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It is important to note that Piaget did not view children's intellectual development as a quantitative process; that is, kids do not just add more information and knowledge to their existing knowledge as they get older. To better understand some of the things that happen during cognitive development, it is important first to examine a few of the important ideas and concepts introduced by Piaget. A schema describes both the mental and physical actions involved in understanding and knowing.

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Schemas are categories of knowledge that help us to interpret and understand the world. In Piaget's view, a schema includes both a category of knowledge and the process of obtaining that knowledge. For example, a child may have a schema about a type of animal, such as a dog. If the child's sole experience has been with small dogs, a child might believe that all dogs are small, furry, and have four legs. Suppose then that the child encounters an enormous dog. The child will take in this new information, modifying the previously existing schema to include these new observations.

The process of taking in new information into our already existing schemas is known as assimilation. In the example above, seeing a dog and labeling it "dog" is a case of assimilating the animal into the child's dog schema. Another part of adaptation involves changing or altering our existing schemas in light of new information, a process known as accommodation. Accommodation involves modifying existing schemas, or ideas, as a result of new information or new experiences. Piaget believed that all children try to strike a balance between assimilation and accommodation, which is achieved through a mechanism Piaget called equilibration.

As children progress through the stages of cognitive development, it is important to maintain a balance between applying previous knowledge assimilation and changing behavior to account for new knowledge accommodation. Equilibration helps explain how children can move from one stage of thought to the next. Knowing reality means constructing systems of transformations that correspond, more or less adequately, to reality.

Piaget's theory of cognitive development helped add to our understanding of children's intellectual growth. It also stressed that children were not merely passive recipients of knowledge. Instead, kids are constantly investigating and experimenting as they build their understanding of how the world works. Have you ever wondered what your personality type means?

Sign up to get these answers, and more, delivered straight to your inbox. Int J Clin Pediatr Dent. Malik F. Cognitive Development. StatPearls [Internet]. Published January 16, Scott HK. Published June 1, Published January 1, The effect of cognitive processing therapy on cognitions: impact statement coding.

J Trauma Stress. Stages of Cognitive Development. How Piaget Developed the Theory. The Stages. Important Concepts. This would involve accommodation—the formation of a new cognitive structure.

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  6. Cognitive development , according to Piaget, represents a dynamic equilibrium between the two processes of assimilation and accommodation. As a second part of his theory, Piaget postulated four major periods in individual intellectual development. The first, the sensorimotor period, extends from birth through roughly age two. During this period, a child learns how to modify reflexes to make them more adaptive, to coordinate actions, to retrieve hidden objects, and, eventually, to begin representing information mentally. The second period, known as preoperational , runs approximately from age two to age seven.

    In this period a child develops language and mental imagery and learns to focus on single perceptual dimensions, such as colour and size. The third, the concrete-operational period, ranges from about age 7 to age A preoperational child, asked which beaker has more water, will say that the second beaker does the tall thin one ; a concrete-operational child, however, will recognize that the amount of water in the beakers must be the same. Finally, children emerge into the fourth, formal-operational period, which begins at about age 12 and continues throughout life.

    The formal-operational child develops thinking skills in all logical combinations and learns to think with abstract concepts. For example, a child in the concrete-operational period will have great difficulty determining all the possible orderings of four digits, such as The child who has reached the formal-operational stage, however, will adopt a strategy of systematically varying alternations of digits, starting perhaps with the last digit and working toward the first.

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    This systematic way of thinking is not normally possible for those in the concrete-operational period. One shortcoming is that the theory deals primarily with scientific and logical modes of thought, thereby neglecting aesthetic , intuitive, and other modes. From mid-childhood, children with RSS need to be monitored closely by a pediatric endocrinologist to look for early signs of adrenarche and puberty.

    If necessary, puberty can be delayed by using a medicine known as gonadotropin-releasing hormone analogue GnRHa. Feeding difficulties : It is important to consider the possibility of underlying gastrointestinal problems and to treat these effectively as early as possible. Acid reflux can be helped by providing smaller, more frequent meals and upright positioning of babies so gravity can help prevent food from flowing back up into the esophagus. Medications such as H2 blockers or proton pump inhibitors may also be prescribed. In rare cases of severe gastroesophageal reflux, especially when a gastrostomy tube is being placed , a surgical procedure known as fundoplication may be necessary.

    During this surgical procedure the upper curve of the stomach fundus is wrapped around the lower portion of the esophagus. This procedure strengthens the valve sphincter between the esophagus and stomach and helps prevent acid reflux. Decreasing the quantity of foods high in fat and providing smaller, more frequent meals can help improve delayed gastric emptying.

    Constipation is also common in RSS and can cause a child to feel full so they do not want to eat. Hypoglycaemia : Hypoglycemia is treated by standard guidelines, including frequent feeding, dietary supplementation and the use of complex carbohydrates such as corn starch. To avoid low blood sugar levels, children with RSS should never go without food for long periods even for medical procedures and should go to the emergency room for glucose infusion when they are ill and unable to eat food by mouth.

    It is helpful for parents to be taught to measure ketones in the urine as an early warning sign, particularly when a child is unwell. Neurodevelopment : Some children with RSS may need additional support with development and learning. Early intervention is important to ensure that they reach their potential. An individual education plan IEP may be developed to support children in school if special services are required; a plan can ensure that the child receives access to an equal education by adapting their learning environment.

    Speech problems are common especially in children with upd 7 mat and speech and language therapy may be recommended. An audiological examination should also be performed to rule out hearing loss as the cause of speech problems. Additional problems : Braces and oral surgery may be needed to correct dental problems, such as crowding of the teeth.

    Difficulties can sometimes arise with walking due to limb asymmetry. Special braces and shoes may help improve balance and gait. In a small number of cases, surgical intervention may eventually be required; this is usually performed when growth has ceased.

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    Cryptorchidism can sometimes resolve spontaneously, although some boys require surgical treatment. Hypospadias requires surgery, ideally by an experienced pediatric surgeon.

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    Kidney renal abnormalities are treated along standard guidelines. Psychological support : Short stature and other medical conditions can lead to issues with self-image in some children. Psychological counseling can help children manage issues with self-image and peer relationships and other social interactions. Genetic counseling : Genetic counseling may be of benefit for affected individuals and their families.

    In most families, only one child is affected and the chance of parents having another baby with RSS is likely to be very low. Similarly, the chance of an individual with RSS having an affected child themselves is also likely to be very low. Genetic investigation is therefore important before parents are advised about recurrence risk. Information on current clinical trials is posted on the Internet at www.


    All studies receiving U. For information about clinical trials sponsored by private sources, in the main, contact: www.

    Russell-Silver Syndrome. Jones KL. Saunders Co. Van Allen MI. Philadelphia, PA.

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    Syndromes of the Head and Neck. Diagnosis and Management of Silver-Russell syndrome: first internationa consensus statement. Nat Rev Endocrinol. Prevalence and management of gastrointestinal manifestations in Silver-Russell syndrome. Arch Dis Child. Azzi S. A prospective study validating a clinical scoring system and demonstrating phenotypical-genotypical correlations in Silver-Russell syndrome.