Psych · Foundations
Human development across the lifespan
Also known as Lifespan development · Developmental psychology for psychiatry · Piaget Erikson Kohlberg · Cognitive ageing · Gene-environment development · Sensitive periods psychiatry
Exam-exhaustive fellowship reference on human development across the lifespan for psychiatry — Piaget, Erikson, Kohlberg/Gilligan, adult development and successful ageing, ageing cognition, gene–environment interplay, adversity timing and plasticity, resilience, and clinical/exam applications for FRANZCP, MRCPsych, ABPN, and MD/DNB.
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Red flags
- Reifying stage ages as rigid destiny rather than approximate, culturally moderated maps
- Treating ACE scores as individual fate or as a diagnosis
- Citing classic single-gene G×E (e.g. 5-HTTLPR × stress) without meta-analytic caution
- Missing organic causes of developmental regression or new cognitive decline
- Adultomorphising children or infantilising older adults in assessment and consent processes
- Pathologising normative identity exploration or cultural developmental variation
Meet the patient — and the question her mother is really asking
A 16-year-old is brought in after cutting her arm. She is bright, socially anxious, and absorbed in whether she is "a real person". She started smoking cannabis three months ago, hangs out with older peers, and her sleep has inverted. Her mother asks the only question that matters to her: "Is this a phase, or is this who she is?"[5][6]
Every developmental stem is really two questions wearing one mask: is this expected development, and is there pathology riding on top of it? A consultant separates them by stage, by timing, and by trajectory — never by gut alone. This topic is the toolkit for doing that at fellowship depth.[4][6][7]
Etymology for viva gold: adolescence comes from the Latin adolescere, "to grow up" — the same root as adult. The word itself says these are people mid-becoming, which is exactly why a single cross-sectional snapshot misleads you.[5]
References20ShowHide
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- [2]Gogtay N, Giedd JN, Lusk L, et al. Dynamic mapping of human cortical development during childhood through early adulthood Proc Natl Acad Sci U S A, 2004.PMID 15148381
- [3]Giedd JN Structural magnetic resonance imaging of the adolescent brain Ann N Y Acad Sci, 2004.PMID 15251877
- [4]Blakemore SJ The social brain in adolescence Nat Rev Neurosci, 2008.PMID 18354399
- [5]Steinberg L A dual systems model of adolescent risk-taking Dev Psychobiol, 2010.PMID 20213754
- [6]Marcia JE Development and validation of ego-identity status J Pers Soc Psychol, 1966.PMID 5939604
- [7]Kroger J, Martinussen M, Marcia JE Identity status change during adolescence and young adulthood: a meta-analysis J Adolesc, 2010.PMID 20004962
- [8]Muuss RE Carol Gilligan's theory of sex differences in the development of moral reasoning during adolescence Adolescence, 1988.PMID 3381683
- [9]Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study Am J Prev Med, 1998.PMID 9635069
- [10]Chapman DP, Whitfield CL, Felitti VJ, et al. Adverse childhood experiences and the risk of depressive disorders in adulthood J Affect Disord, 2004.PMID 15488250
- [11]Weaver IC, Cervoni N, Champagne FA, et al. Epigenetic programming by maternal behavior Nat Neurosci, 2004.PMID 15220929
- [12]Caspi A, Sugden K, Moffitt TE, et al. Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene Science, 2003.PMID 12869766
- [13]Culverhouse RC, Saccone NL, Horton AC, et al. Collaborative meta-analysis finds no evidence of a strong interaction between stress and 5-HTTLPR genotype contributing to the development of depression Mol Psychiatry, 2018.PMID 28373689
- [14]Knudsen EI Sensitive periods in the development of the brain and behavior J Cogn Neurosci, 2004.PMID 15509387
- [15]Nelson CA 3rd, Gabard-Durnam LJ Early Adversity and Critical Periods: Neurodevelopmental Consequences of Violating the Expectable Environment Trends Neurosci, 2020.PMID 32101708
- [16]Nelson CA 3rd, Zeanah CH, Fox NA, et al. Cognitive recovery in socially deprived young children: the Bucharest Early Intervention Project Science, 2007.PMID 18096809
- [17]Teicher MH, Samson JA Annual Research Review: Enduring neurobiological effects of childhood abuse and neglect J Child Psychol Psychiatry, 2016.PMID 26831814
- [18]Rutter M Resilience as a dynamic concept Dev Psychopathol, 2012.PMID 22559117
- [19]Salthouse TA The processing-speed theory of adult age differences in cognition Psychol Rev, 1996.PMID 8759042
- [20]Schaie KW The course of adult intellectual development Am Psychol, 1994.PMID 8203802