Discuss emotional and personality development in early childhood. Be sure to include comments on: a) the sense of Self, b) emotional development, c) moral development, and d) impact of gender.

Infancy

As newborns, we were not empty-headed organisms. We had some basic reflexes, among them crying, kicking, and coughing. We slept a lot, and occasionally we smiled, although the meaning of our first smiles was not entirely clear. We ate and we grew. We crawled and then we walked, a journey of a thousand miles beginning with a single step. Sometimes we conformed; sometimes others conformed to us. Our development was a continuous creation of more complex forms. We needed the meeting eyes of love. We juggled the necessity of curbing our will with becoming what we could will freely. This section contains three chapters: “Physical Development in Infancy,” “Cognitive Development in Infancy,” and “Socioemotional Development in Infancy.”

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chapter 4
PHYSICAL DEVELOPMENT IN INFANCY
chapter outline

1 Physical Growth and Development in Infancy

Learning Goal 1 Discuss physical growth and development in infancy.

Patterns of Growth

Height and Weight

The Brain

Sleep

Nutrition

2 Motor Development

Learning Goal 2 Describe infants’ motor development.

The Dynamic Systems View

Reflexes

Gross Motor Skills

Fine Motor Skills

3 Sensory and Perceptual Development

Learning Goal 3 Summarize the course of sensory and perceptual development in infancy.

What Are Sensation and Perception?

The Ecological View

Visual Perception

Other Senses

Intermodal Perception

Nature, Nurture, and Perceptual Development

Perceptual-Motor Coupling

image1 ©Image Source/Getty Images

Latonya is a newborn baby inPage 105 Ghana. During her first days of life, she has been kept apart from her mother and bottle fed. Manufacturers of infant formula provide the hospital where she was born with free or subsidized milk powder. Her mother has been persuaded to bottle feed rather than breast feed her. When her mother bottle feeds Latonya, she overdilutes the milk formula with unclean water. Latonya’s feeding bottles have not been sterilized. Latonya becomes very sick. She dies before her first birthday.

Ramona was born in a Nigerian hospital with a “baby-friendly” program. In this program, babies are not separated from their mothers when they are born, and the mothers are encouraged to breast feed them. The mothers are told of the perils that bottle feeding can bring because of unsafe water and unsterilized bottles. They also are informed about the advantages of breast milk, which include its nutritious and hygienic qualities, its ability to immunize babies against common illnesses, and the role of breast feeding in reducing the mother’s risk of breast and ovarian cancer. Ramona’s mother is breast feeding her. At 1 year of age, Ramona is very healthy.

image2 (Top) An HIV-infected mother breast feeding her baby in Nairobi, Kenya. (Bottom) A Rwandan mother bottle feeding her baby. What are some concerns about breast versus bottle feeding in impoverished African countries?(Top) ©Wendy Stone/Corbis/Getty Images;  (bottom) ©Dave Bartruff/Corbis/Getty Images

For many years, maternity units in hospitals favored bottle feeding and did not give mothers adequate information about the benefits of breast feeding. In recent years, the World Health Organization and UNICEF have tried to reverse the trend toward bottle feeding of infants in many impoverished countries. They instituted “baby-friendly” programs in many countries (Grant, 1993). They also persuaded the International Association of Infant Formula Manufacturers to stop marketing their baby formulas to hospitals in countries where the governments support the baby-friendly initiatives (Grant, 1993). For the hospitals themselves, costs actually were reduced as infant formula, feeding bottles, and separate nurseries became unnecessary. For example, baby-friendly Jose Fabella Memorial Hospital in the Philippines reported saving 8 percent of its annual budget. Still, there are many places in the world where the baby-friendly initiatives have not been implemented.

The advantages of breast feeding in impoverished countries are substantial (UNICEF, 2017). However, these advantages must be balanced against the risk of passing the human immunodeficiency virus (HIV) to babies through breast milk if the mothers have the virusPage 106 (Croffut & others, 2018; Mnyani & others, 2017; Wojcicki, 2017). In some areas of Africa, more than 30 percent of mothers have HIV, but the majority of these mothers don’t know that they are infected (Mepham, Bland, and Newell, 2011). Later in the chapter, in the section on nutrition, we will look more closely at recent research on breast feeding in the United States, outlining the benefits for infants and mothers and discussing several life-threatening diseases that infants can contract as a result of malnutrition.

topical connections looking back

Previously, we followed the physical development that takes place from fertilization through the germinal, embryonic, and fetal periods of prenatal development. We learned that by the time the fetus has reached full gestational age (approximately 40 weeks), it has grown from a fertilized egg, barely visible to the human eye, to a fully formed human weighing approximately 8 pounds and measuring 20 inches in length. Also remarkable is the fact that by the end of the prenatal period the brain has developed approximately 100 billion neurons.

preview

It is very important for infants to get a healthy start. When they do, their first two years of life are likely to be a time of amazing development. In this chapter, we focus on the biological domain and the infant’s physical development, exploring physical growth, motor development, and sensory and perceptual development.

1 Physical Growth and Development  in Infancy

LG1 Discuss physical growth and development in infancy.

Patterns of Growth

Height and Weight

The Brain

Sleep

Nutrition

Infants’ physical development in the first two years of life is extensive. Newborns’ heads are quite large in comparison with the rest of their bodies. They have little strength in their necks and cannot hold their heads up, but they have some basic reflexes. In the span of 12 months, infants become capable of sitting anywhere, standing, stooping, climbing, and usually walking. During the second year, growth decelerates, but rapid increases in such activities as running and climbing take place. Let’s now examine in greater detail the sequence of physical development in infancy.

A baby is the most complicated object made by unskilled labor.

—Anonymous

PATTERNS OF GROWTH

An extraordinary proportion of the total body is occupied by the head during prenatal development and early infancy (see Figure 1). The  cephalocaudal pattern  is the sequence in which the earliest growth always occurs at the top—the head—with physical growth and differentiation of features gradually working their way down from top to bottom (for example, shoulders, middle trunk, and so on). This same pattern occurs in the head area,Page 107because the top parts of the head—the eyes and brain—grow faster than the lower parts, such as the jaw.

image3 FIGURE 1 CHANGES IN PROPORTIONS OF THE HUMAN BODY DURING GROWTH. As individuals develop from infancy through adulthood, one of the most noticeable physical changes is that the head becomes smaller in relation to the rest of the body. The fractions listed refer to head size as a proportion of total body length at different ages.

Motor development generally proceeds according to the cephalocaudal principle. For example, infants see objects before they can control their torso, and they can use their hands long before they can crawl or walk. However, development does not follow a rigid blueprint. One study found that infants reached for toys with their feet prior to reaching with their hands (Galloway & Thelen, 2004). On average, infants first touched the toy with their feet when they were 12 weeks old and with their hands when they were 16 weeks old.

Growth also follows the  proximodistal pattern , the sequence in which growth starts at the center of the body and moves toward the extremities. For example, infants control the muscles of their trunk and arms before they control their hands and fingers, and they use their whole hands before they can control several fingers (Bindler & others, 2017).

HEIGHT AND WEIGHT

The average North American newborn is 20 inches long and weighs 7.6 pounds. Ninety-five percent of full-term newborns are 18 to 22 inches long and weigh between 5 and 10 pounds.

In the first several days of life, most newborns lose 5 to 7 percent of their body weight before they adjust to feeding by sucking, swallowing, and digesting. Then they grow rapidly, gaining an average of 5 to 6 ounces per week during the first month. They have doubled their birth weight by the age of 4 months and have nearly tripled it by their first birthday. Infants grow about 1 inch per month during the first year, approximately doubling their birth length by their first birthday.

Growth slows considerably in the second year of life (London & others, 2017). By 2 years of age, infants weigh approximately 26 to 32 pounds, having gained a quarter to half a pound per month during the second year to reach about one-fifth of their adult weight. At 2 years of age, infants average 32 to 35 inches in height, which is nearly half of their adult height.

An important point about growth is that it often is not smooth and continuous but rather is episodic, occurring in spurts (Adolph, 2018; Adolph & Berger, 2015). In infancy, growth spurts may occur in a single day and alternate with long time frames characterized by little or no growth for days and weeks (Lampl & Johnson, 2011; Lampl & Schoen, 2018). In two analyses, in a single day, infants grew seven-tenths of an inch in length in a single day (Lampl, 1993) and their head circumference increased three-tenths of an inch (Caino & others, 2010).

THE BRAIN

We have described the amazing growth of the brain from conception to birth. By the time it is born, the infant that began as a single cell is estimated to have a brain that contains approximately 100 billion nerve cells, or neurons. Extensive brain development continues after birth, through infancy and later (Sullivan & Wilson, 2018; Vasa & others, 2018). Because the brain is still developing so rapidly in infancy, the infant’s head should be protected from falls or other injuries and the baby should never be shaken. Shaken baby syndrome, which includes brain swelling and hemorrhaging, affects hundreds of babies in the United States each year (Hellgren & others, 2017). One analysis found that fathers were the most frequent perpetrators of shaken baby syndrome, followed by child care providers and boyfriends of the victim’s mother (National Center on Shaken Baby Syndrome, 2012).

Researchers have been successful in using the electroencephalogram (EEG), a measure of the brain’s electrical activity, to learn about the brain’s development in infancy (Bell & others, 2018; Hari & Puce, 2017) (see Figure 2). For example, a recent study found that higher-quality mother-infant interaction early in infancy predicted higher-quality frontal lobe functioning that was assessed with EEG later in infancy (Bernier, Calkins, & Bell, 2016).

image4 FIGURE 2 MEASURING THE ACTIVITY OF AN INFANT’S BRAIN WITH AN ELECTROENCEPHALOGRAM (EEG). By attaching up to 128 electrodes to a baby’s scalp to measure the brain’s activity, researchers have found that newborns produce distinctive brain waves that reveal they can distinguish their mother’s voice from another woman’s, even while they are asleep. Why is it so difficult to measure infants’ brain activity?Courtesy of Vanessa Vogel Farley

Researchers also are increasingly using functional near-infrared spectroscopy (fNIRS), which uses very low levels of near-infrared light to monitor changes in blood oxygen, to study infants’ brain activity (de Oliveira & others, 2018; Emberson & others, 2017a, b; Taga, Watanabe, & Homae, 2018) (see Figure 3). Unlike fMRI, which uses magnetic fields or electrical activity, fNIRS is portable and allows the infants to be assessed as they explore the world around them. And recently Patricia Kuhl and her colleagues (Ferjan Ramirez & others, 2017) at the Institute for Learning and Brain Sciences at the University of Washington have been using magnetoencephalography,Page 108 or MEG, brain-imaging machines to assess infants’ brain activity. MEG maps brain activity by recording magnetic fields produced by electrical currents and is being used to assess such perceptual and cognitive activities as vision, hearing, and language in infants (see Figure 4).

image5 FIGURE 3 FUNCTIONAL NEAR-INFRARED SPECTROSCOPY (fNRIS) Functional near-infrared spectroscopy is increasingly being used to examine the brain activity of infants. fNRIS is non-invasive and can assess infants as they move and explore their environment.©Oli Scarff/Getty Imagesimage6 FIGURE 4 MEASURING THE ACTIVITY OF AN INFANT’S BRAIN WITH MAGNETOENCEPHALOGRAPHY (MEG). This baby’s brain activity is being assessed with a MEG brain-imaging device while the baby is listening to spoken words in a study at the Institute of Learning and Brain Sciences at the University of Washington. The infant sits under the machine and when he or she experiences a word, touch, sight, or emotion, the neurons working together in the infant’s brain generate magnetic fields and MEG pinpoints the location of the fields in the brain.©Dr. Patricia Kuhl, Institute for Learning and Brain Sciences, University of Washington

Among the researchers who are making strides in finding out more about the brain’s development in infancy are:

· Charles Nelson and his colleagues (Berens & Nelson, 2015; Bick & Nelson, 2018; Bick & others, 2017; Finch & others, 2017; McLaughlin, Sheridan, & Nelson, 2017; Nelson, 2007, 2012, 2013a, b; Nelson, Fox, & Zeanah, 2014; Vanderwert & others, 2016; Varcin & others, 2016) who are exploring various aspects of memory development, face recognition and facial emotion, and the role of experience in influencing the course of brain development;

· Martha Ann Bell and her colleagues (Bell, 2015; Bell & Cuevas, 2012, 2014, 2015; Bell & others, 2018; Bell, Ross, & Patton, 2018; Broomell & Bell, 2018; Li & others, 2017; MacNeill & others, 2018; Lusby & others, 2016) who are studying brain-behavior links, emotion regulation, inhibitory control, and the integration of cognition and emotion;

· Mark Johnson and his colleagues (Anzures & others, 2016; Gliga & others, 2017; Hakuno & others, 2018; Johnson, Jones, & Gliga, 2015; Johnson, Senju, & Tomalski, 2015; Milosavlijevic & others, 2017; Saez de Urabain & others, 2017; Senju & others, 2016), who are examining neuroconstructivist links between the brain, cognitive and perceptual processes, and environmental influences as well as studying the development of the prefrontal cortex and its functions, early identification of autism, face processing, and early social experiences; and

· John Richards and his colleagues (Emberson & others, 2071a; Lloyd-Fox & others, 2015; Richards, 2009, 2010, 2013; Richards & others, 2015; Richards, Reynolds, & Courage, 2010; Richards & Xie, 2015; Xie, Mallin, & Richards, 2018; Xie & Richards, 2016, 2017) who are examining sustained attention, perception of TV programs, and eye movements.

developmental connection
Brain Development

How does the brain change from conception to birth? Connect to “Prenatal Development and Birth.”

The Brain’s Development At birth, the newborn’s brain is about 25 percent of its adult weight. By the second birthday, the brain is about 75 percent of its adult weight. However, the brain’s areas do not mature uniformly.

Mapping the Brain Scientists analyze and categorize areas of the brain in numerous ways (Bell & others, 2018; Dean & others, 2018; Ferjan Ramirez & others, 2017). The portion farthest from the spinal cord is known as the forebrain. This region includes the cerebral cortex and several structures beneath it. The cerebral cortex covers the forebrain like a wrinkled cap. The brain has two halves, or hemispheres (see Figure 5). Based on ridges and valleys in the cortex, scientists distinguish four main areas, called lobes, in each hemisphere. Although the lobes usually work together, each has a somewhat different primary function (see Figure 6):

image7 FIGURE 5 THE HUMAN BRAIN’S HEMISPHERES. The two hemispheres of the human brain are clearly seen in this photograph. It is a myth that the left hemisphere is the exclusive location of language and logical thinking and that the right hemisphere is the exclusive location of emotion and creative thinking.©A.Glauberman/Science Sourceimage8 FIGURE 6 THE BRAIN’S FOUR LOBES. Shown here are the locations of the brain’s four lobes: frontal, occipital, temporal, and parietal.

· Frontal lobes are involved in voluntary movement, thinking, personality, and intentionality or purpose.

· Occipital lobes function in vision.

· Temporal lobes have an active role in hearing, language processing, and memory.

· Parietal lobes play important roles in registering spatial location, attention, and motor control.

To some extent, the type of information handled by neuronsPage 109 depends on whether they are in the left or right hemisphere of the cortex (Benjamin & others, 2017; Sidtis & others, 2018). Speech and grammar, for example, depend on activity in the left hemisphere in most people; humor and the use of metaphors depend on activity in the right hemisphere (Holler-Wallscheid & others, 2017). This specialization of function in one hemisphere of the cerebral cortex or the other is called  lateralization . However, most neuroscientists agree that complex functions such as reading or performing music involve both hemispheres. Labeling people as “left-brained” because they are logical thinkers or “right-brained” because they are creative thinkers does not correspond to the way the brain’s hemispheres work. Complex thinking in normal people is the outcome of communication between both hemispheres of the brain (Nora & others, 2017; Raemaekers & others, 2018).

At birth, the hemispheres of the cerebral cortex already have started to specialize: Newborns show greater electrical brain activity in the left hemisphere than the right hemisphere when they are listening to speech sounds (Telkemeyer & others, 2011). How are the areas of the brain different in the newborn and the infant from those in an adult, and why do the differences matter? Important differences have been documented at both the cellular and the structural levels.

Changes in Neurons Within the brain, the type of nerve cells called neurons send electrical and chemical signals, communicating with each other. A neuron is a nerve cell that handles information processing (see Figure 7). Extending from the neuron’s cell body are two types of fibers known as axons and dendrites. Generally, the axon carries signals away from the cell body and dendrites carry signals toward it. A myelin sheath, which is a layer of fat cells, encases many axons (see Figure 7). The myelin sheath insulates axons and helps electrical signals travel faster down the axon (Cercignani & others, 2017; van Tilborg & others, 2018). Myelination also is involved in providing energy to neurons and in communication (Saab & Nave, 2017). At the end of the axon are terminal buttons, which release chemicals called neurotransmitters into synapses, which are tiny gaps between neurons’ fibers. Chemical interactions in synapses connect axons and dendrites, allowing information to pass from neuron to neuron (Ismail, Fatemi, & Johnson, 2017; Zhou & others, 2018). Think of the synapse as a river that blocks a road. A grocery truck arrives at one bank of the river, crosses by ferry, and continues its journey to market. Similarly, a message in the brain is “ferried” across the synapse by a neurotransmitter, which pours out information contained in chemicals when it reaches the other side of the river.

image9 FIGURE 7 THE NEURON. (a) The dendrites of the cell body receive information from other neurons, muscles, or glands through the axon. (b) Axons transmit information away from the cell body. (c) A myelin sheath covers most axons and speeds information transmission. (d) As the axon ends, it branches out into terminal buttons.

Neurons change in two very significant ways during the first years of life. First, myelination, the process of encasing axons with fat cells, begins prenatally and continues after birth, even into adolescence and emerging adulthood (Juraska & Willing, 2017). Second, connectivity among neurons increases, creating new neural pathways (Eggebrecht & others, 2017; Zhou & others, 2018). New dendrites grow, connections among dendrites increase, and synaptic connections between axons and dendrites proliferate. Whereas myelination speeds up neural transmissions, the expansion of dendritic connections facilitates the spreading of neural pathways in infant development.

How complex are these neural connections? In a recent analysis, it was estimated that each of the billions of neurons is connected to as many as 1,000 other neurons, producing neural networks with trillions of connections (de Haan, 2015). As we have discussed previously, most of these billions of neurons essentially have been created, have traveled to their correct locations, and are connected to other neurons by the time of full-term birth. Nonetheless, they undergo further differentiation, and neural connectivity patterns continue to change at least into emerging adulthood (Vasa & others, 2018).

Researchers have discovered an intriguing aspect of synaptic connections: nearly twice as many of these connections are made as will ever be used (Huttenlocher & Dabholkar, 1997). The connections that are used survive and become stronger, while the unused ones are replaced by other pathways or disappear. In the language of neuroscience, these connections will be “pruned” (Gould, 2017). For example, the more babies engage in physical activity or use language, the more those pathways will be strengthened.

developmental connection
Brain Development

Changes in the prefrontal cortex in adolescents and older adults have important implications for their cognitive development. Connect to “Physical and Cognitive Development in Adolescence” and “Physical Development in Late Adulthood.”

The age at which “blooming” and subsequent “pruning” of synapses occurs varies by brain region. For example, the peak of synaptic overproduction in the visual cortex occurs at about the fourth postnatal month, followed by a gradual retraction until the middle to end of the preschool years. In areas of the brain involved in hearing and language, a similar, though somewhat later, course is detected. However, in the prefrontal cortex, the area of the brain where higher-level thinking and self-regulation occur, the peak of overproduction takes place at about 1 year of age; it is not until emerging adulthood that adult density of synapses is attained. Both heredity and environment are thought to influence the timing and course of synaptic overproduction and subsequent retraction.

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Early Experience and the Brain Children who grow up in a deprived environment may have depressed brain activity (Bick & Nelson, 2018; Bick & others, 2017; McLaughlin, Sheridan, & Nelson, 2017; Nelson, Fox, & Zeanah, 2014). As shown in Figure 8, a child who grew up in the unresponsive and unstimulating environment of a Romanian orphanage showed considerably depressed brain activity compared with a child who grew up in a normal environment.

image10 FIGURE 8 EARLY DEPRIVATION AND BRAIN ACTIVITY. These two photographs are PET (positron emission tomography) scans, which use radioactive tracers to image and analyze blood flow and metabolic activity in the body’s organs. These scans show the brains of (a) a typically developing child and  (b) an institutionalized Romanian orphan who experienced substantial deprivation since birth. In PET scans, the highest to lowest brain activity is reflected in the colors of red, yellow, green, blue, and black, respectively. As can be seen, red and yellow show up to a much greater degree in the PET scan of the typically developing child than the deprived Romanian orphan.Courtesy of Dr. Harry T. Chugani, Children’s Hospital of Michigan

Are the effects of deprived environments reversible? There is reason to think that for some individuals the answer is “yes” (Dennis & others, 2014). The brain demonstrates both flexibility and resilience. Consider 14-year-old Michael Rehbein. At age 7, he began to experience uncontrollable seizures—as many as 400 a day. Doctors said the only solution was to remove the left hemisphere of his brain where the seizures were occurring. Recovery was slow, but his right hemisphere began to reorganize and take over functions that normally occur in the brain’s left hemisphere, including speech (see Figure 9).

image11 FIGURE 9 PLASTICITY IN THE BRAIN’S HEMISPHERES. (a) Michael Rehbein at 14 years of age. (b) Michael’s right hemisphere (right) has reorganized to take over the language functions normally carried out by corresponding areas in the left hemisphere of an intact brain (left). However, the right hemisphere is not as efficient as the left, and more areas of the brain are recruited to process speech.Courtesy of The Rehbein Family

Neuroscientists believe that what wires the brain—or rewires it, in the case of Michael Rehbein—is repeated experience. Each time a baby tries to touch an attractive object or gazes intently at a face, tiny bursts of electricity shoot through the brain, knitting together neurons into circuits. The results are some of the behavioral milestones we discuss in this chapter.

The Neuroconstructivist View Not long ago, scientists thought that our genes determined how our brains were “wired” and that the cells in the brain responsible for processing information just maturationally unfolded with little or no input from environmental experiences. Whatever brain your heredity had dealt you, you were essentially stuck with. This view, however, turned out to be wrong. Research reveals that the brain has plasticity and its development depends on context (Bick & Nelson, 2018; D’Souza & Karmiloff-Smith, 2018; McLaughlin & Broihier, 2018; Snyder & Smith, 2018).

The infant’s brain depends on experiences to determine how connections are made. Before birth, it appears that genes mainly direct basic wiring patterns. Neurons grow and travel to distant places awaiting further instructions. After birth, the inflowing stream of sights, sounds, smells, touches, language, and eye contact help shape the brain’s neural connections.

In the increasingly popular  neuroconstructivist view , (a) biological processes (genes, for example) and environmental conditions (enriched or impoverished, for example) influence the brain’s development; (b) the brain has plasticity and is context dependent; and (c) the child’s cognitive development is closely linked to development of the brain. These factors constrain or advance the construction of cognitive skills (Goldberg, 2017; Mucke & others, 2018; Schreuders & others, 2018; Westermann, Thomas, & Karmiloff-Smith, 2011). The neuroconstructivist view emphasizes the importance of considering interactions between experience and gene expression in the brain’s development, much as the epigenetic view proposes (Moore, 2017; Smith & others, 2018; Westermann, 2016).

developmental connection
Nature and Nurture

In the epigenetic view, development is an ongoing, bidirectional interchange between heredity and the environment. Connect to “Biological Beginnings.”

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SLEEP

Sleep restores, replenishes, and rebuilds our brains and bodies. What function does sleep have in people’s lives? How do sleep patterns change in infancy?

Why Do We Sleep? A number of theories have been proposed about why we sleep. From an evolutionary perspective, all animals sleep and this sleep likely is necessary for survival. Thus, sleep may have developed because animals needed to protect themselves at night. A second perspective is that sleep replenishes and rebuilds the brain and body, which the day’s waking activities can wear out. In support of this restorative function, many of the body’s cells show increased production and reduced breakdowns of proteins during sleep (Frank, 2017). Further, a current emphasis is that sleep is essential to clearing out waste in neural tissues, such as metabolites and cerebrospinal fluid (Aguirre, 2016). A third perspective is that sleep is critical for brain plasticity (Sterpenich, Ceravolo, & Schwartz, 2017). For example, neuroscientists recently have argued that sleep increases synaptic connections between neurons (Areal, Warby, & Mongrain, 2017). These increased synaptic connections during sleep have been linked to improved consolidation of memories (Gui & others, 2017). Further, a research review concluded that not only can sleep improve memory, but losing a few hours of sleep a night is related to negative effects on attention, reasoning, and decision making (Diekelmann, 2014).

In sum, sleep likely serves a number of functions with no one theory accounting for all of the functions. Let’s now turn our attention to sleep in infancy. In later chapters, we will explore sleep through the remainder of the life span.

Sleep that knits up the ravelled sleave of care . . . Balm of hurt minds, nature’s second course. Chief nourisher in life’s feast.

—William Shakespeare

English Playwright, 17th Century

Infant Sleep When we were infants, sleep consumed more of our time than it does now (Goh & others, 2017). The typical newborn sleeps approximately 18 hours a day, but newborns vary greatly in how much they sleep (Dias & others, 2018; Sadeh, 2008). The range is from about 10 hours to about 21 hours a day.

In a recent study, sleep sessions lasted approximately 3.5 hours during the first few months and increased to about 10.5 hours from 3 to 7 months (Mindell & others, 2016). A previous research review concluded that infants 0 to 2 years of age slept an average of 12.8 hours out of the 24, within a range of 9.7 to 15.9 hours (Galland & others, 2012). Another study revealed that by 6 months of age the majority of infants slept through the night, awakening their parents only once or twice a week (Weinraub & others, 2012).

Sleep problems have been estimated to affect 15 to 25 percent of infants. The most common infant sleep-related problem reported by parents is nighttime waking (Dias & others, 2018; Hospital for Sick ChildrenPage 112 & others, 2010). Surveys indicate that 20 to 30 percent of infants have difficulty going to sleep at night and staying asleep until morning (Sadeh, 2008). One study found that nighttime wakings at 1 year of age predicted lower sleep efficiency at 4 years of age (Tikotzky & Shaashua, 2012). Further research found that (1) maternal depression during pregnancy, (2) early introduction of solid foods, (3) infant TV viewing, and (4) child care attendance were related to shorter duration of infant sleep (Nevarez & others, 2010). And a recent study revealed that later bedtime and less sleep across a 24-hour period were linked to infants having more separation distress, greater inhibition, and higher anxiety and depression levels (Mindell & others, 2017).

Research also indicates that parental factors other than maternal depression are linked to infants’ sleep patterns (Field, 2017; Volkovich & others, 2018; Yu & others, 2017). A recent study found that maternal sleep when the infant was 3 months of age predicted the infant’s sleep patterns at 6 months of age and that increased involvement of the father in caregiving responsibilities improved the infant’s sleep (Tikotzky & others, 2015). And other recent research indicated that a higher level of maternal emotional availability at bedtime was associated with a lower level of infant distress at bedtime and longer infant sleep duration (Philbrook & Teti, 2016).

Cultural variations influence infant sleeping patterns (Field, 2017). For example, in the Kipsigis culture in Kenya, infants sleep with their mothers at night and are permitted to nurse on demand (Super & Harkness, 1997). During the day, they are strapped to their mothers’ backs, accompanying them on daily rounds of chores and social activities. As a result, the Kipsigis infants do not sleep through the night until much later than American infants do. During the first eight months of postnatal life, Kipsigis infants rarely sleep longer than three hours at a stretch, even at night. This sleep pattern contrasts with that of American infants, many of whom begin to sleep up to eight hours a night by 8 months of age.

REM Sleep In REM sleep, the eyes flutter beneath closed lids; in non-REM sleep, this type of eye movement does not occur and sleep is more quiet (Bathory & Tomopoulos, 2017). Figure 10 shows developmental changes in the average number of total hours spent in REM and non-REM sleep. By the time they reach adulthood, individuals spend about one-fifth of their night in REM sleep, and REM sleep usually appears about one hour after non-REM sleep. However, about half of an infant’s sleep is REM sleep, and infants often begin their sleep cycle with REM sleep rather than non-REM sleep. A much greater amount of time is taken up by REM sleep in infancy than at any other point in the life span. By the time infants reach 3 months of age, the percentage of time they spend in REM sleep falls to about 40 percent, and REM sleep no longer begins their sleep cycle.

image12 FIGURE 10 DEVELOPMENTAL CHANGES IN REM AND NON-REM SLEEP

Why do infants spend so much time in REM sleep? Researchers are not certain. The large amount of REM sleep may provide infants with added self-stimulation, since they spend less time awake than do older children. REM sleep also might promote the brain’s development in infancy (Graven, 2006).

When adults are awakened during REM sleep, they frequently report that they have been dreaming, but when they are awakened during non-REM sleep, they are much less likely to report having been dreaming (Cartwright & others, 2006). Since infants spend more time than adults in REM sleep, can we conclude that they dream a lot? We don’t know whether infants dream or not, because they don’t have any way of reporting dreams.

Shared Sleeping Sleeping arrangements for newborns vary from culture to culture (Field, 2017). For example, sharing a bed with a mother is a common practice in many cultures, such as Guatemala and China, whereas in others, such as the United States and Great Britain, newborns usually sleep in a crib, either in the same room as the parents or in a separate room. In some cultures, infants sleep with the mother until they are weaned, after which they sleep with siblings until middle and late childhood (Walker, 2006). Whatever the sleeping arrangements, it is recommended that the infant’s bedding provide firm support and that the crib has side rails (Kreth & others, 2018).

In the United States, shared sleeping remains a controversial issue (Burnham, 2014). Some experts recommend it and others argue against it, although recently the recommendation trend has been to avoid infant-parent bed sharing, especially if the infant is younger than 6 months of age (Byard, 2012a, b; Field, 2017; Mitchell & others, 2017; Weber & others, 2012). In a recent study, infant-parent bed sharing was associated with more night waking for mothers as wellPage 113 as infants, and more marital distress (Teti & others, 2016). The American Academy of Pediatrics Task Force on Infant Positioning and SIDS (AAPTFIPS) (2000) recommends against shared sleeping. Its members argue that in some instances bed sharing might lead to sudden infant death syndrome (SIDS), as could be the case if a sleeping mother rolls over on her baby (Moon & others, 2017). Recent studies have found that bed sharing is linked with a higher incidence of SIDS, especially when parents smoke (Adams, Ward, & Garcia, 2015). Further, a recent large-scale study in six countries (including the United States) found that parents of 6- to 12-month-old infants reported earlier bedtimes, shorter time to fall asleep, fewer sleep interruptions, and more total sleep when the infants slept in a separate room compared with infants sleeping in the same room or same bed with their parents (Mindell, Leichman, & Walters, 2018).

SIDS  Sudden infant death syndrome (SIDS)  is a condition that occurs when infants stop breathing, usually during the night, and die suddenly without any apparent reason. SIDS continues to be a leading cause of infant death in the United States, with more than 2,000 infant deaths annually attributed to SIDS (NICHD, 2018). Risk of SIDS is highest at 2 to 4 months of age.

developmental connection
Sleep

What are some sleep problems that children encounter in early childhood? Connect to “Physical and Cognitive Development in Early Childhood.”

Since 1992, the American Academy of Pediatrics (AAP) has recommended that infants be placed to sleep on their backs (supine position) to reduce the risk of SIDS, and the frequency of prone sleeping (on the stomach) among U.S. infants has dropped dramatically (AAPTFIPS, 2000). Researchers have found that SIDS does indeed decrease when infants sleep on their backs rather than their stomachs or sides (Bombard & others, 2018; Siren, 2017; Sperhake, Jorch, & Bajanowski, 2018). Why? Because sleeping on their backs increases their access to fresh air and reduces their chances of getting overheated.

developmental connection
Sleep

Sleep patterns change in adolescence and are linked to changes in the brain. Connect to “Physical and Cognitive Development in Adolescence.”

In addition to sleeping in a prone position, researchers have found that the following factors are linked to SIDS:

· SIDS occurs more often in infants with abnormal brain stem functioning involving the neurotransmitter serotonin (Rognum & others, 2014; Rubens & Sarnat, 2013).

· Heart arrhythmias are estimated to occur in as many as 15 percent of SIDS cases, and two studies found that gene mutations were linked to the occurrence of these arrhythmias (Brion & others, 2012; Van Norstrand & others, 2012).

· Six percent of infants with sleep apnea, a temporary cessation of breathing in which the airway is completely blocked, usually for 10 seconds or longer, die of SIDS (Ednick & others, 2010).

· Breast feeding is linked to a lower incidence of SIDS (Carlin & Moon, 2017).

· Low birth weight infants are 5 to 10 times more likely to die of SIDS than are their normal-weight counterparts (Horne & others, 2002).

· SIDS is more likely to occur in infants who do not use a pacifier when they go to sleep than in those who do use a pacifier (Carlin & Moon, 2017). A recent research review confirmed that pacifier use is linked to a lower incidence of SIDS (Alm & others, 2016).

· Infants whose siblings have died of SIDS are two to four times as likely to die of it (Lenoir, Mallet, & Calenda, 2000).

· African American and Eskimo infants are four to six times as likely as all others to die of SIDS (Kitsantas & Gaffney, 2010; Moon & others, 2017).

· SIDS is more common in lower socioeconomic groups (Hogan, 2014).

· SIDS is more common in infants who are passively exposed to cigarette smoke (Horne, 2018; Salm Ward & Balfour, 2016).

· SIDS is more common when infants and parents share the same bed (Carlin & Moon, 2017; Moon & others, 2017). A recent Swedish study confirmed that bed sharing was more common in SIDS cases than in other types of infant deaths (Mollborg & others, 2015).

· SIDS is more common if infants sleep in soft bedding (McGarvey & others, 2006).

· SIDS is less common when infants sleep in a bedroom with a fan. One study revealed that sleeping in a bedroom with a fan lowers the risk of SIDS by 70 percent (Coleman-Phox, Odouli, & Li, 2008).

image13 Is this a good sleep position for infants? Why or why not?©Maria Teijeiro/Getty Images

It is generally accepted that the most critical factor in predicting whether an infant will develop SIDS is prone sleeping. As public awareness has grown regarding the importance of not letting infants sleep in a prone position, the number of infant deaths in the United States has decreased, although SIDS still is one of the leading causes of infant deathPage 114 (Bombard & others, 2018). In a recent research review, it was concluded that the two other factors that place infants at the highest risk for SIDS are (1) maternal smoking and (2) bed sharing (Mitchell & Krous, 2015).

One concern raised by critics of the “back to sleep movement” (ensuring that young infants sleep on their back rather than their stomach) is a decline in prone skills. To prevent this decline, many mothers provide their young infants with “tummy time” by periodically placing them on their stomachs when they are awake.

Sleep and Cognitive Development Might infant sleep be linked to children’s cognitive development? A recent research review indicated that there is a positive link between infant sleep and cognitive functioning, including memory, language, and executive function (Tham, Schneider, & Broekman, 2017). A study also revealed that a lower quality of sleep at 1 year of age was linked to lower attention regulation and more behavior problems at 3 to 4 years of age (Sadeh & others, 2015). And in another study, infants with poorer sleep patterns showed more distractibility during an attention task (Geva, Yaron, & Kuint, 2016). The link between infant sleep and children’s cognitive functioning likely occurs because of sleep’s role in brain maturation and memory consolidation, which may improve daytime alertness and learning.

NUTRITION

From birth to 1 year of age, human infants nearly triple their weight and increase their length by 50 percent. What do they need to sustain this growth?

Nutritional Needs and Eating Behavior Individual differences among infants in terms of their nutrient reserves, body composition, growth rates, and activity patterns make defining actual nutrient needs difficult (Borowitz & Borowitz, 2018; Rolfes & Pinna, 2018). However, because parents need guidelines, nutritionists recommend that infants consume approximately 50 calories per day for each pound they weigh—more than twice an adult’s caloric requirement per pound.

A number of developmental changes involving eating characterize the infant’s first year (Leow & others, 2017). As infants’ motor skills improve, they change from using suck-and-swallow movements with breast milk or formula to chew-and-swallow movements with semisolid and then more complex foods. As their fine motor control improves in the first year, they transition from being fed by others toward self-feeding. “By the end of the first year of life, children can sit independently, can chew and swallow a range of textures, are learning to feed themselves, and are making the transition to the family diet and meal patterns” (Black & Hurley, 2007, p. 1). At this point, infants need to have a diet that includes a variety of foods—especially fruits and vegetables.

Caregivers play very important roles in infants’ early development of eating patterns (Baye, Tariku, & Mouquet-Rivier, 2018; Brown, 2017). Caregivers who are not sensitive to developmental changes in infants’ nutritional needs, caregivers who are negligent, and conditions of poverty can contribute to the development of eating problems in infants (Black & Hurley, 2017; Perez-Escamilla & Moran, 2017). One study found that low maternal sensitivity when infants were 15 and 24 months of age was linked to a higher risk of obesity in adolescence (Anderson & others, 2012). And in a recent study, infants who were introduced to vegetables at 4 to 5 months of age showed less fussy eating behavior at 4 years of age than their counterparts who were introduced to vegetables after 6 months (de Barse & others, 2017).

A national study of more than 3,000 randomly selected 4- to 24-month-olds documented that many U.S. parents were feeding their babies too much junk food and not giving them enough fruits and vegetables (Fox & others, 2004). Up to one-third of the babies ate no vegetables and fruit but frequently ate French fries, and almost half of the 7- to 8-month-old babies were fed desserts, sweets, or sweetened drinks. By 15 months, French fries were the most common vegetable the babies ate.

Such poor dietary patterns early in development can result in more infants being overweight (Black & Hurley, 2017; Blake, 2017; Feldman-Winter & others, 2018). In addition to consuming too many French fries, sweetened drinks, and desserts, are there other factors that might explain increased numbers of overweight U.S. infants? A mother’s weight gain during pregnancy and a mother’s own high weight before pregnancy may be factors (Catalano & Shankar, 2017). Also, an important factor likely is whether an infant is breast fed or bottle fed (Uwaezuoke, Eneh, & Ndu, 2017). Breast-fed infants have lower rates of weight gain than bottle-fed infants in childhood and adolescence, and it is estimated that breast feeding reduces the risk of obesity by approximatelyPage 115 20 percent (Uwaezuoke, Eneh, & Ndu, 2017).

Breast versus Bottle Feeding For the first four to six months of life, human milk or an alternative formula is the baby’s source of nutrients and energy. For years, debate has focused on whether breast feeding is better for the infant than bottle feeding. The growing consensus is that breast feeding is better for the baby’s health (Blake, Munoz, & Volpe, 2019; DeBruyne & Pinna, 2017; Thompson & Manore, 2018). Since the 1970s, breast feeding by U.S. mothers has soared (see Figure 11). In 2016, 81 percent of U.S. mothers breast fed their newborns, and 52 percent breast fed their 6-month-olds (Centers for Disease Control and Prevention, 2016). The American Academy of Pediatrics Section on Breastfeeding (2012) reconfirmed its recommendation of exclusive breast feeding in the first six months followed by continued breast feeding as complementary foods are introduced, and further breast feeding for one year or longer as mutually desired by the mother and infant.

image14 FIGURE 11 TRENDS IN BREAST FEEDING IN THE UNITED STATES: 1970–2016

What are some of the benefits of breast feeding? The following conclusions have been supported by research.

Outcomes for the Child

· Gastrointestinal infections. Breast-fed infants have fewer gastrointestinal infections (Bartick & others, 2017, 2018).

· Respiratory tract infections. Breast-fed infants have fewer infections of the lower respiratory tract (Bartick & others, 2018).

· Allergies. A recent research review found no support for breast feeding reducing the risk of allergies in young children (Heinrich, 2017).

· Asthma. Exclusive breast feeding for three months protects against wheezing in babies, but whether it prevents asthma in older children is unclear (Wang & others, 2018). However, a recent Japanese study found that breast feeding was linked to a lower incidence of asthma from 6 to 42 months of age (Yamakawa & others, 2015).

· Ear, throat, and sinus infections. One study found that infants who had been breast fed for 9 months or longer were less likely to have developed ear, throat, and sinus infections in the past year when they were 6 years old than their counterparts who had been breast fed for 3 months or less (Li & others, 2014). Breast-fed infants also are less likely to develop otitis media, a middle ear infection (Pelton & Leibovitz, 2009).

· Overweight and obesity. Consistent evidence indicates that breast-fed infants are less likely to become overweight or obese in childhood, adolescence, and adulthood (Catalano & Shankar, 2017; Uwaezuoke, Eneh, & Ndu, 2018).

· Diabetes. Breast-fed infants are less likely to develop type 1 diabetes in childhood (Lund-Blix & others, 2015) and type 2 diabetes in adulthood (Minniti & others, 2014).

· SIDS. Breast-fed infants have lower rates of SIDS (Bartick & others, 2017b; Wennergren & others, 2015).

· Hospitalization. A recent study of more than 500,000 Scottish children found that those who were breast fed exclusively at 6 to 8 weeks of age were less likely to have ever been hospitalized through early childhood than their formula-fed counterparts (Ajetunmobi & others, 2015). Other recent research has found that breast-fed infants had lower rates of hospitalization for a number of conditions, including gastrointestinal problems and lower respiratory tract infection, and breast-feeding mothers had lower rates of hospitalization for cardiovascular problems and diabetes (Bartick & others, 2018).

image15Human milk or an alternative formula is a baby’s source of nutrients for the first four to six months. The growing consensus is that breast feeding is better for the baby’s health, although controversy still swirls about the benefits of breast feeding in comparison with bottle feeding. Why is breast feeding strongly recommended by pediatricians?©JGI/Getty Images

In large-scale research reviews, no conclusivePage 116 evidence for the benefits of breast feeding was found for children’s cognitive development and cardiovascular health (Agency for Healthcare Research and Quality, 2007; Ip & others, 2009).

Outcomes for the Mother

· Breast cancer. Consistent evidence indicates a lower incidence of breast cancer in women who breast feed their infants (Bartick & others, 2017b; Mayor, 2015).

· Ovarian cancer. Evidence also reveals a reduction in ovarian cancer in women who breast feed their infants (Stuebe & Schwartz, 2010).

· Type 2 diabetes. Some evidence suggests that there is a reduction in type 2 diabetes in women who breast feed their infants (Bartick & others, 2017b).

In large-scale research reviews, no conclusive evidence could be found for maternal benefits of breast feeding involving return to prepregnancy weight, reduced rates of osteoporosis, and decreased risk of postpartum depression (Agency for Healthcare Research and Quality, 2007; Ip & others, 2009). However, one study revealed that women who breast fed their infants had a lower incidence of metabolic syndrome (a disorder characterized by obesity, hypertension, and insulin resistance) in midlife (Ram & others, 2008).

Many health professionals have argued that breast feeding facilitates the development of an attachment bond between the mother and infant (Britton, Britton, & Gronwaldt, 2006; Wittig & Spatz, 2008). However, a research review found that the positive role of breast feeding on the mother-infant relationship is not supported by research (Jansen, de Weerth, & Riksen-Walraven, 2008). The review concluded that recommending breast feeding should not be based on its role in improving the mother-infant relationship but rather on its positive effects on infant and maternal health. Also, researchers have not consistently found links between breast feeding and higher intelligence in children, although in two recent studies, breast feeding was associated with a small increase in children’s intelligence (Bernard & others, 2017; Kanazawa, 2015).

Which women are least likely to breast feed? They include mothers who work full-time outside the home, mothers under age 25, mothers without a high school diploma, African American mothers, and mothers in low-income circumstances (Merewood & others, 2007). In one study of low-income mothers in Georgia, interventions (such as counseling focused on the benefits of breast feeding and the free loan of a breast pump) increased the incidence of breast feeding (Ahluwalia & others, 2000). Increasingly, mothers who return to work during the infant’s first year of life use a breast pump to extract breast milk that can be stored for later feeding of the infant when the mother is not present.

As mentioned earlier, the American Academy of Pediatrics Section on Breastfeeding (2012) strongly endorses exclusive breast feeding for the first 6 months and further recommends breast feeding for another year. Are there circumstances when mothers should not breast feed? Yes, a mother should not breast feed (1) when she is infected with HIV or some other infectious disease that can be transmitted through her milk, (2) if she has active tuberculosis, or (3) if she is taking any drug that may not be safe for the infant (Brown & others, 2017; Schultz, Kostic, & Kharasch, 2018; Williams & others, 2016).

Some women cannot breast feed their infants because of physical difficulties; others feel guilty if they terminate breast feeding early. Mothers may also worry that they are depriving their infants of important emotional and psychological benefits if they bottle feed rather than breast feed. Some researchers have found, however, that there are no psychological differences between breast-fed and bottle-fed infants (Ferguson, Harwood, & Shannon, 1987; Young, 1990).

A further issue in interpreting the benefits of breast feeding was underscored in large-scale research reviews (Agency for Healthcare Research and Quality, 2007; Ip & others, 2009). While highlighting a number of breast feeding benefits for children and mothers, the report issued a caution about breast feeding research: None of the findings imply causality. Breast versus bottle feeding studies are correlational rather than experimental, and women who breast feed are wealthier, older, more educated, and likely more health-conscious than their bottle feeding counterparts, which could explain why breast-fed children are healthier.

developmental connection
Research Methods

How does a correlational study differ from an experimental study? Connect to “Introduction.”

Malnutrition in Infancy Many infants around the world are malnourished (UNICEF, 2018). Early weaning of infants from breast milk to inadequate sources of nutrients, such as unsuitable and unsanitary cow’s milk formula, can cause protein deficiency and malnutrition in infants. However, as we saw in the discussion following the chapter opening story, a concern in developing countries is the increasing number of women who are HIV-positive and the fear that they will transmit this virus to their offspring (Croffut & others, 2018). Breast feeding is more optimal for mothers and infants in developing countries, except for mothers who have or are suspected of having HIV/AIDS.

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connecting development to life

Improving the Nutrition of Infants and Young Children Living in Low-Income Families

Poor nutrition is a special concern in the lives of infants from low-income families. To address this problem in the United States, the WIC (Women, Infants, and Children) program provides federal grants to states for healthy supplemental foods, health care referrals, and nutrition education for women from low-income families beginning in pregnancy, and to infants and young children up to 5 years of age who are at nutritional risk (Chang, Brown, & Nitzke, 2017; Gilmore & others, 2017). WIC serves approximately 7,500,000 participants in the United States.

Positive influences on infants’ and young children’s nutrition and health have been found for participants in WIC (Chen & others, 2018; Gross & others, 2017; Lee & others, 2017; Martinez-Brockman & others, 2018; McCoy & others, 2018). One study revealed that a WIC program that introduced peer counseling services for pregnant women increased breast feeding initiation by 27 percent (Olson & others, 2010a, b). Another study found that entry during the first trimester of pregnancy to the WIC program in Rhode Island reduced rates of maternal cigarette smoking (Brodsky, Viner-Brown, & Handler, 2009). Also, a multiple-year literacy intervention with Spanish-speaking families in the WIC program in Los Angeles increased literacy resources and activities at home, which in turn led to a higher level of school readiness in children (Whaley & others, 2011). And in recent longitudinal studies, when mothers participated prenatally and in early childhood in WIC programs their young children showed short-term cognitive benefits and longer-term reading and math benefits (Jackson, 2015).

image16 Participants in the WIC program. What are some changes the WIC program is trying to implement?Source: USDA Food and Nutrition Service, Supplemental Nutrition Assistance Program USDA Food and Nutrition Service “SNAP Photo Gallery/Jen Mitchell SNAP-Ed Connection http://snap.nal.usda.gov”

Why would the WIC program provide lactation counseling as part of its services?

A large-scale study that examined feeding practices in 28 developing countries found that the practices were far from optimal (Arabi & others, 2012). In this study, only 25 percent of infants 5 months of age and younger were breast fed. Also, feeding guidelines call for introducing complementary foods (solid and semisolid foods) beginning at 6 months. However, in this study, only 50 percent of the caregivers reported feeding their 6- to 8-month-olds complementary foods.

Even if it is not fatal, severe and lengthy malnutrition is detrimental to physical, cognitive, and social development (Donatelle & Ketcham, 2018; UNICEF, 2018; Wardlaw, Smith, & Collene, 2018). One study found that Asian Indian children who had a history of chronic malnutrition performed more poorly on tests of attention and memory than their counterparts who were not malnourished (Kar, Rao, & Chandramouli, 2008). And a longitudinal study revealed that Barbadians who had experienced moderate to severe protein/energy malnutrition during infancy had persisting attention deficits when they were 40 years old (Galler & others, 2012). Researchers also have found that interventions can benefit individuals who have experienced malnutrition in infancy. For example, in one study standard nutritional care combined with a psychosocial intervention (group meetings with mothers and play sessions with infants, as well as six months of home visits) reduced the negative effects of malnutrition on severely malnourished Bangladeshi 6- to 24-month-olds’ cognitive development (Najar & others, 2008).

To read about programs designed to improve infants’ and young children’s nutrition, see  Connecting Development to Life .

Adequate early nutrition is an important aspect of healthy development (Rolfes & Pinna, 2018). In addition to sound nutrition, children need a nurturing, supportive environment (Black & Hurley, 2017; Blake, 2017). One individual who has stood out as an advocate of caring for children and who has been especially passionate about preventing child obesity is pediatrician Faize Mustafa-Infante, who is featured in  Connecting with Careers .

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connecting with careers

Faize Mustafa-Infante

Dr. Mustafa-Infante grew up in Colombia, South America. Her initial profession was as an elementary school teacher in Colombia and then she obtained her medical degree with a specialty in pediatrics. Once she finished her medical training, she moved to San Bernardino, California, working as a health educator with a focus on preventing and treating child obesity in low-income communities. Dr. Mustafa-Infante currently works at Mission Pediatrics in Riverside, California, where she mainly treats infants. She continues her effort to prevent obesity in children and also serves as a volunteer for Ayacucho Mission, a nonprofit organization that provides culturally sensitive medical care for people living in poverty in Ayacucho, Peru. With regard to her cultural background, Dr. Mustafa-Infante describes herself as a Latino doctor with a middle-eastern name that reflects her strong family commitments to both heritages. Dr. Mustafa says that hard work and education have been the keys to her success and personal satisfaction.

For more information about what pediatricians do, see the Careers in Life-Span Development appendix.

Review Connect Reflect

LG1 Discuss physical growth and development in infancy.

Review

· What are cephalocaudal and proximodistal patterns?

· What changes in height and weight take place in infancy?

· What are some key features of the brain and its development in infancy?

· What changes occur in sleep during infancy?

· What are infants’ nutritional needs?

Connect

· What types of brain research technology can be used to study infants that cannot be used to study them before they are born? Which techniques can be used on adults but not infants? How might these limitations affect our understanding of brain development across the life span?

Reflect Your Own Personal Journey of Life

· What sleep and nutrition guidelines would you follow for enhancing the health and safety of your own infant?

2 Motor Development

LG2 Describe infants’ motor development.

The Dynamic Systems View

Reflexes

Gross Motor Skills

Fine Motor Skills

As a newborn, Ramona, whom you read about in the chapter opening story, could suck, fling her arms, and tightly grip a finger placed in her tiny hand. Within just two years, she would be toddling around on her own, opening doors and jars as she explored her little world. Are her accomplishments inevitable? How do infants develop their motor skills, and which skills do they develop at specific ages?

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THE DYNAMIC SYSTEMS VIEW

Developmentalist Arnold Gesell (1934) thought his painstaking observations had revealed how people develop their motor skills. He had discovered that infants and children develop rolling, sitting, standing, and other motor skills in a fixed order and within specific time frames. These observations, said Gesell, show that motor development comes about through the unfolding of a genetic plan, or maturation.

Later studies, however, demonstrated that the sequence of developmental milestones is not as fixed as Gesell indicated and not due as much to heredity as Gesell argued (Adolph, 2018; Adolph & Robinson, 2015). Beginning in the 1980s, the study of motor development experienced a renaissance as psychologists developed new insights about how motor skills develop (Adolph, 2018; Kretch & Adolph, 2018). One increasingly influential perspective is dynamic systems theory, proposed by Esther Thelen (Thelen & Smith, 1998, 2006).

According to  dynamic systems theory , infants assemble motor skills for perceiving and acting. Notice that perception and action are coupled, according to this theory. To develop motor skills, infants must perceive something in their environment that motivates them to act and use their perceptions to fine-tune their movements. Motor skills assist infants in reaching their goals (Adolph, 2018).

image17Esther Thelen is shown conducting an experiment to discover how infants learn to control their arm movements to reach and grasp for objects. A computer device is used to monitor the infant’s arm movements and to track muscle patterns. Thelen’s research is conducted from a dynamic systems perspective. What is the nature of this perspective?Courtesy of Dr. David Thelen

How is a motor skill developed, according to this theory? When infants are motivated to do something, they might create a new motor behavior. The new behavior is the result of many converging factors: the development of the nervous system, the body’s physical properties and its possibilities for movement, the goal the child is motivated to reach, and availability of environmental support for the skill. For example, babies learn to walk only when maturation of the nervous system allows them to control certain leg muscles, when they want to move, when their legs have grown strong enough to support their weight, and when they have sufficient balance control to support their body on one leg.

Mastering a motor skill requires the infant’s active efforts to coordinate several components of the skill. Infants explore and select possible solutions to the demands of a new task; they assemble adaptive patterns by modifying their current movement patterns (Adolph, 2018). The first step occurs when the infant is motivated by a new challenge—such as the desire to cross a room—and gets into the “ballpark” of the task demands by taking a couple of stumbling steps. Then, the infant “tunes” these movements to make them smoother and more effective. The tuning is achieved through repeated cycles of action and perception of the consequences of that action. According to the dynamic systems view, even universal milestones, such as crawling, reaching, and walking, are learned through this process of adaptation: Infants modulate their movement patterns to fit a new task by exploring and selecting possible configurations (Adolph, 2018; Comalli, Persand, & Adolph, 2017).

To see how dynamic systems theory explains motor behavior, imagine that you offer a new toy to a baby named Gabriel (Thelen & others, 1993). There is no exact program that can tell Gabriel ahead of time how to move his arm and hand and fingers to grasp the toy. Gabriel must adapt to his goal—grasping the toy—and the context. From his sitting position, he must make split-second adjustments to extend his arm, holding his body steady so that his arm and torso don’t plow into the toy. Muscles in his arm and shoulder contract and stretch in a host of combinations, exerting a variety of forces. He improvises a way to reach out with one arm and wrap his fingers around the toy.

Thus, according to dynamic systems theory, motor development is not a passive process in which genes dictate the unfolding of a sequence of skills over time. Rather, the infant actively puts together a skill to achieve a goal within the constraints set by the infant’s body and environment. Nature and nurture, the infant and the environment, are all working together as part of an ever-changing system.

As we examine the course of motor development, we will describe how dynamic systems theory applies to some specific skills. First, though, let’s examine the beginning of motor development: the infant’s reflexes.

image18 How might dynamic systems theory explain the development of learning to walk?©Di Studio/Shutterstock

REFLEXES

The newborn is not completely helpless. Among other things, it has some basic reflexes. For example, when submerged in water, the newborn automatically holds its breath and contracts its throat to keep water out.

Reflexes  are built-in reactions to stimuli; they governPage 120 the newborn’s movements, which are automatic and beyond the newborn’s control. Reflexes are genetically carried survival mechanisms. They allow infants to respond adaptively to their environment before they have had the opportunity to learn. The rooting and sucking reflexes are important examples. Both have survival value for newborn mammals, who must find a mother’s breast to obtain nourishment. The  rooting reflex  occurs when the infant’s cheek is stroked or the side of the mouth is touched. In response, the infant turns its head toward the side that was touched in an apparent effort to find something to suck. The  sucking reflex  occurs when newborns automatically suck an object placed in their mouth. This reflex enables newborns to get nourishment before they have associated a nipple with food and also serves as a self-soothing or self-regulating mechanism.

Another example is the  Moro reflex , which occurs in response to a sudden, intense noise or movement (see Figure 12). When startled, the newborn arches its back, throws back its head, and flings out its arms and legs. Then the newborn rapidly draws in its arms and legs. The Moro reflex is believed to be a way of grabbing for support while falling; it would have had survival value for our primate ancestors.

image19 FIGURE 12 NEWBORN REFLEXES. Young infants have several reflexes, including the Moro reflex (top) and grasping reflex (bottom).(Top) ©Petit Format/Science Source; (bottom) ©Stockbyte/PunchStock

Some reflexes—coughing, sneezing, blinking, shivering, and yawning, for example—persist throughout life. They are as important for the adult as they are for the infant. Other reflexes, though, disappear several months following birth, as the infant’s brain matures and voluntary control over many behaviors develops. The rooting and Moro reflexes, for example, tend to disappear when the infant is 3 to 4 months old.

The movements of some reflexes eventually become incorporated into more complex, voluntary actions. One important example is the  grasping reflex , which occurs when something touches the infant’s palms (see Figure 12). The infant responds by grasping tightly. By the end of the third month, the grasping reflex diminishes and the infant shows a more voluntary grasp. As its motor coordination becomes smoother, the infant will grasp objects, carefully manipulate them, and explore their qualities.

The old view of reflexes is that they were exclusively genetic, built-in mechanisms that governed the infant’s movements. The new perspective on infant reflexes is that they are not automatic or completely beyond the infant’s control. For example, infants can alternate the movement of their legs to make a mobile jiggle or change their sucking rate to listen to a recording (Adolph & Robinson, 2015).

GROSS MOTOR SKILLS

Ask any parents about their baby, and sooner or later you are likely to hear about one or more motor milestones, such as “Cassandra just learned to crawl,” “Jesse is finally sitting alone,” or “Angela took her first step last week.” Parents proudly announce such milestones as their children transform themselves from babies unable to lift their heads to toddlers who grab things off the grocery store shelf, chase a cat, and participate actively in the family’s social life (Thelen, 2000). These milestones are examples of  gross motor skills , which involve large-muscle activities such as moving one’s arms and walking.

The Development of Posture How do gross motor skills develop? As a foundation, these skills require postural control. For example, to track moving objects, you must be able to control the movement of your head in order to stabilize your gaze; before you can walk, you must be able to balance on one leg.

Posture is more than just holding still and straight. Posture is a dynamic process that is linked with sensory information in the skin, joints, and muscles, which tell us where we are in space; in vestibular organs in the inner ear that regulate balance and equilibrium; and in vision and hearing (Soska, Robinson, & Adolph, 2015).

Newborn infants cannot voluntarily control their posture. Within a few weeks, though, they can hold their heads erect, and soon they can lift their heads while prone. By 2 months of age, babies can sit while supported on a lap or an infant seat, but they cannot sit independently until they are 6 or 7 months of age. Standing also develops gradually during the first year of life. By about 8 to 9 months of age, infants usually learn to pull themselves up and hold on to a chair, and they often can stand alone by about 10 to 12 months of age.

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Learning to Walk Locomotion and postural control are closely linked, especially in walking upright (Kretch & Adolph, 2018). To walk upright, the baby must be able both to balance on one leg as the other is swung forward and to shift weight from one leg to the other.

Even young infants can make the alternating leg movements that are needed for walking. The neural pathways that control leg alternation are in place from a very early age, even at birth or before. Indeed, researchers have found that alternating leg movements occur during the fetal period and at birth (Adolph & Robinson, 2015). Both alternating leg movements and forward stepping movements occur early in development and are precursors to walking.

If infants can produce forward stepping movements so early, why does it take them so long to learn to walk? The key skills in learning to walk appear to be stabilizing balance on one leg long enough to swing the other forward and shifting weight without falling. These are difficult biomechanical problems to solve, and it takes infants about a year to do it.

In learning to locomote, infants learn what kinds of places and surfaces are safe for locomotion (Adolph, 2018; Karasik, Tamis-LeMonda, & Adolph, 2016). Karen Adolph (1997) investigated how experienced and inexperienced crawling infants and walking infants go down steep slopes (see Figure 13). Newly crawling infants, who averaged about 8½ months in age, rather indiscriminately went down the steep slopes, often falling in the process (with their mothers next to the slope to catch them). After weeks of practice, the crawling babies became more adept at judging which slopes were too steep to crawl down and which ones they could navigate safely. New walkers also could not judge the safety of the slopes, but experienced walkers accurately matched their skills with the steepness of the slopes. They rarely fell downhill, either refusing to go down the steep slopes or going down backward in a cautious manner. Experienced walkers perceptually assessed the situation—looking, swaying, touching, and thinking before they moved down the slope. With experience, both the crawlers and the walkers learned to avoid the risky slopes where they would fall, integrating perceptual information with the development of a new motor behavior. In this research, we again see the importance of perceptual-motor coupling in the development of motor skills. Thus, practice is very important in the development of new motor skills (Adolph & Berger, 2015).

image20 FIGURE 13 THE ROLE OF EXPERIENCE IN CRAWLING AND WALKING INFANTS’ JUDGMENTS OF WHETHER TO GO DOWN A SLOPE. Karen Adolph (1997) found that locomotor experience rather than age was the primary predictor of adaptive responding on slopes of varying steepness. Newly crawling and walking infants could not judge the safety of the various slopes. With experience, they learned to avoid slopes where they would fall. When expert crawlers began to walk, they again made mistakes and fell, even though they had judged the same slope accurately when crawling. Adolph referred to this as the specificity of learning because it does not transfer across crawling and walking.Courtesy of Dr. Karen Adolph, New York University

Practice is especially important in learning to walk (Adolph, 2018; Adolph & Robinson, 2015). “Thousands of daily walking steps, each step slightly different from the last because of variations in the terrain and the continually varying biomechanical constraints on the body, may help infants to identify the relevant” combination of strength and balance required to improve their walking skills (Adolph, Vereijken, & Shrout, 2003, p. 495). In one study, Adolph and her colleagues (2012) observed 12- to 19-month-olds during free play. Locomotor experience was extensive, with the infants averaging 2,368 steps and 17 falls per hour.

A recent study explored how infants plan and guide their locomotion in the challenging context of navigating a series of bridges varying in width (Kretch & Adolph, 2018). Infants’ visual exploration (direction of their gaze) was assessed using a head-mounted eye-tracking device, and their locomotor actions were captured using video. The 14-month-olds engaged in visual exploration from a distance as an initial assessmentPage 122 before they crossed almost every bridge. The visual information led to modifications in their gait when approaching narrow bridges, and they used haptic (touch) information at the edge of the bridges. As they gained more walking experience, their exploratory behaviors became more efficient and they became more adept at deciding which bridges were safe to walk across.

Might the development of walking be linked to advances in other aspects of development? Walking allows the infant to gain contact with objects that were previously out of reach and to initiate interaction with parents and other adults, thereby promoting language development (Adolph & Robinson, 2015; He, Walle, & Campos, 2015). Thus, just as with advances in postural skills, walking skills can produce a cascade of changes in the infant’s development (Marrus & others, 2018).

The First Year: Motor Development Milestones and Variations Figure 14 summarizes the range of ages at which infants accomplish various gross motor skills during the first year, culminating in the ability to walk easily. After studying Figure 14, you should be able to order the milestones and describe the typical ages at which babies reach these milestones.

image21 FIGURE 14 MILESTONES IN GROSS MOTOR DEVELOPMENT. The horizontal red bars indicate the range of ages at which most infants reach various milestones in gross motor development.(Photo credit left to right) ©Barbara Penoyar/Getty Images; ©StephaneHachey/Getty Images; ©Image Source/Alamy; ©Victoria Blackie/Getty Images; ©Digital Vision; ©Fotosearch/Getty Images;  ©Corbis/PictureQuest; ©amaviael/123RF

A recent study found a number of factors that are linked to motor development in the first year of life (Flensborg-Madsen & Mortensen, 2017). Twelve developmental milestones were assessed, including grasping, rolling, sitting, and crawling; standing and walking; and overall mean of milestones. A larger size at birth (such as birth weight, birth length, and head circumference) was the aspect of pregnancy and delivery that showed the strongest link to reaching motor milestones earlier. Mother’s smoking in the last trimester of prenatal development was associated with reaching the motor milestones later. Also, increase in size (weight increase, length increase, and head increase) in the first year were related to reaching the motor milestones earlier. Breast feeding also was linked to reaching the milestones earlier.

However, the timing of these milestones, especially the later ones, may vary by as muchPage 123 as two to four months, and experiences can modify the onset of these accomplishments (Adolph, 2018). For example, since 1992, when pediatricians began recommending that parents place their babies on their backs to sleep, fewer babies crawled, and those who crawled did so later (Davis & others, 1998). Also, some infants do not follow the standard sequence of motor accomplishments. For example, many American infants never crawl on their belly or on their hands and knees. They may discover an idiosyncratic form of locomotion before walking, such as rolling or scooting, or they might never locomote until they are upright (Adolph & Robinson, 2015). In the African Mali tribe, most infants do not crawl (Bril, 1999). And in Jamaica, approximately one-fourth of babies skip crawling (Hopkins, 1991).

A baby is an angel whose wings decrease as his legs increase.

—French Proverb

According to Karen Adolph and Sarah Berger (2005), “the old-fashioned view that growth and motor development reflect merely the age-related output of maturation is, at best, incomplete. Rather, infants acquire new skills with the help of their caregivers in a real-world environment of objects, surfaces, and planes.”

Development in the Second Year The motor accomplishments of the first year bring increasing independence, allowing infants to explore their environment more extensively and to initiate interaction with others more readily. In the second year of life, toddlers become more motorically skilled and mobile. Motor activity during the second year is vital to the child’s competent development, and few restrictions, except for safety, should be placed on their adventures.

By 13 to 18 months, toddlers can pull a toy attached to a string and use their hands and legs to climb a number of steps. By 18 to 24 months, toddlers can walk quickly or run stiffly for a short distance, balance on their feet in a squatting position while playing with objects on the floor, walk backward without losing their balance, stand and kick a ball without falling, stand and throw a ball, and jump in place.

Can parents give their babies a head start on becoming physically fit and physically talented through structured exercise classes? Most infancy experts recommend against structured exercise classes for babies. But there are other ways to guide infants’ motor development.

Mothers in developing countries tend to stimulate their infants’ motor skills more than mothers in more developed countries (Hopkins, 1991; Karasik & others, 2015). In many African, Indian, and Caribbean cultures, mothers massage and stretch their infants during daily baths (Adolph, Karasik, & Tamis-LeMonda, 2010). Mothers in the Gusii culture of Kenya also encourage vigorous movement in their babies.

image22(Top) In the Algonquin culture in Quebec, Canada, babies are strapped to a cradle board for much of their infancy. (Bottom) In Jamaica, mothers massage and stretch their infants’ arms and legs. To what extent do cultural variations in the activity infants engage in influence the time at which they reach motor milestones?(Top) ©Michael Greenlar/The Image Works; (bottom) ©Pippa Hetherington/Earthstock/Newscom

Do these cultural variations make a difference in the infant’s motor development? When caregivers provide babies with physical guidance by physically handling them in special ways (such as stroking, massaging, or stretching) or by giving them opportunities for exercise, the infants often reach motor milestones earlier than infants whose caregivers have not provided these activities (Adolph, 2018; Adolph, Karasik, & Tamis-LeMonda, 2010; Karasik & others, 2015). For example, Jamaican mothers expect their infants to sit and walk alone two to three months earlier than English mothers do (Hopkins & Westra, 1990). And in sub-Saharan Africa, traditional practices in many villages involve mothers and siblings engaging babies in exercises, such as frequent exercise for trunk and pelvic muscles (Super & Harkness, 1997).

Many forms of restricted movement—such as Chinese sandbags, orphanage restrictions, and failure of caregivers to encourage movement in Budapest—have been found to produce substantial delays in motor development (Adolph, Karasik, & Tamis-LeMonda, 2010). In some rural Chinese provinces, for example, babies are placed in a bag of fine sand, which acts as a diaper and is changed once a day. The baby is left alone, face up, and is visited only when being fed by the mother (Xie & Young, 1999).

Some studies of swaddling (wrapping an infant tightly in a blanket) show slight delays in motor development, but other studies show no delays. Cultures that do swaddle infants usually do so early in the infant’s development when the infant is not yet mobile; when the infant becomes more mobile, swaddling decreases.

FINE MOTOR SKILLS

Whereas gross motor skills involve large muscle activity,  fine motor skills  involve finely tuned movements. Grasping a toy, using a spoon, buttoning a shirt, or any activity that requires finger dexterity demonstrates fine motor skills. Infants have hardly any control over fine motor skills at birth, but newborns do have many components of whatPage 124 will become finely coordinated arm, hand, and finger movements (McCormack, Hoerl, & Butterfill, 2012).

The onset of reaching and grasping marks a significant achievement in infants’ ability to interact with their surroundings (Rachwani & others, 2015). During the first two years of life, infants refine how they reach and grasp (Dosso, Herrera, & Boudreau, 2017; Needham, 2009). Initially, infants reach by moving their shoulders and elbows crudely, swinging their arms toward an object. Later, when infants reach for an object they move their wrists, rotate their hands, and coordinate their thumb and forefinger. Infants do not have to see their own hands in order to reach for an object (Clifton & others, 1993). Cues from muscles, tendons, and joints, not sight of the limb, guide reaching by 4-month-old infants. Recent research studies found that short-term training involving practice of reaching movements increased both preterm and full-term infants’ reaching for and touching objects (Cunha & others, 2016; Guimaraes & Tudelia, 2015).

image23A young girl uses a pincer grip to pick up puzzle pieces.©Newstockimages/SuperStock

Infants refine their ability to grasp objects by developing two types of grasps. Initially, infants grip with the whole hand, which is called the palmar grasp. Later, toward the end of the first year, infants also grasp small objects with their thumb and forefinger, which is called the pincer grip. Their grasping system is very flexible. They vary their grip on an object depending on its size, shape, and texture, as well as the size of their own hands relative to the object’s size. Infants grip small objects with their thumb and forefinger (and sometimes their middle finger too), but they grip large objects with all of the fingers of one hand or both hands.

Perceptual-motor coupling is necessary for the infant to coordinate grasping (Barrett, Traupman, & Needham, 2008). At different stages of development, infants use different perceptual systems to coordinate grasping. Four-month-old infants rely greatly on touch to determine how they will grip an object; 8-month-olds are more likely to use vision as a guide (Newell & others, 1989). This developmental change is efficient because vision lets infants preshape their hands as they reach for an object.

Experience plays a role in reaching and grasping. In a recent study, 3-month-olds who were not yet engaging in reaching behavior were provided with reaching experiences. These experiences were linked to increased object exploration and attention focusing skills at 15 months of age (Libertus, Joh, & Needham, 2016). In another study, 3-month-old infants participated in play sessions wearing “sticky mittens”—“mittens with palms that stuck to the edges of toys and allowed the infants to pick up the toys” (Needham, Barrett, & Peterman, 2002, p. 279) (see Figure 15). Infants who participated in sessions with the mittens grasped and manipulated objects earlier in their development than a control group of infants who did not receive the “mitten” experience. The infants who had worn the sticky mittens looked at the objects longer, swatted at them more during visual contact, and were more likely to mouth the objects. In a later study, 5-month-old infants whose parents trained them to use the sticky mittens for 10 minutes a day over a two-week period showed advances in their reaching behavior at the end of the two weeks (Libertus & Needham, 2010). Also, in a recent study, 3-month-old infants participated in active motor training using sticky mittens that allowed them to pick up toys, and these infants engaged in more sophisticated object exploration at 5.5 months of age (Wiesen, Watkins, & Needham, 2016).

image24 FIGURE 15 INFANTS’ USE OF “STICKY MITTENS” TO EXPLORE OBJECTS. Amy Needham and her colleagues (2002) found that “sticky mittens” enhanced young infants’ object exploration skills.Courtesy of Dr. Amy Needham

Just as infants need to exercise their gross motor skills, they also need to exercise their fine motor skills (Needham, 2009). Especially when they can manage a pincer grip, infants delight in picking up small objects. Many develop the pincer grip and begin to crawl at about the same time, and infants at this time pick up virtually everything in sight, especially on the floor, and put the objects in their mouth. Thus, parents need to be vigilant in regularly monitoring what objects are within the infant’s reach (Keen, 2005).

Rachel Keen (2011; Keen, Lee, & Adolph, 2014) emphasizes that tool use is an excellent context for studying problem solving in infants because tool use provides information about how infants plan to reach a goal. Researchers in this area have studied infants’ intentional actions, which range from picking up a spoon in different orientations to retrieving rakes from inside tubes. One study explored motor origins of tool use by assessing developmental changes in banging movements in 6- to 15-month-olds (Kahrs, Jung, & Lockman, 2013). In this study, younger infants were inefficient and variable when banging an object but by one year of age infants showed consistent straight up-and-down hand movements that resulted in precise aiming and consistent levels of force.

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Review Connect Reflect

LG2 Describe infants’ motor development.

Review

· What is the dynamic systems view?

· What are some reflexes that infants have?

· How do gross motor skills develop in infancy?

· How do fine motor skills develop in infancy?

Connect

· What are the differences between the grasping reflex present at birth and the fine motor grasping skills an infant develops between 4 and 12 months of age?

Reflect Your Own Personal Journey of Life

· Think of a motor skill that you perform. How would dynamic systems theory explain your motor skill performance?

3 Sensory and Perceptual Development

LG3 Summarize the course of sensory and perceptual development in infancy.

What Are Sensation and Perception?

The Ecological View

Visual Perception

Other Senses

Intermodal Perception

Nature, Nurture, and Perceptual Development

Perceptual-Motor  Coupling

How do sensations and perceptions develop? Can a newborn see? If so, what can it perceive? What about the other senses—hearing, smell, taste, and touch? What are they like in the newborn, and how do they develop? Can an infant put together information from two modalities, such as sight and sound? These are among the intriguing questions that we will explore in this section.

WHAT ARE SENSATION AND PERCEPTION?

How does a newborn know that her mother’s skin is soft rather than rough? How does a 5-year-old know what color his hair is? Infants and children “know” these things as a result of information that comes through the senses. Without vision, hearing, touch, taste, and smell, we would be isolated from the world; we would live in dark silence, a tasteless, colorless, feelingless void.

Sensation  occurs when information interacts with sensory receptors—the eyes, ears, tongue, nostrils, and skin. The sensation of hearing occurs when waves of pulsating air are collected by the outer ear and transmitted through the bones of the inner ear to the auditory nerve. The sensation of vision occurs as rays of light contact the eyes, become focused on the retina, and are transmitted by the optic nerve to the visual centers of the brain.

The experiences of the first three years of life are almost entirely lost to us, and when we attempt to enter into a small child’s world, we come as foreigners who have forgotten the landscape and no longer speak the native tongue.

—Selma Fraiberg

Developmentalist and Child Advocate, 20th Century

Perception  is the interpretation of what is sensed. The air waves that contact the ears might be interpreted as noise or as musical sounds, for example. The physical energy transmitted to the retina of the eye might be interpreted as a particular color, pattern, or shape, depending on how it is perceived.

THE ECOLOGICAL VIEW

For the past several decades, much of the research on perceptual development in infancy has been guided by the ecological view of Eleanor and James J. Gibson (E. J. Gibson, 1969, 1989, 2001; J. J. Gibson, 1966, 1979). They argue that we do not have to take bits and pieces of data from sensations and build up representations of the world in our minds. Instead, our perceptual system can select from the rich information that the environment itself provides.

According to the Gibsons’  ecological view , we directly perceive informationPage 126 that exists in the world around us. This view is called ecological “because it connects perceptual capabilities to information available in the world of the perceiver” (Kellman & Arterberry, 2006, p. 112). Thus, perception brings us into contact with the environment so we can interact with and adapt to it (Kretch & Adolph, 2017). Perception is designed for action. Perception gives people information such as when to duck, when to turn their bodies as they move through a narrow passageway, and when to put their hands up to catch something.

In the Gibsons’ view, objects have  affordances , which are opportunities for interaction offered by objects that fit within our capabilities to perform activities. A pot may afford you something to cook with, and it may afford a toddler something to bang. Adults typically know when a chair is appropriate for sitting, when a surface is safe for walking, or when an object is within reach. An infant who runs down a steep slope or crawls across a narrow beam is determining the affordances of the slope or beam. We directly and accurately perceive these affordances by sensing information from the environment—the light or sound reflecting from the surfaces of the world—and from our own bodies through muscle receptors, joint receptors, and skin receptors, for example (Adolph & Kretch, 2015).

image25 How would you use the Gibsons’ ecological theory of perception and the concept of affordance to explain the role that perception is playing in this baby’s activity?©Ryan KC Wong/Getty Images

An important developmental question is: What affordances can infants or children detect and use? In one study, for example, when babies who could walk were faced with a squishy waterbed, they stopped and explored it, then chose to crawl rather than walk across it (Gibson & others, 1987). They combined perception and action to adapt to the demands of the task.

Similarly, as we described earlier in the section on motor development, infants who were just learning to crawl or just learning to walk were less cautious when confronted with a steep slope than experienced crawlers or walkers were (Adolph, 1997). The more experienced crawlers and walkers perceived that a slope affords the possibility for not only faster locomotion but also for falling. Again, infants coupled perception and action to make a decision about what to do in their environment. Through perceptual development, children become more efficient at discovering and using affordances (Kretch & Adolph, 2017).

Studying infants’ perceptions has not been an easy task. For instance, if newborns have limited communication abilities and are unable to verbalize what they are seeing, hearing, smelling, and so on, how can we study their perception?  Connecting Through Research  describes some of the ingenious ways researchers study infants’ perceptions.

VISUAL PERCEPTION

What do newborns see? How does visual perception develop in infancy?

Visual Acuity and Human Faces Psychologist William James (1890/1950) called the newborn’s perceptual world a “blooming, buzzing confusion.” More than a century later, we can safely say that he was wrong (Bremner & others, 2017; Damon & others, 2018; Singarajah & others, 2017; Weatherhead & White, 2017). Even the newborn perceives a world with some order. That world, however, is far different from the one perceived by the toddler or the adult.

Just how well can infants see? At birth, the nerves and muscles and lens of the eye are still developing. As a result, newborns cannot see small things that are far away. The newborn’s vision is estimated to be 20/240 on the well-known Snellen chart used for eye examinations, which means that a newborn can see at 20 feet what an adult with normal vision can see at 240 feet (Aslin & Lathrop, 2008). In other words, an object 20 feet away is only as clear to the newborn as it would be if it were 240 feet away from an adult with normal vision (20/20). By 6 months of age, though, on average vision is 20/40 (Aslin & Lathrop, 2008).

Faces are possibly the most important visual stimuli in children’s social environment, and it is important that they extract key information from others’ faces (Singarajah & others, 2017; Sugden & Moulson, 2017). Infants show an interest in human faces soon after birth (Johnson & Hannon, 2015). Research shows that within hours after infants are born, they prefer to look at faces rather than other objects and to look at attractive faces more than at unattractive ones (Lee & others, 2013).

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connecting through research

How Can Newborns’ Perception Be Studied?

The creature has poor motor coordination and can move itself only with great difficulty. Although it cries when uncomfortable, it uses few other vocalizations. In fact, it sleeps most of the time, about 16 to 17 hours a day. You are curious about this creature and want to know more about what it can do. You think to yourself, “I wonder if it can see. How could I find out?”

You obviously have a communication problem with the creature. You must devise a way that will allow the creature to “tell” you that it can see. While examining the creature one day, you make an interesting discovery. When you move an object horizontally in front of the creature, its eyes follow the object’s movement.

The creature’s eye movement suggests that it has at least some vision. In case you haven’t already guessed, the creature you have been reading about is the human infant, and the role you played is that of a researcher interested in devising techniques to learn about the infant’s visual perception. After years of work, scientists have developed research methods and tools sophisticated enough to examine the subtle abilities of infants and to interpret their complex actions (Bendersky & Sullivan, 2007).

Following are six research techniques that are used to study sensory and perceptual development: (1) visual preference method, (2) habituation/dishabituation, (3) high-amplitude sucking, (4) orienting response, (5) eye tracking, and (6) equipment.

Visual Preference Method

Robert Fantz (1963) was a pioneer in this effort. Fantz made an important discovery that advanced the ability of researchers to investigate infants’ visual perception: Infants look at different things for different lengths of time. Fantz placed an infant in a “looking chamber,” which had two visual displays on the ceiling above the infant’s head. An experimenter viewed the infant’s eyes by looking through a peephole. If the infant was fixating on one of the displays, the experimenter could see the display’s reflection in the infant’s eyes. This allowed the experimenter to determine how long the infant looked at each display. Fantz (1963) found that infants only 2 days old looked longer at patterned stimuli, such as faces and concentric circles, than at red, white, or yellow discs. Infants 2 to 3 weeks old also preferred to look at patterns—a face, a piece of printed matter, or a bull’s-eye—longer than at red, yellow, or white discs (see  Figure 16 ). Fantz’s research method—studying whether infants can distinguish one stimulus from another by measuring the length of time they attend to different stimuli—is referred to as the  visual preference method.

image26 FIGURE 16 FANTZ’S EXPERIMENT ON INFANTS’ VISUAL PERCEPTION. (a) Infants 2 to 3 weeks old preferred to look at some stimuli more than others. In Fantz’s experiment, infants preferred to look at patterns rather than at color or brightness. For example, they looked longer at a face, a piece of printed matter, or a bull’s-eye than at red, yellow, or white discs. (b) Fantz used a “looking chamber” to study infants’ perception of stimuli.©David Linton, Courtesy of the Linton Family

Habituation and Dishabituation

Another way that researchers have studied infant perception is to present a stimulus (such as a sight or a sound) a number of times. If the infant decreases its response to the stimulus after several presentations, it indicates that the infant is no longer interested in looking at the stimulus. If the researcher now presents a new stimulus, the infant’s response will recover—indicating the infant can discriminate between the old and new stimulus (Messinger & others, 2017).

Habituation  is the name given to decreased responsiveness to a stimulus after repeated presentations of the stimulus.  Dishabituation  is the recovery of a habituated response after a change in stimulation. Newborn infants can habituate to repeated sights, sounds, smells, or touches (Rovee-Collier, 2004). Among the measures researchersPage 128 use in habituation studies are sucking behavior (sucking stops when the young infant attends to a novel object), heart and respiration rates, and the length of time the infant looks at an object.  Figure 17  shows the results of one study of habituation and dishabituation with newborns (Slater, Morison, & Somers, 1988).

image27 FIGURE 17 HABITUATION AND DISHABITUATION. In the first part of one study, (a) 7-hour-old newborns were shown a stimulus. As indicated, the newborns looked at it an average of 41 seconds when it was first presented to them (Slater, Morison, & Somers, 1988). Over seven more presentations of the stimulus, they looked at it less and less. In the second part of the study, (b) infants were presented with both the familiar stimulus to which they had just become habituated and a new stimulus (which was rotated 90 degrees). The newborns looked at the new stimulus three times as long as the familiar stimulus.

High-Amplitude Sucking

To assess an infant’s attention to sound, researchers often use a method called high-amplitude sucking. In this method, infants are given a nonnutritive nipple to suck, and the nipple is connected to a sound-generating system. The researcher computes a baseline high-amplitude sucking rate in a one-minute silent period. Following the baseline, presentation of a sound is made contingent on the rate of high-amplitude sucking. Initially babies suck frequently so the sound occurs often. Gradually they lose interest in hearing the same sound, so they begin to suck less often. Then the researcher changes the sound that is being presented. If the babies renew their vigorous sucking, the inference is that they have noticed the sound change and are sucking more because they want to hear the interesting new sound (Menn & Stoel-Gammon, 2009).

The Orienting Response and Eye-Tracking

A technique that can be used to determine whether an infant can see or hear is the orienting response, which involves turning one’s head toward a sight or sound. However, the most important recent advance in measuring infant perception is the development of sophisticated eye-tracking equipment (Boardman & Fletcher-Watson, 2017; Kretch & Adolph, 2017; van Renswoude & others, 2018). Eye-tracking consists of measuring eye movements that follow (track) a moving object and can be used to evaluate an infant’s early visual ability, or a startle response can determine an infant’s reaction to a noise (Bendersky & Sullivan, 2007).  Figure 18  shows an infant wearing an eye-tracking headgear in a recent study on visually guided motor behavior and social interaction. Most studies of infant development use remote optics eye trackers that have a camera that is not attached to the infant’s head.

image28 FIGURE 18 AN INFANT WEARING EYE-TRACKING HEADGEAR. Photo from Karen Adolph’s laboratory at New York University.Courtesy of Dr. Karen Adolph, New York University

One of the main reasons that infant perceptionPage 129 researchers are so enthusiastic about the availability of sophisticated eye-tracking equipment is that looking time is among the most important measures of infant perceptual and cognitive development (Aslin, 2012). The new eye-tracking equipment allows for far greater precision in assessing various aspects of infant looking and gaze than is possible with human observation (Boardman & Fletcher-Watson, 2017; Law & others, 2018). Among the areas of infant perception in which eye-tracking equipment is being used are attention (Jia & others, 2017; Meng, Uto, & Hashiya, 2017), memory (Kingo & Krojgaard, 2015), and face processing (Chhaya & others, 2018). Further, eye-tracking equipment is improving our understanding of atypically developing infants, such as those who have autism or who were born preterm (Falck-Ytter & others, 2018; Finke, Wilkinson, & Hickerson, 2017; Liberati & others, 2017).

One eye-tracking study shed light on the effectiveness of TV programs and DVDs that claim to educate infants (Kirkorian, Anderson, & Keen, 2012). In this study, 1-year-olds, 4-year-olds, and adults watched Sesame Street and the eye-tracking equipment recorded precisely what they looked at on the screen. The 1-year-olds were far less likely to consistently look at the same part of the screen as their older counterparts, suggesting that the 1-year-olds showed little understanding of the Sesame Street video but instead were more likely to be attracted by what was salient than by what was relevant.

Equipment

Technology can facilitate the use of most methods for investigating the infant’s perceptual abilities. Video-recording equipment allows researchers to investigate elusive behaviors. High-speed computers make it possible to perform complex data analysis in minutes. Other equipment records respiration, heart rate, body movement, visual fixation, and sucking behavior, which provide clues to what the infant is perceiving. For example, some researchers use equipment that detects whether a change in infants’ respiration follows a change in the pitch of a sound. If so, it suggests that the infants heard the pitch change.

Scientists have had to be very creative when assessing the development of infants, discovering ways to “interview” them even though they cannot yet talk. Other segments of the population, such as adults who have suffered from a stroke, have difficulty communicating verbally. What kinds of methods or equipment do you think researchers might use to evaluate their perceptual abilities?

Figure 19 shows a computer estimation of what a picture of a face looks like to an infant at different ages from a distance of about 6 inches. Infants spend more time looking at their mother’s face than a stranger’s face as early as 12 hours after being born (Bushnell, 2003). By 3 months of age, infants (1) match voices to faces, (2) distinguish between male and female faces, and (3) discriminate between faces of their own ethnic group and those of other ethnic groups (Gaither, Pauker, & Johnson, 2012; Kelly & others, 2005, 2007; Lee & others, 2013; Liu & others, 2011, 2015).

image29 FIGURE 19 VISUAL ACUITY DURING THE FIRST MONTHS OF LIFE. The four photographs represent a computer estimation of what a picture of a face looks like to a 1-month-old, 2-month-old, 3-month-old, and 1-year-old (which approximates the visual acuity of an adult).©Kevin Peterson/Getty Images; Simulation by Vischek

Experience plays an important role in face processing in infancy and later in development. One aspect of this experience involves the concept of perceptual narrowing, in which infants are more likely to distinguish between faces to which they have been exposed than faces that they have never seen before (Kobayashi & others, 2018; Minar & Lewkowicz, 2018; Tham, Bremner, & Hayes, 2017).

Color Vision The infant’s color vision also improves (Yang & others, 2015). By 8 weeks, and possibly as early as 4 weeks, infants can discriminate between some colors (Kelly, Borchert, & Teller, 1997). By 4 months of age, they have color preferencesPage 130 that mirror adults’ in some cases, preferring saturated colors such as royal blue over pale blue, for example (Bornstein, 1975). In part, the changes in vision described here reflect biological origins and maturation (Skelton & others, 2017). Experience, however, is also necessary for color vision to develop normally (Sugita, 2004).

Perceptual Constancy Some perceptual accomplishments are especially intriguing because they indicate that the infant’s perception goes beyond the information provided by the senses (Bremner & others, 2017). This is the case in perceptual constancy, in which sensory stimulation is changing but perception of the physical world remains constant. If infants did not develop perceptual constancy, each time they saw an object at a different distance or in a different orientation, they would perceive it as a different object. Thus, the development of perceptual constancy allows infants to perceive their world as stable. Two types of perceptual constancy are size constancy and shape constancy.

Size constancy  is the recognition that an object remains the same even though the retinal image of the object changes as you move toward or away from the object. The farther away from us an object is, the smaller its image is on our eyes. Thus, the size of an object on the retina is not sufficient to tell us its actual size. For example, you perceive a bicycle standing right in front of you as smaller than the car parked across the street, even though the bicycle casts a larger image on your eyes than the car does. When you move away from the bicycle, you do not perceive it to be shrinking even though its image on your retinas shrinks; you perceive its size as constant.

But what about babies? Do they have size constancy? Researchers have found that babies as young as 3 months of age show size constancy (Bower, 1966; Day & McKenzie, 1973). However, at 3 months of age, this ability is not full-blown. It continues to develop until 10 or 11 years of age (Kellman & Banks, 1998).

Shape constancy  is the recognition that an object remains the same shape even though its orientation to us changes. Look around the room you are in right now. You likely see objects of varying shapes, such as tables and chairs. If you get up and walk around the room, you will see these objects from different sides and angles. Even though your retinal image of the objects changes as you walk and look, you will still perceive the objects as having the same shape.

Do babies have shape constancy? As with size constancy, researchers have found that babies as young as 3 months of age have shape constancy (Bower, 1966; Day & McKenzie, 1973). Three-month-old infants, however, do not have shape constancy for irregularly shaped objects such as tilted planes (Cook & Birch, 1984).

Perception of Occluded Objects Look around where you are now. You likely see that some objects are partly occluded by other objects that are in front of them—possibly a desk behind a chair, some books behind a computer, or a car parked behind a tree. Do infants perceive an object as complete when it is occluded by an object in front of it?

In the first two months of postnatal development, infants don’t perceive occluded objects as complete; instead, they perceive only what is visible (Johnson & Hannon, 2015). Beginning at about 2 months of age, infants develop the ability to perceive that occluded objects are whole (Slater, Field, & Hernandez-Reif, 2007). How does perceptual completion develop? In Scott Johnson’s research (2010, 2011, 2013), learning, experience, and self-directed exploration via eye movements play key roles in the development of perceptual completion in young infants.

Many objects that are occluded appear and disappear behind closer objects, as when you are walking down the street and see cars appear and disappear behind buildings as they move or you move. Infants develop the ability to track briefly occluded moving objects at about 3 to 5 months of age (Bertenthal, 2008). One study explored the ability of 5- to 9-month-old infants to track moving objects that disappeared gradually behind an occluded partition, disappeared abruptly, or imploded (shrank quickly in size) (Bertenthal, Longo, & Kenny, 2007) (see Figure 20). In this study, the infants were more likely to accurately predict the reappearance of the moving object when it disappeared gradually than when it vanished abruptly or imploded.

image30 FIGURE 20 INFANTS’ PREDICTIVE TRACKING OF A BRIEFLY OCCLUDED MOVING BALL. The top picture shows the visual scene that infants experienced. At the beginning of each event, a multicolored ball bounced up and down with an accompanying bouncing sound, and then rolled across the floor until it disappeared behind the partition. The other three pictures show the three stimulus events that the 5- to 9-month-old infants experienced: (a) Gradual occlusion—the ball gradually disappears behind the right side of the occluding partition located in the center of the display. (b) Abrupt occlusion—the ball abruptly disappears when it reaches the location of the white circle and then abruptly reappears two seconds later at the location of the second white circle on the other side of the occluding partition. (c) Implosion—the rolling ball quickly decreases in size as it approaches the occluding partition and rapidly increases in size as it reappears on the other side of the occluding partition.

Depth Perception Might infants even perceive depth? To investigate this question, Eleanor Gibson and Richard Walk (1960) constructed a miniature cliff with a drop-off covered by glass in their laboratory. They placed infants on the edge of this visual cliff and had their mothers coax them to crawl onto the glass (see Figure 21). Most infants would not crawl out on the glass, choosing instead to remain on the shallow side, an indication that they could perceive depth.

image31 FIGURE 21 EXAMINING INFANTS’ DEPTH PERCEPTION ON THE VISUAL CLIFF. Eleanor Gibson and Richard Walk (1960) found that most infants would not crawl out on the glass, which, according to Gibson and Walk, indicated that they had depth perception. However, some critics point out that the visual cliff is a better indication of the infant’s social referencing and fear of heights than of the infant’s perception of depth.©Mark Richard/PhotoEditPage 131

OTHER SENSES

Other sensory systems besides vision also develop during infancy. We will explore development in hearing, touch and pain, smell, and taste.

Hearing During the last two months of pregnancy, as the fetus nestles in its mother’s womb, it can hear sounds such as the mother’s voice, music, and so on (Kisilevsky & others, 2009). Two psychologists wanted to find out if a fetus who heard Dr. Seuss’ classic story The Cat in the Hat while still in the mother’s womb would prefer hearing the story after birth (DeCasper & Spence, 1986). During the last months of pregnancy, 16 women read The Cat in the Hat to their fetuses. Then shortly after the babies were born, they listened to recordings of their mothers reading either The Cat in the Hat or a story with a different rhyme and pace, The King, the Mice and the Cheese (which was not read to them during prenatal development). The infants sucked on a nipple in a different way when they listened to the recordings of the two stories, suggesting that the infants recognized the pattern and tone of The Cat in the Hat (see Figure 22). This study illustrates not only that a fetus can hear but also that it has a remarkable ability to learn and remember even before birth. An fMRI study confirmed capacity of the fetus to hear at 33 to 34 weeks into the prenatal period by assessing fetal brain response to auditory stimuli (Jardri & others, 2012).

image32 FIGURE 22 HEARING IN THE WOMB. (a) Pregnant mothers read The Cat in the Hat to their fetuses during the last few months of pregnancy. (b) When they were born, the babies preferred listening to a recording of their mothers reading The Cat in the Hat, as evidenced by their sucking on a nipple that produced this recording, rather than another story, The King, the Mice and the Cheese.(a) ©McGraw Hill Companies/Jill Braaten, Photographer;  (b) Courtesy of Dr. Melanie J. Spence

The fetus can also recognize the mother’s voice, as one study demonstrated (Kisilevsky & others, 2003). Sixty term fetuses (mean gestational age, 38.4 weeks) were exposed to a tape recording either of their mother or of a female stranger reading a passage. The sounds of the tape were delivered through a loudspeaker held just above the mother’s abdomen. Fetal heart rate increased in response to the mother’s voice but decreased in response to the stranger’s voice.

What kind of changes in hearing take place during infancy? They involve perception of a sound’s loudness, pitch, and localization:

· Loudness. Immediately after birth, infants cannot hear soft sounds quite as well as adults can; a stimulus must be louder to be heard by a newborn than by an adult (Trehub & others, 1991). For example, an adult can hear a whisper from about 4 to 5 feet away, but a newborn requires that sounds be closer to a normal conversational level to be heard at that distance. By three months of age, infants’ perception of sounds improves, although some aspects of loudness perception do not reach adult levels until 5 to 10 years of age (Trainor & He, 2013).

· Pitch. Infants are also less sensitive to the pitch of a sound than adults are. Pitch is the perception of the frequency of a sound. A soprano voice sounds high-pitched, a bass voice low-pitched. Infants are less sensitive to low-pitched sounds and are more likely to hear high-pitched sounds (Aslin, Jusczyk, & Pisoni, 1998). One study revealed that by 7 months of age, infants can process simultaneous pitches when they hear voices but they are more likely to encode the higher-pitched voice (Marie & Trainor, 2013). By 2 years of age, infants have considerably improved their ability to distinguish sounds of different pitch.

· Localization. Even newborns can determine the general location from which a sound is coming, but by 6 months of age, they are more proficient at localizing sounds or detecting their origins. Their ability to localize sounds continues to improve during the second year (Burnham & Mattock, 2010).

Although infants can process variations in sound loudness, pitch, and localization, these aspects of hearing continue to improve during the childhood years (Trainor & He, 2013).

Touch and Pain Do newborns respond to touch? Can they feel pain?

Newborns do respond to touch. A touch to the cheek produces a turning of the head; a touch to the lips produces sucking movements.

Regular gentle tactile stimulation prenatally may have positive developmental outcomes. For example, a recent study found that 3-month-olds who had regular gentle tactile stimulation as fetuses were more likely to have an easy temperament than their counterparts who had irregular gentle or no tactile stimulation as fetuses (Wang, Hua, & Xu, 2015).

Newborns can also feel painPage 132 (Bellieni & others, 2016). If you have a son and consider whether he should be circumcised, the issue of an infant’s pain perception probably will become important to you. Circumcision is usually performed on infant boys about the third day after birth. Will your son experience pain if he is circumcised when he is 3 days old? An investigation by Megan Gunnar and her colleagues (1987) found that newborn infant males cried intensely during circumcision. Circumcised infants also display amazing resiliency. Within several minutes after the surgery, they can nurse and interact in a normal manner with their mothers. And, if allowed to, the newly circumcised newborn drifts into a deep sleep, which seems to serve as a coping mechanism.

developmental connection
Sensation and Perception

Kangaroo care and massage therapy are associated with many positive outcomes in preterm and low birth weight infants. Connect to “Prenatal Development and Birth.”

For many years, doctors performed operations on newborns without anesthesia. This practice was accepted because of the dangers of anesthesia and because of the supposition that newborns do not feel pain. As researchers demonstrated that newborns can feel pain, the practice of operating on newborns without anesthesia has been challenged. Anesthesia now is used in some circumcisions (Morris & others, 2012).

Recent neuroimaging studies indicate that newborn infants likely experience some aspects of pain similarly to adults (Ranger & Grunau, 2015). Magnetic resonance imaging (MRI) studies of adults have found that there is a complex brain activity network that underlies pain, which is called the “pain matrix.” The pain matrix brain regions consist of areas located in the thalamus, somatosensory cortex, and amygdala (Denk, McMahon, & Tracey, 2014). In a recent study, researchers discovered that 18 of the 20 regions in the adult pain matrix also are present in the newborn’s pain matrix (Goksan & others, 2015). However, a major brain region in the adult’s pain matrix that was not present in the infant’s was the amygdala, which involves emotional responses. Also in this study, the MRI information revealed that the pain threshold in newborns occurs at a lower level of stimulation than for adults, confirming newborns’ heightened pain sensitivity that has been found in earlier behavioral studies. And in a recent study, kangaroo care was effective in reducing neonatal pain, especially indicated by the significantly lower level of crying when the care was instituted after the newborn’s blood had been drawn by a heel stick (Seo, Lee, & Ahn, 2016).

Smell Newborns can differentiate odors (Doty & Shah, 2008). The expressions on their faces seem to indicate that they like the way vanilla and strawberries smell but do not like the way rotten eggs and fish smell (Steiner, 1979). In one investigation, 6-day-old infants who were breast fed showed a clear preference for smelling their mother’s breast pad rather than a clean breast pad (MacFarlane, 1975) (see Figure 23). However, when they were 2 days old they did not show this preference, indicating that they require several days of experience to recognize this odor.

image33 FIGURE 23 NEWBORNS’ PREFERENCE FOR THE SMELL OF THEIR MOTHER’S BREAST PAD. In the experiment by MacFarlane (1975), 6-day-old infants preferred to smell their mother’s breast pad rather than a clean one that had never been used, but 2-day-old infants did not show this preference, indicating that odor preference requires several days of experience to develop.©Jean Guichard

Taste Sensitivity to taste is present even before birth (Doty & Shah, 2008). Human newborns learn tastes prenatally through the amniotic fluid and in breast milk after birth (Beauchamp & Mennella, 2009). In one study, even at only 2 hours of age, babies made different facial expressions when they tasted sweet, sour, and bitter solutions (Rosenstein & Oster, 1988). At about 4 months of age, infants begin to prefer salty tastes, which as newborns they had found to be aversive (Doty & Shah, 2008).

INTERMODAL PERCEPTION

Imagine yourself playing basketball or tennis. You are experiencing many visual inputs: the ball coming and going, other players moving around, and so on. However, you are experiencing many auditory inputs as well: the sound of the ball bouncing or being hit, the grunts and groans of other players, and so on. There is good correspondence between much of the visual and auditory information: When you see the ball bounce, you hear a bouncing sound; when a player stretches to hit a ball, you hear a groan. When you look at and listen to what is going on, you do not experience just the sounds or just the sights—you put all these things together. You experience a unitary episode. This is  intermodal perception , which involves integrating information from two or more sensory modalities, such as vision and hearing (Bremner & Spence, 2017; Hannon, Schachner, & Nave-Blodgett, 2017; Nomikou, Koke, & Rohlfing, 2017). Most perception is intermodal (Bahrick, 2010).

Early, exploratory forms of intermodal perception exist even in newborns (Bahrick & Hollich, 2008; Bremner, 2017; Guellai & others, 2016). For example, newborns turn their eyes and their head toward the sound of a voice or rattle when the soundPage 133 is maintained for several seconds (Clifton & others, 1981), but the newborn can localize a sound and look at an object only in a crude way (Bechtold, Bushnell, & Salapatek, 1979). These early forms of intermodal perception become sharpened with experience in the first year of life (Bremner & Spence, 2017; Kirkham & others, 2012). In one study, infants as young as 3 months old looked longer at their parents when they also heard their voices (Spelke & Owsley, 1979). Thus, even young infants can coordinate visual-auditory information involving people.

image34 What is intermodal perception? Which two senses is this infant using to integrate information about the blocks?©Kaori Ando/Getty Images

Can young infants put vision and sound together as precisely as adults do? In the first six months, infants have difficulty connecting sensory input from different modes, but in the second half of the first year they show an increased ability to make this connection mentally (Hannon, Schachner, & Nave-Blodgett, 2017).

NATURE, NURTURE, AND PERCEPTUAL DEVELOPMENT

Now that we have discussed many aspects of perceptual development, let’s explore one of developmental psychology’s key issues in relation to perceptual development: the nature-nurture issue. There has been a longstanding interest in how strongly infants’ perception is influenced by nature or nurture (Bremner, 2017; Chen & others, 2017; Johnson & Hannon, 2015). In the field of perceptual development, nature proponents are referred to as nativistsand those who emphasize learning and experience are called empiricists.

In the nativist view, the ability to perceive the world in a competent, organized way is inborn or innate. A completely nativist view of perceptual development no longer is accepted in developmental psychology.

The Gibsons argued that a key question in infant perception is what information is available in the environment and how infants learn to generate, differentiate, and discriminate the information—certainly not a nativist view. The Gibsons’ ecological view also is quite different from Piaget’s constructivist view. According to Piaget, much of perceptual development in infancy must await the development of a sequence of cognitive stages for infants to construct more complex perceptual tasks. Thus, in Piaget’s view the ability to perceive size and shape constancy, a three-dimensional world, intermodal perception, and so on, develops later in infancy than the Gibsons envision.

The longitudinal research of Daphne Maurer and her colleagues (Chen & others, 2017; Lewis & Maurer, 2005, 2009; Maurer, 2016; Maurer & Lewis, 2013; Maurer & others, 1999) has focused on infants born with cataracts—a thickening of the lens of the eye that causes vision to become cloudy, opaque, and distorted and thus severely restricts infants’ ability to experience their visual world. Studying infants whose cataracts were removed at different points in development, they discovered that those whose cataracts were removed and new lenses placed in their eyes in the first several months after birth showed a normal pattern of visual development. However, the longer the delay in removing the cataracts, the more their visual development was impaired. In their research, Maurer and her colleagues (2007) have found that experiencing patterned visual input early in infancy is important for holistic and detailed face processing after infancy. Maurer’s research program illustrates how deprivation and experience influence visual development, revealing an early sensitive period when visual input is necessary for normal visual development (Chen & others, 2017; Maurer & Lewis, 2013).

Today, it is clear that just as an extreme nativist position on perceptual development is unwarranted, an extreme empiricist position also is unwarranted. Much of very early perception develops from innate (nature) foundations, and the basic foundation of many perceptual abilities can be detected in newborns (Bornstein, Arterberry, & Mash, 2015). However, as infants develop, environmental experiences (nurture) refine or calibrate many perceptual functions, and they may be the driving force behind some functions (Amso & Johnson, 2010). The accumulation of experience with and knowledge about their perceptual world contributes to infants’ ability to process coherent perceptions of people and things (Bremner & others, 2016; Johnson & Hannon, 2015). Thus, a full portrait of perceptual development includes the influence of nature, nurture, and a developing sensitivity to information (Bremner & others, 2016; Chen & others, 2017; Maurer, 2016).

image35 What roles do nature and nurture play in the infant’s perceptual development?©Boris Ryaposov/ShutterstockPage 134

PERCEPTUAL-MOTOR COUPLING

As we come to the end of this chapter, we return to the important theme of perceptual-motor coupling. The distinction between perceiving and doing has been a time-honored tradition in psychology. However, a number of experts on perceptual and motor development question whether this distinction makes sense (Adolph, 2018; Thelen & Smith, 2006). The main thrust of research in Esther Thelen’s dynamic systems approach is to explore how people assemble motor behaviors for perceiving and acting. The main theme of the ecological approach of Eleanor and James J. Gibson is to discover how perception guides action. Action can guide perception, and perception can guide action. Only by moving one’s eyes, head, hands, and arms and by moving from one location to another can an individual fully experience his or her environment and learn how to adapt to it. Perception and action are coupled (Kretch & Adolph, 2018).

image36 How are perception and action coupled in children’s development?©Kevin Liu/Getty Images

Babies, for example, continually coordinate their movements with perceptual information to learn how to maintain balance, reach for objects in space, and move across various surfaces and terrains (Bremner & others, 2017). They are motivated to move by what they perceive. Consider the sight of an attractive toy across the room. In this situation, infants must perceive the current state of their bodies and learn how to use their limbs to reach the toy. Although their movements at first are awkward and uncoordinated, babies soon learn to select patterns that are appropriate for reaching their goals.

Equally important is the other part of the perception-action coupling. That is, action educates perception (Adolph, 2018). For example, watching an object while exploring it manually helps infants to determine its texture, size, and hardness. Locomoting in the environment teaches babies about how objects and people look from different perspectives, or whether various surfaces will support their weight.

The infant is by no means as helpless as it looks and is quite capable of some very complex and important actions.

—Herb Pick

Developmental Psychologist, University of Minnesota

How do infants develop new perceptual-motor couplings? Recall from our discussion earlier in this chapter that in the traditional view of Gesell, infants’ perceptual-motor development is prescribed by a genetic plan to follow a fixed and sequential progression of stages in development. The genetic determination view has been replaced by the dynamic systems view that infants learn new perceptual-motor couplings by assembling skills for perceiving and acting. New perceptual-motor coupling is not passively accomplished; rather, the infant actively develops a skill to achieve a goal within the constraints set by the infant’s body and the environment (Kretch & Adolph, 2018).

Children perceive in order to move and move in order to perceive. Perceptual and motor development do not occur in isolation from each other but instead are coupled.

Review Connect Reflect

LG3 Summarize the course of sensory and perceptual development in infancy.

Review

· What are sensation and perception?

· What is the ecological view of perception?

· How does visual perception develop in infancy?

· How do hearing, touch and pain, smell, and taste develop in infancy?

· What is intermodal perception?

· What roles do nature and nurture play in perceptual development?

· How is perceptual-motor development coupled?

Connect

· Perceptual-motor coupling was discussed in the previous section as well as in this section. Describe how this concept could be linked to the concept of nature versus nurture.

Reflect Your Own Personal Journey of Life

· How much sensory stimulation would you provide your own baby? A little? A lot? Could you overstimulate your baby? Explain.

Page 135

topical connections looking forward

In the next chapter, you will read about the remarkable cognitive changes that characterize infant development and how soon infants are able to competently process information about their world. Advances in infants’ cognitive development—together with the development of the brain and perceptual-motor advances discussed in this chapter—allow infants to adapt more effectively to their environment. Later in this text, we will further explore physical development when we examine how children progress through early childhood (ages 3 to 5). Young children’s physical development continues to change and to become more coordinated in early childhood, although gains in height and weight are not as dramatic in early childhood as in infancy.

reach your learning goals
Physical Development in Infancy
1 Physical Growth and Development in Infancy

LG1 Discuss physical growth and development  in infancy.

Patterns of Growth

Height and Weight

The Brain

Sleep

Nutrition

· The cephalocaudal pattern is the sequence in which growth proceeds from top to bottom. The proximodistal pattern is the sequence in which growth starts at the center of the body and moves toward the extremities.

· The average North American newborn is 20 inches long and weighs 7.6 pounds. Infants grow about 1 inch per month in the first year and nearly triple their weight by their first birthday. The rate of growth slows in the second year.

· One of the most dramatic changes in the brain in the first two years of life is dendritic spreading, which increases the connections between neurons. Myelination, which speeds the conduction of nerve impulses, continues through infancy and even into adolescence.

· The cerebral cortex has two hemispheres (left and right). Lateralization refers to specialization of function in one hemisphere or the other. Early experiences play an important role in brain development.

· Neural connections are formed early in an infant’s life. Before birth, genes mainly direct neurons to different locations. After birth, the inflowing stream of sights, sounds, smells, touches, language, and eye contact helps to shape the brain’s neural connections, as does stimulation from caregivers and others. The neuroconstructivist view, in which brain development is influenced by a person’s environment and experiences, is an increasingly popular perspective.

· Newborns usually sleep about 18 hours a day. By 6 months of age, many American infants approach adult-like sleeping patterns. REM sleep—during which dreaming occurs—is present more in early infancy than in childhood and adulthood.

· Sleeping arrangements for infants vary across cultures. In America, infants are more likely to sleep alone than in many other cultures. Some experts believe shared sleeping can lead to sudden infant death syndrome (SIDS), a condition that occurs when a sleeping infant suddenly stops breathing and dies without an apparent cause. However, it is generally accepted that the most critical factor in predicting whether an infant will develop SIDS is prone sleeping.

· Infants need to consume about 50 calories per day for each pound they weigh. The growing consensus is that in most instances breast feeding is superior to bottle feeding for both the infant and the mother, although the correlational nature of studies must be considered.

· Severe infant malnutrition is still prevalent in manyPage 136 parts of the world. A special concern in impoverished countries is early weaning from breast milk and the misuse and hygiene problems associated with bottle feeding in these countries. The Women, Infants, and Children (WIC) program has produced positive benefits in low-income families in the United States.

2 Motor Development

LG2 Describe infants’ motor development.

The Dynamic Systems View

Reflexes

Gross Motor Skills

Fine Motor Skills

· Thelen’s dynamic systems theory seeks to explain how motor behaviors are assembled for perceiving and acting. Perception and action are coupled. According to this theory, motor skills are the result of many converging factors, such as the development of the nervous system, the body’s physical properties and its movement possibilities, the goal the child is motivated to reach, and environmental support for the skill. In the dynamic systems view, motor development is far more complex than the result of a genetic blueprint.

· Reflexes—automatic movements—govern the newborn’s behavior. They include the sucking, rooting, and Moro reflexes. The rooting and Moro reflexes disappear after three to four months. Permanent reflexes include coughing and blinking. For infants, sucking is an especially important reflex because it provides a means of obtaining nutrition.

· Gross motor skills involve large-muscle activities. Key skills developed during infancy include control of posture and walking. Although infants usually learn to walk by their first birthday, the neural pathways that allow walking begin forming earlier. The age at which infants reach milestones in the development of gross motor skills may vary by as much as two to four months, especially for milestones in late infancy.

· Fine motor skills involve finely tuned movements. The onset of reaching and grasping marks a significant accomplishment, and this skill becomes more refined during the first two years of life.

3 Sensory and Perceptual Development

LG3 Summarize the course of sensory and perceptual development in infancy.

What Are Sensation and Perception?

The Ecological View

Visual Perception

Other Senses

Intermodal Perception

Nature, Nurture, and Perceptual Development

Perceptual-Motor Coupling

· Sensation occurs when information interacts with sensory receptors. Perception is the interpretation of sensation.

· Created by the Gibsons, the ecological view states that we directly perceive information that exists in the world around us. Perception brings people in contact with the environment to interact with and adapt to it. Affordances provide opportunities for interaction offered by objects that fit within our capabilities to perform activities.

· Researchers have developed a number of methods to assess the infant’s perception, including the visual preference method (which Fantz used to determine young infants’ preference for looking at patterned over nonpatterned displays), habituation and dishabituation, and tracking.

· The infant’s visual acuity increases dramatically in the first year of life. Infants’ color vision improves as they develop. Young infants systematically scan human faces. As early as 3 months of age, infants show size and shape constancy. At approximately 2 months of age, infants develop the ability to perceive that occluded objects are complete. In Gibson and Walk’s classic study, infants as young as 6 months of age indicated they could perceive depth.

· The fetus can hear during the last two months of pregnancy. Immediately after birth, newborns can hear, but their sensory threshold is higher than that of adults. Developmental changes in the perception of loudness, pitch, and localization of sound occur during infancy. Newborns can respond to touch and feel pain. Newborns can differentiate odors, and sensitivity to taste may be present before birth.

· Early, exploratory forms of intermodal perception—the ability to relate and integrate information from two or more sensory modalities—are present in newborns and become sharper over the first year of life.

· In describing the sources of perceptualPage 137 development, nature advocates are referred to as nativists and nurture proponents are called empiricists. The Gibsons’ ecological view that has guided much of perceptual development research leans toward a nativist approach but still allows for developmental changes in distinctive features. Piaget’s constructivist view leans toward an empiricist approach, emphasizing that many perceptual accomplishments must await the development of cognitive stages in infancy. A strong empiricist approach is unwarranted. A full account of perceptual development includes the roles of nature, nurture, and the developing sensitivity to information.

· Perception and action are often not isolated but rather are coupled. Individuals perceive in order to move and move in order to perceive.

key terms

affordances

cephalocaudal pattern

dishabituation

dynamic systems theory

ecological view

fine motor skills

grasping reflex

gross motor skills

habituation

intermodal perception

lateralization

Moro reflex

neuroconstructivist view

perception

proximodistal pattern

reflexes

rooting reflex

sensation

shape constancy

size constancy

sucking reflex

sudden infant death syndrome (SIDS)

visual preference method

key people

Karen Adolph

Martha Ann Bell

Robert Fantz

Eleanor Gibson

James J. Gibson

William James

Mark Johnson

Scott Johnson

Rachel Keen

Patricia Kuhl

Daphne Maurer

Charles Nelson

John Richards

Esther Thelen

Richard Walk

chapter 5
COGNITIVE DEVELOPMENT IN INFANCY
chapter outline

1 Piaget’s Theory of Infant Development

Learning Goal 1 Summarize and evaluate Piaget’s theory of infant development.

Cognitive Processes

The Sensorimotor Stage

Evaluating Piaget’s Sensorimotor Stage

2 Learning, Attention, Remembering, and Conceptualizing

Learning Goal 2 Describe how infants learn, focus attention, remember, and conceptualize.

Conditioning

Attention

Memory

Imitation

Concept Formation and Categorization

3 Language Development

Learning Goal 3 Describe the nature of language and how it develops in infancy.

Defining Language

Language’s Rule Systems

How Language Develops

Biological and Environmental Influences

An Interactionist View

image37 ©DreamPictures/Getty Images

Jean Piaget, the famous Swiss Page 139psychologist, was a meticulous observer of his three children—Laurent, Lucienne, and Jacqueline. His books on cognitive development are filled with these observations. Here are a few of Piaget’s observations of his children in infancy (Piaget, 1952):

· At 21 days of age, “Laurent found his thumb after three attempts: prolonged sucking begins each time. But, once he has been placed on his back, he does not know how to coordinate the movement of the arms with that of the mouth and his hands draw back even when his lips are seeking them” (p. 27).

· During the third month, thumb sucking becomes less important to Laurent because of new visual and auditory interests. But, when he cries, his thumb goes to the rescue.

· Toward the end of Lucienne’s fourth month, while she is lying in her crib, Piaget hangs a doll above her feet. Lucienne thrusts her feet at the doll and makes it move. “Afterward, she looks at her motionless foot for a second, then recommences. There is no visual control of her foot, for the movements are the same when Lucienne only looks at the doll or when I place the doll over her head. On the other hand, the tactile control of the foot is apparent: after the first shakes, Lucienne makes slow foot movements as though to grasp and explore” (p. 159).

· At 11 months, “Jacqueline is seated and shakes a little bell. She then pauses abruptly in order to delicately place the bell in front of her right foot; then she kicks hard. Unable to recapture it, she grasps a ball which she then places at the same spot in order to give it another kick” (p. 225).

· At 1 year, 2 months, “Jacqueline holds in her hands an object which is new to her: a round, flat box which she turns all over, shakes, [and] rubs against the bassinet. . . . She lets it go and tries to pick it up. But she only succeeds in touching it with her index finger, without grasping it. She nevertheless makes an attempt and presses on the edge. The box then tilts up and falls again” (p. 273). Jacqueline shows an interest in this result and studies the fallen box.

For Piaget, these observations reflect important changes in the infant’s cognitive development. Piaget maintained that infants go through a series of cognitive substages as they progress in less than two short years.

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topical connections looking back

We have discussed that impressive advances occur in the development of the brain during infancy. Engaging in various physical, cognitive, and socioemotional activities strengthens the baby’s neural connections. Motor and perceptual development also are key aspects of the infant’s development. An important part of this development is the coupling of perceptions and actions. The nature-nurture issue continues to be debated with regard to the infant’s perceptual development. In this chapter, you will expand your understanding of the infant’s brain, motor, and perceptual development by further examining how infants develop their competencies, focusing on how advances in their cognitive development help them adapt to their world, and how the nature-nurture issue is a key aspect of the infant’s cognitive and language development.

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Piaget’s descriptions of infants are just the starting point for our exploration of cognitive development. Excitement and enthusiasm about the study of infant cognition have been fueled by an interest in what newborns and infants know, by continued fascination about innate and learned factors in the infant’s cognitive development, and by controversies about whether infants construct their knowledge (Piaget’s view) or know their world more directly. In this chapter, you will not only study Piaget’s theory of infant development but also explore how infants learn, remember, and conceptualize; learn about some of their individual differences; and trace their language development.

1 Piaget’s Theory of Infant Development

LG1 Summarize and evaluate Piaget’s theory of  infant development.

Cognitive Processes

The Sensorimotor Stage

Evaluating Piaget’s Sensorimotor Stage

Poet Nora Perry asks, “Who knows the thoughts of a child?” As much as anyone, Piaget knew. Through careful observations of his own three children—Laurent, Lucienne, and Jacqueline—and observations of and interviews with other children, Piaget changed perceptions of the way children think about the world.

We are born capable of learning.

—Jean-Jacques Rousseau

Swiss-born French Philosopher, 18th Century

Piaget’s theory is a general, unifying story of how biology and experience sculpt cognitive development. Piaget thought that, just as our physical bodies have structures that enable us to adapt to the world, we build mental structures that help us adjust to new environmental demands. Piaget stressed that children actively construct their own cognitive worlds; information is not just poured into their minds from the environment. He sought to discover how children at different points in their development think about the world and how systematic changes in their thinking occur.

COGNITIVE PROCESSES

What processes do children use as they construct their knowledge of the world? Piaget developed several concepts to answer this question; especially important are schemes, assimilation, accommodation, organization, equilibrium, and equilibration.

Schemes As the infant or child seeks to construct an understanding of the world, said Piaget (1954), the developing brain creates  schemes.  These are actions or mental representations that organize knowledge. In Piaget’s theory, a baby’s schemes are structured by simple actions that can be performed on objects, such as sucking, looking, and grasping. Older children have schemes that include strategies and plans for solving problems. For example, in the descriptions at the opening of this chapter, Laurent Page 141displayed a scheme for sucking. By the time we have reached adulthood, we have constructed an enormous number of diverse schemes, ranging from driving a car to balancing a budget to understanding the concept of fairness.

Assimilation and Accommodation To explain how children use and adapt their schemes, Piaget offered two concepts: assimilation and accommodation.  Assimilation  occurs when children use their existing schemes to deal with new information or experiences.  Accommodation  occurs when children adjust their schemes to take new information and experiences into account.

Think about a toddler who has learned the word car to identify the family vehicle. The toddler might call all moving vehicles on roads “cars,” including motorcycles and trucks; the child has assimilated these objects to his or her existing scheme. But the child soon learns that motorcycles and trucks are not cars and fine-tunes the category to exclude motorcycles and trucks, accommodating the scheme.

Assimilation and accommodation operate even in very young infants. Newborns reflexively suck everything that touches their lips; they assimilate all sorts of objects into their sucking scheme. By sucking different objects, they learn about their taste, texture, shape, and so on. After several months of experience, though, they construct their understanding of the world differently. Some objects, such as fingers and the mother’s breast, can be sucked, and others, such as fuzzy blankets, should not be sucked. In other words, they accommodate their sucking scheme.

image38 In Piaget’s view, what is a scheme? What schemes might this young infant be displaying?  ©Maya Kovacheva Photography/Getty Images

Organization To make sense out of their world, said Piaget, children cognitively organize their experiences.  Organization  in Piaget’s theory is the grouping of isolated behaviors and thoughts into a higher-order system. Continual refinement of this organization is an inherent part of development. A boy who has only a vague idea about how to use a hammer may also have a vague idea about how to use other tools. After learning how to use each one, he relates these uses, organizing his knowledge.

Equilibration and Stages of Development Assimilation and accommodation always take the child to a higher ground, according to Piaget. In trying to understand the world, the child inevitably experiences cognitive conflict, or disequilibrium. That is, the child is constantly faced with counterexamples to his or her existing schemes and with inconsistencies. For example, if a child believes that pouring water from a short and wide container into a tall and narrow container changes the amount of water, then the child might be puzzled by where the “extra” water came from and whether there is actually more water to drink. The puzzle creates disequilibrium; for Piaget, an internal search for equilibrium creates motivation for change. The child assimilates and accommodates, adjusting old schemes, developing new schemes, and organizing and reorganizing the old and new schemes. Eventually, the new organization has become fundamentally different from the old organization; it is a new way of thinking.

developmental connection
Cognitive Theory

Recall the main characteristics of Piaget’s four stages of cognitive development. Connect to “Introduction.”

In short, according to Piaget, children constantly assimilate and accommodate as they seek equilibrium. There is considerable movement between states of cognitive equilibrium and disequilibrium as assimilation and accommodation work in concert to produce cognitive change.  Equilibration  is the name Piaget gave to this mechanism by which children shift from one stage of thought to the next.

The result of these processes, according to Piaget, is that individuals go through four stages of development. A different way of understanding the world makes one stage more advanced than another. Cognition is qualitativelydifferent in one stage compared with another. In other words, the way children reason at one stage is different from the way they reason at another stage. In this chapter we will focus on Piaget’s stage of infant cognitive development. In later chapters we will explore Piaget’s other three stages when we study cognitive development in early childhood, middle and late childhood, and adolescence.

THE SENSORIMOTOR STAGE

The  sensorimotor stage  lasts from birth to about 2 years of age. During this stage of cognitive development, infants construct an understanding of the world by coordinating sensory experiences (such as seeing and hearing) with physical, motoric actions—hence the term “sensorimotor.” At the beginning of this stage, Page 142newborns have little more than reflexes with which to work. At the end of the sensorimotor stage, 2-year-olds can produce complex sensorimotor patterns and use primitive symbols. We first will summarize Piaget’s descriptions of how infants develop. Later we will consider criticisms of his view.

Substages Piaget divided the sensorimotor stage into six substages: (1) simple reflexes; (2) first habits and primary circular reactions; (3) secondary circular reactions; (4) coordination of secondary circular reactions; (5) tertiary circular reactions, novelty, and curiosity; and (6) internalization of schemes (see Figure 1). Piaget argued that each substage builds on the previous one.

image39 FIGURE 1 PIAGET’S SIX SUBSTAGES OF SENSORIMOTOR DEVELOPMENT

Simple reflexes , the first sensorimotor substage, corresponds to the first month after birth. In this substage, sensation and action are coordinated primarily through reflexive behaviors such as rooting and sucking. Soon the infant produces behaviors that resemble reflexes in the absence of the usual stimulus for the reflex. For example, a newborn will suck a nipple or bottle only when it is placed directly in the baby’s mouth or touched to the lips. But soon the infant might suck when a bottle or nipple is only nearby. Even in the first month of life, the infant is initiating action and actively structuring experiences.

First habits and primary circular reactions  is the second sensorimotor substage, which develops between 1 and 4 months of age. In this substage, the infant coordinates sensation and two types of schemes: habits and primary circular reactions. A habit is a scheme based on a reflex that has become completely separated from its eliciting stimulus. For example, infants in substage 1 suck when bottles are put to their lips or when they see a bottle. Infants in substage 2 might suck even when no bottle is present. A circular reaction is a repetitive action.

 primary circular reaction  is a scheme based on the attempt to reproduce an event that initially occurred by chance. For example, suppose an infant accidentally sucks his fingers when they are placed near his mouth. Later, he searches for his fingers to suck them again, but the fingers do not cooperate because the infant cannot coordinate visual and manual actions.

Habits and circular reactions are stereotyped—that is, the infant repeats them the same way each time. During this substage, the infant’s own body continues to be the center of attention. There is no outward pull by environmental events.

Secondary circular reactions  Page 143is the third sensorimotor substage, which develops between 4 and 8 months of age. In this substage, the infant becomes more object-oriented, moving beyond preoccupation with the self. The infant’s schemes are not intentional or goal-directed, but they are repeated because of their consequences. By chance, an infant might shake a rattle. The infant repeats this action for the sake of its fascination. This is a secondary circular reaction: an action repeated because of its consequences. The infant also imitates some simple actions, such as the baby talk or burbling of adults, and some physical gestures. However, the baby imitates only actions that he or she is already able to produce.

image40This 7-month-old is in Piaget’s substage of secondary circular reactions. What might the infant do that suggests he is in this substage?  ©Johnny Valley/Getty Imagesimage41 This 17-month-old is in Piaget’s stage of tertiary circular reactions. What might the infant do that suggests he is in this stage?  ©Punchstock/Corbis

Coordination of secondary circular reactions  is Piaget’s fourth sensorimotor substage, which develops between 8 and 12 months of age. To progress into this substage the infant must coordinate vision and touch, eye and hand. Actions become more outwardly directed. Significant changes during this substage involve the coordination of schemes and intentionality. Infants readily combine and recombine previously learned schemes in a coordinated way. They might look at an object and grasp it simultaneously, or they might visually inspect a toy, such as a rattle, and finger it simultaneously, exploring it tactilely. Actions are even more outwardly directed than before. Related to this coordination is the second achievement—the presence of intentionality. For example, infants might manipulate a stick in order to bring a desired toy within reach, or they might knock over one block to reach and play with another one. Similarly, when 11-month-old Jacqueline, as described in the chapter opening, placed the ball in front of her and kicked it, she was demonstrating intentionality.

developmental connection
Cognitive Theory

What are some changes in symbolic thought in young children? Connect to “Physical and Cognitive Development in Early Childhood.”

Tertiary circular reactions, novelty, and curiosity  is Piaget’s fifth sensorimotor substage, which develops between 12 and 18 months of age. In this substage, infants become intrigued by the many properties of objects and by the many things that they can make happen to objects. A block can be made to fall, spin, hit another object, and slide across the ground. Tertiary circular reactions are schemes in which the infant purposely explores new possibilities with objects, continually doing new things to them and exploring the results. Piaget says that this stage marks the starting point for human curiosity and interest in novelty.

Internalization of schemes  is Piaget’s sixth and final sensorimotor substage, which develops between 18 and 24 months of age. In this substage, the infant develops the ability to use primitive symbols. For Piaget, a symbol is an internalized sensory image or word that represents an event. Primitive symbols permit the infant to think about concrete events without directly acting them out or perceiving them. Moreover, symbols allow the infant to manipulate and transform the represented events in simple ways. In a favorite Piagetian example, Piaget’s young daughter saw a matchbox being opened and closed. Later, she mimicked the event by opening and closing her mouth. This was an obvious expression of her image of the event.

Object Permanence Imagine how chaotic and unpredictable your life would be if you could not distinguish between yourself and your world. This is what the life of a newborn must be like, according to Piaget. There is no differentiation between the self and world; objects have no separate, permanent existence.

By the end of the sensorimotor period, objects are both separate from the self and permanent.  Object permanence  is the understanding that objects continue to exist even when they cannot be seen, heard, or touched. Acquiring the sense of object permanence is one of the infant’s most important accomplishments, according to Piaget.

How could anyone know whether Page 144an infant had a sense of object permanence or not? The principal way that object permanence is studied is by watching an infant’s reaction when an interesting object disappears (see Figure 2). If infants search for the object, it is assumed that they believe it continues to exist.

image42 FIGURE 2 OBJECT PERMANENCE. Piaget argued that object permanence is one of infancy’s landmark cognitive accomplishments. For this 5-month-old boy, “out of sight” is literally out of mind. The infant looks at the toy monkey (left), but, when his view of the toy is blocked (right), he does not search for it. Several months later, he will search for the hidden toy monkey, an action reflecting the presence of object permanence.  ©Doug Goodman/Science Source

EVALUATING PIAGET’S SENSORIMOTOR STAGE

Piaget opened up a new way of looking at infants with his view that their main task is to coordinate their sensory impressions with their motor activity. However, the infant’s cognitive world is not as neatly packaged as Piaget portrayed it, and some of Piaget’s explanations of change are debated. In the past several decades, sophisticated experimental techniques have been devised to study infants, and a large number of research studies have focused on infant development. Much of the new research suggests that Piaget’s view of sensorimotor development needs to be modified (Adolph, 2018; Bell & others, 2018; Bremner & others, 2017;  Van de Vondervoort & Hamlin, 2018).

The A-not-B Error One modification concerns Piaget’s claim that certain processes are crucial in transitions from one stage to the next. The data do not always support his explanations. For example, in Piaget’s theory, an important feature in the progression into substage 4, coordination of secondary circular reactions, is an infant’s inclination to search for a hidden object in a familiar location rather than to look for the object in a new location. If a toy is hidden twice, initially at location A and subsequently at location B, 8- to 12-month-old infants search correctly at location A initially. But, when the toy is subsequently hidden at location B, while the child watches, they make the mistake of continuing to search for it at location A.  A-not-B error  is the term used to describe this common mistake. Older infants are less likely to make the A-not-B error because their concept of object permanence is more complete.

Researchers have found, however, that the A-not-B error does not show up consistently (MacNeill & others, 2018; Sophian, 1985). The evidence indicates that A-not-B errors are sensitive to the delay between hiding the object at B and the infant’s attempt to find it (Diamond, 1985). Thus, the A-not-B error might be due to a failure in memory. And A-not-B performance may be linked to attention as well. For example, in a recent study, 5-month-olds’ more focused attention on a separate task involving a puppet was linked to better performance on an A-not-B task that involved locating an object after it was hidden from view (Marcovitch & others, 2016). Another explanation is that infants tend to repeat a previous motor behavior (Clearfield & others, 2006).

developmental connection
Perceptual Development

Eleanor Gibson was a pioneer in crafting the ecological perception view of development. Connect to “Physical Development in Infancy.”

Perceptual Development and Expectations A number of theorists, such as Eleanor Gibson (2001) and Elizabeth Spelke (1991, 2011, 2013), argue that infants’ perceptual abilities are highly developed at a very early stage. Spelke concludes that young infants interpret the world as having predictable occurrences. For example, we have discussed research that demonstrated the presence of intermodal perception—the ability to coordinate information from two or more sensory modalities, such as vision and hearing—by 3½ months of age, much earlier Page 145than Piaget would have predicted (Spelke & Owsley, 1979).

Research also suggests that infants develop the ability to understand how the world works at a very early age (Aslin, 2017; Baillargeon & DeJong, 2017; Liu & Spelke, 2017; Van de Vondervoort & Hamlin, 2018). For example, by the time they are 3 months of age, infants develop expectations about future events. What kinds of expectations do infants form? Experiments by Elizabeth Spelke (Liu & Spelke, 2017; Spelke, 1991, 2000, 2016a, b) have addressed this question. In one study, she placed babies before a puppet stage and showed them a series of actions that are unexpected if you know how the physical world works—for example, one ball seemed to roll through a solid barrier, another seemed to leap between two platforms, and a third appeared to hang in midair (Spelke, 1979). Spelke measured and compared the babies’ looking times for unexpected and expected actions. She concluded that by 4 months of age, even though infants do not yet have the ability to talk about objects, move around objects, manipulate objects, or even see objects with high resolution, they expect objects to be solid and continuous. However, at 4 months of age, infants do not expect an object to obey laws of gravity (Spelke & others, 1992). Similarly, research by Renee Baillargeon and her colleagues (Baillargeon, 1995, 2004, 2014, 2016) documents that infants as young as 3 to 4 months expect objects to be substantial (in the sense that other objects cannot move through them) and permanent (in the sense that objects continue to exist when they are hidden).

In sum, researchers conclude that infants see objects as bounded, unitary, solid, and separate from their background, possibly at birth or shortly thereafter, but definitely by 3 to 4 months of age—much earlier than Piaget envisioned. Young infants still have much to learn about objects, but the world appears both stable and orderly to them (Bremner, 2017; Liu & Spelke, 2017; Stavans & Baillargeon, 2018).

By 6 to 8 months, infants have learned to perceive gravity and support—that an object hanging on the end of a table should fall, that ball bearings will travel farther when rolled down a longer rather than a shorter ramp, and that cup handles will not fall when attached to a cup (Slater, Field, & Hernandez-Reif, 2007). As infants develop, their experiences and actions on objects help them to understand physical laws (Baillargeon & DeJong, 2017; Bremner, 2017).

The Nature-Nurture Issue In considering the big issue of whether nature or nurture plays the more important role in infant development, Elizabeth Spelke (Spelke, 2003, 2011, 2013, 2016a, b) comes down clearly on the side of nature, a position often referred to as nativist. Spelke endorses a  core knowledge approach , which states that infants are born with domain-specific innate knowledge systems. Among these domain-specific knowledge systems are those involving space, number sense, object permanence, and language (which we will discuss later in this chapter). Strongly influenced by evolution, the core knowledge domains are theorized to be prewired to allow infants to make sense of their world (Strickland & Chemla, 2018). After all, Spelke concludes, how could infants possibly grasp the complex world in which they live if they didn’t come into the world equipped with core sets of knowledge? In this approach, the innate core knowledge domains form a foundation around which more mature cognitive functioning and learning develop (Baillargeon & DeJong, 2017). The core knowledge approach argues that Piaget greatly underestimated the cognitive abilities of infants, especially young infants (Baillargeon, 2016; Liu & Spelke, 2017; Spelke, 2016a, b).

developmental connection
Nature Versus Nurture

The nature-nurture debate is one of developmental psychology’s main issues. Connect to “Introduction” and “Biological Beginnings.”

Some critics argue that the Spelke experiments mainly demonstrate perceptual competencies or detection of regularities in the environment (Heyes, 2014; Ruffman, 2014). These critics stress that the infants in their studies reflect a very rudimentary understanding that likely differs greatly from the understanding of older children.

An intriguing domain of core knowledge that has been investigated in young infants is whether they have a sense of number. Spelke (2016a, b) concludes that they do (Spelke, 2016a, b). She has found that infants can distinguish between different numbers of objects, actions, and sounds (Spelke, 2016a, b). Of course, not everyone agrees with Spelke’s conclusions about young infants’ math skills (Cohen, 2002). One criticism is that infants in the number experiments are merely responding to changes in the display that violated their expectations.

Recently, researchers also have explored whether Page 146preverbal infants might have a built-in, innate sense of morality (Van de Vondervoort & Hamlin, 2016, 2018). In this research, infants as young as 4 months of age are more likely to make visually guided reaches toward a puppet who has acted as a helper (such as helping someone get up a hill, assisting in opening a box, or giving a ball back) rather than toward a puppet who has acted as a hinderer to others’ efforts to achieve such goals (Hamlin, 2013, 2014). Recently, the view that the emergence of morality in infancy is innate was described as problematic (Carpendale & Hammond, 2016). Instead it was argued that morality may emerge through infants’ early interaction with others and later transformation through language and reflective thought.

image43 What are some conclusions that can be reached about infant learning and cognition?  ©baobao ou/Getty Images

In criticizing the core knowledge approach, British developmental psychologist Mark Johnson (2008) says that the infants studied by Spelke and other advocates of core knowledge already have accumulated hundreds, and in some cases even thousands, of hours of experience in grasping what the world is about, which gives considerable room for the environment’s role in the development of infant cognition (Highfield, 2008). According to Johnson (2008), infants likely come into the world with “soft biases to perceive and attend to different aspects of the environment, and to learn about the world in particular ways.” A major criticism is that nativists completely neglect the infant’s social immersion in the world and instead focus only on what happens inside the infant’s head, apart from the environment (de Haan & Johnson, 2016; Hakuno & others, 2018).

Although debate about the cause and course of infant cognitive development continues, most developmentalists today agree that Piaget underestimated the early cognitive accomplishments of infants and that both nature and nurture are involved in infants’ cognitive development (Bell & others, 2018; Bremner & others, 2017; Gomez, 2017).

Conclusions In sum, many researchers conclude that Piaget wasn’t specific enough about how infants learn about their world and that infants, especially young infants, are more competent than Piaget thought (Adolph, 2018; Aslin, 2017; Baillargeon & De Jong, 2017; Bell & others, 2018; Bremner & others, 2017). As researchers have examined the specific ways that infants learn, the field of infant cognition has become very specialized. There are many researchers working on different questions, with no general theory emerging that can connect all of the different findings (Nelson, 1999). These theories often are local theories, focused on specific research questions, rather than grand theories like Piaget’s (Kuhn, 1998). Among the unifying themes in the study of infant cognition are seeking to understand more precisely how developmental changes in cognition take place, to examine the big issue of nature and nurture, and to study the brain’s role in cognitive development (Aslin, 2017; Bauer, 2015a, b, 2018; Bell & others, 2018; Van de Vondervoort & Hamlin, 2018; Xie, Mallin, & Richards, 2018). Recall that exploring connections between brain, cognition, and development involves the recently emerging field of developmental cognitive neuroscience (Bick & Nelson, 2018; Meltzoff & others, 2018a, b; Saez de Urabain, Nuthmann, & Johnson, 2017).

Review Connect Reflect

LG1 Summarize and evaluate Piaget’s theory of infant development.

Review

· What cognitive processes are important in Piaget’s theory?

· What are some characteristics of Piaget’s stage of sensorimotor development?

· What are some contributions and criticisms of Piaget’s sensorimotor stage?

Connect

· You just read that by the age of  6 to 8 months infants have learned to perceive gravity and support. What physical developments occurring around this same time period might contribute to infants’ exploration and understanding of these concepts?

Reflect Your Own Personal Journey of Life

· What are some implications of Piaget’s theory for parenting your own baby?

Page 147

2 Learning, Attention, Remembering, and Conceptualizing

LG2 Describe how infants learn, focus attention, remember, and conceptualize.

Conditioning

Attention

Memory

Imitation

Concept Formation and Categorization

When Piaget hung a doll above 4-month-old Lucienne’s feet, as described in the chapter opening, did she remember the doll? If Piaget had rewarded her for moving the doll with her foot, would that have affected Lucienne’s behavior? If he had shown her how to shake the doll’s hand, could she have imitated him? If he had shown her a different doll, could she have formed the concept of a “doll”?

Questions like these might be examined by researchers taking the behavioral and social cognitive or information-processing approaches introduced earlier. In contrast with Piaget’s theory, these approaches do not describe infant development in terms of stages. Instead, they document gradual changes in the infant’s ability to understand and process information about the world (Hakuno & others, 2018; Reynolds & Richards, 2018). In this section, we explore what researchers using these approaches can tell us about how infants learn, remember, and conceptualize.

developmental connection
Theories

The behavioral and social cognitive approaches emphasize continuity rather than discontinuity in development. Connect to “Introduction.”

CONDITIONING

According to Skinner’s theory of operant conditioning, the consequences of a behavior produce changes in the probability of the behavior’s occurrence. For example, if an infant’s behavior is followed by a rewarding stimulus, the behavior is likely to recur.

Operant conditioning has been especially helpful to researchers in their efforts to determine what infants perceive (Rovee-Collier & Barr, 2010). For example, infants will suck faster on a nipple when the sucking behavior is followed by a visual display, music, or a human voice (Rovee-Collier, 1987, 2009).

Carolyn Rovee-Collier (1987) has also demonstrated how infants can retain information from the experience of being conditioned. In a characteristic experiment, she places a 2½-month-old baby in a crib under an elaborate mobile (see Figure 3). She then ties one end of a ribbon to the baby’s ankle and the other end to the mobile. Subsequently, she observes that the baby kicks and makes the mobile move. The movement of the mobile is the reinforcing stimulus (which increases the baby’s kicking behavior) in this experiment. Weeks later, the baby is returned to the crib, but its foot is not tied to the mobile. The baby kicks, which suggests it has retained the information that if it kicks a leg, the mobile will move.

image44 FIGURE 3 THE TECHNIQUE USED IN ROVEE-COLLIER’S INVESTIGATION OF INFANT MEMORY. In Rovee-Collier’s experiment, operant conditioning was used to demonstrate that infants as young as 2½ months of age can retain information from the experience of being conditioned. What did infants recall in Rovee-Collier’s experiment?  Courtesy of Dr. Carolyn Rovee-Collier

ATTENTION

Attention , the focusing of mental resources on select information, improves cognitive processing on many tasks (Posner, 2018a, b; Wu & Scerif, 2018; Yu & Smith, 2017). At any one time, though, people can pay attention to only a limited amount of information. Even newborns can detect a contour and fix their attention on it. Older infants scan patterns more thoroughly. By 4 months, infants can selectively attend to an object.

In adults, when individuals orient their attention to an object or event, the parietal lobes in the cerebral cortex are involved (Kulke, Atkinson, & Braddick, 2017). It is likely that the parietal lobes are active when infants orient their attention, although research has not yet documented this. (Figure 5 in the chapter on “Physical Development in Infancy” illustrates the location of the parietal lobes in the brain.)

developmental connection
Attention

In early childhood, children make significant advances in sustained attention. Connect to “Physical and Cognitive Development in Early Childhood.”

Attention in the first year of life is dominated by an orienting/investigative process (Falck-Ytter & others, 2018). This process involves directing attention to potentially important locations in the environment (that is, where) and recognizing objects and their features (such as color and form) (that is, what). From 3 to 9 months of age, infants can deploy their attention more flexibly and quickly. Another important type of attention is sustained attention, also referred to as focused attention (Ito-Jager & others, 2017; Xie, Mallin, & Richards, 2018). New stimuli typically elicit an orienting response followed by sustained attention. It is sustained attention that allows infants to learn about and remember characteristics of a stimulus as it becomes familiar. Researchers have Page 148found that infants as young as 3 months of age engage in 5 to 10 seconds of sustained attention. From this age through the second year, the length of sustained attention increases (Courage & Richards, 2008). In a recent study, sustained attention at 10 months of age was linked to better self-regulation at 18 months of age, even when infants had insensitive mothers (Frick & others, 2018).

Habituation and Dishabituation Closely linked with attention are the processes of habituation and dishabituation (Christodoulou, Leland, & Moore, 2018; Jones & others, 2017). If you say the same word or show the same toy to a baby several times in a row, the baby usually pays less attention to it each time. This is habituation—decreased responsiveness to a stimulus after repeated presentations of the stimulus. Dishabituation is the increase in responsiveness after a change in stimulation. The chapter on “Physical Development in Infancy” described some of the measures that researchers use to study whether habituation is occurring, such as sucking behavior, heart rate, and the length of time the infant looks at an object.

image45This young infant’s attention is riveted on the yellow toy duck that has just been placed in front of him. The young infant’s attention to the toy will be strongly regulated by the processes of habituation and dishabituation. What characterizes these processes?  ©Sporrer/Rupp/Getty Images

Infants’ attention is strongly governed by novelty and habituation (Messinger & others, 2017). When an object becomes familiar, attention becomes shorter, and infants become more vulnerable to distraction.

Habituation provides a useful tool for assessing what infants can see, hear, smell, taste, and experience touch. When infants habituate to one object, and thus it becomes familiar, they will then tend to look at an unfamiliar object, which shows they can tell the objects apart.

Knowing about habituation and dishabituation can help parents interact effectively with infants. Infants respond to changes in stimulation. Wise parents sense when an infant shows an interest and realize that they may have to repeat something many times for the infant to process information. But if the stimulation is repeated often, the infant stops responding to the parent. In parent-infant interaction, it is important for parents to do novel things and to repeat them often until the infant stops responding. The parent stops or changes behaviors when the infant redirects his or her attention (Rosenblith, 1992).

Joint Attention Another type of attention that is an important aspect of infant development is joint attention, in which two or more individuals focus on the same object or event (Mateus & others, 2018; Urqueta Alfaro & others, 2018). Joint attention requires (1) an ability to track another’s behavior, such as following the gaze of another person; (2) one person’s directing another’s attention; and (3) reciprocal interaction. Early in infancy, joint attention involves a caregiver pointing, turning the infant’s head, snapping fingers, or using words to direct the infant’s attention. Emerging forms of joint attention occur at about 7 to 8 months, but it is not until toward the end of the first year that joint attention skills are frequently observed (Niedzwiecka & Tomalski, 2015). In a study conducted by Andrew Meltzoff and Rechele Brooks (2006), at 10 to 11 months of age infants first began engaging in “gaze following,” looking where another person has just looked (see Figure 4). And by their first birthday, infants have begun to Page 149direct adults’ attention to objects that capture their interest (Heimann & others, 2006). One study found that problems in joint attention as early as 8 months of age were linked to the child being diagnosed with autism by 7 years of age (Veness & others, 2014). Also, a recent study involving the use of eye-tracking equipment with 11- to 24-month-olds revealed that infants’ hand-eye coordination rather than gaze following alone predicted joint attention (Yu & Smith, 2017).

image46 FIGURE 4 GAZE FOLLOWING IN INFANCY. Researcher Rechele Brooks shifts her eyes from the infant to a toy in the foreground (a). The infant then follows her eye movement to the toy (b). Brooks and colleague Andrew Meltzoff (2005) found that infants begin to engage in this kind of behavior, called “gaze following,” at 10 to 11 months of age. Why might gaze following be an important accomplishment for an infant?  ©2005 University of Washington, Institute for Learning & Brain Sciences

Joint attention plays important roles in many aspects of infant development and considerably increases infants’ ability to learn from other people (McClure & others, 2018). Nowhere is this more apparent than in observations of interchanges between caregivers and infants as infants are learning language (Mason-Apps & others, 2018; Tomasello, 2014). When caregivers and infants frequently engage in joint attention, infants say their first word earlier and develop a larger vocabulary (Mastin & Vogt, 2016). Later in this chapter in our discussion of language, we further discuss joint attention as an early predictor of language development in older infants and toddlers (Mastin & Vogt, 2016). Researchers have found that joint attention is linked to better sustained attention (Yu & Smith, 2016), memory (Kopp & Lindenberger, 2011), self-regulation (Van Hecke & others, 2012), and executive function (Gueron-Sela & others, 2018).

image47A mother and her infant daughter engaging in joint attention. What about this photograph tells you that joint attention is occurring? Why is joint attention an important aspect of infant development?  ©Tom Merton/Getty Images

MEMORY

Memory  involves the retention of information over time. Attention plays an important role in memory as part of encoding, a process in which information is transferred to memory. What can infants remember, and when?

Some researchers, such as Carolyn Rovee-Collier (2009), have concluded that infants as young as 2 to 6 months of age can remember some experiences through 1½ to 2 years of age. However, critics such as Jean Mandler (2004), a leading expert on infant cognition, argue that the infants in Rovee-Collier’s experiments were displaying only implicit memory.  Implicit memory  refers to memory without conscious recollection—memories of skills and routine procedures that are performed automatically. In contrast,  explicit memory  refers to conscious remembering of facts and experiences.

When people think about memory, they are usually referring to explicit memory. Most researchers find that babies do not show explicit memory until the second half of the first year (Bauer, 2013, 2015a, b, 2018; Bauer & Fivush, 2014). Explicit memory improves substantially during the second year of life (Bauer, 2013, 2015a, b, 2018; Bauer & Leventon, 2015). In one longitudinal study, infants were assessed several times during their second year (Bauer & others, 2000). Older infants showed more accurate memory and required fewer prompts to demonstrate their memory than younger infants did. Figure 5 summarizes the lengths of time that infants of different ages can remember information (Bauer, 2009a, b). As indicated in Figure 5, researchers have documented that 6-month-olds can retain information for 24 hours, but by 20 months of age infants can remember information they encountered 12 months earlier.

image48 FIGURE 5 AGE-RELATED CHANGES IN THE LENGTH OF TIME OVER WHICH MEMORY OCCURS

What changes in the brain are linked to infants’ memory development? From about 6 to 12 months of age, the maturation of the hippocampus and the surrounding cerebral cortex, especially the frontal lobes, makes explicit memory possible (see Figure 6). Explicit memory continues to improve during the second year as these brain structures further mature and connections between them increase. Less is known about the areas of the brain involved in implicit memory in infancy.

image49 FIGURE 6 KEY BRAIN STRUCTURES INVOLVED IN EXPLICIT MEMORY DEVELOPMENT IN INFANCY

Let’s examine another aspect of memory. Do you remember your third birthday party? Probably not. Most adults can remember little if anything from their first three years of life. This is called infantile or childhood amnesia.

Patricia Bauer and her colleagues (Bauer, 2015a, 2018; Bauer & Larkina, 2014, 2016; Pathman, Doydum, & Bauer, 2013) have been recently studying when infantile amnesia begins to occur. In one study, children’s memory for events that occurred at 3 years of age was periodically assessed through age 9 (Bauer & Larkina, 2014). By 8 to 9 years of age, children’s memory of events that occurred at 3 years of age began to fade away significantly.

In Bauer’s (2015a, 2018) view, the processes that account for these developmental changes are early, gradual development of the ability to form, retain, and later retrieve memories of personally relevant past events followed by an accelerated rate of forgetting in childhood.

In sum, most of young infants’ conscious memories appear Page 150to be rather fragile and short-lived, although their implicit memory of perceptual-motor actions can be substantial (Bauer, 2015, 2018; Mandler, 2004). By the end of the second year, long-term memory is more substantial and reliable (Bauer, 2015a, b, 2018; Hayne & Gross, 2017).

IMITATION

Can infants imitate someone else’s emotional expressions? If an adult smiles, for example, will the baby respond with a smile? If an adult sticks out her tongue, wrinkles her forehead, and frowns, will the baby show a sad face?

Infant development researcher Andrew Meltzoff (2004, 2005, 2011; 2017; Meltzoff & Moore, 1999; Meltzoff & others, 2018a, b; Meltzoff & Williamson, 2010, 2013; Meltzoff, Williamson, & Marshall, 2013; Waismeyer & Meltzoff, 2017) has conducted numerous studies of infants’ imitative abilities. He sees infants’ imitative abilities as biologically based, because infants can imitate a facial expression within the first few days after birth. He also emphasizes that the infant’s imitative abilities do not resemble a hardwired response but rather involve flexibility and adaptability. Meltzoff (2017) also emphasizes that infants’ imitation informs us about their processing of social events and contributes to rapid social learning. In Meltzoff’s observations of infants throughout their first 72 hours of life, the infants gradually displayed more complete imitation of an adult’s facial expression, such as protruding the tongue or opening the mouth wide (see Figure 7).

image50 FIGURE 7 INFANT IMITATION. Infant development researcher Andrew Meltzoff protrudes his tongue in an attempt to get the infant to imitate his behavior. How do Meltzoff’s findings about imitation compare with Piaget’s descriptions of infants’ abilities?  ©Dr. Andrew Meltzoff

Meltzoff (2007) concludes that infants don’t blindly imitate everything they see and often make creative errors. He also argues that beginning at birth there is an interplay between learning by observing and learning by doing (Piaget emphasized learning by doing).

Meltzoff (2005, 2011, 2017) also has studied  deferred imitation , which occurs after a time delay of hours or days. Piaget held that deferred imitation doesn’t occur until about 18 months of age. Meltzoff’s research suggested that it occurs much earlier. In one study, Meltzoff (1988) demonstrated that 9-month-old infants could imitate actions—such as pushing a recessed button in a box, which produced a beeping sound—that they had seen performed 24 hours earlier.

CONCEPT FORMATION AND CATEGORIZATION

Along with attention, memory, and imitation, concepts are key aspects of infants’ cognitive development (Quinn, 2016).  Concepts  are cognitive groupings of similar objects, events, people, or ideas. Without concepts, you would see each object and event as unique; you would not be able to make any generalizations.

Do infants have concepts? Yes, they do, although we do not know precisely how early concept formation begins (Quinn & Bhatt, 2016).

Using habituation experiments like those described earlier in the chapter, some researchers have found that infants as young as 3 to 4 months of age can group together objects with similar appearances, such as animals (Quinn, 2016). This research capitalizes on the knowledge that infants are more likely to look at a novel object than a familiar object. Jean Mandler (2004, 2009) argues that these early categorizations are best described as perceptual categorization. That is, the categorizations are based on similar perceptual features of objects, such as size, color, and movement, as well as parts of objects, such as legs for animals (Quinn & Bhatt, 2016). Mandler (2004) concludes that it is not until about 7 to 9 months of age that infants form conceptual categories rather than just making perceptual discriminations between different categories. In one study of 9- to 11-month-olds, infants classified birds as animals and airplanes as vehicles even Page 151though the objects were perceptually similar—airplanes and birds with their wings spread (Mandler & McDonough, 1993) (see Figure 8).

image51 FIGURE 8 CATEGORIZATION IN 9- TO 11-MONTH-OLDS. These are the type of stimuli used in the study that indicated 9- to 11-month-old infants categorized birds as animals and airplanes as vehicles even though the objects were perceptually similar (Mandler & McDonough, 1993).

In addition to infants categorizing items on the basis of external, perceptual features such as shape, color, and parts, they also may categorize items on the basis of prototypes, or averages, that they extract from the structural regularities of items (Rakison & Lawson, 2013).

Infants are creating concepts and organizing their world into conceptual domains that will form the backbone of their thought throughout life.

—Jean Mandler

Contemporary Psychologist, University of  California–San Diego

Further advances in categorization occur in the second year of life (Booth, 2006; Rakison & Lawson, 2013). Many infants’ “first concepts are broad and global in nature, such as ‘animal’ or ‘indoor thing.’ Gradually, over the first two years these broad concepts become more differentiated into concepts such as ‘land animal,’ then ‘dog,’ or to ‘furniture,’ then ‘chair’” (Mandler, 2009, p. 1). Also in the second year, infants often categorize objects on the basis of their shape (Landau, Smith, & Jones, 1998).

Learning to put things into the correct categories—what makes something one kind of thing rather than another kind of thing, such as what makes a bird a bird, or a fish a fish—is an important aspect of learning (Quinn, 2016). As infant development researcher Alison Gopnik (2010, p. 159) pointed out, “If you can sort the world into the right categories—put things in the right boxes—then you’ve got a big advance on understanding the world.”

Do some very young children develop an intense, passionate interest in a particular category of objects or activities? One study confirmed that they do (DeLoache, Simcock, & Macari, 2007). A striking finding was the large gender difference in categories, with an intense interest in particular categories stronger for boys than girls. Categorization of boys’ intense interests focused on vehicles, trains, machines, dinosaurs, and balls; girls’ intense interests were more likely to involve dress-ups and books/reading (see Figure 9). When your author’s grandson Alex was 18 to 24 months old, he already had developed an intense, passionate interest in the category of vehicles. For example, at this age, he categorized vehicles into such subcategories as cars, trucks, earth-moving equipment, and buses. In addition to common classifications of cars into police cars, jeeps, taxis, and such, and trucks into fire trucks, dump trucks, and the like, his categorical knowledge of earth-moving equipment included bulldozers and excavators, and he categorized buses into school buses, London buses, and funky Malta buses (retro buses on the island of Malta). Later, at 3 years of age, Alex developed an intense, passionate interest in categorizing dinosaurs.

image52 FIGURE 9 CATEGORIZATION OF BOYS’ AND GIRLS’ INTENSE INTERESTS

In sum, the infant’s advances in processing information—through attention, memory, imitation, and concept formation— Page 152is much richer, more gradual and less stage-like, and occurs earlier than was envisioned by earlier theorists, such as Piaget (Bauer, 2018; Bell & others, 2018; Bremner & others, 2017; Gomez, 2017; Xie, Mallin, & Richards, 2018). As leading infant researcher Jean Mandler (2004) concluded, “The human infant shows a remarkable degree of learning power and complexity in what is being learned and in the way it is represented” (p. 304).

I wish I could travel down by the road that crosses the baby’s mind where reason makes kites of her laws and flies them. . . .

—Rabindranath Tagore

Bengali Poet and Essayist, 20th Century

image53The author’s grandson Alex at 2 years of age showing his intense, passionate interest in the category of vehicles while playing with a London taxi and a funky Malta bus.  Courtesy of Dr. John Santrock

Review Connect Reflect

LG2 Describe how infants learn, remember, and conceptualize.

Review

· How do infants learn through conditioning?

· What is attention? What characterizes attention in infants?

· To what extent can infants remember?

· How is imitation involved in infant learning?

· When do infants develop concepts, and how does concept formation change during infancy?

Connect

· In this section, we learned that explicit memory improves in the second year as the hippocampus and frontal lobes mature and as connections between them increase. What did you learn in the text associated with Figure 6in the chapter on “Physical Development in Infancy” that might also contribute to improvements in a mental process such as memory during this same time frame?

Reflect Your Own Personal Journey of Life

· If a friend told you that she remembers being abused by her parents when she was 2 years old, would you believe her? Explain your answer.

Page 153

3 Language Development

LG3 Describe the nature of language and how it develops  in infancy.

Defining Language

Language’s Rule Systems

How Language Develops

Biological and Environmental Influences

An Interactionist View

In 1799, a nude boy was observed running through the woods in France. The boy was captured when he was 11 years old. He was called the Wild Boy of Aveyron and was believed to have lived in the woods alone for six years (Lane, 1976). When found, he made no effort to communicate. He never learned to communicate effectively. Sadly, a modern-day wild child named Genie was discovered in Los Angeles in 1970. Despite intensive intervention, Genie has never acquired more than a primitive form of language. Both cases—the Wild Boy of Aveyron and Genie—raise questions about the biological and environmental determinants of language, topics that we also will examine later in this chapter. First, though, we need to define language.

DEFINING LANGUAGE

Language  is a form of communication—whether spoken, written, or signed—that is based on a system of symbols. Language consists of the words used by a community and the rules for varying and combining them.

Think how important language is in our everyday lives. We need language to speak with others, listen to others, read, and write. Our language enables us to describe past events in detail and to plan for the future. Language lets us pass down information from one generation to the next and create a rich cultural heritage. Language learning involves comprehending a sound system (or sign system for individuals who are deaf), the world of objects, actions, and events, and how units such as words and grammar connect sound and world (Nathan, 2017; Hoffman, 2017; van der Hulst, 2017; Wilcox & Occhino, 2017).

All human languages have some common characteristics (Clark, 2017). These include infinite generativity and organizational rules.  Infinite generativity  is the ability to produce and comprehend an endless number of meaningful sentences using a finite set of words and rules. Rules describe the way language works. Let’s explore what these rules involve.

image54Language allows us to communicate with others. What are some important characteristics of language?  ©LiAndStudio/Shutterstock

LANGUAGE’S RULE SYSTEMS

When nineteenth-century American writer Ralph Waldo Emerson said, “The world was built in order, and the atoms march in tune,” he must have had language in mind. Language is highly ordered and organized. The organization involves five systems of rules: phonology, morphology, syntax, semantics, and pragmatics.

Phonology Every language is made up of basic sounds.  Phonology  is the sound system of the language, including the sounds that are used and how they may be combined (Goswami & Bryant, 2016). For example, English has the initial consonant cluster spr as in spring, but no words begin with the cluster rsp.

Phonology provides a basis for constructing a large and expandable set of words out of two or three dozen phonemes (Nathan, 2017). A phoneme is the basic unit of sound in a language; it is the smallest unit of sound that affects meaning. For example, in English the sound represented by the letter p, as in the words pot and spot, is a phoneme. The /p/ sound is slightly different in the two words, but this variation is not distinguished in English, and therefore the /p/ sound is a single phoneme. In some languages, such as Hindi, the variations of the /p/ sound represent separate phonemes.

Morphology  Morphology  refers to the units of meaning involved in word formation. A morpheme is a minimal unit of meaning; it is a word or a part of a word that cannot be broken into smaller meaningful parts (Lems, Miller, & Soro, 2017; Payne, 2017). Every word in the English language is made up of one or more morphemes. Some words consist of a single morpheme (for example, help), whereas others are made up of more than one morpheme (for example, helper has two morphemes, help and er, with the morpheme –er meaning “one who”—in this case, “one who helps”). Thus, not all morphemes are words by themselves; for example, pre-, -tion, and –ing are morphemes.

Just as the rules that govern phonology describe the sound sequences that can occur in a language, the rules of morphology describe the way meaningful units (morphemes) can be combined in words (Beck, 2017; Deevy, Leonard, & Marchman, 2017). Morphemes have many jobs in grammar, such as marking tense (for example, “she walks” versus “she walked”) and number (“she walks” versus “they walk”).

Syntax  Syntax  involves the way words are combined to form acceptable phrases and sentences (Langacker, 2017; Narrog, 2017). If someone says to you, “Bob slugged Tom” or “Bob was slugged by Tom,” you know who did the slugging and who was slugged in each case because you have a syntactic understanding of these sentence structures. You also understand that the sentence, “You didn’t stay, did you?” is a grammatical sentence, but that “You didn’t stay, didn’t you?” is unacceptable and ambiguous.

If you learn another language, English syntax will not get you very far. For example, in English an adjective usually precedes a noun (as in blue sky), whereas in Spanish the adjective usually follows the noun (cielo azul). Despite the differences in their syntactic structures, however, syntactic systems in all of the world’s languages have some common ground Page 154(Hoffman, 2017; Koeneman & Zeijstra, 2017). For example, no language we know of permits sentences like the following one:

The mouse the cat the farmer chased killed ate the cheese.

It appears that language users cannot process subjects and objects arranged in too complex a fashion in a sentence.

Semantics  Semantics  refers to the meaning of words and sentences. Every word has a set of semantic features, which are required attributes related to meaning (McKeown & others, 2017). Girl and woman, for example, share many semantic features, but they differ semantically in regard to age.

Words have semantic restrictions on how they can be used in sentences (Taylor, 2017). The sentence The bicycle talked the boy into buying a candy bar is syntactically correct but semantically incorrect. The sentence violates our semantic knowledge that bicycles don’t talk.

Pragmatics A final set of language rules involves  pragmatics , the appropriate use of language in different contexts. Pragmatics covers a lot of territory (Clark, 2017; Fischer, 2017; Wilce, 2017). When you take turns speaking in a discussion or use a question to convey a command (“Why is it so noisy in here? What is this, Grand Central Station?”), you are demonstrating knowledge of pragmatics. You also apply the pragmatics of English when you use polite language in appropriate situations (for example, when talking to your teacher) or tell stories that are interesting, jokes that are funny, and lies that convince. In each of these cases, you are demonstrating that you understand the rules of your culture for adjusting language to suit the context.

At this point, we have discussed five important rule systems involved in language. An overview of these rule systems is presented in Figure 10.

image55 FIGURE 10 THE RULE SYSTEMS OF LANGUAGE

HOW LANGUAGE DEVELOPS

According to an ancient historian, in the thirteenth century the emperor of Germany, Frederick II, had a cruel idea. He wanted to know what language children would speak if no one talked to them. He selected several newborns and threatened their caregivers with death if they ever talked to the infants. Frederick never found out what language the children spoke because they all died. Today, we are still curious about infants’ development of language, although our experiments and observations are, to say the least, far more humane than the evil Frederick’s.

Whatever language they learn, infants all over the world follow a similar path in language development. What are some key milestones in this development?

Recognizing Language Sounds Long before they begin to learn words, infants can make fine distinctions among the sounds of the language. Page 155In Patricia Kuhl’s (1993, 2000, 2007, 2009, 2011, 2015) research, phonemes from languages all over the world are piped through a speaker for infants to hear (see Figure 11). A box with a toy bear in it is placed where the infant can see it. A string of identical syllables is played; then the syllables are changed (for example, ba ba ba ba, and then pa pa pa pa). If the infant turns its head when the syllables change, the box lights up and the bear dances and drums, rewarding the infant for noticing the change.

image56 FIGURE 11 FROM UNIVERSAL LINGUIST TO LANGUAGE-SPECIFIC LISTENER. In Patricia Kuhl’s research laboratory babies listen to tape-recorded voices that repeat syllables. When the sounds of the syllables change, the babies quickly learn to look at the bear. Using this technique, Kuhl has demonstrated that babies are universal linguists until about 6 months of age, but in their next six months they become language-specific listeners. Does Kuhl’s research give support to the view that either “nature” or “nurture” is the source of language acquisition?  Courtesy of Dr. Patricia Kuhl, Institute for Learning and Brain Sciences, University of Washington

Kuhl’s (2007, 2009, 2011, 2015) research has demonstrated that from birth up to about 6 months of age, infants are “citizens of the world”: They recognize when sounds change most of the time, no matter what language the syllables come from. But over the next six months, infants get even better at perceiving the changes in sounds from their “own” language (the one their parents speak) and gradually lose the ability to recognize differences in sounds that are not important in their own language (Kuhl, 2015; Kuhl & Damasio, 2012). Kuhl (2015) has found that a baby’s brain becomes most open to learning the sounds of a native language at 6 months for vowels and at 9 months for consonants.

Also, in the second half of the first year, infants begin to segment the continuous stream of speech they encounter into words (Ota & Skarabela, 2018; Polka & others, 2018). Initially, they likely rely on statistical information such as the co-occurrence patterns of phonemes and syllables, which allows them to extract potential word forms (Aslin, 2017; Lany & others, 2018; Richtsmeier & Goffman, 2017; Saffran & Kirkham, 2018). For example, discovering that the sequence br occurs more often at the beginning of words while nt is more common at the end of words helps infants detect word boundaries. And as infants extract an increasing number of potential word forms from the speech stream they hear, they begin to associate these with concrete, perceptually available objects in their world (Saffran & Kirkham, 2018). For example, infants might detect that the spoken word “monkey” has a reliable statistical regularity of occurring in the visual presence of an observed monkey but not in the presence of other animals, such as bears (Pace & others, 2016). Thus, statistical learning involves extracting information from the world to learn about the environment.

Richard Aslin (2017) recently emphasized that statistical learning—which involves no instruction, reinforcement, or feedback—is a powerful learning mechanism in infant development. In statistical learning, infants soak up statistical regularities in the world merely through exposure to them (Lany & others, 2018; Monroy & others, 2018; Saffran & Kirkham, 2018).

Babbling and Other Vocalizations Long before infants speak recognizable words, they produce a number of vocalizations. The functions of these early vocalizations are to practice making sounds, to communicate, and to attract attention (Lee & others, 2017). Babies’ sounds go through the following sequence during the first year:

· Crying. Babies cry even at birth. Crying can signal distress, but, as we will discuss in the chapter on “Socioemotional Development in Infancy,” different types of cries signal different things.

· Cooing. Babies first coo at about 2 to 4 months Page 156(Menn & Stoel-Gammon, 2009). These are gurgling sounds that are made in the back of the throat and usually express pleasure during interaction with the caregiver.

· Babbling. In the middle of the first year, babies babble—that is, they produce strings of consonant-vowel combinations, such as “ba, ba, ba, ba.” Infants’ babbling influences the behavior of their caregivers, creating social interaction that facilitates their own communicative development (Albert, Schwade, & Goldstein, 2018). In a recent study, babbling onset predicted when infants would say their first words (McGillion & others, 2017a).

Gestures Infants start using gestures, such as showing and pointing, at about 7 to 15 months of age with a mean age of approximately 11 to 12 months. They may wave bye-bye, nod to mean “yes,” show an empty cup to ask for more milk, and point to a dog to draw attention to it. Some early gestures are symbolic, as when an infant smacks her lips to indicate food or drink. Pointing is regarded by language experts as an important index of the social aspects of language, and it follows this developmental sequence: from pointing without checking on adult gaze to pointing while looking back and forth between an object and the adult (Goldin-Meadow, 2017a, b). Lack of pointing is a significant indicator of problems in the infant’s communication system (Brentari & Goldin-Meadow, 2017; Cooperrider & Goldin-Meadow, 2018; Novack & others, 2018). For example, failure to engage in pointing characterizes many autistic children. Use of the pointing gesture becomes more effective in the second year of life alongside advances in other aspects of language communication.

image57Long before infants speak recognizable words, they communicate by producing a number of vocalizations and gestures. At approximately what ages do infants begin to produce different types of vocalizations and gestures?  ©Don Hammond/Design Pics

Why might gestures such as pointing promote further language development? Infants’ gestures advance their language development since caregivers often talk to them about what they are pointing to. Also, babies’ first words often are for things they have previously pointed to.

First Words Infants understand their first words earlier than they speak them (Pace & others, 2016). As early as 5 months of age, infants recognize their name when someone says it. On average, infants understand about 50 words at about 13 months, but they can’t say this many words until about 18 months (Menyuk, Liebergott, & Schultz, 1995). Thus, in infancy receptive vocabulary (words the child understands) considerably exceeds spoken (or expressive) vocabulary (words the child uses).

A child’s first words include those that name important people (dada), familiar animals (kitty), vehicles (car), toys (ball), food (milk), body parts (eye), clothes (hat), household items (clock), and greeting terms (bye). These were the first words of babies 50 years ago, and they are the first words of babies today. Children often express various intentions with their single words, so that “cookie” might mean, “That’s a cookie” or “I want a cookie.” Nouns are easier to learn because the majority of words in this class are more perceptually accessible than words not in this class (Parish-Morris, Golinkoff, & Hirsh-Pasek, 2013). Think how the noun “car” is so much more concrete and imaginable than the verb “goes,” making the word “car” much easier to acquire than the word “goes.”

The infant’s spoken vocabulary rapidly increases after the first word is spoken (Werker & Gervain, 2013). The average 18-month-old can speak about 50 words, but most 2-year-olds can speak about 200 words. This rapid increase in vocabulary that begins at approximately 18 months is called the vocabulary spurt (Bloom, Lifter, & Broughton, 1985).

Like the timing of a child’s first word, the timing of the vocabulary spurt varies (Lieven, 2008). Figure 12 shows the range for these two language milestones in 14 children. On average, these children said their first word at 13 months and had a vocabulary spurt at 19 months. However, the ages for the first spoken word of individual children varied from 10 to 17 months and for their vocabulary spurt from 13 to 25 months. Also, the spurt actually involves the increase in the rate at which words are learned. That is, early on, a few words are learned every few days, then later on, a few words are learned each day, and eventually many words each day.

image58 What characterizes the infant’s early word learning?  ©JGI/Jamie Grill/Blend Images LLCimage59 FIGURE 12 VARIATION IN LANGUAGE MILESTONES. What are some possible explanations for variations in the timing of language milestones?

Does early vocabulary development predict later language development? One study found that infant vocabulary development at 16 to 24 months of age was linked to vocabulary, phonological awareness, reading accuracy, and reading comprehension five years later (Duff & others, 2015).

Cross-linguistic differences occur Page 157in word learning (Waxman & others, 2013). Children learning Mandarin Chinese, Korean, and Japanese acquire more verbs earlier in their development than do children learning English. This cross-linguistic difference reflects the greater use of verbs in the language input to children in these Asian languages. Indeed, the language of Korean children is often described as verb friendly and the language of English as noun friendly (Waxman & others, 2013).

Children sometimes overextend or underextend the meanings of the words they use (Woodward & Markman, 1998). Overextension is the tendency to apply a word to objects that are inappropriate for the word’s meaning by going beyond the set of referents an adult would use. For example, children at first may say “dada” not only for “father” but also for other men, strangers, or boys. Another example of overextension is calling any animal with four legs a “dog.” With time, overextensions decrease and eventually disappear. Underextension is the tendency to apply a word too narrowly; it occurs when children fail to use a word to name a relevant event or object. For example, a child might use the word boy to describe a 5-year-old neighbor but not apply the word to a male infant or to a 9-year-old male.

Two-Word Utterances By the time children are 18 to 24 months of age, they usually speak in two-word utterances. To convey meaning with just two words, the child relies heavily on gesture, tone, and context. The wealth of meaning children can communicate with a two-word utterance includes the following (Slobin, 1972):

· Identification: “See doggie.”

· Location: “Book there.”

· Repetition: “More milk.”

· Negation: “Not wolf.”

· Possession: “My candy.”

· Attribution: “Big car.”

· Agent-action: “Mama walk.”

· Action-direct object: “Hit you.”

· Action-indirect object: “Give Papa.”

· Action-instrument: “Cut knife.”

· Question: “Where ball?”

These are examples from children whose first language is English, German, Russian, Finnish, Turkish, or Samoan.

Notice that the two-word utterances omit many parts of speech and are remarkably succinct. In fact, in every language, a child’s first combinations of words have this economical quality; they are telegraphic.  Telegraphic speech is the use of short and precise words without grammatical markers such as articles, auxiliary verbs, and other connectives. Telegraphic speech is not limited to two words. “Mommy give ice cream” and “Mommy give Tommy ice cream” also are examples of telegraphic speech.

We have discussed a number of language milestones in infancy; Figure 13 summarizes the approximate ages at which infants typically reach these milestones.

image60 FIGURE 13 SOME LANGUAGE MILESTONES IN INFANCY. Despite considerable variations in the language input received by infants, around the world they follow a similar path in learning to speak.image61Around the world, most young children learn to speak in two-word utterances at about 18 to 24 months of age. What are some examples of these two-word utterances?  ©McPhoto/age fotostock

BIOLOGICAL AND ENVIRONMENTAL INFLUENCES

What makes it possible for infants to reach the milestones of language development described in Figure 13? Everyone who uses language in some way “knows” its rules and has the ability to create an infinite number of words and sentences. Where does this knowledge come from? Is it the product of biology? Is language learned and influenced by experiences?

Biological Influences The ability to speak and understand language requires a certain vocal apparatus as well as a nervous system with certain capabilities. The nervous system and vocal apparatus of humanity’s predecessors changed over hundreds of thousands or millions of years. With advances in the nervous system and vocal structures, Homo sapiens went beyond the grunting and shrieking of other animals Page 158to develop speech (Cataldo, Migliano, & Vinicius, 2018). Although estimates vary, many experts believe that humans acquired language about 100,000 years ago, which in evolutionary time represents a very recent acquisition. It gave humans an enormous edge over other animals and increased the chances of human survival (de Boer & Thompson, 2018; Pinker, 2015).

Some language scholars view the remarkable similarities in how children acquire language all over the world as strong evidence that language has a biological basis. There is evidence that particular regions of the brain are predisposed to be used for language (Coulson, 2017; Schutze, 2017). Two regions involved in language were first discovered in studies of brain-damaged individuals: Broca’s area, an area in the left frontal lobe of the brain involved in producing words (Maher, 2018; Zhang & others, 2017), and  Wernicke’s area , a region of the brain’s left hemisphere involved in language comprehension (see Figure 14) (Bruckner & Kammer, 2017; Greenwald, 2018). Damage to either of these areas produces types of  aphasia , which is a loss or impairment of language processing. Individuals with damage to Broca’s area have difficulty producing words correctly; individuals with damage to Wernicke’s area have poor comprehension and often produce fluent but incomprehensible speech.

image62 FIGURE 14 BROCA’S AREA AND WERNICKE’S AREA. Broca’s area is located in the frontal lobe of the brain’s left hemisphere, and it is involved in the control of speech. Wernicke’s area is a portion of the left hemisphere’s temporal lobe that is involved in understanding language. How does the role of these areas of the brain relate to lateralization?

Linguist Noam Chomsky (1957) proposed that humans are biologically prewired to learn language at a certain time and in a certain way. He said that children are born into the world with a  language acquisition device (LAD) ,a biological endowment that enables the child to detect certain features and rules of language, including phonology, syntax, and semantics. Children are equipped by nature with the ability to detect the sounds of language, for example, and to follow rules such as how to form plurals and ask questions.

Chomsky’s LAD is a theoretical construct, not a physical part of the brain. Is there evidence for the existence of a LAD? Supporters of the LAD concept cite the uniformity of language milestones across languages and cultures, evidence that children create language even in the absence of well-formed input, and biological substrates of language. But, as we will see, critics argue that even if infants have something like a LAD, it cannot explain the whole story of language acquisition.

Environmental Influences Our coverage of environmental influences on language development in infancy focuses on the important role of social interaction as well as child-directed speech and caregiver strategies.

The Role of Social Interaction Language is not learned Page 159in a social vacuum. Most children are bathed in language from a very early age, unlike the Wild Boy of Aveyron, who never learned to communicate effectively, having lived in social isolation for years. Thus, social cues play an important role in infant language learning (Ahun & others, 2018; McGillion & others, 2017b).

developmental connection
Language

Much of language is processed in the brain’s left hemisphere. Connect to “Physical Development in Infancy.”

The support and involvement of caregivers and teachers greatly facilitate a child’s language learning (Brown & others, 2018; Clark, 2017; Marchman & others, 2018; Weisleder & others, 2018). In one study, both full-term and preterm infants who heard more caregiver talk based on all-day recordings at 16 months of age had better language skills (receptive and expressive language, language comprehension) at 18 months of age (Adams & others, 2018). And in another study, when mothers immediately smiled and touched their 8-month-old infants after they babbled, the infants subsequently made more complex speech-like sounds than when mothers responded to their infants in a random manner (Goldstein, King, & West, 2003) (see Figure 15).

image63 FIGURE 15 SOCIAL INTERACTION AND BABBLING. One study focused on two groups of mothers and their 8-month-old infants (Goldstein, King, & West, 2003). One group of mothers was instructed to smile and touch their infants immediately after the babies cooed and babbled; the other group was also told to smile and touch their infants but in a random manner, unconnected to sounds the infants made. The infants whose mothers immediately responded in positive ways to their babbling subsequently made more complex, speechlike sounds, such as “da” and “gu.” The research setting for this study, which underscores how important caregivers are in the early development of language, is shown here.  Courtesy of Dr. Michael Goldstein

Michael Tomasello (2006, 2014) stresses that young children are intensely interested in their social world and that early in their development they can understand the intentions of other people. His interaction view of language emphasizes that children learn language in specific contexts. For example, when a toddler and a father are jointly focused on a book, the father might say, “See the birdie.” In this case, even a toddler understands that the father intends to name something and knows to look in the direction of the pointing. Through this kind of joint attention, early in their development children are able to use their social skills to acquire language (Mastin & Vogt, 2016). One study revealed that joint attention at 12 and 18 months predicted language skills at 24 months of age (Mundy & others, 2007). Also, in a study involving joint attention, infants’ eye-gaze behaviors during Spanish tutoring sessions at 9.5 to 10.5 months of age predicted their second-language phonetic learning at 11 months of age, indicating a strong influence of social interaction at the earliest ages of learning a second language (Conboy & others, 2015).

Researchers have also found that the child’s vocabulary development is linked to the family’s socioeconomic status and the type of talk that parents direct to their children. Betty Hart and Todd Risley (1995) observed the language environments of children whose parents were professionals and children whose parents were on welfare (public assistance). Compared with the professional parents, the parents on welfare talked much less to their young children, talked less about past events, and provided less elaboration. As indicated in Figure 16, the children of the professional parents had a much larger vocabulary at 36 months of age than the children of the welfare parents. One study also found that at 18 to 24 months of age, infants in low-SES families already had a smaller vocabulary Page 160and less efficient language processing than their infant counterparts in middle-SES families (Fernald, Marchman, & Weisleder, 2013).

image64 FIGURE 16 LANGUAGE INPUT IN PROFESSIONAL AND WELFARE FAMILIES AND YOUNG CHILDREN’S VOCABULARY DEVELOPMENT. (a) In this study (Hart & Rísley, 1995), parents from professional families talked with their young children more than parents from welfare families. (b) All of the children learned to talk, but children from professional families developed vocabularies that were twice as large as those of children from welfare families. Thus, by the time children go to preschool, they already have experienced considerable differences in language input in their families and developed different levels of vocabulary that are linked to their socioeconomic context. Does this study indicate that poverty caused deficiencies in vocabulary development?

Other research has linked how much mothers speak to their infants with the size of the infants’ vocabularies. For example, in one study by Janellen Huttenlocher and her colleagues (1991), infants whose mothers spoke more often to them had markedly higher vocabularies. By the second birthday, vocabulary differences were substantial. A study of low-SES Spanish-speaking families found that infants who experienced more child-directed speech were better at processing familiar words in real time and had larger vocabularies at 2 years of age (Weisleder & Fernald, 2013).

image65A father using child-directed speech on the island of Tanna in the South Pacific Ocean.  ©Nick Perry/AP Images

However, a study of 1- to 3-year-old children living in low-income families found that the sheer amount of maternal talk was not the best predictor of a child’s vocabulary growth (Pan & others, 2005). Rather, it was maternal language and literacy skills and mothers’ diversity of vocabulary use that best predicted children’s vocabulary development. For example, when mothers used a more diverse vocabulary when talking with their children, their children’s vocabulary benefited, but their children’s vocabulary was not related to the total amount of their talkativeness with their children. Also, mothers who frequently used pointing gestures had children with a greater vocabulary. Pointing usually occurs in concert with speech, and it may enhance the meaning of mothers’ verbal input to their children. These research studies and others (NICHD Early Child Care Research Network, 2005; Perkins, Finegood, & Swain, 2013) demonstrate the important effect that early speech input and poverty can have on the development of a child’s language skills.

Given that social interaction is critical for infants to learn language effectively, might they also be able to learn language effectively through television and videos? Researchers have found that infants and young children cannot effectively learn language (phonology or words) from television or videos (Kuhl, 2007; Roseberry & others, 2009; Zosh & others, 2017). A study of toddlers found that frequent viewing of television increased the risk of delayed language development (Lin & others, 2015). Thus, just hearing language is not enough even when infants seemingly are fully engaged in the experience. However, one study revealed that Skype provides some improvement in child language learning over videos and TV (Roseberry, Hirsh-Pasek, & Golinkoff, 2014), and older children can use information provided from television in their language development.

Also, recently the American Academy of Pediatrics (AAP) (2016) concluded that for infants from 15 months to 2 years of age, evidence indicates that if parents co-watch educational videos with their infant and communicate with the infant about the information being watched, this shared activity can benefit the infant’s development. These findings suggest that when parents treat an educational video or app like a picture book infants can benefit from it. However, the AAP still recommends that children under 18 months of age not watch videos alone.

Child-Directed Speech and Other Caregiver Strategies One intriguing component of the young child’s linguistic environment is  child-directed speech  (also referred to as “parentese”), which is language spoken with a higher-than-normal pitch, slower tempo, and exaggerated intonation, with simple words and sentences (Broesch & Bryant, 2018; Hayashi & Mazuka, 2017; Sulpizio & others, 2018). It is hard to use child-directed speech when not in the presence of a baby, but parents shift into it when they start talking to a baby. Much of this is automatic and something most parents are not aware they are doing. Child-directed speech serves the important functions of capturing the infant’s attention, maintaining communication and social interaction between infants and caregivers, and providing infants with information about their native language by heightening differences between speech directed to children and adults (Golinkoff & others, 2015). Even 4-year-olds speak in simpler ways to 2-year-olds than to their 4-year-old friends. In recent research, child-directed speech in a one-to-one social context at 11 to 14 months of age was related to productive vocabulary at 2 years of age for Spanish-English bilingual infants across languages and in each individual language (Ramirez-Esparza, Garcia-Sierra, & Kuhl, 2017). Most research on child-directed speech has involved mothers, but a recent study in several North American urban areas and a small society on the island of Tanna in the South Pacific Ocean found that fathers in both types of contexts engaged in child-directed speech with their infants (Broesch & Bryant, 2018).

Adults often use strategies other than child-directed speech to enhance the child’s acquisition of language, including recasting, expanding, and labeling:

· Recasting is rephrasing something the child has said that might lack the appropriate morphology or contain some other error. The adult restates the child’s immature utterance in the form of a fully grammatical sentence. For example, if a 2-year-old says, “dog bark,” the adult can respond by saying, “Oh, you heard the dog barking!” The adult sentence provides an Page 161acknowledgement that the child was heard and then adds the morphology (/ing/) and the article (the) that the child’s utterance lacked.

· Expanding is adding information to a child’s incomplete utterance. For example, a child says, “Doggie eat,” and the parent replies, “Yes, the dog is eating his food out of his special dish.”

· Labeling is naming objects that children seem interested in. Young children are forever being asked to identify the names of objects. Roger Brown (1968) called this “the original word game.” Children want more than the names of objects, though; they often want information about the object too.

Parents use these strategies naturally and in meaningful conversations. Parents do not need to use a particular method to teach their children to talk, even for children who are slow in learning language. Children usually benefit when parents follow the child’s lead, talking about things the child is interested in at the moment, and when parents provide information that children can process. If children are not ready to take in some information, they are likely to let you know (perhaps by turning away). Thus, giving the child more information is not always better.

image66 What characterizes shared reading in the lives of infants, toddlers, and young children?  ©Elyse Lewin/Getty Images

Remember that encouragement of language development during parents’ interaction with their children, not drill and practice, is the key. Language development is not a simple matter of imitation and reinforcement.

Infants, toddlers, and young children benefit when adults read books to and with them (shared reading) (Brown & others, 2018; Marjanovic-Umek, Fekonja-Peklaj, & Socan, 2017; Sinclair & others, 2018; Wesseling, Christmann, & Lachmann, 2017). Storybook reading especially benefits children when parents extend the meaning of the text by discussing it with children and encouraging them to ask and answer questions (Harris, Golinkoff, & Hirsh-Pasek, 2011). In one study, a majority of U.S. mothers in low-income families reported that they were reading to their infants and toddlers with some regularity (Raikes & others, 2006). In this study, non-Latino White, more highly educated mothers who were parenting a first-born child were more likely to read books to their infants and toddlers than were African American and Latino mothers who were parenting later-born children. Reading daily to children at 14 to 24 months of age was positively related to the children’s language and cognitive development at 36 months of age. And in one study, Japanese mothers who used more elaborative information-seeking responses during joint picture-book reading at 20 months had children with a better productive vocabulary at 27 months (Murase, 2014). To read further about ways that parents can facilitate children’s language development, see  Connecting Development to Life .

AN INTERACTIONIST VIEW

If language acquisition depended only on biology, then the Wild Boy of Aveyron and Genie (discussed earlier in the chapter) should have talked without difficulty. A child’s experiences influence language acquisition. But we have seen that language does have strong biological foundations. No matter how much you converse with a dog, it won’t learn to talk. In contrast, children are biologically prepared to learn language. Children all over the world acquire language milestones at about the same time and in about the same order. However, there are cultural variations in the type of support given to children’s language development. For example, caregivers in the Kaluli culture prompt young children to use a loud voice, to call out particular morphemes that direct the speech act the child is performing, and to refer to names, kinship relations, and places where there has been a shared past experience that indicates a closeness to the person being addressed (Ochs & Schieffelin, 2008; Schieffelin, 2005).

Environmental influences are also very important in developing competence in language (Ahun & others, 2018; Clark, 2017; Marchman & others, 2017; Pickard & others, 2018). Children whose parents provide them with a rich verbal environment show many positive benefits (Vallotton & others, 2017; Weisleder & others, 2018). Parents who pay attention to what their children are trying to say, expand their children’s utterances, read to them, and label things in the environment, are providing valuable benefits for them (Capone Singleton, 2018; Yazejian & others, 2017).

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connecting development to life

How Parents Can Facilitate Infants’ and Toddlers’ Language Development

Linguist Naomi Baron (1992) in Growing Up with Language, developmental psychologists Roberta Golinkoff and Kathy Hirsh-Pasek (2000) in How Babies Talk, and more recently Ellen Galinsky (2010) in Mind in the Making have provided ideas to help parents facilitate their infants’ and toddlers’ language development. Following is a summary of their suggestions:

· Be an active conversational partner. Talk to your baby from the time it is born. Initiate conversation with the baby. If the baby is in an all-day child-care program, ensure that the baby receives adequate language stimulation from adults.

· Narrate your daily activities to the baby as you do them. For example, talk about how you will put the baby in a high chair for lunch and ask what she would like to eat, and so on.

· Talk in a slowed-down pace and don’t worry about how you sound to other adults when you talk to your baby. Talking in a slowed-down pace will help your baby detect words in the sea of sounds they experience. Babies enjoy and attend to the high-pitched sound of child-directed speech.

· Use parent-look and parent-gesture, and name what you are looking at. When you want your child to pay attention to something, look at it and point to it. Then name it—for example, you might say, “Look, Alex, there’s an airplane.”

· When you talk with infants and toddlers, be simple, concrete, and repetitive. Don’t try to talk to them in abstract, high-level ways and think you have to say something new or different all of the time. Using familiar words often will help them remember the words.

· Play games. Use word games like peek-a-boo and pat-a-cake to help infants learn words.

· Remember to listen. Since toddlers’ speech is often slow and laborious, parents are often tempted to supply words and thoughts for them. Be patient and let toddlers express themselves, no matter how painstaking the process is or how great a hurry you are in.

· Expand and elaborate language abilities and horizons with infants and toddlers. Ask questions that encourage answers other than “yes” or “no.” Actively repeat, expand, and recast the utterances. Your toddler might say, “Dada.” You could follow with, “Where’s Dada?” and then you might continue, “Let’s go find him.”

· Adjust to your child’s idiosyncrasies instead of working against them. Many toddlers have difficulty pronouncing words and making themselves understood. Whenever possible, make toddlers feel that they are being understood.

· Resist making normative comparisons. Be aware of the ages at which your child reaches specific milestones (such as the first word, first 50 words), but do not measure this development rigidly against that of other children. Such comparisons can bring about unnecessary anxiety.

image67It is a good idea for parents to begin talking to their babies at the start. The best language teaching occurs when the talking begins before the infant becomes capable of intelligible speech. What are some other guidelines for parents to follow in helping their infants and toddlers develop their language skills?  ©John Carter/Science Source

The first suggestion above to parents of infants is to “be an active conversational partner.” What did you learn earlier in the chapter about the amount of conversation mothers have with their infants? Does the amount of conversation or the mother’s literacy skills and vocabulary diversity have more of a positive effect on infants’ vocabulary?

An interactionist view emphasizes that both biology and experience contribute to language development (Adams & others, 2017; McGillion & others, 2017b; Raymer & Gonzalez Rothi, 2018; Suskind & others, 2018). How much of language acquisition is biologically determined and how much depends on interaction with others is a subject of debate among linguists and psychologists. However, all agree that both biological capacity and relevant experience are necessary (Green & others, 2017; Novack & others, 2018; Peterson & others, 2017; Pickard & others, 2018; Schwab & others, 2018; Warren & others, 2017).

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Review Connect Reflect

LG3 Describe the nature of language and how it develops in infancy.

Review

· What is language?

· What are language’s rule systems?

· How does language develop in infancy?

· What are some biological and environmental influences on language?

· To what extent do biological and environmental influences interact to produce language development?

Connect

· The more years children spend living in poverty, the more their physiological indices of stress are elevated. In this chapter, you learned about the effects of SES on children’s language acquisition and vocabulary building. How might these effects influence children’s school performance?

Reflect Your Own Personal Journey of Life

· Would it be a good idea for you as a parent to hold large flash cards of words in front of your baby for several hours each day to help the baby learn language and to raise the baby’s intelligence? Why or why not? What do you think Piaget would say about this activity?

topical connections looking forward

Advances in infants’ cognitive development are linked to their socioemotional development. In subsequent chapters, you will learn about the infant’s developing social orientation and understanding, which involve perceiving people as engaging in intentional and goal-directed behavior, joint attention, and cooperation. You will read about two major theorists—Piaget and Vygotsky—and compare their views of how young children’s thinking advances. You will see how young children become more capable of sustaining their attention; learn about the astonishing rate at which preschool children’s vocabulary expands; and explore variations in early childhood education.

reach your learning goals
Cognitive Development in Infancy
1 Piaget’s Theory of Infant Development

Cognitive Processes

The Sensorimotor Stage

Evaluating Piaget’s Sensorimotor Stage

LG1 Summarize and evaluate Piaget’s theory of infant development.

· In Piaget’s theory, children actively construct their own cognitive worlds, building mental structures to adapt to their world. Schemes are actions or mental representations that organize knowledge. Behavioral schemes (physical activities) characterize infancy, whereas mental schemes (cognitive activities) develop in childhood. Assimilation occurs when children use their existing schemes to deal with new information; accommodation refers to children’s adjustment of their schemes in the face of new information. Through organization, children group isolated behaviors into a higher-order, more smoothly functioning cognitive system.

· Equilibration is a mechanism Piaget proposed to explain how children shift from one cognitive stage to the next. As children experience cognitive conflict in trying to understand the world, they use assimilation and accommodation to attain equilibrium. The result is a new stage of thought.

· According to Piaget, there are four qualitatively different stages of thought. The first of these, the sensorimotor stage, is described in this chapter. The other three stages are discussed in subsequent chapters.

· In sensorimotor thought, the Page 164first of Piaget’s four stages, the infant organizes and coordinates sensations with physical movements. The stage lasts from birth to about 2 years of age.

· Sensorimotor thought has six substages: simple reflexes; first habits and primary circular reactions; secondary circular reactions; coordination of secondary circular reactions; tertiary circular reactions, novelty, and curiosity; and internalization of schemes. One key accomplishment of this stage is object permanence, the ability to understand that objects continue to exist even when the infant is no longer observing them. Another aspect involves infants’ understanding of cause and effect.

· Piaget opened up a whole new way of looking at infant development in terms of coordinating sensory input with motoric actions. In recent decades, revisions of Piaget’s view have been proposed based on research. For example, researchers have found that a stable and differentiated perceptual world is established earlier than Piaget envisioned, and infants begin to develop concepts earlier as well.

· The nature-nurture issue in regard to infant cognitive development continues to be debated. Spelke endorses a core knowledge approach which states that infants are born with domain-specific innate knowledge systems. Critics argue that Spelke has not given adequate attention to early experiences that infants have.

2 Learning, Attention, Remembering, and Conceptualizing

LG2 Describe how infants learn, focus attention, remember, and conceptualize.

Conditioning

Imitation

Memory

Attention

Concept Formation  and Categorization

· Operant conditioning techniques have been especially useful to researchers in demonstrating infants’ perception and retention of information about perceptual-motor actions.

· Attention is the focusing of mental resources on select information, and in infancy attention is closely linked with habituation. In the first year, much of attention is of the orienting/investigative type, but sustained attention also becomes important.

· Habituation is the repeated presentation of the same stimulus, causing reduced attention to the stimulus. If a different stimulus is presented and the infant pays increased attention to it, dishabituation is occurring.

· Joint attention plays an important role in infant development, especially in the infant’s acquisition of language.

· Memory is the retention of information over time. Infants as young as 2 to 6 months of age can retain information about perceptual-motor actions. However, many experts argue that what we commonly think of as memory (consciously remembering the past) does not occur until the second half of the first year of life. By the end of the second year, long-term memory is more substantial and reliable.

· The hippocampus and frontal lobes of the brain are involved in development of explicit memory in infancy. The phenomenon of not being able to remember events that occurred before the age of 3—known as infantile or childhood amnesia—may be due to the immaturity of the prefrontal lobes of the brain at that age.

· Meltzoff has shown that newborns can match their behaviors (such as protruding their tongue) to those of a model. His research also shows that deferred imitation occurs as early as 9 months of age.

· Mandler argues that it is not until about 7 to 9 months of age that infants form conceptual categories, although we do not know precisely when concept formation begins. Infants’ first concepts are broad. Over the first two years of life, these broad concepts gradually become more differentiated.

3 Language Development

LG3 Describe the nature of language and how it develops  in infancy.

Defining Language

Language’s Rule Systems

How Language Develops

An Interactionist View

Biological and Environmental Influences

· Language is a form of communication, whether spontaneous, written, or signed, that is based on a system of symbols. Language consists of the words used by a community and the rules for varying and combining them. Language is characterized by infinite generativity.

· Phonology is the sound system Page 165of a language, including the sounds that are used and how they may be combined. Morphology refers to the units of meaning involved in word formation. Syntax is the way words are combined to form acceptable phrases and sentences. Semantics involves the meaning of words and sentences. Pragmatics is the appropriate use of language in different contexts.

· Among the milestones in infant language development are crying (birth), cooing (1 to 2 months), babbling (6 months), making the transition from universal linguist to language-specific listener (6 to 12 months), using gestures (8 to 12 months), comprehending words (8 to 12 months), speaking one’s first word (13 months), undergoing a vocabulary spurt (19 months), rapidly expanding one’s understanding of words (18 to 24 months), and producing two-word utterances (18 to 24 months).

· In evolution, language clearly gave humans an enormous advantage over other animals and increased their chances of survival. Broca’s area and Wernicke’s area are important locations for language processing in the brain’s left hemisphere.

· Chomsky argues that children are born with the ability to detect basic features and rules of language. In other words, they are biologically equipped to learn language with a prewired language acquisition device (LAD). Adults help children acquire language by engaging in child-directed speech, recasting, expanding, and labeling.

· Environmental influences are demonstrated by differences in the language development of children as a consequence of being exposed to different language environments in the home. Parents should talk extensively with an infant, especially about what the baby is attending to.

· Today, most language researchers believe that children everywhere arrive in the world with special social and linguistic capacities that make language acquisition not just likely but inevitable for virtually all children. How much of the language is biologically determined, and how much depends on interaction with others, is a subject of debate among linguists and psychologists. However, all agree that both biological capacity and relevant experience are necessary.

key terms

accommodation

A-not-B error

aphasia

assimilation

attention

Broca’s area

child-directed speech

concepts

coordination of secondary circular reactions

core knowledge approach

deferred imitation

developmental quotient (DQ)

equilibration

explicit memory

first habits and primary circular reactions

implicit memory

infinite generativity

internalization of schemes

joint attention

language

language acquisition device (LAD)

memory

morphology

object permanence

organization

phonology

pragmatics

primary circular reaction

schemes

secondary circular reactions

semantics

sensorimotor stage

simple reflexes

syntax

telegraphic speech

tertiary circular reactions, novelty, and curiosity

Wernicke’s area

key people

Renee Baillargeon

Naomi Baron

Patricia Bauer

Roger Brown

Noam Chomsky

Ellen Galinsky

Eleanor Gibson

Roberta Golinkoff

Betty Hart

Kathy Hirsh-Pasek

Janellen Huttenlocher

Patricia Kuhl

Jean Mandler

Andrew Meltzoff

Jean Piaget

Todd Risley

Carolyn Rovee-Collier

Elizabeth Spelke

Michael Tomasello

chapter 6
SOCIOEMOTIONAL DEVELOPMENT IN INFANCY
chapter outline

1 Emotional and Personality Development

Learning Goal 1 Discuss the development of emotions and personality in infancy.

Emotional Development

Temperament

Personality Development

2 Social Orientation/Understanding and Attachment

Learning Goal 2 Describe social orientation/understanding and the development of attachment in infancy.

Social Orientation/Understanding

Attachment and Its Development

Individual Differences in Attachment

Caregiving Styles and Attachment

Developmental Social Neuroscience and Attachment

3 Social Contexts

Learning Goal 3 Explain how social contexts influence the infant’s development.

The Family

Child Care

image68 ©Vanessa Gavalya/Getty Images

An increasing number of fathers Page 167are staying home to care for their children (Bartel & others, 2018; Dette-Hagenmeyer, Erzinger, & Reichle, 2016). And researchers are finding improved outcomes when fathers are positively engaged with their infants (Alexander & others, 2017; Sethna & others, 2018). Consider 17-month-old Darius. On weekdays, Darius’ father, a writer, cares for him during the day while his mother works full-time as a landscape architect. Darius’ father is doing a great job of caring for him. He keeps Darius nearby while he is writing and spends lots of time talking to him and playing with him. From their interactions, it is clear that they genuinely enjoy each other.

Last month, Darius began spending one day a week at a child-care center. His parents carefully selected the center after observing a number of centers and interviewing teachers and center directors. His parents placed him in the center one day a week because they wanted to help Darius get some experience with peers and to give his father some time out from his caregiving.

Darius’ father looks to the future and imagines the Little League games Darius will play in and the many other activities he can enjoy with Darius. Remembering how little time his own father spent with him, he is dedicated to making sure that Darius has an involved, nurturing experience with his father.

image69Many fathers are spending more time with their infants today than in the past.  ©Rick Gomez/Corbis/Getty Images

When Darius’ mother comes home in the evenings, she spends considerable time with him. Darius has a secure attachment with both his mother and his father.

topical connections looking back

Until now, we have only discussed the social situations and emotions of parents before and after the arrival of their infants, focusing on such topics as parents’ feelings of joy, anticipation, anxiety, and stress during pregnancy; how a mother’s optimism may lead to better outcomes for her fetus; and parents’ emotional and psychological adjustments during the postpartum period. In this chapter, we will explore the infant’s socioemotional development.

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You have read about how the infant perceives, learns, and remembers. Infants also are socioemotional beings, capable of displaying emotions and initiating social interaction with people close to them. The main topics that we will explore in this chapter are emotional and personality development, social understanding and attachment, and the social contexts of the family and child care.

1 Emotional and Personality Development

LG1 Discuss the development of emotions and personality in infancy.

Emotional Development

Temperament

Personality Development

Anyone who has been around infants for even a brief time detects that they are emotional beings. Not only do infants express emotions, but they also vary in their temperaments. Some are shy and others are outgoing. Some are active and others much less so. In this section, we will explore these and other aspects of emotional and personality development in infants.

Blossoms are scattered by the wind And the wind cares nothing, but The blossoms of the heart No wind can touch.

—Yoshida Kenko

Buddhist Monk, 14th Century

EMOTIONAL DEVELOPMENT

Imagine your life without emotion. Emotion is the color and music of life, as well as the tie that binds people together. How do psychologists define and classify emotions, and why are they important to development? How do emotions develop during the first two years of life?

What Are Emotions? For our purposes, we will define  emotion  as feeling, or affect, that occurs when a person is in a state or an interaction that is important to him or her, especially to his or her well-being. Especially in infancy, emotions play important roles in (1) communication with others, and (2) behavioral organization (Ekas, Braungart-Rieker, & Messinger, 2018; Perry & Calkins, 2018). Through emotions, infants communicate important aspects of their lives such as joy, sadness, interest, and fear (Taylor & Workman, 2018). In terms of behavioral organization, emotions influence infants’ social responses and adaptive behavior as they interact with others in their world (Cole, 2016; Cole & Hollenstein, 2018).

Psychologists classify the broad range of emotions in many ways, but almost all classifications designate an emotion as either positive or negative (Parsons & others, 2017; Planalp & others, 2017). Positive emotions include enthusiasm, joy, and love. Negative emotions include anxiety, anger, guilt, and sadness.

Biological, Cognitive, and Environmental Influences Emotions are influenced by biological foundations, cognitive processes, and a person’s experiences (Foroughe, 2018; Perry & Calkins, 2018). Biology’s importance to emotion is apparent in the changes in a baby’s emotional capacities (Thompson & Goodvin, 2016). Certain regions of the brain that develop early in life (such as the brain stem, hippocampus, and amygdala) play a role in distress, excitement, and rage, and even infants display these emotions (van den Boomen, Munsters, & Kenner 2018; Tottenham, 2017). But, as we discuss later in the chapter, infants only gradually develop the ability to regulate their emotions, and this ability seems tied to the gradual maturation of the frontal regions of the cerebral cortex that can exert control over other areas of the brain (Bell, Broomell, & Patton, 2018; Bell & others, 2018).

image70 How do biological, cognitive, and environmental factors influence the infant’s emotional development?  ©Lawren/Getty Images

Cognitive processes, both in immediate “in the moment” contexts, and across childhood development, influence infants’ and children’s emotional development (Bell, Diaz, & Liu, 2018; Jiang & others, 2017). Attention toward or away from an experience can influence infants’ and children’s emotional responses. For example, children who can distract themselves from a stressful encounter show a lower level of negative affect in the context and less anxiety over time (Crockenberg & Leerkes, 2006). Also, as children become older, they develop cognitive strategies for controlling their emotions and become more adept at modulating their emotional arousal (Bell, Diaz, & Liu, 2018; Kaunhoven & Dorjee, 2017).

Biological evolution has endowed Page 169human beings to be emotional, but embeddedness in relationships and culture with others provides diversity in emotional experiences (Bedford & others, 2017; Ostlund & others, 2017; Perry & Calkins, 2018). Emotional development and coping with stress are influenced by whether caregivers have maltreated or neglected children and whether children’s caregivers are depressed or not (Almy & Cicchetti, 2018; Cicchetti, 2017). When infants become stressed, they show better biological recovery from the stressors when their caregivers engage in sensitive caregiving with them (Granat & others, 2017; Sullivan & Wilson, 2018).

Social relationships provide the setting for the development of a rich variety of emotions (Cole, Lougheed, & Ram, 2018; Morris & others, 2018; Thompson, 2016). When toddlers hear their parents quarreling, they often react with distress and inhibit their play. Well-functioning families make each other laugh and may develop a light mood to defuse conflicts.

Cultural differences occur in emotional experiences (Cole, 2016; Qu & Telzer, 2017). For example, researchers have found that East Asian infants display less frequent and less intense positive and negative emotions than non-Latino White infants (Cole & Tan, 2015). Further, Japanese parents try to prevent their children from experiencing negative emotions, whereas non-Latino White mothers are more likely to respond after their children become distressed and then help them cope (Cole & Tan, 2015).

Early Emotions A leading expert on infant emotional development, Michael Lewis (2007, 2008, 2010, 2015, 2016) distinguishes between primary emotions and self-conscious emotions.  Primary emotions  are present in humans and other animals; these emotions appear in the first 6 months of the human infant’s development. Primary emotions include surprise, interest, joy, anger, sadness, fear, and disgust (see Figure 1 for infants’ facial expressions of some of these early emotions). In Lewis’ classification,  self-conscious emotions  require self-awareness that involves consciousness and a sense of “me.” Self-conscious emotions include jealousy, empathy, embarrassment, pride, shame, and guilt, most of these occurring for the first time at some point in the second half of the first year through the second year. Some experts on emotion call self-conscious emotions such as embarrassment, shame, guilt, and pride other-conscious emotions because they involve the emotional reactions of others when they are generated (Saarni & others, 2006). For example, approval from parents is linked to toddlers’ beginning to show pride when they successfully complete a task.

image71 FIGURE 1 EXPRESSION OF DIFFERENT EMOTIONS IN INFANTS  (Top left) ©Kozak_O_O/Shutterstock (top right); ©McGraw Hill Companies/Jill Braaten, Photographer; (bottom left) ©Stanislav Photographer/Shutterstock; (bottom right) ©Stockbyte/Getty Images

Researchers such as Joseph Campos (2005) and Michael Lewis (2016) debate how early in the infant and toddler years the emotions that we have described first appear and in what sequence. As an indication of the controversy regarding when certain emotions first are displayed by infants, consider jealousy. Some researchers argue that jealousy does not emerge until approximately 15 to 18 months of age (Lewis, 2016), whereas others assert that it is displayed much earlier at about 9 months (Hart, 2018).

Consider the results of two research studies. In the first one, 9-month-old infants engaged in more approach-style, jealousy-related behaviors when their mothers gave attention to a social rival (a lifelike doll) than to a non-social rival (a book) (Mize & others, 2014). Further, in this study, the infants showed EEG activity during the social-rival condition that is associated with jealousy. In a second study, 6-month-old infants observed their mothers in situations similar to the first study: either giving attention to a lifelike baby doll (hugging or gently rocking it, for example) or to a book (Hart & Carrington, 2002). When mothers directed their attention to the doll, the infants were more likely to display negative emotions, such as anger and sadness, which may have indicated their jealousy (see Figure 2). On the other hand, their expressions of anger and sadness may have reflected frustration in not being able to have the novel doll to play with.

image72 FIGURE 2 IS THIS THE EARLY EXPRESSION OF JEALOUSY? In the study by Hart and Carrington (2002), the researchers concluded that the 6-month-old infants who observed their mothers giving attention to a baby doll displayed negative emotions—such as anger and sadness—which may indicate the early appearance of jealousy. However, experts on emotional development, such as Michael Lewis (2007) and Jerome Kagan (2010), argue that it is unlikely emotions such as jealousy appear in the first year. Why do they conclude that it is unlikely jealousy occurs in the first year?  ©Kenny Braun/Braun Photography

Debate about the onset of an Page 170emotion such as jealousy illustrates the complexity and difficulty of indexing early emotions. That said, some experts on infant socioemotional development, such as Jerome Kagan (2010), conclude that the structural immaturity of the infant brain makes it unlikely that emotions which require thought—such as guilt, pride, despair, shame, empathy, and jealousy—can be experienced during the first year. Nonetheless, some leading researchers have argued that research now indicates empathy can be expressed before the infant’s first birthday (Davidov & others, 2013).

Emotional Expression and Social Relationships Emotional expressions are involved in infants’ first relationships. The ability of infants to communicate emotions permits coordinated interactions with their caregivers and the beginning of an emotional bond between them (Perry & Calkins, 2018; Thompson, 2015, 2016). Not only do parents change their emotional expressions in response to infants’ emotional expressions, but infants also modify their emotional expressions in response to their parents’ emotional expressions (Frick & others, 2018; Johnson, 2018). In other words, these interactions are mutually regulated. Because of this coordination, the interactions are described as reciprocal, or synchronous, when all is going well. Sensitive, responsive parents help their infants grow emotionally, whether the infants respond in distressed or happy ways (Bedford & others, 2017). A recent observational study of mother-infant interaction found that maternal sensitivity was linked to a lower level of infant fear (Gartstein, Hancock, & Iverson, 2017). Another study revealed that parents’ elicitation of talk about emotion with toddlers was associated with the toddlers’ sharing and helping (Brownell & others, 2013).

image73 What are some different types of cries?  ©Andy Cox/The Image Bank/Getty Images

One study documented that babies pick up on their mothers’ stress (Waters, West, & Mendes, 2014). In this study, mothers were separated from their babies and asked to give a 5-minute speech, on which half of the mothers received a positive evaluation, the other half a negative evaluation. Mothers who received negative feedback reported an increase in negative emotion and cardiac stress, while those who were given positive feedback reported an increase in positive emotion. The babies quickly detected and responded to their mothers’ stress, as reflected in an increased heart rate when reunited with them. And the greater the mother’s stress response, the more her baby’s heart rate increased.

Cries and smiles are two emotional expressions that infants display when interacting with parents. These are babies’ first forms of emotional communication.

Crying Crying is the most important mechanism newborns have for communicating with their world. The first cry verifies that the baby’s lungs have filled with air. Cries also may provide information about the health of the newborn’s central nervous system. A recent study found that excessive infant crying in 3-month-olds doubled the risk of behavioral, hyperactive, and mood problems at 5 to 6 years of age (Smarius & others, 2017).

Babies have at least three types of cries:

· Basic cry . A rhythmic pattern that usually consists of a cry, followed by a briefer silence, then a shorter whistle that is somewhat higher in pitch than the main cry, then another brief rest before the next cry. Some infancy experts believe that hunger is one of the conditions that incites the basic cry.

· Anger cry . A variation of the basic cry in which more excess air is forced through the vocal cords.

· Pain cry . A sudden long, initial loud cry followed by breath holding; no preliminary moaning is present. The pain cry is stimulated by a high-intensity stimulus.

Most adults can determine whether an infant’s cries signify anger or pain (Zeskind, Klein, & Marshall, 1992). Parents can distinguish the cries of their own baby better than those of another baby.

Smiling Smiling is a key social signal and a very important aspect of positive social interaction in developing a new social skill (Martin & Messinger, 2018). Researchers have found that smiling and laughter at 7 months of age are associated with self-regulation at 7 years of age (Posner & others, 2014). The power of the infant’s smiles was appropriately captured by British theorist John Bowlby (1969): “Can we doubt that the more and better Page 171an infant smiles the better he is loved and cared for? It is fortunate for their survival that babies are so designed by nature that they beguile and enslave mothers.” Two types of smiling can be distinguished in infants:

· Reflexive smile . A smile that does not occur in response to external stimuli and appears during the first month after birth, usually during sleep.

· Social smile . A smile that occurs in response to an external stimulus, typically a face in the case of the young infant. Social smiling occurs as early as 2 months of age.

The infant’s social smile can have a powerful impact on caregivers (Martin & Messinger, 2018). Following weeks of seemingly endless demands, fatigue, and little reinforcement, an infant starts smiling at them and all of the caregivers’ efforts are rewarded. One study found that higher maternal effortful control and positive emotionality predicted more initial infant smiling and laughter, while a higher level of parenting stress predicted a lower trajectory of infant smiling and laughter (Bridgett & others, 2013).

He who binds himself to joy Does the winged life destroy; But he who kisses the joy as it flies Lives in eternity’s sun rise.

—William Blake

English Poet, 19th Century

Fear One of a baby’s earliest emotions is fear, which typically first appears at about 6 months of age and peaks at about 18 months. However, abused and neglected infants can show fear as early as 3 months (Witherington & others, 2010). Researchers have found that infant fear is linked to guilt, empathy, and low aggression at 6 to 7 years of age (Rothbart, 2007).

The most frequent expression of an infant’s fear involves  stranger anxiety , in which an infant shows a fear and wariness of strangers (Van Hulle & others, 2017). Stranger anxiety usually emerges gradually. It first appears at about 6 months of age in the form of wary reactions. By age 9 months, the fear of strangers is often more intense, reaching a peak toward the end of the first year of life and then decreasing thereafter (Scher & Harel, 2008).

Not all infants show distress when they encounter a stranger. Besides individual variations, whether an infant shows stranger anxiety also depends on the social context and the characteristics of the stranger.

Infants show less stranger anxiety when they are in familiar settings. For example, in one study 10-month-olds showed little stranger anxiety when they met a stranger in their own home but much greater fear when they encountered a stranger in a research laboratory (Sroufe, Waters, & Matas, 1974). Thus, it appears that when infants feel secure, they are less likely to show stranger anxiety.

Who the stranger is and how the stranger behaves also influence stranger anxiety in infants. Infants are less fearful of child strangers than adult strangers. They also are less fearful of friendly, outgoing, smiling strangers than of passive, unsmiling strangers (Bretherton, Stolberg, & Kreye, 1981).

In addition to stranger anxiety, infants experience fear of being separated from their caregivers. The result is  separation protest —crying when the caregiver leaves. Separation protest is initially displayed by infants at approximately 7 to 8 months and peaks at about 15 months among U.S. infants (Kagan, 2008). In fact, one study found that separation protest peaked at about 13 to 15 months in four different cultures (Kagan, Kearsley, & Zelazo, 1978). Although the percentage of infants who engaged in separation protest varied across cultures, the infants reached a peak of protest at about the same age—just before the middle of the second year of life.

Emotion Regulation and Coping During the first year of life, the infant gradually develops an ability to inhibit, or minimize, the intensity and duration of emotional reactions (Calkins & Perry, 2016; Ekas, Braungart-Rieker, & Messinger, 2018). From early in infancy, babies put their thumbs in their mouths to soothe themselves. But at first, infants mainly depend on caregivers to help them soothe their emotions, as when a caregiver rocks an infant to sleep, sings lullabyes to the infant, gently strokes the infant, and so on. In a recent study, researchers found that young infants with a negative temperament used fewer attention regulation strategies, and maternal sensitivity to infants was linked to more adaptive emotion regulation (Thomas & others, 2017).

Later in infancy, when they become aroused, infants sometimes redirect their attention or distract themselves in order to reduce their arousal. By 2 years of age, toddlers can use language to define their feeling states and the context that is upsetting them. A toddler might say, “Doggy scary.” This type of communication may help caregivers to assist the child in regulating emotion.

Contexts can influence emotion regulation (Groh & others, 2018; Morris & others, 2018; Thompson & Goodvin, 2016). Infants are often affected by fatigue, hunger, time of day, which people are around them, and where Page 172they are. Infants must learn to adapt to different contexts that require emotion regulation. Further, new demands appear as the infant becomes older and parents modify their expectations. For example, a parent may take it in stride if a 6-month-old infant screams in a restaurant but may react very differently if a 6-year-old starts screaming.

To soothe or not to soothe—should a crying baby be given attention and soothed, or does this spoil the infant? Many years ago, the behaviorist John Watson (1928) argued that parents spend too much time responding to infant crying. As a consequence, he said, parents reward crying and increase its incidence. Also, behaviorist Jacob Gewirtz (1977) found that a caregiver’s quick, soothing response to crying increased crying. In contrast, infancy experts Mary Ainsworth (1979) and John Bowlby (1989) stress that it is not possible to respond too much to infant crying in the first year of life. They believe that a quick, comforting response to the infant’s cries is an important ingredient in developing a strong bond between the infant and caregiver. In one of Ainsworth’s studies, infants whose mothers responded quickly when they cried at 3 months of age cried less later in the first year of life (Bell & Ainsworth, 1972). Another study found that mothers were more likely than fathers to use soothing techniques to reduce infant crying (Dayton & others, 2015). Further, a recent study revealed that depressed mothers rocked and touched their crying infants less than non-depressed mothers (Esposito & others, 2017a).

Controversy still surrounds the question of whether or how parents should respond to an infant’s cries (Zeifman & St. James-Roberts, 2017). However, developmentalists increasingly argue that infants cannot be spoiled in the first year of life, which suggests that parents should soothe a crying infant. This response should help infants develop a sense of trust and secure attachment to the caregiver. One study revealed that mothers’ negative emotional reactions (anger and anxiety) to crying increased the risk of subsequent attachment insecurity (Leerkes, Parade, & Gudmundson, 2011). Another study found that problems in infant soothability at 6 months of age were linked to insecure attachment at 12 months of age (Mills-Koonce, Propper, & Barnett, 2012).

TEMPERAMENT

Do you become upset often? Does it take much to get you angry, or to make you laugh? Even at birth, babies seem to have different emotional styles. One infant is cheerful and happy much of the time; another baby seems to cry constantly. These tendencies reflect  temperament , which involves individual differences in behavioral styles, emotions, and characteristic ways of responding. With regard to its link to emotion, temperament refers to individual differences in how quickly the emotion is shown, how strong it is, how long it lasts, and how quickly it fades away.

Another way to describe temperament is in terms of predispositions toward emotional reactivity and self-regulation (Bates & Pettit, 2015). Reactivity involves variations in the speed and intensity with which an individual responds to situations with positive or negative emotions. Self-regulation involves variations in the extent or effectiveness of an individual’s ability to control his or her emotions.

Describing and Classifying Temperament How would you describe your temperament or the temperament of a friend? Researchers have described and classified the temperaments of individuals in different ways (Abulizi & others, 2017; Gartstein, Putnam, & Kliewer, 2016; Janssen & others, 2017). Here we will examine three of those ways.

Chess and Thomas’ Classification Psychiatrists Alexander Chess and Stella Thomas (Chess & Thomas, 1977; Thomas & Chess, 1991) identified three basic types, or clusters, of temperament:

· An  easy child  is generally in a positive mood, quickly establishes regular routines in infancy, and adapts easily to new experiences.

· A  difficult child  reacts negatively and cries frequently, engages in irregular daily routines, and is slow to accept change.

· A  slow-to-warm-up child  has a low activity level, is somewhat negative, and displays a low intensity of mood.

In their longitudinal investigation, Chess and Thomas found that 40 percent of the children they studied could be classified as easy, 10 percent as difficult, and 15 percent as slow to warm up. Notice that 35 percent did not fit any of the three patterns. Researchers have found that these three basic clusters of temperament are moderately stable across the childhood years.

Kagan’s Behavioral Inhibition Another way of classifying Page 173temperament focuses on the differences between a shy, subdued, timid child and a sociable, extraverted, bold child. Jerome Kagan (2002, 2008, 2010, 2013) regards shyness with strangers (peers or adults) as one feature of a broad temperament category called inhibition to the unfamiliar. Inhibited children react to many aspects of unfamiliarity with initial avoidance, distress, or subdued affect, beginning at about 7 to 9 months of age.

Kagan has found that inhibition shows considerable stability from infancy through early childhood. One study classified toddlers into extremely inhibited, extremely uninhibited, and intermediate groups (Pfeifer & others, 2002). Follow-up assessments were conducted at 4 and 7 years of age. Continuity was demonstrated for both inhibition and lack of inhibition, although a substantial number of the inhibited children had moved into the intermediate groups by 7 years of age. Researchers found that having an inhibited temperament at 2 to 3 years of age was related to having social phobia symptoms at 7 years of age (Lahat & others, 2014). Further, research findings also indicate that infants and young children who have an inhibited temperament are at risk for developing social anxiety disorder in adolescence and adulthood (Perez-Edgar & Guyer, 2014; Rapee, 2014). And in another study, if parents had a childhood history of behavioral inhibition, their children who had a high level of behavioral inhibition were at risk for developing anxiety disorders (Stumper & others, 2017).

image74 What are some characteristics of an inhibited temperament?  ©Heidi Benser/Corbis/Getty Images

Rothbart and Bates’ Classification New classifications of temperament continue to be forged. Mary Rothbart and John Bates (2006) argue that prior classifications of temperament have not included a key temperament style: effortful control (self-regulation). They conclude that the following three broad dimensions best represent what researchers have found to characterize the structure of temperament: extraversion/surgency, negative affectivity, and effortful control (self-regulation):

· Extraversion/surgency includes approach, pleasure, activity, smiling, and laughter. Kagan’s uninhibited children fit into this category. One study revealed that preschool children with high levels of surgency were more likely to engage in a number of obesity-related eating behaviors such as eating in the absence of hunger (Leung & others, 2014).

· Negative affectivity includes “fear, frustration, sadness, and discomfort” (Rothbart, 2004, p. 495). These children are easily distressed; they may fret and cry often. Kagan’s inhibited children fit this category. In the study mentioned above, preschool children with higher levels of negative affectivity were more likely to have tantrums if they were denied food, but less likely to eat in the absence of hunger (Leung & others, 2014).

· Effortful control (self-regulation) includes “attentional focusing and shifting, inhibitory control, perceptual sensitivity, and low-intensity pleasure” (Rothbart, 2004, p. 495). Infants who are high on effortful control show an ability to keep their arousal from getting too high and have strategies for soothing themselves. By contrast, children low on effortful control are often unable to control their arousal; they become easily agitated and intensely emotional.

A number of studies have supported the view that effortful control is an important influence on children’s development. For example, one study found that young children higher in effortful control were more likely to wait longer to express anger and were more likely to use a self-regulatory strategy, distraction (Tan, Armstrong, & Cole, 2013). Another study revealed that effortful control was a strong predictor of academic success skills (including school readiness, math skills, and reading skills) in kindergarten children from low-income families (Morris & others, 2013). Further, a recent study revealed that self-regulation capacity at 4 months of age was linked to school readiness at 4 years of age (Gartstein, Putnam, & Kliewer, 2016). And in two recent studies, lower levels of effortful control were linked to attention deficit hyperactivity disorder (ADHD). In the first study, a lower level of children’s temperament regulation at 3 years of age predicted the presence of ADHD symptoms in the first grade (Willoughby, Gottfredson, & Stifter, 2016). In the second study, children with a lower level of effort control at 3 years of age were more likely to have ADHD symptoms at 13 years of age (Einziger & others, 2018).

In Rothbart’s (2004, p. 497) view, “early theoretical models of temperament stressed the way we are moved by our positive and negative emotions or level of arousal, with our actions driven by these tendencies Page 174.” The more recent focus on effortful control, however, emphasizes that individuals can engage in a more cognitive, flexible approach to stressful circumstances. It is Rothbart and Bates’ addition of effortful control (self-regulation) that is their most important contribution to our understanding of temperament.

An important point about temperament classifications such as those of Chess and Thomas or Rothbart and Bates is that children should not be pigeonholed as having only one temperament dimension, such as “difficult” or “negative affectivity.” A good strategy when attempting to classify a child’s temperament is to think of temperament as consisting of multiple dimensions (Bates, 2012a, b). For example, a child might be extraverted, show little negative affectivity, and have good self-regulation. Another child might be introverted, show little negative affectivity, and have a low level of self-regulation.

The development of temperament capabilities such as effortful control allows individual differences to emerge (Bates & Pettit, 2015). For example, although maturation of the brain’s prefrontal lobes must occur for any child’s attention to improve and the child to achieve effortful control, some children develop effortful control while others do not. And it is these individual differences in children that are at the heart of what temperament is (Bates, 2012a, b; Bates & Pettit, 2015).

Biological Foundations and Experience How does a child acquire a certain temperament? Kagan (2002, 2010, 2013) argues that children inherit a physiology that biases them to have a particular type of temperament. However, through experience they may learn to modify their temperament to some degree. Thus, Kagan stresses that temperament has both a physiological and experiential basis. For example, children may inherit a physiology that biases them to be fearful and inhibited, but they can learn to reduce their fear and inhibition to some degree.

Biological Influences Physiological characteristics have been linked with different temperaments (Bates & Pettit, 2015). In particular, an inhibited temperament is associated with a unique physiological pattern that includes high and stable heart rate, high level of the hormone cortisol, and high activity in the right frontal lobe of the brain (Kagan, 2008, 2010). This pattern may be tied to the excitability of the amygdala, a structure of the brain that plays an important role in fear and inhibition.

What is heredity’s role in the biological foundations of temperament Page 175? Twin and adoption studies suggest that heredity has a moderate influence on differences in temperament within a group of people (Plomin & others, 2009). The contemporary view is that temperament is a biologically based but evolving aspect of behavior; it evolves as the child’s experiences are incorporated into a network of self-perceptions and behavioral preferences that characterize the child’s personality (Thompson & Goodvin, 2016).

image75 What are some ways that developmentalists have classified infants’ temperaments? Which classification makes the most sense to you, based on your observations of infants?  ©Tom Merton/Getty Images

Too often the biological foundations of temperament are interpreted to mean that temperament cannot develop or change. However, important self-regulatory dimensions of temperament such as adaptability, soothability, and persistence look very different in a 1-year-old and a 5-year-old (Thompson, 2015). These temperament dimensions develop and change with the growth of the neurobiological foundations of self-regulation (Calkins & Perry, 2016).

Gender, Culture, and Temperament Gender may be an important factor shaping the environmental context that influences temperament (Gaias & others, 2012). Parents might react differently to an infant’s temperament depending on whether the baby is a boy or a girl. For example, in one study, mothers were more responsive to the crying of irritable girls than to the crying of irritable boys (Crockenberg, 1986).

Similarly, the caregiver’s reaction to an infant’s temperament may depend in part on culture (Matsumoto & Juang, 2017). For example, behavioral inhibition is more highly valued in China than in North America, and researchers have found that Chinese children are more inhibited than Canadian infants are (Chen & others, 1998). The cultural differences in temperament were linked to parental attitudes and behaviors. Canadian mothers of inhibited 2-year-olds were less accepting of their infants’ inhibited temperament, whereas Chinese mothers were more accepting. Also, one study revealed that U.S infants showed more temperamental fearfulness while Finnish infants engaged in more positive affect, such as effortful control (Gaias & others, 2012).

developmental connection
Community and Culture

Cross-cultural studies seek to determine culture-universal and culture-specific aspects of development. Connect to “Introduction.”

In short, many aspects of a child’s environment can encourage or discourage the persistence of temperament characteristics (Parade & others, 2018; Schumann & others, 2017). For example, researchers found that fathers’ internalizing problems (anxiety and depression, for example) were linked to a higher level of negative affectivity in 6-month-olds (Potapova, Gartstein, & Bridgett, 2014). And another study revealed that maternal negativity and child problem behavior were most strongly linked for children who were low in effortful control and living in chaotic homes (Chen, Deater-Deckard, & Bell, 2014). One useful way of thinking about temperament-environment connections involves the concept of goodness of fit, which we examine next.

Goodness of Fit and Parenting  Goodness of fit  refers to the match between a child’s temperament and the environmental demands the child must cope with. Suppose Jason is an active toddler who is made to sit still for long periods of time, and Jack is a slow-to-warm-up toddler who is abruptly pushed into new situations on a regular basis. Both Jason and Jack face a lack of fit between their temperament and environmental demands. Lack of fit can produce adjustment problems (Planalp & others, 2017; Rothbart, 2011).

image76An infant’s temperament can vary across cultures. What do parents need to know about a child’s temperament?  ©JGI/Blend Images

Some temperament characteristics pose more parenting challenges than others, at least in modern Western societies (Bates & Pettit, 2015). When children are prone to distress, as exhibited by frequent crying and irritability, their parents may eventually respond by ignoring the child’s distress or trying to force the child to “behave.” In one research study, though, extra support and training for mothers of distress-prone infants improved the quality of mother-infant interaction (van den Boom, 1989). The training led the mothers to alter their demands on the child, improving the fit between the child and the environment. Researchers also have found that decreases in infants’ negative emotionality are linked to higher levels of parental sensitivity, involvement, and responsiveness (Bates & Pettit, 2015; Gartstein, Hancock, & Iverson, 2018; Parade & others, 2018). To read further about some positive strategies for parenting that take into account the child’s temperament, see the  Connecting Development to Life  interlude.

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connecting development to life

Parenting and the Child’s Temperament

What are the implications of temperamental variations for parenting? Although answers to this question necessarily are speculative, the following conclusions regarding the best parenting strategies to use in relation to children’s temperament were reached by temperament experts Ann Sanson and Mary Rothbart (1995):

· Attention to and respect for individuality. Good parenting involves sensitivity to the child’s individual characteristics. A goal might be accomplished in one way with one child and in another way with another child, depending on the child’s temperament.

· Structuring the child’s environment. Crowded, noisy environments can pose greater problems for some children (such as a “difficult child”) than others (such as an “easy child”). We might also expect that a fearful, withdrawing child would benefit from slower entry into new contexts.

· The “difficult child” and packaged parenting programs. Programs for parents often focus on dealing with children who have “difficult” temperaments. In some cases, “difficult child” refers to Thomas and Chess’ description of a child who reacts negatively, cries frequently, engages in irregular daily routines, and is slow to accept change. In others, the concept might be used to describe a child who is irritable, displays anger frequently, does not follow directions well, or shows some other negative characteristic. Acknowledging that some children are harder to parent than other children is often helpful, and advice on how to handle specific difficult characteristics can be useful. However, whether a particular characteristic is difficult depends on its fit with the environment. Labeling a child “difficult” can create a self-fulfilling prophecy. If a child is identified as “difficult,” people may treat the child in a way that actually elicits “difficult” behavior.

Too often, we pigeonhole children into categories without considering the context (Bates, 2012a, b; Rothbart, 2011). Instead of doing this, caregivers need to take children’s temperament into account. Research does not yet allow for many highly specific recommendations, but in general, caregivers should (1) be sensitive to the individual characteristics of the child, (2) be flexible in responding to these characteristics, and (3) avoid applying negative labels to the child.

How does the advice to “structure the child’s environment” relate to what you learned about the concept of “goodness of fit”?

image77 What are some good strategies for parents to adopt when responding to their infant’s temperament?  ©Ariel Skelley/Blend Images LLC

A final comment about temperament is that recently the differential susceptibility model and the biological sensitivity to context model have been proposed and studied (Baptista & others, 2017; Belsky & Pluess, 2016; Belsky & van IJzendoorn, 2017; Belsky & others, 2015; Simpson & Belsky, 2016). These models emphasize that certain characteristics—such as a difficult temperament—that render children more vulnerable to difficulty in adverse contexts also make them more susceptible to optimal growth in very supportive conditions. These models put “negative” temperament characteristics in a new light.

Page 177

PERSONALITY DEVELOPMENT

Emotions and temperament form key aspects of personality, the enduring personal characteristics of individuals. Let’s now examine characteristics that often are thought of as central to personality development during infancy: trust and the development of self and independence.

developmental connection
Personality

Erikson proposed that individuals go through eight stages in the course of human development. Connect to “Introduction.”

Trust According to Erik Erikson (1968), the first year of life is characterized by the trust-versus-mistrust stage of development. Following a life of regularity, warmth, and protection in the mother’s womb, the infant faces a world that is less secure. Erikson proposed that infants learn trust when they are cared for in a consistent, warm manner. If the infant is not well fed and kept warm on a consistent basis, a sense of mistrust is likely to develop.

The issue of trust versus mistrust is not resolved once and for all in the first year of life. It arises again at each successive stage of development and can have positive or negative outcomes. For example, children who leave infancy with a sense of trust can still have their sense of mistrust activated at a later stage, perhaps if their parents are separated or divorced under conflictual circumstances.

The Developing Sense of Self When does the individual begin to sense a separate existence from others? Studying the development of a sense of self in infancy is difficult mainly because infants cannot verbally express their thoughts and impressions. They also cannot understand complex instructions from researchers.

One ingenious strategy to test infants’ visual self-recognition is the use of a mirror technique, in which an infant’s mother first puts a dot of rouge on the infant’s nose. Then an observer watches to see how often the infant touches its nose. Next, the infant is placed in front of a mirror, and observers detect whether nose touching increases. Why does this matter? The idea is that increased nose touching indicates that the infant recognizes the self in the mirror and is trying to touch or rub off the rouge because the rouge violates the infant’s view of the self. Increased touching indicates that the infant realizes that it is the self in the mirror but that something is not right since the real self does not have a dot of rouge on it.

Figure 3 displays the results of two investigations that used the mirror technique. The researchers found that before they were 1 year old, infants did not recognize themselves in the mirror (Amsterdam, 1968; Lewis & Brooks-Gunn, 1979). Signs of self-recognition began to appear among some infants when they were 15 to 18 months old. By the time they were 2 years old, most children recognized themselves in the mirror. In sum, infants begin to develop a self-understanding called self-recognition at approximately 18 months of age (Hart & Karmel, 1996; Lewis, 2005).

developmental connection
Personality

Two key points in development when there is a strong push for independence are the second year of life and early adolescence. Connect to “Socioemotional Development in Adolescence.”

image78 FIGURE 3 THE DEVELOPMENT OF SELF-RECOGNITION IN INFANCY. The graph shows the findings of two studies in which infants less than 1 year of age did not recognize themselves in a mirror. A slight increase in the percentage of infant self-recognition occurred around 15 to 18 months of age. By 2 years of age, a majority of children recognized themselves. Why do researchers study whether infants recognize themselves in a mirror?  ©Digital Vision/Getty Images

However, mirrors are not familiar to infants in all cultures (Rogoff, 2003). Thus, physical self-recognition may be a more important marker of self-recognition in Western than non-Western cultures (Thompson & Virmani, 2010). Supporting this cultural variation view, one study revealed that 18- to 20-month-old toddlers from urban middle-SES German families were more likely to recognize their mirror Page 178images than were toddlers from rural Cameroon farming families (Keller & others, 2005).

Late in the second year and early in the third year, toddlers show other emerging forms of self-awareness that reflect a sense of “me” (Thompson, Winer, & Goodvin, 2011). For example, they refer to themselves by making statements such as “me big”; they label their internal experiences such as emotions; they monitor themselves, as when a toddler says, “do it myself”; and they declare that things are theirs (Bates, 1990; Fasig, 2000).

Also, researchers have found that infants begin developing an understanding of others (Carpendale & Lewis, 2015; McDonald & Perdue, 2018). Research indicates that as early as 13 months of age, infants seem to consider another’s perspective when predicting their actions (Choi & Luo, 2015).

image79Erikson argued that autonomy versus shame and doubt is the key developmental theme of the toddler years. What are some good strategies for parents to use with their toddlers?  ©Marvin Fox/Getty Images

Independence Erik Erikson (1968) stressed that independence is an important issue in the second year of life. Erikson describes the second stage of development as the stage of autonomy versus shame and doubt. Autonomy builds as the infant’s mental and motor abilities develop. At this point in development, not only can infants walk, but they can also climb, open and close, drop, push and pull, and hold and let go. Infants feel pride in these new accomplishments and want to do everything themselves, whether the activity is flushing a toilet, pulling the wrapping off a package, or deciding what to eat. It is important for parents to recognize the motivation of toddlers to do what they are capable of doing at their own pace. Then they can learn to control their muscles and their impulses themselves. But when caregivers are impatient and do for toddlers what they are capable of doing themselves, shame and doubt develop. Every parent has rushed a child from time to time. It is only when parents consistently overprotect toddlers or criticize accidents (wetting, soiling, spilling, or breaking, for example) that children develop an excessive sense of shame and doubt about their ability to control themselves and their world. As we discuss in later chapters, Erikson emphasized that the stage of autonomy versus shame and doubt has important implications for the individual’s future development.

Review Connect Reflect

LG1 Discuss the development of emotions and personality in infancy.

Review

· What are emotions? What is the nature of an infant’s emotions and how do they change?

· What is temperament, and how does it develop in infancy?

· What are some important aspects of personality in infancy, and how do they develop?

Connect

· In this section, you read that twin and adoption studies have been used to sort out the influences of heredity and environment on temperament. Earlier you learned how twin and adoption studies are conducted. Discuss the characteristics of twin and adoption studies.

Reflect Your Own Personal Journey of Life

· How would you describe your temperament? Does it fit one of Chess and Thomas’ three styles—easy, slow to warm up, or difficult? If you have siblings, is your temperament similar to or different from theirs?

Page 179

2 Social Orientation/Understanding  and Attachment

LG2 Describe social orientation/understanding and the development of attachment in infancy.

Social Orientation/Understanding

Attachment and Its Development

Individual Differences  in Attachment

Caregiving Styles and  Attachment

Developmental Social  Neuroscience and Attachment

So far, we have discussed how emotions and emotional competence change as children develop. We have also examined the role of emotional style; in effect, we have seen how emotions set the tone of our experiences in life. But emotions also write the lyrics because they are at the core of our relationships with others.

SOCIAL ORIENTATION/UNDERSTANDING

In Ross Thompson’s (2006, 2011, 2013, 2014, 2015, 2016) view, infants are socioemotional beings who show a strong interest in their social world and are motivated to orient to it and understand it. In previous chapters, we described many of the biological and cognitive foundations that contribute to the infant’s development of social orientation and understanding. In this chapter, we will call attention to relevant biological and cognitive factors as we explore social orientation; locomotion; intention and goal-directed behavior; social referencing; and social sophistication and insight. Discussing biological, cognitive, and social processes together reminds us of an important aspect of development: These processes are intricately intertwined (Perry & Calkins, 2018).

Social Orientation From early in their development, infants are captivated by the social world. As we discussed in our coverage of infant perception, young infants stare intently at faces and are attuned to the sounds of human voices, especially the voices of their caregivers (Singarajah & others, 2017; Sugden & Moulson, 2017). Later, they become adept at interpreting the meaning of facial expressions and voices (Weatherhead & White, 2017).

image80A mother and her baby engaging in face-to-face play. At what age does face-to-face play usually begin, and when does it typically start decreasing in frequency?  ©Britt Erlanson/Getty Images

Face-to-face play often begins to characterize caregiver-infant interactions when the infant is about 2 to 3 months of age. The focused social interaction of face-to-face play may include vocalizations, touch, and gestures (Beebe & others, 2016). Such play illustrates many mothers’ motivation to create a positive emotional state in their infants (Laible, Thompson, & Froimson, 2015).

In part because of such positive social interchanges between caregivers and infants, by 2 to 3 months of age infants respond in different ways to people and objects, showing more positive emotion to people than to inanimate objects such as puppets (Legerstee, 1997). At this age, most infants expect people to react positively when the infants initiate a behavior, such as a smile or a vocalization.

Even though infants as young as 6 months of age show an interest in each other, their interaction with peers increases considerably in the last half of the second year. Between 18 and 24 months of age, children markedly increase their imitative and reciprocal play, such as imitating nonverbal actions like jumping and running (Eckerman & Whitehead, 1999). One study involved presenting 1- and 2-year-olds with a simple cooperative task that consisted of pulling a lever to get an attractive toy (Brownell, Ramani, & Zerwas, 2006) (see Figure 4). Any coordinated actions of the 1-year-olds appeared to be coincidental rather than cooperative, whereas the 2-year-olds’ behavior was characterized by active cooperation to reach a goal.

image81 FIGURE 4 THE COOPERATION TASK. The cooperation task consisted of two handles on a box, atop which was an animated musical toy, surreptitiously activated by remote control when both handles were pulled. The handles were placed far enough apart that one child could not pull both handles. The experimenter demonstrated the task, saying, “Watch! If you pull the handles, the doggie will sing.” (Brownell, Ramani, & Zerwas, 2006).  Courtesy of Celia A. Brownell, University of Pittsburgh

Locomotion Recall from earlier in the chapter the growing importance of independence for infants, especially during the second year of life. As infants develop the ability to crawl, walk, and run, they are able to explore and expand their social world. These newly developed, self-produced locomotion skills allow the infant to independently initiate social interchanges on a more frequent basis (Laible, Thompson, & Froimson, 2015). The development of these gross motor skills results from factors such as the development of the nervous system, the goal the infant is motivated to reach, and environmental support for the skill (Adolph, 2018; Kretch & Adolph, 2018).

The infant’s and toddler’s push for independence also is likely paced by the development of locomotion skills. Of further importance is locomotion’s motivational implications. Once infants have the ability to move in goal-directed pursuits, the rewards from these pursuits lead to further efforts to explore and develop skills.

Intention, Goal-Directed Behavior, and Meaningful Interactions with Others Perceiving people as engaging in intentional and goal-directed behavior is an important social cognitive accomplishment that initially occurs toward the end of the first year (Thompson, 2015). Another important aspect of infant development is engaging in meaningful interactions with others.

Joint attention and gaze-following help the infant to understand that other people have intentions (McClure & others, 2018; Yu & Smith, 2016). Joint attention occurs when the caregiver and infant focus on the same object or event. We indicated that emerging Page 180aspects of joint attention occur at about 7 to 8 months, but at about 10 to 11 months of age joint attention intensifies and infants begin to follow the caregiver’s gaze. By their first birthday, infants have begun to direct the caregiver’s attention to objects that capture their interest (Marsh & Legerstee, 2017).

developmental connection
Life-Span Perspective

Biological, cognitive, and socioemotional processes are often linked as individuals go through the life span. Connect to “Introduction.”

Amanda Woodward and her colleagues (Krogh-Jespersen, Liberman, & Woodward, 2015; Krogh-Jespersen & Woodward, 2016; Liberman, Woodward, & Kinzler, 2018; Shneidman & Woodward, 2016; Shneidman & others, 2016; Sodian & others, 2016) argue that infants’ ability to understand and respond to others’ meaningful intentions is a critical cognitive foundation for effectively engaging in the social world. They especially emphasize that an important aspect of this ability is the capacity to grasp social knowledge quickly in order to make an appropriate social response. Although processing speed is an important contributor to social engagement, other factors are involved such as infants’ motivation to interact with someone, the infant’s social interactive history with the individual, the interactive partner’s social membership, and culturally specific aspects of interaction (Krogh-Jespersen & Woodward, 2016; Liberman, Woodward, & Kinzler, 2018).

Social Referencing Another important social cognitive accomplishment in infancy is developing the ability to “read” the emotions of other people (Carbajal-Valenzuela & others, 2017; Hart, 2017).  Social referencing  is the term used to describe “reading” emotional cues in others to help determine how to act in a particular situation. The development of social referencing helps infants to interpret ambiguous situations more accurately, as when they encounter a stranger and need to know whether to fear the person (Stenberg, 2017). By the end of the first year, a mother’s facial expression—either smiling or fearful—influences whether an infant will explore an unfamiliar environment.

Infants become better at social referencing in the second year of life. At this age, they tend to “check” with their mother before they act; they look at her to see if she is happy, angry, or fearful. For example, in one study 14- to 22-month-old infants were more likely to look at their mother’s face to get information about how to act in a situation than were 6- to 9-month-old infants (Walden, 1991).

Infants’ Social Sophistication and Insight In sum, researchers are discovering that infants are more socially sophisticated and insightful at younger ages than was previously envisioned (Steckler & others, 2018; Thompson & Goodvin, 2016). This sophistication and insight is reflected in infants’ perceptions of others’ actions as intentionally motivated and goal-directed and their motivation to share and participate in that intentionality by their first birthday. The more advanced social cognitive skills of infants likely influence their understanding and awareness of attachment to a caregiver.

ATTACHMENT AND ITS DEVELOPMENT

Attachment  is a close emotional bond between two people. There is no shortage of theories about infant attachment. Three theorists discussed earlier—Freud, Erikson, and Bowlby—proposed influential views.

Freud emphasized that infants become attached to the person or object that provides oral satisfaction. For most infants, this is the mother, since she is most likely to feed the infant. Is feeding as important as Freud thought? A classic study by Harry Harlow (1958) reveals that the answer is no (see Figure 5).

image82 FIGURE 5 CONTACT TIME WITH WIRE AND CLOTH SURROGATE MOTHERS. Regardless of whether the infant monkeys were fed by a wire or a cloth mother, they overwhelmingly preferred to spend contact time with the cloth mother. How do these results compare with what Freud’s theory and Erikson’s theory would predict about human infants?  ©Martin Rogers/The Image Bank/Getty Images

Harlow removed infant monkeys from their mothers at birth; for six months they were reared by surrogate (substitute) “mothers.” One surrogate mother was made of wire, the other of cloth. Half of the infant monkeys were fed by the wire mother, half by the cloth mother. Periodically, the amount of time the infant monkeys spent with either the wire or the cloth mother was computed. Regardless of which mother fed them, the infant monkeys spent far more time with the cloth mother. Even if the wire mother, but not the cloth mother, provided nourishment, the infant monkeys spent more time with the cloth mother. And when Harlow frightened the monkeys, those “raised” by the cloth mother ran to the mother and clung to it; those raised by the wire mother did not. Whether the mother provided comfort seemed to determine whether the monkeys associated the mother with security. This study clearly demonstrated that feeding is not the crucial element in the attachment process and that contact comfort is important.

Physical comfort also plays a role Page 181in Erik Erikson’s (1968) view of the infant’s development. Recall Erikson’s proposal that the first year of life represents the stage of trust versus mistrust. Physical comfort and sensitive care, according to Erikson (1968), are key to establishing a basic sense of trust in infants. The infant’s sense of trust, in turn, is the foundation for attachment and sets the stage for a lifelong expectation that the world will be a good and pleasant place to be.

The ethological perspective of British psychiatrist John Bowlby (1969, 1989) also stresses the importance of attachment in the first year of life and the responsiveness of the caregiver. Bowlby maintains that both infants and their primary caregivers are biologically predisposed to form attachments. He argues that the newborn is biologically equipped to elicit attachment behavior. The baby cries, clings, coos, and smiles. Later, the infant crawls, walks, and follows the mother. The immediate result is to keep the primary caregiver nearby; the long-term effect is to increase the infant’s chances of survival.

Attachment does not emerge suddenly but rather develops in a series of phases, moving from a baby’s general preference for human beings to a partnership with primary caregivers. Following are four such phases based on Bowlby’s conceptualization of attachment (Schaffer, 1996):

· Phase 1: From birth to 2 months. Infants instinctively direct their attachment to human figures. Strangers, siblings, and parents are equally likely to elicit smiling or crying from the infant.

· Phase 2: From 2 to 7 months. Attachment becomes focused on one figure, usually the primary caregiver, as the baby gradually learns to distinguish familiar from unfamiliar people.

· Phase 3: From 7 to 24 months. Specific attachments develop. With increased locomotor skills, babies actively seek contact with regular caregivers, such as the mother or father.

· Phase 4: From 24 months on. Children become aware of others’ feelings, goals, and plans and begin to take these into account in forming their own actions.

Bowlby argued that infants develop an internal working model of attachment, a simple mental model of the caregiver, their relationship, and the self as deserving of nurturant care. The infant’s internal working model of attachment with the caregiver influences the infant’s and later the child’s subsequent responses to other people (Cassidy, 2016; Hoffman & others, 2017). The internal model of attachment also has played a pivotal role in the discovery of links between attachment and subsequent emotional understanding, conscience development, and self-concept (Bretherton & Munholland, 2016; Vacaru, Sterkenburg, & Schuengel, 2018).

INDIVIDUAL DIFFERENCES IN ATTACHMENT

Although attachment to a caregiver intensifies midway through the first year, isn’t it likely that the quality of babies’ attachment experiences varies? Mary Ainsworth (1979) thought so. Ainsworth created the  Strange Situation , an observational measure of infant attachment that takes about 20 minutes in which the infant experiences a series of introductions, separations, and reunions with the caregiver and an adult stranger in a prescribed order. In using the Strange Situation, researchers hope that their observations will provide information about the infant’s motivation to be near the caregiver and the degree to which the caregiver’s presence provides the infant with security and confidence (Brownell & others, 2015; Solomon & George, 2016).

Based on how babies respond in the Strange Situation, they are described as being securely attached or insecurely attached (in one of three ways) to the caregiver:

· Securely attached babies  use the caregiver as a secure base from which to explore the environment. When they are in the presence of their caregiver, securely attached infants explore the room and examine toys that have been placed in it. When the caregiver departs, securely attached infants might protest mildly, and when the caregiver returns these infants reestablish positive interaction with her, perhaps by smiling or climbing onto her lap. Subsequently, they often resume playing with the toys in the room.

· Insecure avoidant babies  show insecurity by avoiding the caregiver. In the Strange Situation, these babies engage in little interaction with the caregiver, are not distressed when she leaves the room, usually do not reestablish contact when she returns, and may even turn their back on her. If contact is established, the infant usually leans away or looks away.

· Insecure resistant babies  often cling to the caregiver Page 182and then resist her by fighting against the closeness, perhaps by kicking or pushing away. In the Strange Situation, these babies often cling anxiously to the caregiver and don’t explore the playroom. When the caregiver leaves, they often cry loudly and then push away if she tries to comfort them on her return.

· Insecure disorganized babies  appear disoriented. In the Strange Situation, these babies might seem dazed, confused, and fearful. To be classified as disorganized, babies must show strong patterns of avoidance and resistance or display certain specified behaviors, such as extreme fearfulness around the caregiver.

Evaluating the Strange Situation Does the Strange Situation capture important differences among infants? As a measure of attachment, it may be culturally biased (Gernhardt, Keller, & Rubeling, 2016). For example, German and Japanese babies often show patterns of attachment different from those of American infants. As illustrated in Figure 6, German infants are more likely to show an avoidant attachment pattern and Japanese infants are less likely to display this pattern than U.S. infants (van IJzendoorn & Kroonenberg, 1988). The avoidant pattern in German babies likely occurs because their caregivers encourage them to be independent (Grossmann & others, 1985). Also as shown in Figure 6, Japanese babies are more likely than American babies to be categorized as resistant. This may have more to do with the Strange Situation as a measure of attachment than with attachment insecurity itself. Japanese mothers rarely let anyone unfamiliar with their babies care for them. Thus, the Strange Situation might create considerably more stress for Japanese infants than for American infants, who are more accustomed to separation from their mothers (Miyake, Chen, & Campos, 1985). Even though there are cultural variations in attachment classification, the most frequent classification in every culture studied so far is secure attachment (Mooya, Sichimba, & Bakermans-Kranenburg, 2016; Mesman, van IJzendoorn, & Sagi-Schwartz, 2016).

image83 FIGURE 6 CROSS-CULTURAL COMPARISON OF ATTACHMENT. In one study, infant attachment in three countries—the United States, Germany, and Japan—was measured in the Ainsworth Strange Situation (van IJzendoorn & Kroonenberg, 1988). The dominant attachment pattern in all three countries was secure attachment. However, German infants were more avoidant and Japanese infants were less avoidant and more resistant than U.S. infants. What are some explanations for differences in how German, Japanese, and American infants respond to the Strange Situation?image84To what extent might this adolescent girl’s development be linked to how securely or insecurely attached she was during infancy?  (Top) ©Westend61/Getty Images; (bottom) ©iStock.com/RichVintage

Interpreting Differences in Attachment Do individual differences in attachment matter? Ainsworth argues that secure attachment in the first year of life provides an important foundation for psychological development later in life. The securely attached infant moves freely away from the mother but keeps track of where she is through periodic glances. The securely attached infant responds positively to being picked up by others, and when put back down, freely moves away to play. An insecurely attached infant, by contrast, avoids the mother or is ambivalent toward her, fears strangers, and is upset by minor, everyday separations.

If early attachment to a caregiver is important, it should be linked to a child’s social behavior later in development. For some children, early attachments seem to foreshadow later functioning (Dozier & others, 2018; Hoffman & others, 2017; Sroufe, 2016; Woodhouse & others, 2017). In the extensive longitudinal study conducted by Alan Sroufe and his colleagues (2005), early secure attachment (assessed by the Strange Situation at 12 and 18 months) was linked with positive emotional health, high self-esteem, self-confidence, and socially competent interaction with peers, teachers, camp counselors, and romantic partners through adolescence. Also, a meta-analysis concluded that secure attachment in infancy was related to social competence with peers in early childhood (Groh & others, 2014). Another study revealed that attachment security at 2 years of age was linked to lower rates of peer conflict at 3 years of age (Raikes & others, 2013). Further, researchers have found that infant attachment insecurity (especially insecure resistant attachment Page 183) and early childhood behavioral inhibition predicts adolescent social anxiety symptoms (Lewis-Morrarty & others, 2015).

Few studies have assessed infants’ attachment security to the mother and the father separately. However, one study revealed that infants who were insecurely attached to their mother and father (“double-insecure”) at 15 months of age had more externalizing problems (out-of-control behavior, for example) during their elementary school years than their counterparts who were securely attached to at least one parent (Kochanska & Kim, 2013).

An important issue regarding attachment is whether infancy is a critical or sensitive period for development. The studies just described show continuity, with secure attachment in infancy predicting subsequent positive development in childhood and adolescence. For some children, though, there is little continuity. Not all research reveals the power of infant attachment to predict subsequent development (Lamb & Lewis, 2015; Roisman & Groh, 2011). In one longitudinal study, attachment classification in infancy did not predict attachment classification at 18 years of age (Lewis, Feiring, & Rosenthal, 2000). In this study, the best predictor of an insecure attachment classification at 18 was the occurrence of parental divorce in the intervening years.

image85 What is the nature of secure and insecure attachment?  ©Corbis/age fotostock

Consistently positive caregiving over a number of years is likely an important factor in connecting early attachment with the child’s functioning later in development. Indeed, researchers have found that early secure attachment and subsequent experiences, especially maternal care and life stresses, are linked with children’s later behavior and adjustment (Roisman & Cicchetti, 2017; Thompson, 2015, 2016). For example, a longitudinal study revealed that changes in attachment security/insecurity from infancy to adulthood were linked to stresses and supports in socioemotional contexts (Van Ryzin, Carlson, & Sroufe, 2011). These results suggest that attachment continuity may reflect stable social contexts as much as early working models. The study just described (Van Ryzin, Carlson, & Sroufe, 2011) reflects an increasingly accepted view of the development of attachment and its influence on development. That is, it is important to recognize that attachment security in infancy does not always by itself produce long-term positive outcomes, but rather is linked to later outcomes through connections with the way children and adolescents subsequently experience various social contexts as they develop.

The Van Ryzin, Carlson, and Sroufe (2011) study reflects a  developmental cascade model , which involves connections across domains over time that influence developmental pathways and outcomes (Almy & Cicchetti, 2018; Masten & Kalstabakken, 2017; Pasco-Fearon & others, 2016). Developmental cascades can include connections between a wide range of biological, cognitive, and socioemotional processes (attachment, for example), and also can involve social contexts such as families, peers, schools, and culture. Further, links can produce positive or negative outcomes at different points in development, such as infancy, early childhood, middle and late childhood, adolescence, and adulthood.

developmental connection
Attachment

How might secure and insecure attachment be reflected in the relationships of young adults and older adults? Connect to “Socioemotional Development in Early Adulthood” and “Socioemotional Development in Late Adulthood.”

developmental connection
Nature Versus Nurture

What is involved in gene × environment (G × E) interaction? Connect to “Biological Beginnings.”

In addition to challenging the assumption that infancy is a critical or sensitive period for creating a secure attachment with a caregiver, some developmentalists argue that the secure attachment concept does not adequately consider certain biological factors in development, such as genes and temperament (Bakermans-Kranenburg & van IJzendoorn, 2016; Belsky & van IJzendoorn, 2017; Esposito & others, 2017b; Kim & others, 2017). For example, Jerome Kagan (1987, 2002) points out that infants are highly resilient and adaptive; he argues that they are evolutionarily equipped to stay on a positive developmental course even in the face of wide variations in parenting. Kagan and others stress that genetic characteristics and temperament play more important roles in a child’s social competence than the attachment theorists, such as Bowlby and Ainsworth, are willing to acknowledge (Bakermans-Kranenburg & van IJzendoorn, 2011). For example, if some infants inherit a low tolerance for stress, this characteristic, rather than an insecure attachment bond, may be responsible for an inability to get along with peers. One study found links between disorganized attachment in infancy, a specific gene, and levels of maternal responsiveness (Spangler & others, 2009). In this study, infants with the short version of the serotonin transporter gene, 5-HTTLPR, developed a disorganized attachment style only when mothers were slow in responding to them. Also, in a longitudinal study, infant attachment security only predicted adult attachment security when individuals were in their twenties if they had a particular variant of the oxytocin receptor gene (OXTR G/G) (Raby & others, 2013). In this study, the 5-HTTLPR gene and a dopamine gene (DRD4) did not consistently influence the link between infant attachment and adult attachment. Other researchers have not always found support for genetic influences on infant-mother attachment (Leerkes & others, 2017b) or for gene-environment interactions related to infant attachment (Fraley & others, 2013).

A third criticism of attachment Page 184theory (in addition to the critical/sensitive period issue and inadequate attention to biological-based factors) is that it ignores the diversity of socializing agents and contexts that exists in an infant’s world. A culture’s value system can influence the nature of attachment (Mesman, van IJzendoorn, & Sagi-Schwartz, 2016). In some contexts and cultures, infants show attachments to many people (Howes & Spieker, 2016). Among the Hausa (who live in Nigeria), both grandmothers and siblings provide a significant amount of care for infants (Harkness & Super, 1995). Infants in agricultural societies tend to form attachments to older siblings, who are assigned a major responsibility for younger siblings’ care. In a recent study in Zambia where siblings were substantially involved in caregiving activities, infants showed strong attachments to both their mothers and their sibling caregivers (Mooya, Sichimba, & Bakermans-Kranenburg, 2016). In this study, secure attachment was the most frequent attachment classification for both mother-infant and sibling-infant relationships.

Researchers recognize the influence of competent, nurturant caregivers on an infant’s development (Almy & Cicchetti, 2018; Cicchetti, 2017; Grusec & Davidov, 2015). At issue, though, is whether or not secure attachment, especially to a single caregiver, is critical (Fearon & Roisman, 2017; Lamb, 2015; Thompson, 2015, 2016).

Despite such criticisms, there is ample evidence that secure attachment is important in development (Cassidy, 2016; Hoffman & others, 2017; Marvin, Britner, & Russell, 2016; Thompson, 2015, 2016; Pasco-Fearon & others, 2016; Sroufe, 2016; Taylor & Workman, 2018; Woodhouse & others, 2017). Is secure attachment the sole predictor of positive developmental outcomes for infants? No, and neither is any other single factor. Nonetheless, secure attachment in infancy is important because it reflects a positive parent-infant relationship and provides a foundation that supports healthy socioemotional development in the years that follow.

CAREGIVING STYLES AND ATTACHMENT

Is the style of caregiving linked with the quality of the infant’s attachment? Securely attached babies have caregivers who are sensitive to their signals and are consistently available to respond to their infants’ needs (Groh & Haydon, 2018; Hoffman & others, 2017). These caregivers often let their babies have an active part in determining the onset and pacing of interaction in the first year of life. A recent study revealed that maternal sensitivity and a better home environment in infancy predicted higher self-regulation at 4 years of age (Birmingham, Bub, & Vaughn, 2017). Further, recent research indicates that providing parents who engage in inadequate and problematic caregiving with practice and feedback focused on interacting sensitively with infants enhances parent-infant attachment security (Dozier & Bernard, 2017; Dozier, Bernard, & Roben, 2017; Woodhouse & others, 2017).

image86In the Hausa culture, siblings and grandmothers provide a significant amount of care for infants. How might these variations in care affect attachment?  ©Penny Tweedie/The Image Bank/Getty Images

How do the caregivers of insecurely attached babies interact with them? Caregivers of avoidant babies tend to be unavailable or rejecting (Posada & Kaloustian, 2010). They often don’t respond to their babies’ signals and have little physical contact with them. When they do interact with their babies, they may behave in an angry and irritable way. Caregivers of resistant babies tend to be inconsistent; sometimes they respond to their babies’ needs and sometimes they don’t. In general, they tend not to be very affectionate with their babies and show little synchrony when interacting with them. Caregivers of disorganized babies often neglect or physically abuse them (Almy & Cicchetti, 2018; Cicchetti, 2017). In some cases, these caregivers are depressed.

DEVELOPMENTAL SOCIAL NEUROSCIENCE AND ATTACHMENT

The emerging field of developmental social neuroscience examines connections between socioemotional processes, development, and the brain (Esposito & others, 2017b; Silvers & others, 2017; Steinberg & others, 2017; Sullivan & Wilson, 2018). Attachment has been a major focus of theory and research on developmental social neuroscience. The connections between attachment and the brain involve the neuroanatomy of the brain, neurotransmitters, and hormones.

Theory and research on the role of the brain’s regions in mother-infant attachment is just emerging (Esposito & others, 2017b; Feldman, 2017; Sullivan & Wilson, 2018). One theoretical view proposed that the prefrontal cortex likely has an important role in maternal attachment behavior, as do the subcortical (areas of the brain lower than the cortex) regions of the amygdala (which is strongly involved Page 185in emotion) and the hypothalamus (Gonzalez, Atkinson, & Fleming, 2009).

Research on the role of hormones and neurotransmitters in attachment has emphasized the importance of the neuropeptide hormone oxytocin and the neurotransmitter dopamine in the formation of the maternal-infant bond (Feldman, 2017; Kim, Strathearn, & Swain, 2016; Sullivan & Wilson, 2018). Oxytocin, a mammalian hormone that also acts as a neurotransmitter in the brain, is released during breast feeding and by contact and warmth. Oxytocin is especially thought to be a likely candidate in the formation of infant-mother attachment (Ehrlich & others, 2016). A research review indicated strong links between levels or patterns of maternal oxytocin and aspects of mother-infant attachment (Galbally & others, 2011).

In mothers, the experience of pleasure and reward is linked to activation of the brain’s dopamine circuits when mothers care for their infant and are exposed to their infants’ cues, such as eye contact, smiling, and so on (Feldman, 2017; Kim, Strathearn, & Swain, 2016; Sullivan & Wilson, 2018). These experiences and brain changes likely promote mother-infant attachment and sensitive parenting (Feldman, 2017; Kohlhoff & others, 2017). Also, the influence of oxytocin on dopamine in the mother’s nucleus accumbens (a collection of neurons in the forebrain that are involved in pleasure) likely is important in motivating the mother’s approach to the baby (de Haan & Gunnar, 2009).

In sum, it is likely that a number of brain regions, neurotransmitters, and hormones are involved in the development of infant-mother attachment (Feldman, 2017; Sullivan & Wilson, 2018). Key candidates for influencing this attachment are connections between the prefrontal cortex, amygdala, and hypothalamus; the neuropeptide oxytocin and the activity of the neurotransmitter dopamine in the nucleus accumbens. Figure 7 shows the regions of the brain we have described that are likely to play important roles in infant-mother attachment.

image87 FIGURE 7 REGIONS OF THE BRAIN PROPOSED AS LIKELY TO BE IMPORTANT IN INFANT-MOTHER ATTACHMENT

Although oxytocin release is stimulated by birth and lactation in mothers, might it also be released in fathers? Oxytocin is secreted in males, and one research study found that at both 6 weeks and 6 months after birth, when fathers engaged in more stimulation contact with babies, encouraged their exploration, and directed their attention to objects, the fathers’ oxytocin levels increased (Gordon & others, 2010). In this study, mothers’ behaviors that increased their oxytocin levels involved more affectionate parenting, such as gazing at their babies, expressing positive affect toward them, and touching them. Another study found that fathers with lower testosterone levels engaged in more optimal parenting with their infants (Weisman, Zagoory-Sharon, & Feldman, 2014). Also in this study, when fathers were administered oxytocin, their parenting behavior improved, as evidenced in increased positive affect, social gaze, touch, and vocal synchrony when interacting with their infants.

Review Connect Reflect

LG2 Describe social orientation/understanding and the development of attachment in infancy.

Review

· How do infants orient to the social world?

· What is attachment, and how is it conceptualized?

· What are some individual variations in attachment? What are some criticisms of attachment theory?

· How are caregiving styles related to attachment?

Connect

· Do the different theories of attachment complement or contradict each other? Describe how the concept of nature versus nurture is involved.

Reflect Your Own Personal Journey of Life

· What can you do as a parent to improve the likelihood that your baby will form a secure attachment with you?

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3 Social Contexts

LG3 Explain how social contexts influence the infant’s development.

The Family

Child Care

Now that we have explored the infant’s emotional and personality development and attachment to caregivers, let’s examine the social contexts in which these processes occur. We will begin by studying a number of aspects of the family and then turn to a social context in which infants increasingly spend time—child care.

THE FAMILY

The family can be thought of as a constellation of subsystems—a complex whole made up of interrelated, interacting parts—defined in terms of generation, gender, and role. Each family member participates in several subsystems (Solomon-Moore & others, 2018; Williams, Sawyer, & Wahlstrom, 2017). The father and child represent one subsystem, the mother and father another, the mother-father-child yet another, and so on.

These subsystems have reciprocal influences on each other (Maccoby, 2015; Schwartz & Scott, 2018). For example, Jay Belsky (1981) emphasizes that the marital relationship, parenting, and infant behavior and development can have both direct and indirect effects on each other (see Figure 8). An example of a direct effect is the influence of the parents’ behavior on the child. An indirect effect is how the relationship between the spouses mediates the way a parent acts toward the child (Dubow & others, 2017). For example, marital conflict might reduce the efficiency of parenting, in which case marital conflict would indirectly affect the child’s behavior. The simple fact that two people are becoming parents may have profound effects on their relationship.

image88 FIGURE 8 INTERACTION BETWEEN CHILDREN AND THEIR PARENTS: DIRECT AND INDIRECT EFFECTS  ©Ocean/Corbis RF

The Transition to Parenthood When people become parents through pregnancy, adoption, or stepparenting, they face disequilibrium and must adapt (Carlson & VanOrman, 2017). Parents want to develop a strong attachment with their infant, but they also want to maintain strong attachments to their spouse and friends, and possibly continue their careers. Parents ask themselves how the presence of this new individual will change their lives. A baby places new restrictions on partners; no longer will they be able to rush out to a movie on a moment’s notice, and money may not be readily available for vacations and other luxuries. Dual-career parents ask, “Will it harm our baby if we place her in child care? Will we be able to find responsible babysitters?”

In a longitudinal investigation that tracked couples from late pregnancy until 3½ years after their baby was born, couples enjoyed more positive marital relations before the baby was born than after (Cowan & Cowan, 2000; Cowan & others, 2005). Still, almost one-third reported an increase in marital satisfaction. Some couples said that the baby had both brought them closer together and moved them farther apart; being parents enhanced their sense of themselves and also gave them a new, more stable identity as a couple. Babies opened men up to a concern with intimate relationships, and the demands of juggling work and family roles stimulated women to manage family tasks more efficiently and to pay attention to their own personal growth.

image89 What characterizes the transition to parenting?  ©Chris Ryan/OJO Images/Getty Images

Other studies have explored the transition to parenthood (Kuersten-Hogan, 2017). One study indicated that women and less avoidantly attached new parents adapted to the introduction of child care tasks better than most men, especially men who were avoidantly attached (Fillo & others, 2015). In another study, mothers experienced unmet expectations in the transition to parenting, with fathers doing less than their partners had anticipated (Biehle & Mickelson, 2012). Also, in a study of dual-earner couples, a gender division of labor across the transition to parenthood occurred (Yavorksy & others, 2015). In this study, a gender gap was not present prior to the transition to parenthood, but after a child was born, women did more than 2 hours of additional work per day compared with an additional 40 minutes for men. And in another study, in comparison with married fathers, cohabiting fathers’ personal dedication and relationship confidence decreased and their feelings of constraint increased across the transition to parenting (Kamp Dush & others, 2014).

developmental connection
Cognitive Theory

A version of scaffolding is an important aspect of Lev Vygotsky’s sociocultural cognitive theory of development. Connect to “Physical and Cognitive Development in Early Childhood.”

The Bringing Home Page 187Baby project is a workshop that helps new parents to strengthen their relationship, understand and become acquainted with their baby, resolve conflict, and develop parenting skills (Gottman, 2018). Evaluations of the project revealed that participants improved their ability to work together as parents; fathers became more involved with their baby and sensitive to the baby’s behavior; mothers had a lower incidence of postpartum depression symptoms; and babies showed better overall development than infants whose parents were part of a control group (Gottman, Shapiro, & Parthemer, 2004; Shapiro & Gottman, 2005).

Reciprocal Socialization The mutual influence that parents and children exert on each other goes beyond specific interactions in games such as peek-a-boo; it extends to the whole process of socialization (Klein & others, 2018). Socialization between parents and children is not a one-way process (Maccoby, 2015). Parents do socialize children, but socialization in families is reciprocal.  Reciprocal socialization  is socialization that is bidirectional; children socialize parents just as parents socialize children. These reciprocal interchanges and mutual influence processes are sometimes referred to as transactional (Kuczynski, Parkin, & Pitman, 2015; Lamb & Lewis, 2015; Sameroff, 2009, 2012).

image90Children socialize parents, just as parents socialize children.  ©BrandXPictures/Getty Images

When reciprocal socialization has been studied in infancy, mutual gaze or eye contact plays an important role in early social interaction (Stern, 2010). In one investigation, the mother and infant engaged in a variety of behaviors while they looked at each other (Stern & others, 1977). By contrast, when they looked away from each other, the rate of such behaviors dropped considerably. The types of behaviors involved in reciprocal socialization in infancy are temporally connected, mutually contingent behaviors such as one partner imitating the sound of another or the mother responding with a vocalization to the baby’s arm movements.

An important form of reciprocal socialization is  scaffolding , in which parents time interactions in such a way that the infant experiences turn taking with the parents. Scaffolding involves parental behavior that supports children’s efforts, allowing them to be more skillful than they would be if they had to rely only on their own abilities (Norona & Baker, 2017). In using scaffolding, caregivers provide a positive, reciprocal framework in which they and their children interact (Maitre & others, 2017; Mermelshtine, 2017). For example, in the game peek-a-boo, the mother initially covers the baby. Then she removes the cover and registers “surprise” at the infant’s reappearance. As infants become more skilled at peek-a-boo, pat-a-cake, and so on, caregivers initiate other games that exemplify scaffolding and turn-taking sequences. Turn taking and games like peek-a-boo reflect the development of joint attention by the caregiver and infant (Melzi, Schick, & Kennedy, 2011).

image91Caregivers often play games such as peek-a-boo and pat-a-cake. How is scaffolding involved in these games?  (Top) ©BrandXPictures/Getty Images; (bottom) ©Stephanie Rausser/The Image Bank/Getty Images

Research supports the importance of scaffolding in infant development. For example, a recent study found that when adults used explicit scaffolding (encouragement and praise) with 13- and 14-month-old infants they were twice as likely to engage in helping behavior as were their counterparts who did not receive the scaffolding (Dahl & others, 2017). Another study of disadvantaged families revealed that an intervention designed to enhance maternal scaffolding with infants was linked to improved cognitive skills when the children were 4 years old (Obradovic & others, 2016).

Increasingly, genetic and epigenetic factors are being studied to discover not only parental influences on children but also children’s influence on parents (Bakermans-Kranenburg & van IJzendoorn, 2016; Baptista & others, 2017; Belsky & Pluess, 2016; Lomanowska & others, 2017). The epigenetic view emphasizes that development is the result of an ongoing, bidirectional interchange between heredity and the environment (Moore, 2015, 2017). For example, harsh, hostile parenting is associated with negative outcomes for children, such as being defiant and oppositional (Deater-Deckard, 2013; Thompson & others, 2017). This likely reflects bidirectional influences rather than a unidirectional parenting effect. That is, the parents’ harsh, hostile parenting and the children’s defiant, oppositional behavior may influence each other. In this bidirectional influence, the parents’ and children’s behavior may have genetic linkages as well as experiential connections.

Managing and Guiding Infants’ Behavior In addition to sensitive parenting that involves warmth and caring that can help babies become securely attached to their parents, other important aspects of parenting infants involve managing and guiding their behavior in an attempt to reduce or eliminate undesirable behaviors (Holden, Vittrup, & Rosen, 2011). This management process includes (1) being proactive and childproofing the environment so infants won’t encounter potentially dangerous objects or situations, and (2) engaging in corrective methods when infants engage in undesirable behaviors such as excessive fussing and crying, throwing objects, and so on.

One study assessed results of Page 188disciplinary and corrective methods that parents had used by the time infants were 12 and 24 months old (Vittrup, Holden, & Buck, 2006). As indicated in Figure 9, the main method parents used by the time infants were 12 months old was diverting the infants’ attention, followed by reasoning, ignoring, and negotiating. Also note in Figure 9 that more than one-third of parents had yelled at their infant, about one-fifth had slapped the infant’s hands or threatened the infant, and approximately one-sixth had spanked the infant before his or her first birthday.

developmental connection
Parenting

Psychologists give a number of reasons why harsh physical punishment can be harmful to children’s development. Connect to “Socioemotional Development in Early Childhood.”

image92 FIGURE 9 PARENTS’ METHODS FOR MANAGING AND CORRECTING INFANTS’ UNDESIRABLE BEHAVIOR. Shown here are the percentages of parents who had used various corrective methods by the time the infants were 12 and 24 months old.  Source: Vittrup, B., Holden, G. W., & Buck, M. “Attitudes Predict the Use of Physical Punishment: A Prospective Study of the Emergence of Disciplinary Practices,” Pediatrics, 117, 2006, 2055–2064.

As infants move into the second year of life and become more mobile and capable of exploring a wider range of environments, parental management of the toddler’s behavior often triggers even more corrective feedback and discipline (Holden, Vittrup, & Rosen, 2011). As indicated in Figure 9, in the study just described, yelling increased from 36 percent at 1 year of age to 81 percent at 2 years of age, slapping the infant’s hands increased from 21 percent at 1 year to 31 percent at age 2, and spanking increased from 14 percent at 1 year to 45 percent at age 2 (Vittrup, Holden, & Buck, 2006).

An important aspect of understanding why parents might increase their disciplinary corrective feedback in the second year involves their expectations for their toddlers’ behavior. A national poll of parents who had children 3 years of age and younger found that parents have stronger expectations for their toddlers’ ability to control their behavior than is warranted based on the maturation of the prefrontal cortex (Newton & Thompson, 2010). Thus, some of parents’ corrective feedback likely arises because parents anticipate that toddlers and young children should be exercising greater self-control over their emotions and impulses than they are capable of achieving.

A special concern is that such corrective discipline tactics not become abusive. Too often what starts out as mild to moderately intense discipline on the part of parents can move into highly intense anger. Later you will read more extensively about the use of punishment with children and child abuse.

Maternal and Paternal Caregiving As mentioned at the beginning of this chapter, an increasing number of U.S. fathers stay home full-time with their children (Bartel & others, 2018; Dette-Hagenmeyer, Erzinger, & Reichle, 2016). According to one survey, the number of stay-at-home dads in the United States was estimated to be 2 million in 2012 (Livingston, 2014). The 2 million figure represents a significant increase from 1.6 million in 2004 and 1.1 million in 1989.

Many of these full-time fathers have career-focused wives who provide most of the family income. One study revealed that the stay-at-home fathers were as satisfied with their marriage as traditional parents, although they indicated that they missed their daily life in the workplace (Rochlen & others, 2008). In this study, the stay-at-home fathers reported that they tended to be ostracized when they took their children to playgrounds and often were excluded from parent groups.

Can fathers take care of infants as competently as mothers can? Observations of fathers and their infants suggest that fathers have the ability to act as sensitively and responsively as mothers with their infants (Cabrera & Roggman, 2017; Clarke-Stewart & Parke, 2014). Consider the Aka pygmy culture in Africa where fathers spend as much time interacting with their infants as do their mothers (Hewlett, 1991, 2000; Hewlett & MacFarlan, 2010). Further, researchers found that infants who showed a higher level of externalizing, disruptive problems at 1 year of age had fathers who displayed a low level of engagement with them as early as the third month of life (Ramchandani & others, 2013). And in a recent study, children whose fathers’ behavior was more withdrawn and depressed at 3 months had a lower level of cognitive development at 24 months of age (Sethna & others, 2018). Also in this study, children whose fathers were more engaged and sensitive, as well as less controlling, at 24 months of age showed a higher level of cognitive development at that age. Further, a recent study revealed that both fathers’ and mothers’ sensitivity, as assessed when infants were 10 to 12 months old, were linked to children’s cognitive development at 18 months and language development at 36 months (Malmberg & others, 2016). Other recent studies indicate that when fathers are positively engaged with their children, improved developmental outcomes occur (Alexander & others, 2017).

Remember, however, that although Page 189fathers can be active, nurturing, involved caregivers with their infants, as Aka pygmy fathers are, in many cultures men have not chosen to follow this pattern (Parkinson, 2010). Also, if fathers have mental health problems, they may not interact as effectively with their infants.

Do fathers and mothers interact with their infants in different ways? Maternal interactions usually center on child-care activities such as feeding, changing diapers, or bathing. Paternal interactions are more likely to include play (Lamb & Lewis, 2015). Fathers engage in more rough-and-tumble play than mothers do. Nonetheless, mothers engage in play with their children three times as often as fathers do and mothers and fathers play differently with their children (Cabrera & Roggman, 2017). They bounce infants, throw them up in the air, tickle them, and so on. Mothers do play with infants, but their play is less physical, less arousing, and more predictable than that of fathers (Lamb & Lewis, 2015). In a recent study of low-income families, fathers’ playfulness with 2-year-olds was associated with more advanced vocabulary skills at 4 years of age while mothers’ playfulness with 2-year-olds was linked to a higher level of emotion regulation at 4 years of age (Cabrera & others, 2017).

image93An Aka pygmy father with his infant son. In the Aka culture, fathers were observed to be holding or near their infants 47 percent of the time (Hewlett, 1991).  ©Nick Greaves/Alamy

CHILD CARE

Many U.S. children today experience multiple caregivers. Most do not have a parent staying home to care for them; instead, the children have some type of care provided by others—“child care.” Many parents worry that child care will reduce their infants’ emotional attachment to them, harm the infants’ cognitive development, fail to teach them how to control anger, and allow them to become unduly influenced by their peers. How extensively is child care used by families? Are the worries of these parents justified?

Parental Leave Today far more young children are in child care than at any other time in history. About 2 million children in the United States currently receive formal, licensed child care, and uncounted millions of children are cared for by unlicensed babysitters. In part, these numbers reflect the fact that U.S. adults do not receive paid leave from their jobs to care for their young children.

Child-care policies around the world vary (Burchinal & others, 2015; Sanders & Guerra, 2016). Europe led the way in creating new standards of parental leave: The European Union (EU) mandated a paid 14-week maternity leave in 1992. In most European countries today, working parents on leave receive from 70 to 100 percent of their prior wage, and paid leave averages about 16 weeks (Tolani & Brooks-Gunn, 2008). The United States currently grants up to 12 weeks of unpaid leave to workers caring for a newborn.

Most countries provide parental benefits only to women who have been employed for a minimum time prior to childbirth. In Denmark, however, even unemployed mothers are eligible for extended parental leave related to childbirth. In Germany, child-rearing leave is available to almost all parents. The Nordic countries (Denmark, Norway, and Sweden) have extensive gender-equity family leave policies for childbirth that emphasize the contributions of both women and men (O’Brien & Moss, 2010; Tolani & Brooks-Gunn, 2008). For example, in Sweden, parents can take an 18-month job-protected parental leave with benefits that can be shared by parents and applied to full-time or part-time work.

Variations in Child Care Because the United States does not have a policy of paid leave for new parents, child care in the United States has become a major national concern (Shivers & Farago, 2016). Many factors influence the effects of child care, including the age of the child, the type of child care, and the quality of the program.

In the United States, approximately 15 percent of children 5 years of age and younger attend more than one child-care arrangement. One study of 2- and 3-year-old children revealed that an increase in the number of child-care arrangements the children experienced was linked to an increase in behavioral problems and a decrease in prosocial behavior (Morrissey, 2009).

image94 How do most fathers and mothers interact differently with infants?  ©Polka Dot Images/PhotoLibrary

The type of child care varies extensively (Hasbrouck & Pianta, 2016). Child care is provided in large centers with elaborate facilities and in private homes. Some child-care centers are commercial operations; others are nonprofit centers run by churches, civic groups, and employers. Some child-care providers are professionals; others are mothers who want to earn extra money. Infants and toddlers are more likely to be found in family child care and informal care settings, while older children are more likely to be in child care centers and preschool and early education programs. Figure 10 presents the primary care arrangements for children under 5 years of age with employed mothers (Clarke-Stewart & Miner, 2008).

image95 FIGURE 10 PRIMARY CARE ARRANGEMENTS IN THE UNITED STATES FOR CHILDREN UNDER 5 YEARS OF AGE WITH EMPLOYED MOTHERS

Child-care quality makes a difference (Howes, 2016; Vu, 2016). What constitutes a high-quality child-care program for infants? In high-quality child care (Clarke-Stewart & Miner, 2008, p. 273):

Page 190

connecting with careers

Wanda Mitchell, Child-Care Director

Wanda Mitchell is the Child-Care Director at the Hattie Daniels Day Care Center in Wilson, North Carolina. Her responsibilities include directing the operation of the center, which involves creating and maintaining an environment in which young children can learn effectively, and ensuring that the center meets state licensing requirements. Wanda obtained her undergraduate degree from North Carolina A & T University, majoring in Child Development. Prior to her current position, she was an education coordinator for Head Start and an instructor at Wilson Technical Community College. Describing her work, Wanda says, “I really enjoy working in my field. This is my passion. After graduating from college, my goal was to advance in my field.”

image96Wanda Mitchell, Child-Care Director, works with some of the children at her center.  Courtesy of Wanda Mitchell

For more information about what early childhood educators do, see the Careers in Life-Span Development appendix.

Caregivers encourage the children to be actively engaged in a variety of activities, have frequent, positive interactions that include smiling, touching, holding, and speaking at the child’s eye level, respond properly to the child’s questions or requests, and encourage children to talk about their experiences, feelings, and ideas.

Children are more likely to experience poor-quality child care if they come from families with few resources (psychological, social, and economic). Many researchers have examined the role of poverty in the quality of child care (Howes, 2016; Shivers & Farago, 2016). One study found that extensive child care was harmful to low-income children only when the care was of low quality (Votruba-Drzal, Coley, & Chase-Lansdale, 2004). Another study revealed that children from low-income families benefited in terms of school readiness and language development when their parents selected higher-quality child care (McCartney & others, 2007).

image97 How are child-care policies in many European countries, such as Sweden, different from those in the United States?  ©Matilda Lindeblad/Getty Images

High-quality child care also involves providing children with a safe environment, access to age-appropriate toys and participation in age-appropriate activities, and a low caregiver-to-child ratio that allows caregivers to spend considerable time with children on an individual basis. An Australian study revealed that higher-quality child care that included positive child-caregiver relationships at 2 to 3 years of age was linked to children’s better self-regulation of attention and emotion at 4 to 5 and 6 to 7 years of age (Gialamas & others, 2014). Quality of child care matters in children’s development, and according to UNICEF, the United States meets or exceeds only 3 of 10 child care quality benchmarks.

To read about one individual who provides quality child care to individuals from impoverished backgrounds, see  Connecting with Careers . Do children in low-income families usually get quality child care? To answer that question and to learn more about the effects of child care, read  Connecting Through Research .

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connecting through research

How Does the Quality and Quantity of Child Care Affect Children?

In 1991, the National Institute of Child Health and Human Development (NICHD) began a comprehensive, longitudinal study of child-care experiences. Data were collected on a diverse sample of almost 1,400 children and their families at 10 locations across the United States over a period of seven years. Researchers used multiple methods (trained observers, interviews, questionnaires, and testing) and measured many facets of children’s development, including physical health, cognitive development, and socioemotional development. Following are some of the results of what is now referred to as the NICHD Study of Early Child Care and Youth Development or NICHD SECCYD (NICHD Early Child Care Research Network, 2001, 2002, 2003, 2004, 2005, 2006, 2010).

· Patterns of use. Many families placed their infants in child care very soon after the child’s birth, and there was considerable instability in the child-care arrangements. By 4 months of age, nearly three-fourths of the infants had entered some form of nonmaternal child care. Almost half of the infants were cared for by a relative when they first entered care; only 12 percent were enrolled in child-care centers.

Socioeconomic factors were linked to the amount and type of care. For example, mothers with higher incomes and families that were more dependent on the mother’s income placed their infants in child care at an earlier age. Mothers who believed that maternal employment has positive effects on children were more likely than other mothers to place their infant in nonmaternal care for more hours. Low-income families were more likely than more affluent families to use child care, but infants from low-income families who were in child care averaged as many hours as other income groups. In the preschool years, mothers who were single, those with more education, and families with higher incomes used more hours of center care than other families. Minority families and mothers with less education used more hours of care by relatives.

· Quality of care. Evaluations of quality of care were based on characteristics such as group size, child-adult ratio, physical environment, caregiver characteristics (such as formal education, specialized training, and child-care experience), and caregiver behavior (such as sensitivity to children). An alarming conclusion is that a majority of the child care in the first three years of life was of unacceptably low quality. Positive caregiving by nonparents in child-care settings was infrequent—only 12 percent of the children studied had experienced positive nonparental child care (such as positive talk, lack of detachment and flat affect, and language stimulation). Further, infants from low-income families experienced lower-quality child care than did infants from higher-income families. When quality of caregivers’ care was high, children performed better on cognitive and language tasks, were more cooperative with their mothers during play, showed more positive and skilled interaction with peers, and had fewer behavior problems. Caregiver training and good child-staff ratios were linked with higher cognitive and social competence when children were 54 months of age. Using data collected as part of the NICHD early child care longitudinal study, a research analysis indicated that higher-quality early childhood care, especially at 27 months of age, was linked to children’s higher vocabulary scores in the fifth grade (Belsky & others, 2007).

Higher-quality child care was also related to higher-quality mother-child interaction among the families that used nonmaternal care. Further, poor-quality care was related to higher rates of insecure attachment to the mother among infants who were 15 months of age, but only when the mother was low in sensitivity and responsiveness. However, child-care quality was not linked to attachment security at 36 months of age. In one study, higher-quality child care from birth to 4½ years of age was linked to higher cognitive-academic achievement at 15 years of age (Vandell & others, 2010). In this study, early high-quality care also was related to youth reports of less externalizing behavior (lower rates of delinquency, for example). In another study, high-quality infant-toddler child care was linked to better memory skills at the end of the preschool years (Li & others, 2013).

· Amount of child care. In general, when children spent 30 hours or more per week in child care, their development was less than optimal (Ramey, 2005). In one study, more time spent in early non-relative child care was related to higher levels of risk taking and impulsivity at 15 years of age (Vandell & others, 2010).

· Family and parenting influences. The influence of families and parenting was not weakened by extensive child care. Parents played a significant role in helping children to regulate their emotions. Especially important parenting influences were being sensitive to children’s needs, being involved with children, and cognitively stimulating them. Indeed, parental sensitivity has been the most consistent predictor of Page 192a secure attachment, with child-care experiences being relevant in many cases only when mothers engage in insensitive parenting (Friedman, Melhuish, & Hill, 2010).

An important point about the extensive NICHD research is that findings show that family factors are considerably stronger and more consistent predictors of a wide variety of child outcomes than are child-care experiences (such as quality, quantity, type). The worst outcomes for children occur when both home and child-care settings are of poor quality. For example, a study involving the NICHD SECCYD data revealed that worse socioemotional outcomes (more problem behavior, lower levels of prosocial behavior) for children occurred when they experienced both home and child-care environments that conferred risk (Watamura & others, 2011).

This study reinforces the conclusion reached by other researchers cited earlier in this section of the chapter—it is not the quantity as much as the quality of child care a child receives that is important. What is also significant to note is the emphasis on the positive effect families and parents can have on children’s child-care experiences.

image98 What are some important findings from the national longitudinal study of child care conducted by the National Institute of Child Health and Human Development?  ©Reena Rose Sibayan/The Jersey Journal /Landov Images

What are some strategies parents can follow in regard to child care? Child-care expert Kathleen McCartney (2003, p. 4) offered this advice:

· Recognize that the quality of your parenting is a key factor in your child’s development.

· Monitor your child’s development. “Parents should observe for themselves whether their children seem to be having behavior problems.” They need to talk with their child-care providers and pediatricians about their child’s behavior.

· Take some time to find the best child care. Observe different child-care facilities and be certain that you like what you see. “Quality child care costs money, and not all parents can afford the child care they want. However, state subsidies, and other programs like Head Start, are available for families in need.”

We have all the knowledge necessary to provide absolutely first-rate child care in the United States. What is missing is the commitment and the will.

—Edward Zigler

Contemporary Developmental Psychologist,  Yale University

Review Connect Reflect

LG3 Explain how social contexts influence the infant’s development.

Review

· What are some important family processes in infant development?

· How does child care influence infant development?

Connect

· Earlier you learned about a fine motor skills experiment involving 3-month-olds and grasping. What concept in this section of the chapter is related to the use of “sticky mittens” in the experiment?

Reflect Your Own Personal Journey of Life

· Imagine that a friend of yours is getting ready to put her baby in child care. What advice would you give her? Do you think she should stay home with the baby? Why or why not? What type of child care would you recommend?

topical connections looking forward

In another chapter we will discuss socioemotional development in early childhood. Babies no more, young children make considerable progress in the development of their self, their emotions, and their social interactions. In early childhood, they show increased self-understanding and understanding of others, as well as an increased capacity to regulate their emotions. Many of the advances in young children’s socioemotional development become possible because of the remarkable changes in their brain and cognitive development. In early childhood, relationships and interactions with parents and peers expand their knowledge of and connections with the social world. Additionally, play becomes something they not only enjoy doing on a daily basis but also a wonderful context for advancing both their socioemotional and cognitive development.

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Socioemotional Development in Infancy
1 Emotional and Personality Development

LG1 Discuss the development of emotions and personality  in infancy.

Emotional Development

Temperament

Personality Development

· Emotion is feeling, or affect, that occurs when a person is in a state or an interaction that is important to him or her. The broad range of emotions includes enthusiasm, joy, and love (positive emotions) and anxiety, anger, and sadness (negative emotions). Psychologists stress that emotions, especially facial expressions of emotions, have a biological foundation. Biological evolution endowed humans to be emotional, but embeddedness in culture and relationships provides diversity in emotional experiences.

· Emotions are the first language with which parents and infants communicate, and emotions play key roles in parent-child relationships. Infants display a number of emotions early in their development, although researchers debate the onset and sequence of these emotions. Lewis distinguishes between primary emotions and self-conscious emotions.

· Crying is the most important mechanism newborns have for communicating with the people in their world. Babies have at least three types of cries—basic, anger, and pain cries. Controversy swirls about whether babies should be soothed when they cry, although increasingly experts recommend immediately responding in a caring way during the first year. Social smiling occurs as early as 2 months of age. Two fears that infants develop are stranger anxiety and separation from a caregiver (which is reflected in separation protest). As infants develop, it is important for them to engage in emotion regulation.

· Temperament involves individual differences in behavioral styles, emotions, and characteristic ways of responding. Chess and Thomas classified infants as (1) easy, (2) difficult, or (3) slow to warm up. Kagan proposed that inhibition to the unfamiliar is an important temperament category. Rothbart and Bates’ view of temperament emphasizes this classification: (1) extraversion/surgency, (2) negative affectivity, and (3) effortful control (self-regulation).

· Physiological characteristics are associated with different temperaments. Children inherit a physiology that biases them to have a particular type of temperament, but through experience they learn to modify their temperament style to some degree.

· Goodness of fit refers to the match between a child’s temperament and the environmental demands the child must cope with. Goodness of fit can be an important aspect of a child’s adjustment. Although research evidence is sketchy at this point, some general recommendations are that caregivers should (1) be sensitive to the individual characteristics of the child, (2) be flexible in responding to these characteristics, and (3) avoid negatively labeling the child.

· Erikson argued that an infant’s first year is characterized by the stage of trust versus mistrust. The infant begins to develop a self-understanding called self-recognition at about 18 months of age. Independence becomes a central theme in the second year of life. Erikson stressed that the second year of life is characterized by the stage of autonomy versus shame and doubt.

2 Social Orientation/Understanding and Attachment

LG2 Describe social orientation/understanding and the development of attachment in infancy.

Social Orientation/Understanding

Attachment and Its Development

Individual Differences  in Attachment

Caregiving Styles and Attachment

Developmental Social Neuroscience and Attachment

· Infants show a strong interest in their social world and are motivated to understand it. Infants orient to the social world early in their development. Face-to-face play with a caregiver begins to occur at about 2 to 3 months of age. Newly developed self-produced locomotion skills significantly expand the infant’s ability to initiate social interchanges and explore their social world more independently.

· Perceiving people as engaging Page 194in intentional and goal-directed behavior is an important social cognitive accomplishment that occurs toward the end of the first year. Also, engaging in meaningful interactions is an important aspect of infant development. Social referencing increases during the second year of life.

· Attachment is a close emotional bond between two people. In infancy, contact comfort and trust are important in the development of attachment. Bowlby’s ethological theory stresses that the caregiver and the infant are biologically predisposed to form an attachment. Attachment develops in four phases during infancy.

· Securely attached babies use the caregiver, usually the mother, as a secure base from which to explore the environment. Three types of insecure attachment are avoidant, resistant, and disorganized.

· Ainsworth created the Strange Situation, an observational measure of attachment. Ainsworth points out that secure attachment in the first year of life provides an important foundation for psychological development later in life. The strength of the link found between early attachment and later development has varied somewhat across studies.

· Three criticisms of the emphasis on secure attachment in infancy are (1) there is insufficient support for the assertion that infancy serves as a critical/sensitive period for later development; (2) biologically based factors such as genes and temperament have not been given adequate consideration; and (3) diversity of social agents and contexts have received insufficient attention. A current trend in attachment research reflects the developmental cascade model by considering not only attachment but also stability and change in stresses and social contexts as children and adolescents develop. Despite these criticisms, there is ample evidence that attachment is an important aspect of human development. Cultural variations in attachment have been found, but in all cultures secure attachment is the most common classification.

· Caregivers of securely attached babies are sensitive to the babies’ signals and are consistently available to meet their needs. Caregivers of insecure avoidant babies tend to be unavailable or rejecting. Caregivers of insecure resistant babies tend to be inconsistently available to their babies and usually are not very affectionate. Caregivers of insecure disorganized babies often neglect or physically abuse their babies.

· Increased interest has been directed toward the role of the brain in the development of attachment. The hormone oxytocin is a key candidate for influencing the development of maternal-infant attachment.

3 Social Contexts

LG3 Explain how social contexts influence the infant’s development.

The Family

Child Care

· The transition to parenthood requires considerable adaptation and adjustment on the part of parents. Children socialize parents, just as parents socialize children. Parent-infant synchrony and scaffolding are important aspects of reciprocal socialization. Belsky’s model describes direct and indirect effects of marital relations, parenting, and infant behavior. Parents use a wide range of methods to manage and guide infants’ behavior. The mother’s primary role when interacting with the infant usually is caregiving; the father’s is playful interaction.

· More U.S. children are in child care now than at any earlier point in history. The quality of child care is uneven, and child care remains a controversial topic. Quality child care can be achieved and seems to have few adverse effects on children. In the NICHD child-care study, infants from low-income families were more likely to receive the lowest quality of care. Also, higher-quality child care was linked with fewer problems in children.

 

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