Homework Topic One
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.
- Define patient compliance and explain its importance in your field.
- Identify the health care professionals’ role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance.
- Compare compliance and collaboration.
- Compare and contrast patient education in the past with that practiced today.
- Explain the importance of professional commitment in developing patient education as a clinical skill.
- Explain the three categories of learning and how they can be used in patient education.
- List three problems that may arise in patient education and how they would be solved?
- List some methods of documentation of patient education.
- Research Methods
Home › Developmental Psychology › Erik Erikson
by Saul McLeod published 2008, updated 2013
Erik Erikson (1950, 1963) proposed a psychoanalytic theory of psychosocial development comprising eight stages from infancy to adulthood. During each stage, the person experiences a psychosocial crisis which could have a positive or negative outcome for personality development.
Erikson’s ideas were greatly influenced by Freud, going along with Freud’s (1923) theory regarding the structure and topography of personality. However, whereas Freud was an id psychologist, Erikson was an ego psychologist. He emphasized the role of culture and society and the conflicts that can take place within the ego itself, whereas Freud emphasized the conflict between the id and the superego.
According to Erikson, the ego develops as it successfully resolves crises that are distinctly social in nature. These involve establishing a sense of trust in others, developing a sense of identity in society, and helping the next generation prepare for the future.
Erikson extends on Freudian thoughts by focusing on the adaptive and creative characteristic of the ego, and expanding the notion of the stages of personality development to include the entire lifespan.
Like Freud and many others, Erik Erikson maintained that personality develops in a predetermined order, and builds upon each previous stage. This is called the epigenic principle.
The outcome of this ‘maturation timetable’ is a wide and integrated set of life skills and abilities that function together within the autonomous individual. However, instead of focusing on sexual development (like Freud), he was interested in how children socialize and how this affects their sense of self.
Erikson’s (1959) theory of psychosocial development has eight distinct stages, taking in five stages up to the age of 18 years and three further stages beyond, well into adulthood. Erikson suggests that there is still plenty of room for continued growth and development throughout one’s life. Erikson puts a great deal of emphasis on the adolescent period, feeling it was a crucial stage for developing a person’s identity.
Like Freud, Erikson assumes that a crisis occurs at each stage of development. For Erikson (1963), these crises are of a psychosocial nature because they involve psychological needs of the individual (i.e. psycho) conflicting with the needs of society (i.e. social).
According to the theory, successful completion of each stage results in a healthy personality and the acquisition of basic virtues. Basic virtues are characteristic strengths which the ego can use to resolve subsequent crises.
Failure to successfully complete a stage can result in a reduced ability to complete further stages and therefore a more unhealthy personality and sense of self. These stages, however, can be resolved successfully at a later time.
1. Trust vs. Mistrust
Is the world a safe place or is it full of unpredictable events and accidents waiting to happen? Erikson’s first psychosocial crisis occurs during the first year or so of life (like Freud’s oral stage of psychosexual development). The crisis is one of trust vs. mistrust.
During this stage the infant is uncertain about the world in which they live. To resolve these feelings of uncertainty the infant looks towards their primary caregiver for stability and consistency of care.
If the care the infant receives is consistent, predictable and reliable, they will develop a sense of trust which will carry with them to other relationships, and they will be able to feel secure even when threatened.
Success in this stage will lead to the virtue of hope. By developing a sense of trust, the infant can have hope that as new crises arise, there is a real possibility that other people will be there are a source of support. Failing to acquire the virtue of hope will lead to the development of fear.
For example, if the care has been harsh or inconsistent, unpredictable and unreliable, then the infant will develop a sense of mistrust and will not have confidence in the world around them or in their abilities to influence events.
This infant will carry the basic sense of mistrust with them to other relationships. It may result in anxiety, heightened insecurities, and an over feeling of mistrust in the world around them.
Consistent with Erikson’s views on the importance of trust, research by Bowlby and Ainsworth has outlined how the quality of the early experience of attachment can affect relationships with others in later life.
2. Autonomy vs. Shame and Doubt
The child is developing physically and becoming more mobile. Between the ages of 18 months and three, children begin to assert their independence, by walking away from their mother, picking which toy to play with, and making choices about what they like to wear, to eat, etc.
The child is discovering that he or she has many skills and abilities, such as putting on clothes and shoes, playing with toys, etc. Such skills illustrate the child’s growing sense of independence and autonomy. Erikson states it is critical that parents allow their children to explore the limits of their abilities within an encouraging environment which is tolerant of failure.
For example, rather than put on a child’s clothes a supportive parent should have the patience to allow the child to try until they succeed or ask for assistance. So, the parents need to encourage the child to becoming more independent whilst at the same time protecting the child so that constant failure is avoided.
A delicate balance is required from the parent. They must try not to do everything for the child but if the child fails at a particular task they must not criticize the child for failures and accidents (particularly when toilet training). The aim has to be “self control without a loss of self-esteem” (Gross, 1992). Success in this stage will lead to the virtue of will.
If children in this stage are encouraged and supported in their increased independence, they become more confident and secure in their own ability to survive in the world.
If children are criticized, overly controlled, or not given the opportunity to assert themselves, they begin to feel inadequate in their ability to survive, and may then become overly dependent upon others, lack self-esteem, and feel a sense of shame or doubt in their own abilities.
3. Initiative vs. Guilt
Around age three and continuing to age five, children assert themselves more frequently. These are particularly lively, rapid-developing years in a child’s life. According to Bee (1992) it is a “time of vigor of action and of behaviors that the parents may see as aggressive”.
During this period the primary feature involves the child regularly interacting with other children at school. Central to this stage is play, as it provides children with the opportunity to explore their interpersonal skills through initiating activities.
Children begin to plan activities, make up games, and initiate activities with others. If given this opportunity, children develop a sense of initiative, and feel secure in their ability to lead others and make decisions.
Conversely, if this tendency is squelched, either through criticism or control, children develop a sense of guilt. They may feel like a nuisance to others and will therefore remain followers, lacking in self-initiative.
The child takes initiatives which the parents will often try to stop in order to protect the child. The child will often overstep the mark in his forcefulness and the danger is that the parents will tend to punish the child and restrict his initiatives too much.
It is at this stage that the child will begin to ask many questions as his thirst for knowledge grows. If the parents treat the child’s questions as trivial, a nuisance or embarrassing or other aspects of their behavior as threatening then the child may have feelings of guilt for “being a nuisance”.
Too much guilt can make the child slow to interact with others and may inhibit their creativity. Some guilt is, of course, necessary, otherwise the child would not know how to exercise self control or have a conscience.
A healthy balance between initiative and guilt is important. Success in this stage will lead to the virtue of purpose.
4. Industry (competence) vs. Inferiority
Industry versus inferiority is the fourth stage of Erik Erikson’s theory of psychosocial development. The stage occurs during childhood between the ages of five and twelve.
Children are at the stage where they will be learning to read and write, to do sums, to do things on their own. Teachers begin to take an important role in the child’s life as they teach the child specific skills.
It is at this stage that the child’s peer group will gain greater significance and will become a major source of the child’s self esteem. The child now feels the need to win approval by demonstrating specific competencies that are valued by society, and begin to develop a sense of pride in their accomplishments.
If children are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals. If this initiative is not encouraged, if it is restricted by parents or teacher, then the child begins to feel inferior, doubting his own abilities and therefore may not reach his or her potential.
If the child cannot develop the specific skill they feel society is demanding (e.g. being athletic) then they may develop a sense of inferiority. Some failure may be necessary so that the child can develop some modesty. Yet again, a balance between competence and modesty is necessary. Success in this stage will lead to the virtue of competence.
5. Identity vs. Role Confusion
The fifth stage is identity vs. role confusion, and it occurs during adolescence, from about 12-18 years. During this stage adolescents search for a sense of self and personal identity, through an intense exploration of personal values, beliefs and goals.
The adolescent mind is essentially a mind or moratorium, a psychosocial stage between childhood and adulthood, and between the morality learned by the child, and the ethics to be developed by the adult (Erikson, 1963, p. 245)
During adolescence the transition from childhood to adulthood is most important. Children are becoming more independent, and begin to look at the future in terms of career, relationships, families, housing, etc. The individual wants to belong to a society and fit in.
This is a major stage in development where the child has to learn the roles he will occupy as an adult. It is during this stage that the adolescent will re-examine his identity and try to find out exactly who he or she is. Erikson suggests that two identities are involved: the sexual and the occupational.
According to Bee (1992), what should happen at the end of this stage is “a reintegrated sense of self, of what one wants to do or be, and of one’s appropriate sex role”. During this stage the body image of the adolescent changes.
Erikson claims that the adolescent may feel uncomfortable about their body for a while until they can adapt and “grow into” the changes. Success in this stage will lead to the virtue of fidelity.
Fidelity involves being able to commit one’s self to others on the basis of accepting others, even when there may be ideological differences.
During this period, they explore possibilities and begin to form their own identity based upon the outcome of their explorations. Failure to establish a sense of identity within society (“I don’t know what I want to be when I grow up”) can lead to role confusion. Role confusion involves the individual not being sure about themselves or their place in society.
In response to role confusion or identity crisis an adolescent may begin to experiment with different lifestyles (e.g. work, education or political activities). Also pressuring someone into an identity can result in rebellion in the form of establishing a negative identity, and in addition to this feeling of unhappiness.
6. Intimacy vs. Isolation
Occurring in young adulthood (ages 18 to 40 yrs), we begin to share ourselves more intimately with others. We explore relationships leading toward longer term commitments with someone other than a family member.
Successful completion of this stage can lead to comfortable relationships and a sense of commitment, safety, and care within a relationship. Avoiding intimacy, fearing commitment and relationships can lead to isolation, loneliness, and sometimes depression. Success in this stage will lead to the virtue of love.
7. Generativity vs. Stagnation
During middle adulthood (ages 40 to 65 yrs), we establish our careers, settle down within a relationship, begin our own families and develop a sense of being a part of the bigger picture.
We give back to society through raising our children, being productive at work, and becoming involved in community activities and organizations.
By failing to achieve these objectives, we become stagnant and feel unproductive. Success in this stage will lead to the virtue of care.
8. Ego Integrity vs. Despair
As we grow older (65+ yrs) and become senior citizens, we tend to slow down our productivity, and explore life as a retired person. It is during this time that we contemplate our accomplishments and are able to develop integrity if we see ourselves as leading a successful life.
Erik Erikson believed if we see our lives as unproductive, feel guilt about our past, or feel that we did not accomplish our life goals, we become dissatisfied with life and develop despair, often leading to depression and hopelessness.
Success in this stage will lead to the virtue of wisdom. Wisdom enables a person to look back on their life with a sense of closure and completeness, and also accept death without fear.
Erikson’s theory has good face validity. Many people find that they can relate to his theories about various stagesof the life cycle through their own experiences.
However, Erikson is rather vague about the causes of development. What kinds of experiences must people have in order to successfully resolve various psychosocial conflicts and move from one stage to another? The theory does not have a universal mechanism for crisis resolution.
Indeed, Erikson (1964) acknowledges his theory is more a descriptive overview of human social and emotional development that does not adequately explain how or why this development occurs. For example, Erikson does not explicitly explain how the outcome of one psychosocial stage influences personality at a later stage.
However, Eriskon stressed his work was a ‘tool to think with rather than a factual analysis’. Its purpose then is to provide aframework within which development can be considered rather than testable theory.
One of the strengths of Erikson’s theory is its ability to tie together important psychosocial development across the entire lifespan.
Although support for Erikson’s stages of personality development exists (McAdams, 1999), critics of his theory provide evidence suggesting a lack of discrete stages of personality development (McCrae & Costa, 1997).
View the complete article as a PDF document
How to cite this article:
McLeod, S. A. (2013). Erik Erikson. Retrieved from www.simplypsychology.org/Erik-Erikson.html
References and Further Reading
Bee, H. L. (1992). The developing child. London: HarperCollins.
Erikson, E. H. (1950). Childhood and society. New York: Norton.
Erickson, E. (1958). Young man Luther: A study in psychoanalysis and history. New York: Norton.
Erikson, E. H. (Ed.). (1963). Youth: Change and challenge. Basic books.
Erikson, E. H. (1964). Insight and responsibility. New York: Norton.
Erikson, E. H. (1968). Identity: Youth and crisis. New York: Norton.
Erikson, E. H., Paul, I. H., Heider, F., & Gardner, R. W. (1959). Psychological issues (Vol. 1). International Universities Press.
Gross, R. D., & Humphreys, P. (1992). Psychology: The science of mind and behaviour. London: Hodder & Stoughton.
Freud, S. (1923). The ego and the id. SE, 19: 1-66.
McAdams, D. P. (2001). The psychology of life stories. Review of General Psychology, 5(2), 100.
McCrae, R. R., & Costa Jr, P. T. (1997). Personality trait structure as a human universal. American Psychologist, 52(5), 509.
Introduction Psychosocial Stages 1. Trust vs. Mistrust 2. Autonomy vs. Shame 3. Initiative vs. Guilt 4. Industry vs. Inferiority 5. Identity vs. Role Confusion 6. Intimacy vs. Isolation 7. Generativity vs. Stagnation 8. Ego Integrity vs. Despair Critical evaluation References
Psychosexual Stages of Development Erikson – why was he important? Article on Psychosocial Stages
Erikson vs. Maslow
Submit by 2359 Saturday of Week 3.
Overview: Life Review Interview
This assignment provides the opportunity to develop one-to-one interactions with an elder who resides in the community. The focus is to develop and refine skills in communication and to examine successful aging through the lived experiences of an elder.
Completing this assignment will enable you to conduct a Life Review with an older adult, understand the significance of the individual’s life story, identify possible legacies and their importance to the older adult, and describe the degree of ego integrity reached by the older adult. You will also reflect upon the process of conducting a Life Review. Only your initial reflection statements about the interview process must be submitted during Week 3.
Contact the older adult the day before the interview to remind him/her about it and to answer any questions about the process that may have arisen. Be sure to review the guidelines and guiding questions before the interview session. Be prompt and professional.
All information of a sensitive nature that is shared with you must be kept confidential unless your have the older adult’s permission to share it with others. The Interview Consent Form offers assurance and informs the older adult that the information is kept within the bounds of the course faculty and, where appropriate, with peers in the class. In all written work and discussions, the older adult must be identified by initials only to protect privacy.
This document includes guidelines to help you prepare for and conduct the interview, but you are not required to submit answers to the interview questions. Only your initial reflection statements in Part C must be submitted during Week 3.
- Apply gerontologic nursing principles and standards in nursing practice across the continuum of elder care.
- Use current evidence and theories in care of older adults.
- Conduct a personal interview with an older adult for the purpose of documenting Life Review.
Use this rubric to guide your work on the assignment, “Life Review Interview.”
Levels of Achievement
Week 3 Assignment 2 Reflection upon interview. Write 3 reflective statements
0 to 1 reflective statement or statements are not reflective of student’s thoughts/feelings
2 reflective statements are submitted
3 statements are submitted that reflect the student’s thoughts and feelings (not the interview subject’s)
APA Format is used. Correct spelling, puntuation and grammar are used
more than 2 errors
A. Preparing for the interview:
- Be able to explain the purpose and length of the visits (The interview should not exceed two hours. If you are unable to complete the interview in two hours, then schedule another meeting).
- If you have not done so, ask the elder to sign the Interview Consent Form. (It is helpful to take two copies so that you can leave a copy with the elder.)
- Reflect upon how you can incorporate therapeutic communication skills in your interview.
- Review the Interview Guide. The elder does have the right to refuse to answer any question – please honor that right.
B. Conducting the interview:These questions can serve as a guide during the interview. You are not required to submit the answers to the questions, so you will not be graded upon completion of this section.
Distinguishing characteristics of the individual:
1. What was life like for you as a child?
2. What were your parents like? What were their strengths and weaknesses?
3. Did you have any brothers or sisters? If so, tell me what each was like.
4. Did someone close to you die when you were growing up?
5. Do you ever remember being very sick?
6. Was religion a large part of your life?
1. What things stand out in your memory about being a teenager?
2. Who were the important people for you (parents, brothers, sisters, friends, teachers, those you were especially close to, those you admired, those you wanted to be like)? Tell me about them.
3. Did you go to school? What was its meaning to you?
4. Did you work during those years?
5. What were the pleasant things about your adolescence?
6. What was the most unpleasant thing about your adolescence?
Family and Home
1. What was the atmosphere in your home?
2. Who were you closest to in your family?
3. Who in your family were you most like? In what way?
1. Now I’d like to talk to you about your life as an adult, from when you were in your 20s up to today. Tell me of the most important events that happened in your adulthood.
2. What was life like for you in your 20s and 30s?
3. Tell me about your work. Did you enjoy work? Did you earn an adequate living
4. Did you marry?
If [No], why not?
If [Yes], on the whole, would you say you had a happy or an unhappy marriage?
Were you married more than once?
5. What were some of the main difficulties you encountered during your adult years?
a. Did someone close to you die? Go away?
b. Were you ever sick? Have an accident?
c. Did you move often? Change jobs?
d. Did you ever feel alone? Abandoned?
e. Did you ever feel needy?
1. On the whole, what kind of life do you think you have had?
2. What would you say have been the three main satisfactions in your life? Why were they satisfying?
3. Everyone has had disappointments. What have been the main disappointments in your
4. What was the hardest thing you had to face in your life? Please describe it.
5. What was the happiest period of your life? What about it made it the happiest period?
6. What was the proudest moment in your life?
7. How do you think you have made out in life – better or worse than what you hoped for?
8. Let’s talk a little about you as you are now. What are the best things about the age you are now?
9. What are the worst things about being the age you are now?
10. What are the most important things to you in your life today?
11. What do you hope will happen to you as you grow older?
12. What do you fear will happen to you as you grow older?
13. Have you enjoyed participating in this review of your life?
C. Reflective statements:Record three different/separate reflective statements about the interview as soon as possible after its completion. You will expand upon your reflection in your final paper during Week 4. Only record your personal reflections. How did you feel about the conversation? Did it cause you to think about how you or your loved ones are aging? Any changes you might want to make in your lifestyle? Parts of the interview that were particularly significant or upsetting to you? These are some examples of reflective statements, however you may have others as well.