Published online by Cambridge University Press: 10 October 2025
A thorough and detailed understanding of normal development in childhood provides a basis upon which we can build knowledge of children’s mental health difficulties. Development refers to expected patterns of change over time, beginning at conception and continuing throughout the lifespan. It is a lifelong process and encompasses different domains, including the physical, social, emotional, and cognitive.
Is the way my child plays with others suggestive of Autism? Could his bad dreams indicate anxiety? Does the fact she can’t sit through a whole film mean she has ADHD? Only with an in-depth knowledge of what is developmentally ‘normal’, can we begin to elicit whether behaviours that deviate from these norms might indicate disorder. This is the basis of the developmental psychopathology that underpins the practice of Child & Adolescent Psychiatry. What is considered ‘normal’ development involves a complex and continuous interplay between genetic and environmental (including sociocultural) factors. Despite some variation, there is a consistency and reliability of functioning in children that remains steadfast from generation to generation.
In this chapter we will consider areas including the milestones of development in early childhood; attachment theory, temperament and personality; theories of emotional, cognitive and social development; and development in adolescence.
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