28 Psychosocial Growth in Infancy

Psychosocial Growth in the First Two Years

Psychosocial development occurs as children form relationships, interact with others, and understand and manage their feelings. In emotional and social development, forming healthy attachments is very important and is the major social milestone of infancy. Attachment is a long-standing connection or bond with others. Developmental psychologists are interested in how infants reach this milestone. They ask questions such as: how do parent and infant attachment bonds form? How does neglect affect these bonds? What accounts for children’s attachment differences?

Emotional Development and Attachment

Emotional Development

At birth, infants exhibit two emotional responses: attraction and withdrawal. They show attraction to pleasant situations that bring comfort, stimulation, and pleasure. And they withdraw from unpleasant stimulation such as bitter flavors or physical discomfort. At around two months, infants exhibit social engagement in the form of social smiling as they respond with smiles to those who engage their positive attention. Pleasure is expressed as laughter at 3 to 5 months of age, and displeasure becomes more specific to fear, sadness, or anger (usually triggered by frustration) between ages 6 and 8 months. Where anger is a healthy response to frustration, sadness, which appears in the first months as well, usually indicates withdrawal.

As reviewed above, infants progress from reactive pain and pleasure to complex patterns of socio-emotional awareness, which is a transition from basic instincts to learned responses. Fear is not always focused on things and events; it can also involve social responses and relationships. The fear is often associated with the presence of strangers or the departure of significant others known respectively as stranger wariness and separation anxiety, which appear sometime between 6 and 15 months. And there is even some indication that infants may experience jealousy as young as 6 months of age.^[1]

Stranger Wariness

Stranger wariness actually indicates that brain development and increased cognitive abilities have taken place. As an infant’s memory develops, they are able to separate the people that they know from the people that they do not. The same cognitive advances allow infants to respond positively to familiar people and recognize those that are not familiar. Separation anxiety also indicates cognitive advances and is universal across cultures. Due to the infant’s increased cognitive skills, they are able to ask reasonable questions like “Where is my caregiver going?” “Why are they leaving?” or “Will they come back?” Separation anxiety usually begins around 7-8 months and peaks around 14 months, and then decreases. Both stranger wariness and separation anxiety represent important social progress because they not only reflect cognitive advances but also growing social and emotional bonds between infants and their caregivers.

As we will learn through the rest of this module, caregiving matters in terms of infant emotional and psychosocial development. Around 8-months, infants look to their caregivers and others to understand the world, which is called social referencing.^[2] When introduced to an new toy or a stranger, infants read the emotional cues from others about whether to engage or avoid. You’ve probably noticed this in children: if they fall down, they look up at adults’ expressions to see if they’re okay. If a caregiver smiles and says you’re fine, the child probably continues on, but if a caregiver looks frightened and gasps, the child starts crying.

Emotional Regulation

Emotional regulation can be defined as how and when emotions are expressed. Throughout infancy, children rely heavily on their caregivers for emotional regulation; this reliance is labeled co-regulation, as parents and children both modify their reactions to the other based on the cues from the other. Caregivers use strategies such as distraction and sensory input (e.g., rocking, stroking) to regulate infants’ emotions. Despite their reliance on caregivers to change the intensity, duration, and frequency of emotions, infants are capable of engaging in self-regulation strategies as young as 4 months old. At this age, infants intentionally avert their gaze from overstimulating stimuli. By 12 months, infants use their mobility in walking and crawling to intentionally approach or withdraw from stimuli.

Throughout toddlerhood, caregivers remain important for the emotional development and socialization of their children. Particularly important is synchrony, the quick back and forth of emotional behaviours between an infant and caregiver. It’s like a dance where a baby might smile and the partner smiles quickly in return. Researchers measure this rapid, interpersonal coordination through their facial expressions, sounds, and gestures. More recently,  researchers have looked at how pairs sync up internally, including hormones, bodily rhythms, and brain scans.

Additional evidence for the importance of synchrony to toddlers comes from the still face technique. Please do not try this at home. When you ask a caregiver, who was playing with their infant, to stop suddenly stop responding to them, you immediately notice how upset it makes the infant.

Video: Still Face Experiment Dr Edward Tronick^[3]

https://youtube.com/watch?v=IeHcsFqK7So

Caregivers expand a child’s emotional repertoire by labeling their child’s emotions, prompting thought about emotion (e.g., “why is the turtle sad?”), continuing to provide alternative activities/distractions, suggesting coping strategies, and modeling coping strategies. Caregivers who use such strategies and respond sensitively to children’s emotions tend to have children who are more effective at emotion regulation, are less fearful and fussy, more likely to express positive emotions, easier to soothe, more engaged in environmental exploration, and have enhanced social skills in the toddler and preschool years.

Self-Awareness

During the second year of life, children begin to recognize themselves as they gain a sense of the self as an object. The realization that one’s body, mind, and activities are distinct from those of other people is known as self-awareness. The most common technique used in research for testing self-awareness in infants is a mirror test, also known as the “Rouge Test.” The rouge test works by applying a dot of rouge (colored makeup) on an infant’s face and then placing them in front of the mirror. If the infant investigates the dot on their nose by touching it, they are thought to realize their own existence and have achieved self-awareness. A number of research studies have used this technique and shown self-awareness to develop between 15 and 24 months of age. Some researchers also take language such as “I, me, my, etc.” as an indicator of self-awareness.

Video: Rouge test (self-recognition test)^[4]

Cognitive psychologist Philippe Rochat^[5] described a more in-depth developmental path in acquiring self-awareness through various stages. He described self-awareness as occurring in five stages beginning from birth.

Once a child has achieved self-awareness, the child is moving toward understanding social emotions such as guilt, shame or embarrassment, and pride, as well as sympathy and empathy. These will require an understanding of the mental state of others which is acquired around age 3 to 5 and will be explored in the next module.^[6]

Temperament

Perhaps you have spent time with a number of infants. How were they alike? How did they differ? Or compare yourself with your siblings or other children you have known well. You may have noticed that some seemed to be in a better mood than others and that some were more sensitive to noise or more easily distracted than others. These differences may be attributed to temperament. Temperament is an inborn quality noticeable soon after birth. Temperament is not the same as personality but may lead to personality differences. Generally, personality traits are learned, whereas temperament is genetic. Of course, for every trait, nature and nurture interact.

According to Chess and Thomas (1996), children vary on nine dimensions of temperament. These include activity level, regularity (or predictability), sensitivity thresholds, mood, persistence or distractibility, among others. These categories include the following.^[7]

1. Activity level. Does the child display mostly active or inactive states?
2. Rhythmicity or Regularity. Is the child predictable or unpredictable regarding sleeping, eating, and elimination patterns?
3. Approach-Withdrawal. Does the child react or respond positively or negatively to a newly encountered situation?
4. Adaptability. Does the child adjust to unfamiliar circumstances easily or with difficulty.
5. Responsiveness. Does it take a small or large amount of stimulation to elicit a response (e.g., laughter, fear, pain) from the child?
6. Reaction Intensity. Does the child show low or high energy when reacting to stimuli?
7. Mood Quality. Is the child normally happy and pleasant, or unhappy and unpleasant?
8. Distractibility. Is the child’s attention easily diverted from a task by external stimuli?
9. Persistence and Attention Span. Persistence – How long will the child continue at an activity despite difficulty or interruptions? Attention span – For how long a period of time can the child maintain interest in an activity?

The New York Longitudinal Study was a long term study of infants, on these dimensions, which began in the 1950s. Most children do not have their temperament clinically measured, but categories of temperament have been developed and are seen as useful in understanding and working with children. Based on this study, babies can be described according to one of several profiles: easy or flexible (40%), slow to warm up or cautious (15%), difficult or feisty (10%), and undifferentiated, or those who can’t easily be categorized (35%).

Easy babies (40% of infants) have a positive disposition. Their body functions operate regularly and they are adaptable. They are generally positive, showing curiosity about new situations and their emotions are moderate or low in intensity. Difficult babies (10% of infants) have more negative moods and are slow to adapt to new situations. When confronted with a new situation, they tend to withdraw. Slow-to-warm babies (15% of infants) are inactive, showing relatively calm reactions to their environment. Their moods are generally negative, and they withdraw from new situations, adapting slowly. The undifferentiated (35%) could not be consistently categorized. These children show a variety of combinations of characteristics. For example, an infant may have an overall positive mood but react negatively to new situations.

No single type of temperament is invariably good or bad. However, infants with difficult temperaments are more likely than other babies to develop emotional problems, especially if their mothers were depressed or anxious caregivers.^[8] Children’s long-term adjustment actually depends on the goodness-of-fit of their particular temperament to the nature and demands of the environment in which they find themselves. Therefore, what appears to be more important than child temperament is how caregivers respond to it.

Think about how you might approach each type of child in order to improve your interactions with them. An easy or flexible child will not need much extra attention unless you want to find out whether they are having difficulties that have gone unmentioned. A slow to warm up child may need to be given advance warning if new people or situations are going to be introduced. A difficult or feisty child may need to be given extra time to burn off their energy. A caregiver’s ability to accurately read and work well with the child will enjoy this goodness-of-fit, meaning their styles match and communication and interaction can flow. The temperamentally active children can do well with parents who support their curiosity but could have problems in a more rigid family.

It is this goodness-of-fit between child temperament and parental demands and expectations that can cause struggles. Rather than believing that discipline alone will bring about improvements in children’s behaviour, our knowledge of temperament may help a parent, teacher or other caregiver gain insight to work more effectively with a child. Viewing temperamental differences as varying styles that can be responded to accordingly, as opposed to ‘good’ or ‘bad’ behaviour. For example, a persistent child may be difficult to distract from forbidden things such as electrical cords, but this persistence may serve her well in other areas such as problem-solving.  Positive traits can be enhanced and negative traits can be subdued. The child’s style of reaction, however, is unlikely to change. Temperament doesn’t change dramatically as we grow up, but we may learn how to work around and manage our temperamental qualities. Temperament may be one of the things about us that stays the same throughout development.

Attachment

Psychosocial development occurs as children form relationships, interact with others, and understand and manage their feelings. In social and emotional development, forming healthy attachments is very important and is the major social milestone of infancy. Attachment is a long-standing connection or bond with others. Developmental psychologists are interested in how infants reach this milestone. They ask questions such as: How do parent and infant attachment bonds form? How does neglect affect these bonds? What accounts for children’s attachment differences?

Researchers Harry Harlow, John Bowlby, and Mary Ainsworth conducted studies designed to answer these questions. In the 1950s, Harlow conducted a series of experiments on monkeys. He separated newborn rhesus monkeys from their mothers. Each monkey was presented with two surrogate mothers. One surrogate mother was made out of wire mesh, and she could dispense milk. The other surrogate mother was softer and made from cloth: This monkey did not dispense milk. Research shows that the monkeys preferred the soft, cuddly cloth monkey, even though she did not provide any nourishment. The baby monkeys spent their time clinging to the cloth monkey and only went to the wire monkey when they needed to be feed. Prior to this study, the medical and scientific communities generally thought that babies become attached to the people who provide their nourishment. However, Harlow^[9] concluded that there was more to the mother-child bond than nourishment. Feelings of comfort and security are the critical components of maternal-infant bonding, which leads to healthy psychosocial development.

Building on the work of Harlow and others, John Bowlby developed the concept of attachment theory. He defined attachment as the affectional bond or tie that an infant forms with the mother.^[10] He believed that an infant must form this bond with a primary caregiver in order to have normal social and emotional development. In addition, Bowlby proposed that this attachment bond is very powerful and continues throughout life. He used the concept of a secure base to define a healthy attachment between parent and child. A secure base is a parental presence that gives children a sense of safety as they explore their surroundings. Bowlby said that two things are needed for a healthy attachment: the caregiver must be responsive to the child’s physical, social, and emotional needs; and the caregiver and child must engage in mutually enjoyable interactions. Over time, infants develop working models, or cognitive representations of the world. Their working models influence how they experience the world and can change over time with new experiences. For example, a baby might have a working model that their dads is loyal and trustworthy, which influences how they see and interact with men in the future.

Mary Ainsworth’s^[11] was one of Bowlby’s students, and she wanted to know if children differ in the ways they bond, and if so, how. To find the answers, she used the Strange Situation procedure to study attachment between mothers and their infants. In the Strange Situation, the mother (or primary caregiver) and the infant (age 12-18 months) are placed in a room together.  There are toys in the room, and the caregiver and child spend some time alone in the room. After the child has had time to explore their surroundings, a stranger enters the room. The mother then leaves her baby with the stranger. After a few minutes, she returns to comfort her child.

Based on how the toddlers responded to the separation and reunion, Ainsworth identified three types of parent-child attachments: secure, avoidant, and resistant. A fourth style, known as disorganized attachment, was later described.^[12]

The most common type of attachment—also considered the healthiest—is called secure attachment (type B). In this type of attachment, the toddler prefers their parent over a stranger. The attachment figure is used as a secure base to explore the environment and is sought out in times of stress. Securely attached children were distressed when their caregivers left the room in the Strange Situation experiment, but when their caregivers returned, the securely attached children were happy to see them. Securely attached children have caregivers who are sensitive and responsive to their needs.

In North America, this interaction may include an emotional connection in addition to adequate care. However, even in cultures where mothers do not talk, cuddle, and play with their infants, secure attachments can develop.^[13] Secure attachments can form provided the child has consistent contact and responsive care from one or more caregivers. Consistency of contacts may be jeopardized if the infant is cared for in a daycare with a high turn-over of caregivers, or if institutionalized and given little more than basic physical care, like in the example of children raised in Romanian orphanages in the 1980’s.

Avoidant attachment (type A) is marked by insecurity: the child is unresponsive to the parent, does not use the parent as a secure base, and does not care if the parent leaves. The toddler reacts to the parent the same way they react to a stranger. When the parent does return, the child is slow to show a positive reaction. Ainsworth theorized that these children were most likely to have a caregiver who was insensitive and inattentive to their needs.^[14] An insecure-avoidant child learns to be more independent and disengaged.

In cases of resistant attachment, (insecure-resistant/ambivalent, type C), children tend to show clingy behaviour, but then they reject the attachment figure’s attempts to interact with them.^[15]  These children do not explore the toys in the room, appearing too fearful. During separation in the Strange Situation, they become extremely disturbed and angry with the parent. When the parent returns, the children are difficult to comfort. They seek constant reassurance that never seems to satisfy their doubt. Resistant attachment is thought to be the result of the caregivers’ inconsistent level of response to their child.

Finally, children with disorganized attachment (type D) behaved oddly in the Strange Situation. It represents the most insecure style of attachment when the child is given mixed, confused, and inappropriate responses from the caregiver. They freeze, run around the room in an erratic manner, or try to run away when the caregiver returns.^[16] This type of attachment is seen most often in kids who have been abused or severely neglected. Research has shown that abuse disrupts a child’s ability to regulate their emotions.

How common are the attachment styles among children in the United States? It is estimated that about 65 percent of children in the United States are securely attached. Twenty percent exhibit avoidant styles and 10 to 15 percent are resistant. Another 5 to 10 percent may be characterized as disorganized. While Ainsworth’s research has found support in subsequent studies, it has also met criticism. Some researchers have pointed out that a child’s temperament may have a strong influence on attachment and others have noted that attachment varies from culture to culture, a factor that was not accounted for in Ainsworth’s research.^[17]

Attachment styles vary in the amount of security and closeness felt in the relationship, and they can change with new experiences. The type of attachment fostered in parenting styles varies by culture as well. For example, German parents value independence and Japanese mothers are typically by their children’s sides. As a result, the rate of insecure-avoidant attachments is higher in Germany and insecure-resistant attachments are higher in Japan. These differences reflect cultural variation rather than true insecurity.^[18]  Cultural variations in parenting may reflect different styles: proximal or distal parenting. Lots of body contact and physical stimulation form a proximal style of parenting, whereas a greater focus on face-to-face context and playing with objects forms a distal style of parenting. One style isn’t superior to the other; they reflect different cultural values about interdependence (proximal) or independence (distal).

Keep in mind that methods for measuring attachment styles have been based on a model that reflects middle-class, US values and interpretation. Newer methods for assessing attachment styles involve using a Q-sort technique in which a large number of behaviours are recorded on cards and the observer sorts the cards in a way that reflects the type of behaviour that occurs within the situation.^[19]

Psychosocial Development

Theory of Psychosexual Development

Freud believed that personality develops during early childhood and that childhood experiences shape our personalities as well as our behaviour as adults. He asserted that we develop via a series of stages during childhood. Each of us must pass through these childhood stages, and if we do not have the proper nurturing and parenting during a stage, we will be stuck, or fixated, in that stage even as adults.

In each psychosexual stage of development, the child’s pleasure-seeking urges, coming from the id, are focused on a different area of the body, called an erogenous zone. The stages are oral, anal, phallic, latency, and genital (Table 1).

For about the first year of life, the infant is in the oral stage of psychosexual development. The infant meets needs primarily through oral gratification. A baby wishes to suck or chew on any object that comes close to the mouth. Babies explore the world through the mouth and find comfort and stimulation as well. Psychologically, the infant is all id. The infant seeks immediate gratification of needs such as comfort, warmth, food, and stimulation. If the caregiver meets oral needs consistently, the child will move away from this stage and progress further. However, if the caregiver is inconsistent or neglectful, the person may stay stuck in the oral stage. As an adult, the person might not feel good unless involved in some oral activity (oral fixation) such as eating, drinking, smoking, nail-biting, or compulsive talking. These actions bring comfort and security when the person feels insecure, afraid, or bored.

During the anal stage, which coincides with toddlerhood and potty-training, the child is taught that some urges must be contained and some actions postponed. There are rules about certain functions and when and where they are to be carried out. The child is learning a sense of self-control. The ego is being developed. If the caregiver is extremely controlling about potty training (stands over the child waiting for the smallest indication that the child might need to go to the potty and immediately scoops the child up and places him on the potty chair, for example), the child may grow up fearing losing control. He may become fixated in this stage or “anally retentive”—fearful of letting go. Such a person might be extremely neat and clean, organized, reliable, and controlling of others. If the caregiver neglects to teach the child to control urges, he may grow up to be “anal expulsive” or an adult who is messy, irresponsible, and disorganized.

Assessing the Psychodynamic Perspective

Originating in the work of Sigmund Freud, the psychodynamic perspective emphasizes unconscious psychological processes (for example, wishes and fears of which we’re not fully aware), and contends that childhood experiences are crucial in shaping adult personality. When reading Freud’s theories, it is important to remember that he was a medical doctor, not a psychologist. There was no such thing as a degree in psychology at the time that he received his education, which can help us understand some of the controversies over his theories today. However, Freud was the first to systematically study and theorize the workings of the unconscious mind in the manner that we associate with modern psychology. The psychodynamic perspective has evolved considerably since Freud’s time, encompassing all the theories in psychology that see human functioning based upon the interaction of conscious and unconscious drives and forces within the person, and between the different structures of the personality (id, ego, superego).

Freud’s theory has been heavily criticized for several reasons. One is that it is very difficult to test scientifically. How can parenting in infancy be traced to personality in adulthood? Are there other variables that might better explain development? Because psychodynamic theories are difficult to prove wrong, evaluating those theories, in general, is difficult in that we cannot make definite predictions about a given individual’s behaviour using the theories. The theory is also considered to be sexist in suggesting that women who do not accept an inferior position in society are somehow psychologically flawed. Freud focused on the darker side of human nature and suggested that much of what determines our actions is unknown to us. Others make the criticism that the psychodynamic approach is too deterministic, relating to the idea that all events, including human action, are ultimately determined by causes regarded as external to the will, thereby leaving little room for the idea of free will.

Freud’s work has been extremely influential, and its impact extends far beyond psychology (several years ago Time magazine selected Freud as one of the most important thinkers of the 20th century). Freud’s work has been not only influential but quite controversial as well. As you might imagine, when Freud suggested in 1900 that much of our behaviour is determined by psychological forces of which we’re largely unaware—that we literally don’t know what’s going on in our own minds—people were (to put it mildly) displeased.^[20] When he suggested in 1905 that we humans have strong sexual feelings from a very early age and that some of these sexual feelings are directed toward our parents, people were more than displeased—they were outraged.^[21] Few theories in psychology have evoked such strong reactions from other professionals and members of the public.

Freud’s psychosexual development theory is quite controversial. To understand the origins of the theory, it is helpful to be familiar with the political, social, and cultural influences of Freud’s day in Vienna at the turn of the 20th century. During this era, a climate of sexual repression, combined with limited understanding and education surrounding human sexuality heavily influenced Freud’s perspective. Given that sex was a taboo topic, Freud assumed that negative emotional states (neuroses) stemmed from the suppression of unconscious sexual and aggressive urges. For Freud, his own recollections and interpretations of patients’ experiences and dreams were sufficient evidence that psychosexual stages were universal events in early childhood.

So why do we study Freud? As mentioned above, despite the criticisms, Freud’s assumptions about the importance of early childhood experiences in shaping our psychological selves have found their way into child development, education, and parenting practices. Freud’s theory has heuristic value in providing a framework from which to elaborate and modify subsequent theories of development. Many later theories, particularly behaviourism and humanism, were challenges to Freud’s views. Controversy notwithstanding, no competent psychologist, or student of psychology, can ignore psychodynamic theory. It is simply too important for psychological science and practice and continues to play an important role in a wide variety of disciplines within and outside psychology (for example, developmental psychology, social psychology, sociology, and neuroscience).

Psychosocial Theory

Erikson’s Psychosocial Theory

Now, let’s turn to a less controversial psychodynamic theorist, the father of developmental psychology, Erik Erikson (1902-1994). Erikson was a student of Freud’s and expanded on his theory of psychosexual development by emphasizing the importance of culture in parenting practices and motivations and adding three stages of adult development.^[22]

Background

As an art school dropout with an uncertain future, young Erik Erikson met Freud’s daughter, Anna Freud, while he was tutoring the children of an American couple undergoing psychoanalysis in Vienna. It was Anna Freud who encouraged Erikson to study psychoanalysis. Erikson received his diploma from the Vienna Psychoanalytic Institute in 1933, and as Nazism spread across Europe, he fled the country and immigrated to the United States that same year. Erikson later proposed a psychosocial theory of development, suggesting that an individual’s personality develops throughout the lifespan—a departure from Freud’s view that personality is fixed in early life. In his theory, Erikson emphasized the social relationships that are important at each stage of personality development, in contrast to Freud’s emphasis on erogenous zones. Erikson identified eight stages, each of which includes a conflict or developmental task. The development of a healthy personality and a sense of competence depend on the successful completion of each task.

Psychosocial Stages of Development

Erikson believed that we are aware of what motivates us throughout life and that the ego has greater importance in guiding our actions than does the id. We make conscious choices in life, and these choices focus on meeting certain social and cultural needs rather than purely biological ones. Humans are motivated, for instance, by the need to feel that the world is a trustworthy place, that we are capable individuals, that we can make a contribution to society, and that we have lived a meaningful life. These are all psychosocial problems.

Erikson’s theory is based on what he calls the epigenetic principle, encompassing the notion that we develop through an unfolding of our personality in predetermined stages, and that our environment and surrounding culture influence how we progress through these stages. This biological unfolding in relation to our socio-cultural settings is done in stages of psychosocial development, where “progress through each stage is in part determined by our success, or lack of success, in all the previous stages.”

Erikson described eight stages, each with a major psychosocial task to accomplish or crisis to overcome. Erikson believed that our personality continues to take shape throughout our life span as we face these challenges. We will discuss each of these stages in greater detail when we discuss each of these life stages throughout the course. Here is an overview of each stage:

We have explored the dramatic story of the first two years of life. Rapid physical growth, neurological development, language acquisition, the movement from hands-on to mental learning, an expanding emotional repertoire, and the initial conceptions of self and others make this period of life very exciting. These abilities are shaped into more sophisticated mental processes, self-concepts, and social relationships during the years of early childhood.

Babies begin to learn about the world around them from a very early age. Children’s early experiences, meaning the bonds they form with their parents and their first learning experiences, affect their future physical, cognitive, emotional, and social development. Various organizations and agencies are dedicated to helping parents (and other caregivers), educators, and health care providers understand the importance of early healthy development. Healthy development means that children of all abilities, including those with special health care needs, are able to grow up where their social, emotional, and educational needs are met. Having a safe and loving home and spending time with family―playing, singing, reading, and talking―are very important. Proper nutrition, exercise, and sleep can also make a big difference; and effective parenting practices are key to supporting healthy development.^[24] The need to invest in very young children is important to maximize their future well-being.

Chapter Attribution

Adapted from 4.3 Psychosocial Growth in Infancy in Human Growth and Development by Ryan Newton, Metropolitan Community College used under a CC BY License.