ch 7 Assessing Psychosocial, Cognitive, and Moral Development

Introduction to Growth and Development
  • Growth: The addition of new skills or components.

  • Development: The refinement, expansion, or improvement of existing skills or components.

  • Three Key Theories of Growth and Development:

    • Erikson’s theory of psychosocial development

    • Piaget’s theory of cognitive development

    • Kohlberg’s theory of moral development

Learning Objectives
  • Describe the following developmental theories: Erikson (psychosocial), Piaget (cognitive), and Kohlberg (moral).

  • Interview clients for an accurate history reflecting their psychosocial, cognitive, and moral development.

  • Assess a client’s psychosocial, cognitive, and moral development based on subjective and objective data findings.

  • Differentiate between normal and abnormal findings of psychosocial, cognitive, and moral development.

  • Describe findings frequently seen when assessing the older client’s psychosocial, cognitive, and moral development.

  • Analyze client’s subjective and objective data to make valid clinical judgments regarding developmental level.

Erikson’s Theory of Psychosocial Development
  • Focus: Psychosocial development.

  • Definition of Psychosocial: Refers to intrapersonal and interpersonal responses to external events.

  • Core Interest: Erikson was interested in understanding healthy personality development, believing that personality continues to develop throughout the entire lifespan.

  • Influences on Personality Development: This development is influenced by socio-cultural factors, biophysical processes, and cognitive function.

  • Structure: Erikson identified 88 stages of life, with each stage possessing a central developmental task.

  • Progression: He posited that a positive resolution of the central task of each stage is needed to progress successfully to the next stage.

Erikson’s Stages of Psychosocial Development
  • Infant: Basic trust vs. mistrust

  • Toddler: Autonomy vs. shame and doubt

  • Preschooler: Initiative vs. guilt

  • School-aged child: Industry vs. inferiority

  • Adolescent: Identity vs. role confusion

  • Young adult: Intimacy vs. isolation

  • Middle-aged adult: Generativity vs. stagnation

  • Older adult: Ego integrity vs. despair

Piaget’s Theory of Cognitive Development
  • Focus: Cognitive development.

  • Definition of Cognition: The process of obtaining understanding about one’s world.

  • Core Interest: Piaget wanted to understand how a person learns.

  • Key Concepts:

    • Assimilation: The process where new information is incorporated into existing cognitive schemas or what we already know.

    • Accommodation: The process of changing how we see things or reorganizing existing schemas to better fit new information or reality.

Piaget’s Stages of Cognitive Development
  • Sensorimotor (020-2 years):

    • Thoughts are primarily demonstrated by the physical manipulation of objects.

    • Infants and toddlers learn about their world through sensory experiences and motor actions.

  • Preoperational (272-7 years):

    • Characterized by an increasing ability to mentally represent something not physically present (e.g., using language and symbols).

    • Develops the ability to give reasons or rationales, but thinking is often biased by their own perspective (egocentric).

  • Concrete Operational (7117-11 years):

    • Children become able to reason logically about concrete objects and events in their environment.

    • They can mentally perform actions and understand concepts like conservation.

    • Reasoning is largely limited to “what is” rather than hypothetical “what if” scenarios.

    • Crucially, they become able to understand that others may have a different perspective than their own.

  • Formal Operational (1115+11-15+ years):

    • Individuals develop the capacity to think abstractly and logically about past, present, future, and theoretical situations.

    • This stage includes the ability to think about thinking itself (metacognition), enabling systematic problem-solving and hypothetical-deductive reasoning.

Kohlberg’s Theory of Moral Development
  • Core Interest: Kohlberg was interested in understanding the reasoning behind a person’s decision, specifically how someone decides what is “right” and “wrong.”

  • Premise: He did not believe that infants and toddlers were capable of moral reasoning.

  • Progression: Moral development doesn't automatically progress with age. Instead, development is largely dependent on life experiences and the challenges individuals face in making decision-making choices.

  • Connection to Piaget: Kohlberg's theory builds on Piaget's. Individuals need to achieve Piaget’s formal operational stage to reach the higher levels of moral development.

Kohlberg’s Stages of Moral Development
  • Preconventional/Premoral (Preschool – School Age):

    • Individuals act primarily out of self-interest.

    • Moral decisions are motivated by the avoidance of punishments and the attainment of rewards.

    • Moral reasoning is externally controlled.

  • Conventional (School Age – Adulthood):

    • Marked by adherence to perceived norms, societal laws, and the expectations of others.

    • Individuals aim to maintain the external expectations of others and uphold social order.

    • Moral decisions are often made to gain approval or avoid disapproval.

  • Postconventional (Adulthood):

    • Decisions are based on internal, self-chosen values and ethical principles, which may or may not align with conventional laws.

    • Individuals act in alignment with their personal values.

    • Important Note: Not all people reach this stage of moral development.

    • Prerequisite: Achievement of Piaget’s formal operations cognitive stage is required for postconventional moral development.

Important Consideration: Regression Under Stress
  • When under stress, a person may regress to an earlier stage of development in any of these domains.