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PSYCHOLOGICAL DEVELOPMENT OF THE CHILD: COGNITIVE DEVELOPMENT - PIAGET'S THEORY OF COGNITIVE DEVELOPMENT
The development of the mental processes by which children solve problems and acquire sophisticated concepts has been described by Jean Piaget (1969) who evolved a theory of genetic epistomology which accounted for how children come to know and understand their world. This includes an explanation of how mathematical, scientific and moral concepts are evolved in childhood. He describes intellectual development as beginning in the first 18 months of life with the 'sensorimotor' stage, where the child develops an understanding of reason and causality without recourse to abstract thought or language. From 18 months to 7 years the child emerges through the period of 'pre-operational thinking' which is characterized by unsystematic, illogical thought and reasoning, but from 7 to 11 years the child's thinking becomes more logical and he begins to coordinate the more abstract qualities that define objects and relationships, thus he begins to understand that a ton of coal has the same mass as a ton of feathers. The child then progresses to 'formal operations' characterized by hypothetico-deductive reasoning. At this stage he is able to think in terms of a variety of possible solutions to a problem simultaneously. As children mature through these developmental stages their questions about life and about themselves become more sophisticated and complex. They may start to ask. 'Why me?', 'Why this disability or illness?'. Physiotherapists must be ready to answer these questions and help children through difficult times, sometimes referring them to a clinical psychologist for further help.
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