Lecture 5: Biosocial Development Biosocial Development Body and Brain • Young children’s body and brain develop according to powerful epigenetic forces – Biologically driven – Socially guided Connecting the Brain’s Hemispheres
• Corpus callosum—nerve fibers
that connect the two halves of the brain Connecting the Brain’s Hemispheres, cont.
• Left Side, Right Side
– lateralization—specialization of the two sides of the brain • left brain – logical analysis, language, speech • right brain – visual and artistic skills
• Coping with Brain Damage
Planning and Analyzing • Prefrontal cortex (or frontal lobe) is the final part of the human brain to reach maturity – the area in the very front of the brain that is least developed in nonhumans – mid-adolescence • maturation occurs gradually and incomplete until advances at about age 3 or 4 make possible impulse control and formal education Educational Implications of Brain Development • By age 6, children are ready for formal instruction – before, brain not sufficiently developed in ways it needs to be, but now child can • sit still for more than an hour • scan a page of print • balance sides of body • draw and write with one hand • listen and think before talking • remember important facts • control emotions Gross Motor Skills
• Large body movements improve
– running, jumping, climbing, throwing • Gross motor skills are practiced and mastered Fine Motor Skills • Small body movements are harder to master – pouring, cutting, holding crayon, tying – lacking the muscular control, patience, and judgment needed • fingers short and fat • confusion over which is dominant hand Artistic Expression • Children’s artistic endeavors are also their play – drawings often connected to perception and cognition • gradual maturation of brain and body is apparent – artwork helps develop fine motor skills – in artwork, many children eagerly practice perseveration Serious Injuries • Accidents are the most common cause of childhood death – poison, fire, falls, choking, and drowning – unintended injuries cause millions of premature deaths per year until the age of 40; then disease becomes greatest cause of mortality • Injury control/harm reduction—the idea that accidents are not random, but can be made less harmful with proper control Three Levels of Prevention • Primary prevention—actions that change overall background conditions to prevent some unwanted event or circumstance • Secondary prevention—actions that avert harm in the immediate situation • Tertiary prevention—actions taken after an adverse event to reduce the harm or prevent disability Parents, Education, and Protection • SES is a powerful predictor of many accidents • Prevention and protection crucial • Parents need to institute safety measures in advance – Parents’ job is protection Changing Definitions of Maltreatment • Abuse and neglect – child maltreatment—intentional harm or avoidable endangerment to child – child abuse—deliberate action that is harmful to child’s well-being – child neglect—failure to meet child’s basic needs Changing Definitions of Maltreatment, cont.
• Types of abuse: physical, sexual,
emotional, and educational • Neglect twice as common as abuse – one sign is failure to thrive – another is hypervigilance • can be a symptom of post-traumatic stress disorder Changing Definitions of Maltreatment, cont.
• Reported maltreatment—cases about
which authorities have been informed - 3 million per year • Substantiated maltreatment—cases that have been investigated and verified - 1 million per year Three Levels of Prevention, Again, cont.
• Tertiary prevention—halting harm
after it occurs, then treating victim – removal from family – adoption – Foster care—legally sanctioned, publicly supported plan that transfers care of maltreated child from parents to others Impaired Social Skills
• Maltreated children’s social skills
– less friendly, more isolated and aggressive – the earlier abuse begins, the worse the relationship with peers Further Reading
Yener Balan (Author)_ Karen Murrell (Author)_ Christopher Bryant Lentz (Author) - Big Book of Emergency Department Psychiatry_ a Guide to Patient Centered Operational Improvement-Productivity Press (2