Socio emotional development of young
children: how you to address developmental Issues.
To understand human growth and development, healthcare professionals need to understand and learn about 2 areas: (1) knowledge of milestone competencies, for example, growth in the motor, cognitive, speech-language, and social-emotional domains and (2) the eco-biological model of development, specifically, the interaction of environment and biology and their influence on development.
Social-emotional development covers 2 important concepts of development including the development of self or temperament and relationship to others or attachment.
The social-emotional development begins with parental bonding to the child. This bonding allows the mother to respond to the child’s needs timely and soothe their newborn. The consistent availability of the caregiver results in the development of "basic trust" and confidence in the infant for the caregiver during the first year of life. Basic trust is the first psychosocial stage described by Erickson. This allows the infant to seek for parents or the caregiver during times of stress, known as the attachment.
Even before acquiring language, babies learn to communicate through emotions. One may argue that learning emotional regulation and impulse control may determine later success in life more than IQ. There is a rapid growth in social and emotional areas of the brain during the first 18 months of life.
During the second half of infancy, emotional information from the lower limbic system moves up and becomes part of the babies' consciousness. Frontal lobe activity increases and myelination of the limbic pathways also begin during this time. With this gain in the limbic system, a caregiver's soothing and consistent response to the child's emotions develops into the child’s attachment to the caregiver, usually the mother.
In healthy children, social-emotional stages develop on an expected trajectory and monitoring these milestones is an imperative part of preventative health supervision visits. The caregiver’s sensitive and available supportive role is imperative to establish attachment and the skill set that follows.
Around 8 months of age, joint attention skills develop. An infant will look in the same direction as the caregiver and follow his gaze. Eventually, he will look back at the caregiver to show that they share the experience.
Between 12 to 18 months, the infant learns to explore his environment by support from a caregiver. By 12 months of age, proto-imperative pointing emerges, in other words, the infant requests by pointing at the object of interest and integrates it with eye contact between the object and the caregiver.
Around 12 months of age, the child takes part in interactive play like peek-a-boo and pat-a-cake. He uses gestures to wave bye-bye and communicate his interests and needs. At around 15 months of age empathy and self- conscious emotions emerge. A child will react by looking upset when he sees someone cry or feel pride when applauded for doing a task. The child imitates his environment, helps in simple household tasks and explores the environment more independently.

Around 18 to 24 months he learns to pretend-play such as talking on a toy phone or feeding a doll and plays next to or in parallel with another child. He may imitate other child’s play and look at him but he cannot play in a cooperative, imaginative way with another child yet. During preschool years he learns to manipulate his subjective emotions into a more socially accepted gesture. He uses a “poker face”, exaggerate or minimizes emotions for social etiquette. For example, he will say thank you for a present he didn’t like. The child refers to himself as “I” or “me” and possessiveness “mine” and negativism “no” emerge.
By 3 years of age, the child engages more in interactive play, masters his aggression and learns cooperation and sharing skills. He can play with 1 or 2 peers, with turn-taking play and joint goals. Imaginative and fantasy play begin like pretending to be a cat and role-play skills develop. The child, however, cannot yet distinguish between reality and imagination and it is common to be afraid of imaginary things. They master this skill to differentiate between real and imaginary around 4 years of age. They enjoy playing tricks on others and are worried about being tricked themselves. Imaginary scenarios and play skills are developing and become more complex. They can play with 3 to 4 peers, with more complex themes and pretend skills.
Issues of Concern
The inability to reach age-appropriate milestones can be a manifestation of psychosocial disturbance and needs further exploration. Examples of early childhood social-emotional disturbance include autism, reactive attachment disorder, social anxiety disorder, generalized anxiety disorder, attention-deficit hyperactive disorder, bullying, oppositional defiant disorder, conduct disorder, post-traumatic stress disorder, among others (Fatima Malik, 2020).