Human Development

Overview – Human Development

Human development spans physical, emotional, cognitive, and social changes from conception through old age. Understanding these stages is vital in psychiatry, paediatrics, and general medicine to recognise normal development, intervene early in pathology, and support age-appropriate care. This guide outlines key life phases, developmental theories, and common clinical issues across the lifespan.


Stages of the Lifespan

PhaseApproximate AgeKey Highlights
PrenatalConception → BirthRapid development of the nervous system and body
InfancyBirth → 2 yearsMotor development, attachment to primary carer
Childhood2 → 13 yearsLogical reasoning, motor refinement, early peer influence
Adolescence13 → 20 yearsAbstract thinking, identity development, continued peer influence
Adulthood20 → 65 yearsLove, career, family, stability; physical abilities begin to decline
Old Age65+ yearsReflection, physical and cognitive decline, preparation for end of life

Piaget’s Cognitive Development Theory

Sensorimotor Stage (0–2 years)

  • Object permanence
  • Deferred imitation
  • Early symbolic thinking

Preoperational Stage (2–7 years)

  • Rapid language development
  • Classification and categorisation
  • Counting
  • Egocentrism

Concrete Operational Stage (7–11 years)

  • Logical reasoning
  • Symbolic thought
  • Mastery of classification

Formal Operational Stage (11+ years)

  • Abstract and scientific reasoning
  • Hypothesis testing and problem-solving

Erikson’s Psychosocial Development


Prenatal Development

Factors Affecting Foetal Health

  • Biological: maternal age, nutrition, infections, congenital malformations
  • Psychological: maternal stress, anxiety (linked to future mental health)
  • Social: financial stability, family support

Infancy (0–2 years)

Motor Development

  • Reflexes: Moro, palmar grasp, sucking
  • Milestones influenced by environment, prematurity, siblings

Perceptual & Emotional Development

  • 0–6 months: smiling (12–16 weeks), laughter, attachment
  • 7–12 months: fear and anger emerge, social referencing
  • 12–24 months: self-conscious emotions, empathy begins

Cognitive Development

  • Assimilation: integrate new info into existing schemas
  • Accommodation: update mental frameworks with new experiences

Common Clinical Issues

  • Growth and developmental delays
  • Abuse (physical, sexual, emotional, verbal)

Childhood (2–13 years)

Emotional Development

  • 3–6 years: greater emotional expression, understanding others’ feelings
  • 7–11 years: self-regulation, multi-emotion awareness, increasing empathy

Common Clinical Issues

  • Biological: asthma, childhood cancers
  • Psychological: bullying, eating disorders
  • Social: school refusal, separation anxiety

Adolescence (13–20 years)

Developmental Milestones

  • Physical: puberty, reproductive capability
  • Social: independence, risk-taking, role identity, self-esteem

Common Clinical Issues


Adulthood & Older Age

Major Life Events

  • Marriage, work, raising children, experiencing death

Physical & Psychological Changes

  • Strength peaks (25–30 yrs), then gradually declines
  • Sensory systems deteriorate
  • Crystallised knowledge preserved; fluid intelligence declines

Common Clinical Issues

  • Depression, anxiety, chronic diseases (diabetes, CVD, arthritis)
  • Cancer, neurodegenerative conditions

Stages of Grief (Kubler-Ross Model)


Impact of Separation & Divorce on Children

Age-Specific Reactions

  • 0–5 years: sleep disturbance, clinginess, regression (e.g. bedwetting)
  • 5–8 years: distress when separated from a parent, anger, anxiety
  • 8–12 years: parent-blaming, somatic complaints, lying, stealing, running away
  • 12–16 years: school disengagement, emotional withdrawal, acting out

Summary – Human Development

Human development encompasses a predictable sequence of physical, emotional, and cognitive changes across the lifespan. Developmental theories such as those by Piaget and Erikson help explain age-based behaviours, while understanding clinical red flags allows for timely intervention. For a broader context, see our Psychiatry & Mental Health Overview page.

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