Development of children Flashcards

1
Q

State 4 reasons why practitioners should be aware about the normal psychological development of children

A
  1. Can meet the specific needs of the child
  2. Deviations from expected behaviour might be understood as a warning that the treatment isn’t acceptable to the young patient
  3. Every violation reduces the child’s cooperation and will make further treatment more difficult (and the need for treatment is lifelong)
  4. It will make it possible for you to understand your own reactions and behaviour in the treatment session.
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2
Q

Explain the infancy phase (0- 2 years) of development

A
  • At this age children aren’t treated, but this period is important for practitioners because further development is based these first years of life
  • This is the start of basic trust, which forms an important basis for the ability to rely upon people, to make contact and to maintain close relations
  • During early infancy the child learns to distinguish clearly between the parent and foreign people (8 months)
  • The child starts to distinguish between itself and the parent
  • This feeling of being a ‘person’ completely separated from the mother is not completed until the age of 3 years
  • Some sense of causality is developed during the later part of this period; meaning that the child from experience gets an idea of the common sequence of events, an expectation about what will happen next in a familiar situation
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3
Q

Explain the early childhood phase (2- 3 years) of development

A
  • The child develops more autonomy and a sense of self
  • The child is dependent upon the parent for security but explores the boundaries of its own power
  • The child has a very strong drive to investigate the limits set by adults, to try its own power and experience new thrilling situations
  • The child likes some things to remain unchanged and loves repeating activities as an element of security
  • Positive development means that the child in interaction with the parents finds a balance where its own will and independence are respected at the same time as the child subordinates itself without losing confidence
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4
Q

Explain the later pre-school childhood phase (3 - 6 years) of development

A
  • Child is no longer dependent on the parent in all everyday situations
  • Each word becomes loaded with feelings, ideas and helps the child to remember
  • The child asks for facts and wants functional explanations
  • They are good helpers and love to be praised
  • Social development comprises role-playing, which is typical of this period and may also be a good way to make contact in the dental situation
  • The child likes to take the part of someone else, and in doing so it is leaning to understand what someone else may feel and think
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5
Q

Explain the early school age phase (6 - 12 years) of development

A
  • This period is characterized by intensive development in social skills and intellectual growth
  • About the age of 6 there is a period of increased ambivalence, characterized by swinging emotions between obedience and stubbornness.
  • Check the child’s comprehension when you introduce new words and understandings
  • The concept of time is related to the child’s own experience and is realistically related to its own everyday life experiences not clock time
  • Until the age of 9 children respect authority and accept rules without questioning and are concerned to do things in the right way
  • There is a fascination in exact figures and numbers such as speed, height, age e.g. 9 ½
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6
Q

Explain the adolescence phase (13 - 20 years) of development

A
  • The beginning of this period is characterized by a period of partial regression - a mental return to earlier stages of development (to find new and more functional solutions of emotional conflicts not solved at an earlier stage)
  • Reaction against parents is a necessary part of the struggle to emancipate oneself
  • Parents are no longer almighty and their norms have to be reassessed
  • This may be expressed as withdrawal, sensitivity, provocation, and nonchalance
  • This also accepts other adults who are looked upon as some sort of authority
  • The teenager longs for both the protection of childhood and for complete freedom
  • Aggression is close to the surface and may cause intense reactions of fury at trivial events
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7
Q

List the characteristics of interacting with 3 year old children, and how these can be used for successful treatment

A
Characteristics:
• Treatment maturity
• Can sit still
• Good memory
• Good  verbal communication
• Socially- emotionally stable
Ideas for successful treatment:
• Create a feeling of security - knee to knee
• Role-playing, dress ups
• Use a toothbrush for familiarity
• Balloon gloves
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8
Q

List the characteristics of interacting with 6 year old children, and how these can be used for successful treatment

A
Characteristics
• Motor restless
• Logical but rigid thinking
• Fascination with exact figures
• Emotional swings
Ideas for successful treatment
• Be clear
• Give realistic praise
• Use figures to engage in conversation
• Work fast
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9
Q

List the characteristics of interacting with 9 year old children, and how these can be used for successful treatment

A
Characteristics
• Respects authorities
• Uses adult words, but lacks  experience
• Adult concepts of life and death
• Interested in dialogue

Ideas for successful treatment
• Talk and share thoughts

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10
Q

List the characteristics of interacting with 12 year old children, and how these can be used for successful treatment

A
Characteristics
• Wants explanation of everything
• Likes arguing
• Strong sense of fairness
• Adult authority is automatically accepted

Ideas for successful treatment
• Discuss and explain all

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11
Q

List the characteristics of interacting with 15 year old children, and how these can be used for successful treatment

A
Characteristics
• Adult intellectual concepts
• Values questioned
• Emotional swings
• Sensitive-provocative oscillation 

Ideas for successful treatment
• Treat as an adult
• Can accept self-consent from a 14+year-old
• Lots of patience

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12
Q

List the 4 types of parenting styles

A

Authoritative parents

Authoritarian parents

Permissive parents

Neglectful parents

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13
Q

Explain authoritative parents

A
  • Are clear about limits and what they expect from the child
  • Are willing to listen to the child and have an understanding of its needs and wishes, with a loving attitude
  • Have a more democratic view of relations
  • Within clear limitations the child has good opportunities to have new experiences and independence is supported
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14
Q

Explain authoritarian parents

A
  • Strong culture of restrictions on the child
  • Parents’ wishes are absolute
  • Punishment (may be violent) backing this up
  • Emotionally distanced from the child
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15
Q

Explain permissive parents

A
  • Warm and indulgent in their attitude
  • Demand very little from the child
  • Allow rules to be ignored and broken
  • Usually hide their irritation
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16
Q

Explain neglectful parents

A
  • Low warmth and low control
  • Sometimes referred to as indifferent & uninvolved and emphasizes the emotionally detached nature of these parents
  • Indifferent & uninvolved, or neglectful, parents tend to keep their children at a distance, responding to child demands only to keep them quiet
17
Q

List the goals of behaviour management

A
  • Establish communication
  • Alleviate dental fear and anxiety
  • Educate patient’s and parent’s on the need for good oral health and how to achieve this
  • Promote positive attitudes to oral health care
  • Build trusting relationships
  • Provide quality, safe, effective, comfortable dentistry
18
Q

List the 3 possible factors that lead to behaviour problems

A

Personal factors

External factors

Dental factors

19
Q

List the subreasons under the 3 possible factors that lead to behaviour problems

A

Personal factors
• Age
• Temperament (e.g, shy patients or those with negative emotions)
• General fears and anxieties (often from other medical treatments)
• Other problems such as ADHD

External factors
• Parental dental fear and anxiety. Parents may interfere with dental treatments due to their fear as well
• Social situation of the family
• Ethnic background of the family
• Child rearing and the child’s role in society

Dental factors
• Pain, repeated painful visits (MIH)
• The Dental Team