CHAPTER 5 PHYSICAL AND COGNITIVE DEVELOPMENT IN INFANCY Summary Outline I. Physical development in infancy A. Developmental milestones of infancy 1. Growth patterns 2. Nutritional needs B. Brain development 1. Brain research tools 2. Begins in embryonic period 3. Variable rate of growth from conception through adulthood 4. Probablistic epigenesis 5. Specialized lobes C. Neonatal reflexes 1. Plantar grasp 2. Babinski 3. Babkin 4. Rooting 5. Sucking 6. Moro 7. Grasping 8. Tonic neck reflex 9. Stepping D. Newborn abilities 1. Imitative behavior 2. Seeing 3. Hearing 4. Active seekers of stimulation 5. Attempts to master developmental tasks of infancy E. Neonatal assessment techniques 1. The Apgar: evaluation of newborn’s basic life signs 2. Neurological assessment a. Identification of any neurological problem b. Constant monitoring of a neurological problem c. Prognosis about some neurological problem 3. Brazelton Neonatal Behavioral Assessment Scale a. Evaluation of how infant interacts with its environment F. Motor development 1. Head control 2. Locomotion: crawling and creeping 3. Locomotion: standing and walking G. Neonatal problems 1. Failure to thrive (FTT) 30 II. III. a. Organic b. Nonorganic 2. Sudden infant death syndrome (SIDS) a. Fetal hypoxia b. Munchausen by proxy 3. Sleeping disorders 4. Respiratory distress syndrome (RDS) Perceptual development A. The meaning of perception 1. Getting and interpreting information from stimuli 2. Habituation 3. Depends on learning and maturation B. Visual perception 1. Visual preference a. Pattern perception b. Detecting complexity 2. Visual adaptation a. “Visual cliff” experiments C. Auditory perception 1. Hearing 2. Auditory discrimination Cognitive development A. Piaget’s sensorimotor period 1. Egocentrism 2. Six stages a. Exercise the reflexes b. Primary circular reactions c. Secondary circular reactions d. Coordinate secondary schemes e. Tertiary circular reactions f. Internal representation 3. Four major accomplishments a. Object permanence b. A sense of space c. Causality d. Time sequences B. Criticisms of Piaget 1. Cognitive development may be gradual and partially completed 2. Specific tasks accomplished earlier than Piaget thought C. Information processing in infancy 1. Infants and attention a. Selectivity b. Involves cognitive processing c. Limited 2. Infants and memory 31 a. Testing infant memory b. Infantile amnesia IV. Language development A. Acquiring their language 1. Children learn rules of language 2. Fast mapping B. Key signs of language development 1. Timetable of language acquisition a. Crying b. Cooing c. Babbling d. Vocables 2. First words a. Language explosion b. Holophrases c. Multiple words d. Telegraphic speech Learning Objectives After reading this chapter, the student should be able to complete the following goals: 1. Discuss the important aspects of nutritional needs of and feeding options for infants. 2. Summarize brain development during infancy. 3. Summarize neonatal reflexes and neonatal abilities. 4. Identify and describe the three neonatal assessment techniques. 5. Summarize milestones in motor development during infancy. 6. Describe the following neonatal problems: failure to thrive, sudden infant death syndrome (SIDS), sleeping disorders, and respiratory distress syndrome. 7. Summarize perceptual development during infancy, including methods of testing. 8. Characterize the six stages of Piaget’s sensorimotor period and identify the major accomplishments achieved by the end of this period. 9. Summarize the major criticisms about Piaget’s theory of cognitive development. 10. Summarize the development of information processing in infants. 11. Trace the key signs of language acquisition. Key Terms Apgar apnea babbling Brazelton Neonatal Behavioral Scale cooing coordinate secondary schemes crawling creeping 32 egocentrism failure to thrive habituation holophrases holophrastic speech language explosion neonate neurological assessment phonology pragmatics primary circular reactions reflex respiratory distress syndrome (RDS) secondary circular reactions semantics sensorimotor period sudden infant death syndrome (SIDS) syntax telegraphic speech tertiary circular reactions vocables Lecture Suggestions 1. Research Methods Used to Study Infants Developmental psychologists are constantly addressing the questions: “What do babies know?” and “How do babies learn?” This research is obviously difficult because babies are unable to talk. Before explaining how infant research is conducted, ask students what they think infants are capable of and how they think this research is conducted. Then, provide an overview of infant studies, such as Robert Fantz’s research on infants’ visual preference. Discuss research methods that have been developed to assess infant development and innovative ways that researchers have found to overcome obstacles. For further discussion, have students generate a list of questions that they think would be helpful to ask about infants. Also, discuss the implications of infant research. Does it challenge beliefs about how children should be reared and how they should be taught? 2. Cultural Differences in Caring for Infants The major assumptions of Piaget’s theory of cognitive development are that infants are active agents in constructing knowledge and that the interaction of experience and biology leads to growth and development. The cultural-contextual view agrees with these assumptions but adds two more: (1) other people make active contributions to infant development, and (2) cultural practices, which reflect the dominant beliefs and values of a culture, shape infant interaction with others and, ultimately, shape cognitive development. Variations in sleeping and feeding behaviors reflect the role of infants in a culture. Beliefs about babies in different cultures determine how they are treated, who interacts with them, and, consequently, how babies experience their world. Have students come to class prepared to discuss cultural differences in infant care. Discuss how they think these differences influence infant development. 3. The Impact of Poverty Children born into poverty lack adequate health care and consequently experience more health problems and poor nutrition. Discuss the impact of poverty on infant development. Be sure to include prenatal and infant care. To highlight the biopsychosocial perspective, discuss how 33 parental stress related to poverty impacts infant care. What are the consequences of poverty on infant development? 4. Strategies Adults Use to Enhance Language Acquisition Parents and other adults actively facilitate the child’s language acquisition. A variety of devices can enhance the child’s learning of language: recasting, echoing, expanding, labeling, and prompting. Discuss language and communication, language development, and the role of reinforcement and imitation in facilitating language development. Have students speculate about things that parents could do to enhance language acquisition in their offspring. Have students develop a research design to explore the validity of one of their proposed ideas. Instructor’s CD-ROM Resource Activities 1. 2. Chapter 6 Physical Development in Infancy A. A Quiz on Newborns: Are You Ready to Be a Parent? B. Class Cybertour of Websites Relevant to Lifespan Development C. Infant Feeding: The Benefits of Breastfeeding D. Babies Love Sweets! E. Interviewing New Parents F. Baby Books G. Infant Reflexes H. Infant Health and Nutrition: What Parents Are Talking About Chapter 7 Cognitive Development in Infancy A. Parent Demonstration of Infant Reflexes B. Infant Attention and Habituation C. Infant Cognition Tasks D. Intermodal Perception E. Toy Story: How Cognitively Stimulating are Children’s Toys? F. Object Permanence G. Sensorimotor Development H. Visit an Infant Perception Lab Classroom or Student Activities 1. A Demonstration of Piaget’s Sensorimotor Period Piaget’s sensorimotor period lasts from birth to about two years of age and involves progression in the infant’s ability to organize and coordinate sensations with physical movements. During the 34 sensorimotor period, major achievements include attainment of object permanence and the ability to form mental representations. Piaget further divides the sensorimotor period into six substages of intellectual development that involve gradual transitions in behavior. The sensorimotor period begins with simple reflexes and ends with the onset of symbolic function. Through gradual transitions in behavior, the child develops from being a relatively passive thinker into an active thinker. Immense cognitive changes occur during this two-year span of development. During the stage of simple reflexes, the infant is able to produce reflex-like actions in the absence of a triggering stimulus. During stage 2, primary circular reactions, the infant repeats behavior that produces interesting events that center around the infant’s own body. For the infant in the secondary circular reaction stage (stage 3), activities are repeated over and over. Focus is on outcomes occurring beyond the limits of the infant’s own body. In stage 4, coordination of secondary reactions, the infant coordinates two or more secondary circular reactions efficiently. Stage 5 of tertiary circular reactions finds the infant actively searching for new ways to interact with objects and actively exploring potential uses for objects. Finally, during stage 6, internalization of schemes and beginnings of representational thought appear. Invite parents with infants to come to the class and use the infants to demonstrate each stage of the sensorimotor period. Have students identify characteristics of the sensorimotor period. Ask students to provide examples of changes that they observe in the infants. Discuss major changes in each substage during infancy development. 2. Observing the Neonate One of the authors of the text describes his practice of taking students to Children’s Hospital in Boston to observe newborns. Make arrangements for students to visit a local hospital for neonate observation. Have students record newborn behaviors when being fed and changed. What happens when a new face or object is put in the infant’s field of vision? What do the observations tell students about how infants learn? 3. Comparing Approaches to Infant Care: Feeding Ask students which form of feeding—breast-feeding or bottles with formula—they will use with their babies if they become parents. If they are parents already, ask them how they feed their infants. As an out-of-class assignment, ask each student to list the advantages and disadvantages of the types of feeding they have chosen or used, based on text information, lecture, outside sources, and/or personal experiences. As a basis for discussion during a following class period, a panel consisting of a La Leche league advocate and a pediatrician would be helpful as moderators of a discussion based on the students’ prepared responses. After presentation of the pros and cons of their choices—and professional input—survey the students to see if their choices have changed based on the information gained. 35 4. Tracking Infant Development From a physical and cognitive perspective, infants change dramatically in the first few months of life. After reading this chapter, ask students to engage in a relationship with a newborn and its family (arrangements can be made by the instructor with a local child care facility or students can work with family members). With parental permission, have students visit and observe the newborn weekly for the remainder of the course. Students can record physical changes and growth of the infant, motor development, and changes in language abilities. Additionally, students can track cognitive development and test the infant’s progress through the sensorimotor period. Students can be creative (again, with parental permission) and use a video camera to track infant development. If possible, students can observe parental interaction with the newborn and comment on the relationship between parental interaction and child development. At the end of the course, have students write a report on the physical and cognitive development of the infant they observed and report their findings to the class. 5. Career-Related Activities Imagine you are a Community Health Nurse working in your county clinic. Develop take-home handouts for new moms, showing expected growth for their infants from birth to 6 months. Questions for Review and Discussion 1. Describe the relationship between the change in the growth and development of the brain and the manner in which the child’s mastery of his or her body is increasing. 2. Describe the different abilities of the newborn. Observe a newborn and describe how you observe the baby engaged in these behaviors. 3. Summarize three views on newborn competency. Which view do you agree with? How do parenting practices influence infant development? 4. Create a list of possible criteria to help a parent understand the optimal time for toilet training. Take into consideration both the child’s physical and cognitive abilities and the mother’s situation. 5. Discuss Piaget’s six stages of sensorimotor development in terms of thinking skills or abilities. What does primary circular reaction, for example, have to do with thinking and/or cognitive development? 6. Discuss Vygotsky’s stages of language development. Give an example of how a child’s behavior reflects the use of inner speech. Web Site Resources Child Development Baby Web Developmental Psychology Birth Psychology Jean Piaget Infants, Babies, Children, and Childbirth KidSource On Line 36 La Leche League International www.srcd.org Nurtured Child www.apa.org/journals/dev.html Child Cognitive Development Research www.education.Indiana.edu/~p540/webcour se/develop.html www.baby-place.com/ www.birthpsychology.com/index.html www.moonlily.com/parents/ www.kidsource.com www.lalecheleague.org www.nurturedchild.com www.babysmartstart.com/links.shtml 29 Video Resources 1. The Newborn, 23 minutes, color 2. Babywatching, 50 minutes, color 3. Discovering the Outside World, 23 minutes, color 4. Mothers, Fathers, and Babies, 26 minutes, color 37