping, skipping) and object control skills (throwing, catching, kicking).

  • Gross and Fine Motor Skills:

    • Gross motor skills are enhanced through running and jumping.

    • Fine motor skills are refined through pouring, drawing, coloring, and using scissors.

  • Developmental Milestones:

    • 2-year-olds: improved coordination in running but may struggle with pedaling a tricycle.

    • Age 3: gain the ability to pedal tricycles and improve in fine motor tasks like dressing themselves.

    • Age 4: no longer struggle to put on their clothes, showing notable advancement in motor skills.

  • Emphasis on Play:

    • Play involving motor skills is vital for practicing and refining abilities.

  • Children's Art Development:

    • Children's drawings illustrate significant developmental changes.

    • Age 2: produce about 20 types of scribbles.

    • Age 3: start to create shapes from scribbles and combine these shapes into more complex images.

    • Ages 4 and 5: drawings become more recognizable representations of their world.

  • Tadpole Drawings:

    • Emerge around age 3 and are a common feature globally.

    • Cultural variations exist in size, facial features, and emotional expressions.

    • Western contexts: larger figures with more detail and positive emotions.

    • Non-Western rural contexts: smaller figures with fewer details and more neutral expressions, reflecting cultural norms that emphasize social groups over individualism.

  • Gross Motor Skills by Age:

    • Age 2: Can kick a ball without losing balance, run with better coordination (may still have a wide stance).

    • Age 3: Can briefly balance and hop on one foot, may walk up stairs with alternating feet (without holding the rail), can pedal a tricycle.

    • Age 4: Shows improved balance, hops on one foot without losing balance, throws a ball overhand with coordination.

    • Age 5: Has better coordination, skips, jumps, and hops with good balance, stays balanced while standing on one foot with eyes closed.

  • Fine Motor Skills by Age:

    • Age 2: Able to turn a door knob, can pick up objects while standing without losing balance, can look through a book turning one page at a time, can build a tower of 6 to 7 cubes, able to put on simple clothes without help.

    • Age 3: Can build a block tower of more than nine cubes, can easily place small objects in a small opening, can copy a circle, can draw a person with 3 parts, can feed self easily.

    • Age 4: Can cut out a picture using scissors, manages a spoon and fork neatly while eating, puts on clothes properly, can draw a square.

    • Age 5: Shows more skill with simple tools and writing utensils, can copy a triangle, can use a knife to spread soft foods.

Toilet Training

  • Timing:

    • Usually, occurs between 24 and 36 months of age.

    • Some children show interest by age 2, others may not be ready until later.

    • Average age for girls: 29 months; for boys: 31 months.

    • Most children are fully trained by 36 months.

  • Readiness:

    • Physical and emotional readiness is more important than age.

    • If a child resists training, take a break and try again later.

    • Daytime bladder control is often mastered in two to three months; nap and nighttime training may take longer.

  • Readiness Indicators:

    • Interest in the potty or underwear.

    • Ability to follow basic directions.

    • Expresses discomfort with wet or dirty diapers.

    • Indicates the need to go.

    • Can stay dry for two hours or longer.

    • Can manage their pants.

    • Can sit on and rise from a potty chair.

  • Elimination Disorders:

    • Enuresis: repeated urination into bed or clothes.

    • Encopresis: repeated passage of feces into inappropriate places.

    • May require intervention from a pediatrician or mental health professional.

    • Prevalence of enuresis: 5%-10% in 5-year-olds, drops to approximately 1% by age 15.

    • Encopresis affects around 1% of 5-year-olds and is more common in males.

Sleep Patterns

  • Sleep needs vary widely in early childhood.

    • Two-year-olds may require 15-16 hours of sleep, while six-year-olds may need only 7-8 hours.

    • National Sleep Foundation's recommendations vary by age.

Sexual Development

  • Sexual arousal begins in infancy.

    • Children are capable of erections and vaginal lubrication before birth.

    • Early childhood is marked by self-exploration and curiosity about bodies.

    • Self-stimulation is common; children may show their genitals or explore each other's bodies.

    • Boys often learn about masturbation from peers, while girls may discover it accidentally.

    • Parents should address these behaviors without alarm, promoting healthy understanding of appropriate times and places for such activities.

Nutritional Concerns

  • Young children often exhibit smaller appetites and may be reluctant to try new foods.

    • Due to the "just right" phenomenon, children prefer consistency and routine.

    • Malnutrition is rare in developed nations, but many children lack a balanced diet.

    • High added sugars and fats make up a significant portion of their daily caloric intake.

    • Caregivers should encourage healthy eating habits early to establish positive taste preferences for fruits and vegetables.

Cognitive Development in Early Childhood

  • Preoperational Stage (Ages 2-7):

    • Children use symbols to represent objects and engage in pretend play.

    • Begin to use language but lack the ability to understand adult logic and manipulate information logically.

    • Characterized by egocentrism, conservation errors, classification errors, and animism.

  • Key Features of the Preoperational Stage:

    • Symbolic Play: engage in imaginative play using objects to represent something else, enhancing cognitive development.

    • Egocentrism: struggle to see perspectives other than their own.

    • Conservation Errors: fail to understand that altering an object’s appearance does not change its quantity.

    • Classification Errors: struggle to classify objects in multiple ways and often focus on one characteristic.

    • Animism: attribute lifelike qualities to inanimate objects.

Vygotsky’s Sociocultural Theory

  • Emphasized the impact of culture and social interactions on cognitive development.

    • Learning occurs through guided interactions with more knowledgeable individuals.

  • Key Concepts:

    • Zone of Proximal Development (ZPD): range where a child can perform tasks with guidance but not independently.

    • Scaffolding: temporary support provided to help a child accomplish a task, gradually removed as the child becomes more competent.

    • Private Speech: children talk to themselves to process thoughts and solve problems, which evolves into inner speech.

    • Comparison with Piaget: Piaget believed in child-led discovery, while Vygotsky emphasized teacher-directed instruction.

Information Processing in Early Childhood

  • Attention Types:

    • Divided Attention: difficulty managing multiple tasks simultaneously but improves by age five.

    • Selective Attention: the ability to focus on specific stimuli improves with age.

    • Sustained Attention: struggle to maintain focus over long periods.

  • Memory Development:

    • Sensory Memory: holds sensory input briefly; auditory sensory memory improves with age.

    • Working Memory: active component where conscious mental activity occurs; capacity increases as children grow older.

    • Executive Function: self-regulatory processes that enable children to adapt to new situations; influenced by environmental factors and parental support.

Children’s Understanding of the World

  • Constructivism: belief that children actively seek to understand the world around them.

    • Piaget (Cognitive Constructivist): focuses on independent learning where children build knowledge on their own.

    • Vygotsky (Social Constructivist): emphasizes social interactions as the basis for learning, highlighting the role of culture and guidance.

  • Theory-Theory:

    • Children naturally generate theories to explain the world around them, similar to how scientists develop and revise their theories.

    • When questions are not fully answered, children create their own explanations.

  • Theory of Mind:

    • The ability to understand and think about other people’s thoughts and beliefs, helping in predicting behavior.

    • False-Belief Task: measures theory of mind, where children must understand that someone can hold a belief that is false.

    • Pre-Four Years: struggle to understand false beliefs and tend to be egocentric.

    • Cognitive Effort: requires children to separate their own knowledge from what someone else may believe.

  • Developmental Milestones in Theory of Mind:

    • Before Age Four: generally fail false-belief tasks.

    • Ages Four to Five: begin to understand false beliefs and that others may have thoughts that differ from reality.

    • Middle Childhood: start to grasp that people can hide their feelings or thoughts.

  • Cultural Influences on Theory of Mind Development:

    • Individualistic Cultures: emphasize personal autonomy, leading children to develop an understanding of the diversity of beliefs earlier.

    • Collectivistic Cultures: emphasize conformity and respect for elders, leading to earlier acquisition of knowledge access over diverse beliefs.

    • Role of Conflict: conflicting beliefs are more common in the individualistic family, aiding earlier development of the concept of diverse beliefs.

  • Impact of Siblings:

    • Children with siblings tend to develop a theory of mind earlier, as sibling interactions provide opportunities to understand different perspectives.

  • Social Intelligence and Theory of Mind:

    • Awareness of others' mental states allows children to anticipate and predict others' actions, enhancing social communication and empathy.

    • Self-Consciousness: fosters an understanding that others may perceive and think about us differently, contributing to self-awareness and social understanding.

  • Components of Theory of Mind:

    • Diverse-desires: understanding that two people may have different desires regarding the same object.

    • Diverse-beliefs: understanding that two people may hold different beliefs about an object.

    • Knowledge access: understanding that people may or may not have access to information.

    • False belief: understanding that someone might hold a belief based on false information.

    • Hidden emotion: understanding that people may not always express their true emotions.

Language Development

  • Vocabulary Growth:

    • Between ages two and six, children’s vocabulary increases from around 200 words to over 10,000 words.

    • Learn 10-20 new words per week through fast-mapping, linking new words to concepts they already understand.

    • The parts of speech children learn vary by language. Verb-friendly languages emphasize verbs, while English speakers learn nouns more readily.

  • Literal Meanings:

    • May repeat words and phrases without fully understanding their meanings and take expressions literally.

  • Overregularization:

    • Apply grammatical rules incorrectly, such as saying “goed” or “doed” instead of “went” or “did.” This is typical for two- and three-year-olds.

  • Role of Training and Support:

    • Vygotsky's Zone of Proximal Development (ZPD): children benefit from assistance in learning.

    • Scaffolding: adults provide support to help children develop new language skills, gradually removing assistance.

  • Bilingualism:

    • Many children worldwide are bilingual.

    • In the United States, over 60 million people speak a language other than English at home.

    • Bilingual children represent nearly 30% of early childhood program enrollees.

    • May show delays in proficiency depending on language exposure.

    • Often have stronger skills in the language heard more frequently.

  • Quality of Language Exposure:

    • Children may hear languages spoken by non-native speakers, which can affect language quality.

    • May favor the majority language.

  • Cognitive Advantages of Bilingualism:

    • Outperform monolinguals in tasks requiring inhibitory control and working memory.

    • These advantages are sometimes less pronounced in lower socioeconomic status populations.

  • Word Learning in Bilingual Children:

    • More adept at learning new names for familiar objects, unlike monolingual children, due to their experience translating between two languages.

Preschool

  • The National Association for the Education of Young Children (NAEYC) identifies 10 standards for high-quality preschools:

    • Positive relationships between children and adults.

    • A curriculum supporting social, emotional, physical, language, and cognitive development.

    • Developmentally, culturally, and linguistically appropriate teaching methods.

    • Regular assessments of children’s learning and development.

    • Promotion of children’s health and protection from illness or injury.

    • Qualified teachers who are committed to children’s learning.

    • Strong collaborative relationships with families.

    • Established relationships with community agencies to support program goals.

    • Safe and well-maintained indoor and outdoor environments.

    • Qualified and licensed leadership and management.

  • Types of preschool programs:

    • Montessori, Waldorf, Reggio Emilia, High Scope, Parent Co-Ops, and Bank Street programs.

    • Teachers guide children by creating activities based on developmental levels.

  • Head Start:

    • Established in 1965 to provide preschool education for children in poverty.

    • Concerns persist regarding its effectiveness.

    • Studies show varied results; some show potentially positive effects on reading achievement but no significant effects on math achievement or social-emotional development.

    • Head Start programs vary depending on location, making it difficult to generalize their effectiveness.

    • Challenges include testing young children, which is influenced by language skills and comfort with evaluators.

Autism Spectrum Disorder

  • Characterized by disturbances in three main areas:

    • Deficits in social interaction.

    • Deficits in communication.

    • Repetitive patterns of behavior or interests.

    • Symptoms appear early in life and cause significant impairments in functioning.

  • Communication Deficits:

    • Range from a complete lack of speech to one-word responses and echoed speech.

    • Struggle to use or understand nonverbal cues like facial expressions and gestures.

  • Repetitive Behaviors and Restricted Interests:

    • Include rocking, head-banging, or repeatedly picking up and dropping objects.

    • Show intense distress when routines are disrupted.

    • Develop fixated interests that are disproportionate to their utility.

  • Autism as a Spectrum:

    • Reflects the wide range of symptoms, from severe to mild.

    • DSM-5-TR no longer recognizes Asperger’s disorder as a separate diagnosis, integrating it into the autism spectrum disorder category.

    • 1 in 59 children in the U.S. has autism, with boys being four times more likely than girls to be diagnosed.

    • Rates of ASD have dramatically increased since the 1980s due to various factors.

  • Causes of Autism:

    • The exact causes remain unknown, although genetics play a significant role.

    • Identical twins show high concordance rates (60% to 90%).

    • Environmental factors, such as exposure to pollutants and prenatal infections, may also contribute.

    • Maternal infections during pregnancy increase the risk of autism by 79%.

  • Debunking Myths: Autism and Vaccines:

    • There is no scientific evidence supporting a link between vaccines and autism.

Psychosocial Development in Early Childhood

  • Erikson - Initiative vs. Guilt:

    • Children develop a desire to take initiative by creating and thinking of new ideas and actions.

    • Caregivers play a crucial role in reinforcing initiative by praising efforts and avoiding criticism.

    • Encouraging a child’s creativity enhances their sense of initiative.

  • Self-Concept and Self-Esteem:

    • Children begin forming a self-concept, describing themselves based on physical and internal qualities.

    • Self-esteem refers to how children evaluate themselves.

    • Around three years old, children describe themselves based on physical characteristics and possessions (categorical self).

    • Children start to give consistent answers regarding their self-concept after the age of four.

    • Positive self-esteem is often due to the lack of social comparison and the optimism that comes from evaluating new abilities.

    • Insecure attachments and negative emotions from caregivers can lead to lower self-esteem.

  • Self-Control:

    • Includes response initiation (evaluating before acting), response inhibition (stopping a behavior), and delayed gratification (waiting for a larger reward).

    • The Marshmallow Test demonstrates how delaying gratification at age four can predict better academic and health outcomes later in life.

    • Self-control develops gradually and is linked to improving executive function, reducing impulsivity.

  • Gender Identity:

    • Preschool children become more interested in understanding the differences between boys and girls.

    • Gender identity is the self-perception of being male or female, shaped by biological, social, and psychological factors.

    • Children learn gender roles from parents, peers, media, and other societal influences.

    • There are Gender role expectations.

    • Parents often unconsciously reinforce gender stereotypes.

  • Theories of Gender Development:

    • Social Learning Theory: children learn gender roles through observation, modeling, reinforcement, and punishment.

    • Gender Schema Theory: children actively construct their understanding of gender by seeking information about gender-appropriate traits and behaviors.

    • Developmental Intergroup Theory: strong cultural emphasis on gender leads children to focus on gender differences, forming rigid gender stereotypes based on societal cues.

  • Transgender Children:

    • A small percentage of children reject traditional gender roles and identify with the opposite gender.

    • Research shows that their gender development mirrors that of cisgender peers with family support.

  • Intersex Individuals:

    • Making up about two percent of the population with a mix of male and female reproductive organs or hormones.

  • Key Points on Gender Development:

    • Gender socialization begins at birth and is influenced by toys, media, and societal expectations.

    • Support fosters resilience, self-value, and a secure sense of self.

Parenting Styles

  • Parent-child relationships evolve as children mature, influencing child development.

    • Children in preschool and grade school become more independent and may challenge parental expectations.

    • Diana Baumrind’s model focuses on control/expectations and warmth/responsiveness.

  • Authoritative Parenting:

    • High expectations, warmth, open communication, reasoning instead of coercion, encourages autonomy.

  • Authoritarian Parenting:

    • High, often unreasonable expectations, aloof, distant, enforces obedience without discussion, children may fear rather than respect parents.

  • Permissive Parenting:

    • Low expectations, children make their own rules, warm but provide little structure, children may lack self-discipline.

  • Uninvolved Parenting:

    • Disengaged, low expectations, little responsiveness, children may struggle in school and relationships.

  • Cultural and Social Class Influences on Parenting:

    • Individualistic Cultures: favor independence and self-reliance.

    • Collectivistic Cultures: emphasize obedience and compliance.

    • Social Class: working-class parents value obedience and reliability, while middle-class parents reward independence and initiative.

  • Spanking as Discipline:

    • Research shows it may lead to increased aggression, antisocial behavior, and cognitive issues.

    • Child development specialists advocate alternatives.

  • Sibling Relationships:

    • Develop social skills such as empathy, sharing, cooperation, and conflict resolution.

    • Sibling conflicts evolve with age; in early childhood, conflicts are often about property rights; in middle childhood, conflicts shift to social situations.

Play and Development

  • Play has positive outcomes for children’s emotional and intellectual development.

    • Allows children to release emotions and deal with distress in a safe environment.

  • Parten categorized six types of play:

    • Non-Social Play: Unoccupied, solitary, and onlooker play.

    • Social Play: Parallel, associative, and cooperative play.

    • Younger children engage in non-social play more often.

    • Older children increasingly participate in associative and cooperative play.

  • Types of Play in Preschool Children Table:

    • Unoccupied Play: Children's behavior seems more random and without a specific goal.

    • Solitary Play: Children play by themselves, do not interact with others, nor are they engaging in similar activities as the children around them.

    • Onlooker Play: Children are observing other children playing. They may comment on the activities and even make suggestions but will not directly join the play.

    • Parallel Play: Children play alongside each other, using similar toys, but do not directly act with each other.

    • Associative Play: Children will interact with each other and share toys but are not working toward a common goal.

    • Cooperative Play: Children are interacting to achieve a common goal. Children may take on different tasks to reach that goal.

Children and the Media

  • Children are increasingly using mobile devices, mainly for games, which correlates with externalizing behaviors, shorter sleep durations, and failure to meet developmental milestones.

  • The American Academy of Pediatrics suggests that children under two should focus on real-world exploration rather than digital media.

  • For children aged 2 to 5, a maximum of one hour of high-quality programming co-viewed with a caregiver is recommended, and mobile media should not be used to soothe children.

Child Care

  • A comprehensive longitudinal study revealed that child care quality is crucial for child development.

    • Higher-quality child care leads to better cognitive performance and school readiness.

    • Lower-quality care correlates with behavioral problems.

    • Recommendations for quality child care include low adult-to-child ratios, trained caregivers, and stimulating environments.

Child Abuse

  • Any act by a parent or caretaker that results in serious harm, including neglect, physical abuse, psychological maltreatment, and sexual abuse.

    • Neglect is the most common form.

    • Childhood sexual abuse involves exploitation by an adult or older child and has significant rates, especially among girls.

    • The impacts of sexual abuse can lead to long-term psychological effects.

Stress on Young Children

  • Normal stress promotes coping skills, while prolonged toxic stress can harm development.

    • Stress affects brain structures involved in memory and can lead to hypersensitivity to stress later in life.

  • Adverse Childhood Experiences (ACEs):

    • Encompass all forms of abuse and neglect before age 18 linked to negative long-term health outcomes.

    • Supportive adult relationships and family interventions can mitigate the impact of ACEs.

  • Family Separation:

    • Leads to significant stress and potential long-term negative outcomes for these children.

    • Disrupts children's stress management and can lead to anxiety, PTSD, and attachment issues.

    • Emphasizes the importance of parental support during stressful times.

COVID-19: Impact on Early Childhood

  • Children account for approximately 14% of COVID-19 cases.

    • Most children experience mild or no symptoms.

    • Children with underlying health conditions are at higher risk for severe illness.

  • MIS-C:

    • Rare but serious condition that causes inflammation in various body parts.

    • The reason for severe reactions in some children with COVID-19 is currently unknown.

    • The COVID-19 mortality rate for infected children is very low (approximately 0.01%).

  • Adverse Childhood Experiences (ACES):

    • COVID-19 has led to social isolation, parental job loss, school closures, and increased stressors.

    • These factors can develop or exacerbate ACES.

    • Increases in child abuse and intimate partner violence have been reported.

    • Low-income and ethnic minority children face heightened risks for ACES and associated health conditions.