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Pediatric Developmental Psychology
Module 2 514-01 Psychosocial Elements of Community Wellness
129
Medical
Graduate
06/12/2009

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Term
What are the most common *chronic* condition for pediatric visits?
Definition
psychosocial problems
Term
What branch of psychology initially focused on child development but through the past 25 years has expanded its focus to include all life stages?
Definition
developmental psychology
Term
What are some components of development changes?
Definition
physical. motor. cognitive. intellectual. emotional. personality. social.
Term
It used to be thought that you were born w/all of the neurons that you would have the rest of your life. What has research over the past 20 years suggested?
Definition
research over the past 20 yrs has suggested brain development is influenced by the environment
Term
What developmental theorist was applauded for stimulating interest in pediatric development?
Definition
Jean Piaget
Term
What developmental theorist recognized children think differently than adults?
Definition
Jean Piaget
Term
What developmental theorist dealt with innate cognitive structures and theorized that interaction with environment causes cognition to grow and develop?
Definition
Jean Piaget
Term
What were the 2 aspects of Piaget's developmental theory?
Definition
Assimilation and Accomodation
Term
What aspect of Piaget's developmental theory involves incorporate changes into current structure of dealing of environment?
Definition
Assimilation
Term
What aspect of Piaget's developmental theory involves learning methods to discriminate and respond to environment, and new cognitive skills that build upon previous skills?
Definition
accomodation
Term
Which of Piaget's developmental stages involves change in thinking processing, understanding cause-and-effect relationships, math and science, and classification/serial ordering?
Definition
concrete operational stage (age 7-11)
Term
Which aspect of Piaget's concrete operational stage might deal with "5 golf balls similar to 5 marbles, but different sizes?"
Definition
classification/serial ordering
Term
What developmental theorist dealt with 3 levels of moral development: pre-conventional, conventional, and post-conventional (these involve 6 stages)?
Definition
Lawrence Kohlberg
Term
What are Kohlberg's 3 levels of moral development?
Definition
pre-conventional, conventional, and post-conventional
Term
Most children reach with stage of Kohlberg's moral developmental theory?
Definition
most children reach stage 1 and 2
Term
What percent of the population reach the 6th stage of Kohlberg's moral developmental theory?
Definition
20%
Term
Which of Kohlberg's stages of moral development involves judgements based on threat of punishment?
Definition
stage 1
Term
Which of Kohlberg's stages of moral development involves actions guided by self need?
Definition
stage 2
Term
Which of Kohlberg's stages of moral development involves behaviors guided by desire to please?
Definition
stage 3
Term
Which of Kohlberg's stages of moral development involves behavior influenced by duty to do what is right?
Definition
stage 4
Term
Which of Kohlberg's stages of moral development involves behavior guided by societal guidelines?
Definition
stage 5
Term
Which of Kohlberg's stages of moral development involves behavior directed by self chosen ethics?
Definition
stage 6
Term
Which developmental theorist is credited with the object-relations theory?
Definition
Klein
Term
Which of theory states that the inner core of personality stems from early relationship with mother?
Definition
Klein's Object-relationship theory
Term
In which theory does the child learn to distinguish self from mother?
Definition
Melanie Klein's object-relations theory
Term
What does Melanie Klein define as healthy adjustment?
Definition
child learns ability to separate good and bad
Term
How do boys and girls differ in Melanie Klein's theory of object-relations theory?
Definition
girls become an extension of mothers; better psychosocially adjusted. boys must separate to become independent
Term
According to Sigmund Freud's theory of the Id, Ego, and Superego do girls or boys have stronger superego?
Definition
boys have stronger superego (conscience) b/c they have penises and girls do not
Term
Which theorist developed theories of the oedipal and electra complex?
Definition
sigmund freud
Term
Which developmental theorist proposed a theory of human life experiences and modification of 3 systems? What were these three systems?
Definition
Erik Erikson: biological, psychological, societal (social)
Term
Which of Erikson's systems involved environmental influences, genetics, lifestyle, accident and diseases?
Definition
Biological system: physical being
Term
Which of Erikson's system involves genetics, life experiences and self direction/insight?
Definition
Psychological system: psychological being
Term
Which of Erikson's systems involves culture, interpersonal relationships, and ideologies?
Definition
Societal system: person's integration into society
Term
Which theorist proposed an 8 stage theory of psychosocial development, with each stage marked by a conflict and a resolved virtue?
Definition
Erikson
Term
Which of Erikson's stages of psychosocial development involves learning to trust caregivers?
Definition
1st psychosocial stage
Term
Which theorist had a thory of *observational learning*, and postulated that once chilren are capable of learning behaviors; steps taken to acquire new skills?
Definition
Albert Bandura
Term
Which theory involves the following steps: 1. observe the behavior in others 2. form a mental image of the behavior 3. imitate the behavior 4. practice the behavior 5. motivated to repeat the behavior
Definition
Albert Bandura's theory of observational learning
Term
What controversy of developmental theories involves heredity versus environmental influence?
Definition
nature vs. nurture
Term
Which position in the nature v. nurture controversy postulates that behavior is genetically determined and expression is dependent upon the environment?
Definition
nativist position
Term
Which position in the nature vs. nurture controversy postulates that physical aspects are genetic and intellectual aspects are learned?
Definition
behaviorist position
Term
What position did freud take in the controversy about whether personality traits change or endure over a lifetime?
Definition
child temperament determines adult personality
Term
What stance did change theorists take in the controversy over whether personality traits change or endure over a lifetime?
Definition
personalities are influenced by lifetime of interactions
Term
What are some ways that utero influences development?
Definition
tetragonic agents. maternal nutrition. genetics. congenital disease. maternal disease/injury/illness. birth trauma. maternal psycholsocial state
Term
The outcome of what technology involves improved infant survival rates, increased morbidity (medical, psychological, and cognitive) (impact on families)?
Definition
outcome of reproductive technology, prenatal, natal and neonatal medical technology?
Term
What stage of pediatric development involves the first 24 mos of life and children ages 0-2 years of age and includes infancy to toddler years?
Definition
infancy (i'm just copying the slide- i didn't make this up)
Term
What are some cognitive skills involved with pediatric development?
Definition
learning. developmental stages- all children go through. communication- emergence of language. socialization. memory. infants pay closer attention to objects that seem to defy "physical laws" (rolling balls, rattles hanging midair). memory development as early as 6 mos. babbling- meaningful phrases.
Term
Which cognitive skill involves interaction with environment and cause and effect?
Definition
learning
Term
What is the rate of physical development from infancy (0-1)/toddler (1-2)?
Definition
rapid development
Term
Reflexes, development of motor skills, and health issues are involved in what aspect of pediatric development?
Definition
physical development
Term
What is the 4th trimester?
Definition
the first 3 mos of life
Term
What are common infant reflexes?
Definition
sucking, moro's, rooting, startle, stepping, plamar/platnar grasp
Term
Which infant reflex responds to stroking side of foot by twisting foot inward and fans out toes?
Definition
babinski
Term
What infant reflex responds to stroking forehead by turning and opening mouth?
Definition
babkin
Term
How developed are motor skills at birth?
Definition
poorly developed
Term
What are early motor skill responses?
Definition
reflexive
Term
How do motor skills transition during pediatric development?
Definition
involuntary to voluntary movements
Term
Motor skills develop along with what?
Definition
development along with physical maturation (muscles/bones)
Term
What can influence motor skills in pediatric development?
Definition
environmental influences
Term
At what age do infants grasp rattles and sit with support?
Definition
4 mos
Term
At what age to toddlers stand alone and walk?
Definition
14 mos
Term
How is normal functioning related to infant health?
Definition
Normal functioning of newborn's various body systems is dependent on short-term and long-term health
Term
What is the rate of birth trauma? What is the prevalence of infant mortality in the first year of life?
Definition
less than 1%. 9 out of 1000.
Term
What are some health issues in pediatric development?
Definition
congenital defects. acute and chronic disease. failure to thrive. immunizations. PKU. SIDS.
Term
Personality development, family relationships, sexuality, and gender development are part of what aspect of pediatric development?
Definition
psychosocial development
Term
Trusting caregivers (patterns of attachment), forming relationships, emergence of "prosocial behavior", oral stage-egocentric, and personality traits emerging ("temprement")?
Definition
psychosocial development
Term
Separation anxiety, stranger anxiety, and tantrums are involved in what aspect of pediatric development?
Definition
psychosocial development
Term
What are 4 patterns of attachment in pediatric development?
Definition
secure. anxious-avoidant. anxious-resistant. disorganized.
Term
Which aspect of patterns of attachment involves an infant who explores environment with mother present distress reduced when mother returns?
Definition
secure
Term
What pattern of attachment involves an infant who avoids mother after period of separation?
Definition
anxious-avoidant
Term
What pattern of attachment involves an infant who is cautious in the presence of stranger; angry w/mother after separation?
Definition
anxious-resistant
Term
What pattern of attachment involves an infant who displays an unpredictable pattern after separation?
Definition
disorganized
Term
What determines the quality of a child's later relationships?
Definition
quality of parent and child relation between 6 and 18 mos
Term
What are some aspects of clinician interaction in pediatric development?
Definition
gestational/birth hx. infant developmental scales (developmental delays). immunizations. physical msmts. congenital defects. bonding/parental- child relationship. build clinician-parent-child relationship. pt ed *(nutrition, bottle v. breastfeeding, safety, etc).* child abuse. *post partum depression.*
Term
What age involves early childhood or preschool yrs, rapid cognitive and physical development, and integrative development?
Definition
ages 2-6
Term
What aspect of pedicatric development involves egocentrism v. development of shared perspective (age 4-5 interpretation of others' experiences)?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves development of empathy?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves social cognition?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves children's use of language and symbols?
Definition
cognitive age 2-6
Term
What aspect of pedicatric development involves imitation of adult behaviors?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves imaginary play?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves limited attention span and memory?
Definition
cognitive age 2-6
Term
What aspect of pediatric development involves lateralization or localization of assorted functions, competencies, and skills to one or both brain hemispheres?
Definition
cognitive age 2-6
Term
Which hemisphere develops earlier in pediatric development?
Definition
left
Term
What age of cognitive development involves bilingualism?
Definition
age 4
Term
How does physical appearance change in pediatric development?
Definition
more athletic appearance- longer trunk and limbs; formation of ab mm. variable; affected by genetics, nutrition, socioeconomics and health status
Term
How are motor skills developed during childhood?
Definition
refinement of motor skills
Term
Which type of motor skills involves running, jumping, balancing, dancing, or throwing?
Definition
gross
Term
Which motor skills include drawing, writing, or tying shoelaces; these skills develop more gradually?
Definition
fine motor skills
Term
What are some health issues involved in pediatric development?
Definition
minor ailments and injuries, majority of childhood deaths- related to accidents, children with prolonged illness- suffer from psychological problems- developmental delays, anxiety, pain
Term
Which aspect of pediatric development involves personality development, family relationships, friends and playmates, sexuality, and fear and aggression?
Definition
psychosocial age 2-6
Term
At what age to children begin to interpret others' experiences?
Definition
~age 4-5
Term
What aspect of pediatric development involves development of self, establishment of individual temperament, and friends?
Definition
psychosocial age 2-6
Term
what involves multifactorial influences: parental style, sibling relationships, socioeconomic?
Definition
establishment of individual temperament: psychosocial, age 2-6
Term
at what age do children develop friends?
Definition
about age 3
Term
What are 3 parenting styles?
Definition
authoritarian parents, permissive parents, indifferent parents
Term
What parenting style involves high parental control and low parental warmth?
Definition
authoritarian
Term
What parenting style involves high parental warmth and low parental control?
Definition
permissive parents
Term
What aspect of pediatric development involves low parental control adn warmth?
Definition
indifferent parents
Term
What aspect of psychosocial development involves observation of love relatiohsips/sex at home influence child's view, aquired by 3 years of age?
Definition
gender identification
Term
What aspect of psychosocial development at age 2-6 involves an inability to distinguish fantasy from reality, testosterone, and chronicity of negative emotions referral to a profession?
Definition
fear (anxiety) and aggression (hostility)
Term
What are some aspects of clinician interaction at age 2-6?
Definition
collaborative approaches. parental interview. child interview. hx taking- specific concerns (developmental milestones, previous medical and behavioral difficulties). interactions with child. observation of parent-child interactions.
Term
What ages comprise md childhood?
Definition
7-11(12)
Term
What ages comprise early md development?
Definition
7-9
Term
What ages comprise late md childhood?
Definition
10-11 (preadolescence; early "tween" yrs)
Term
Age of industry is involved in what stage of childhood?
Definition
md childhood
Term
What aspect of pediatric development involves complex behavioral and cognitive abilities?
Definition
cognitive development age 7-11
Term
What aspect of cognitive development involves improved memory?
Definition
cognitive development ages 7-11
Term
What aspect of childhood involvement involves childhood intelligence (msed IQ relatively constant over lifetime)
Definition
cognitive development age 7-11
Term
What aspect of childhood development involves loss of deciduous teeth?
Definition
physical development age 7-11
Term
What aspect of pediatric development involves development of frontal brain lobes (*personality- prefrontal cortex*)?
Definition
physical development age 7-11
Term
What aspect of pediatric development involves *athletic ability and musical talent*?
Definition
motor skills refinement- physical development age 7-11
Term
What aspect of pediatric development involves fewer illness, childhood obesity, and injuries?
Definition
health- physical development age 7-11
Term
What aspect of pediatric development involves self-concept and sense of belonging, family relationships, social cognition, friendships and peer pressure, sexuality, and stressors?
Definition
psychosocial age 7-11
Term
What aspect of pediatric development involves trust, honesty, and rewards of social relationships, competitive and non-competitive activities, and develop socially appropriate and workable behaviors?
Definition
psychosocial age 7-11
Term
In middle childhood, where are the most important relationships established?
Definition
at home
Term
What aspect of pediatric development involves same gender friendships prevailing, pressure to adopt group norms, and *bullying and gangs*?
Definition
friends and peer pressure, psychosocial age 7-11
Term
What aspect of pediatric development involves sexual curiosity and same sex experimentation not uncommon?
Definition
sexuality- psychosocial age 7-11
Term
What aspect of pediatric development involves *school, working parents, difficulty making friends, and divorce of abuse*? (economic downturn)
Definition
stressors- psychosocial age 7-11
Term
What clinician interaction age involves greater interaction with child (discuss risks of drugs and risky sexual practices and encourage open communication), and referrals for psychological support or counseling if needed?
Definition
age 7-11
Term
What are teachable moments?
Definition
incorporate a pt education in a discussion of a behavior (age 7-11)
Term
At what age do clinicians engage child in an activity, talk directly to child, and promote parental self understanding?
Definition
age 7-11
Term
What are standardized questionnaires or symptom checklists?
Definition
screening parameters
Term
What involves auditory and visual attention to stimuli, manipulation, examiner interaction, relation w/toys, and memory involved in object permanence?
Definition
bayley scales of infant development
Term
What are some screening parameters?
Definition
behavior screening. developmental screening. social and emotional screening.
Term
What percent of children w/disabilities are not detected before entering school?
Definition
70-80%
Term
Social and emotional screening: across all age groups what is the prevalence of children with mental health problems?
Definition
1 in 5
Term
What are three family systems that are special situations addressed by clinicians?
Definition
divorce, adoption, and foster care
Term
What are some special situations addressed by clinicians?
Definition
school avoidance, homosexuality, family systems, violence, chronically ill or dying children, developmental dellayed
Term
What are some difficult parent encounters?
Definition
provider- self introspection clinical limtations, set boundaries and cultural sensitivity. ambiguity. overanxious parent. time constraints. address the problem- acknowledge the enocunter is difficult not the parent. give more time.
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