Developmental Milestones Chart Page 5
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13Emotional
Possible effects of maltreatment
Birth-1 yr: learns fundamental trust
Chronic malnutrition: growth retardation,
in self, caretakers, environment
brain damage, possibly mental
retardation
1-3 yr: mastery of body and
rudimentary mastery of
Head injury and shaking: skull fracture,
environment (can get other’s to
mental retardation, cerebral palsy,
take care of him)
paralysis, coma, death, blindness,
deafness
12-18 mo: “terrible twos” may
begin; willful, stubborn, tantrums
Internal organ injuries
18-36 mo: feel pride when they
Chronic illness from medical neglect
are “good” and
embarrassment when they are
Delays in gross and fine motor skills, poor
“bad”
muscle tone
18-36 mo: Can recognize distress
Language and speech delays; may not
in others – beginning of
use language to communicate
empathy
Insecure or disorganized attachment:
18-36 mo: are emotionally
overly clingy, lack of discrimination of
attached to toys or objects for
significant people, can’t use parent as
security
source of comfort
Passive, withdrawn, apathetic,
unresponsive to others
“Frozen watchfulness”, fearful, anxious,
depressed
Feel they are “bad”
Immature play – cannot be involved in
reciprocal, interactive play
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