Definition/Introduction
Erikson’s Stages of Psychosocial Development is a theory introduced in the 1950s by the psychologist and psychoanalyst Erik Erikson. It built upon Freud’s theory of psychosexual developmentby drawing parallels in childhood stages while expanding it to include the influence of social dynamics as well as the extension of psychosocial development into adulthood.[1]It posits eight sequential stages of individual human development influenced by biological, psychological, and social factors throughout the lifespan. This bio-psychosocial approach has influenced several fields of study, including gerontology, personality development, identity formation, life cycle development, and more.[2][3]
Issues of Concern
Function
Stages arise as individuals grow and face new decisions and turning points during childhood, adolescence, and adulthood. Each stage is defined by two opposing psychological tendencies – one positive/syntactic and negative/dystonic. From this develops an ego virtue/strength or maldevelopment, respectively. If the virtue is adopted, it can help to resolve the current decision or conflict. It will also help subsequent stages of development and contribute to a stable foundation for core belief systems in relating to the self and the outer world.[3]The opposite is true with the adoption of the maldeveloped quality.
As an example, the ego identity crystallizes in stage 5, during adolescence. The two opposing qualities are ego identity and confusion/diffusion. Those who develop ego identity yield the virtue of fidelity, while the inability to do so – ego confusion – creates a quality of repudiation. With a stronger sense of ego identity, the interaction with the outer and inner world is of rejecting incongruent evaluations of self and a decreased level of anxiety, respectively.[4]
While adopting the syntonic attribute is clearly beneficial in this example, doing so should be done within reason. Extreme ego identity can become fanaticism, which can create unhealthy interactions with the self and others. One must navigate the two opposing values in each stage to find a balance, instead of only striving for the positive quality. Straying too far towards the positive tendency can be maladaptive, while leaning too far toward the negative can be malignant.[3]
Components
Some scholars have attempted to confine stages to specific ages, but Erikson did not initially define this. Instead, there are periods within childhood, adolescence, and adulthood. Each stage provides an example in which the positive attribute may be furthered.
Stagesof Childhood
Stage 1 – Infancy period: Trust vs. Mistrust
Virtue: Hope, Maldevelopment: Withdrawal
Concomitant Freudian stage: oral stage
Example: Secure environment provided by the caregiver, with regular access to affection and food
Stage 2 – Early Childhood period: Autonomy vs. Shame, doubt
Virtue: Will, Maldevelopment: Compulsion
Concomitant Freudian stage: anal stage
Example: Caregiver promotes self-sufficiency while maintaining a secure environment
Stage 3 – Play Age period: Initiative vs. Guilt
Virtue: Purpose, Maldevelopment: Inhibition
Concomitant Freudian stage: genital stage
Example: Caregiver encourages, supports, and guides the child’s own initiatives and interests
Stage 4 – School Age period: Industry vs. Inferiority
Virtue: Competence, Maldevelopment: Inertia (passivity)
Concomitant Freudian stage: latency stage
Example: Reasonable expectations set in school and at home, with praise for their accomplishments
Stage of Adolescence
Stage 5 – Adolescence period: Identity vs. Identity confusion
Virtue: Fidelity, Maldevelopment: Repudiation
Example: Individual weighs out their previous experiences, societal expectations, and their aspirations in establishing values and ‘finding themselves.’
Stages of Adulthood
Stage 6 – Young Adulthood period: Intimacy vs. Isolation
Virtue: Love, Maldevelopment: Distantiation
Example: Individual forms close friendships or long-term partnership
Stage 7 – Adulthood period: Generativity vs. Stagnation/Self-absorption
Virtue: Care, Maldevelopment: Rejectivity
Example: Engagement with the next generation through parenting, coaching, or teaching
Stage 8 – Old Age period: Integrity vs. Despair
Virtue: Wisdom, Maldevelopment: Disdain
Example: Contemplation and acknowledgment of personal life accomplishments
A ninth stage was added by Erik Erikson’s wife, Joan Erikson. It considers new challenges experienced with continued aging and incorporates aspects from all previous eight stages of psychosocial development.
The sequential layout of Erikson’s Stages of Psychosocial Development might initially suggest that stage outcomes become fixed once the next stage is engaged. While there is a fixed sequence, resolution can be a life-long process, re-activated at various times depending on life events that affect the ego strength or maldeveloped belief pattern.[5]Resolution is not required to move on to the next stage. Additionally, with advancement to a new stage, preceding stages are questioned and must be reintegrated.[6]This is why his theory is sometimes referred to as an ‘epigenetic principle.’ Additional research suggests that the latter four stages are, to an extent, a repetition of previous stages.[7]As an example, the stage of intimacy can be considered a combination of autonomy and trust. Thus, the developmental stages and formation of identity is an ever-evolving process, as opposed to a rigid concrete system.
Clinical Significance
Several clinical tools and further research have emanated from and have undergone significant influence by Erikson’s Stages of Development:
Studying Erikson’s stages serve as a basis of treatment for different recovery stages of mental illness.[8]For example, the initial stage of trust vs. mistrust parallels the mental illness recovery stage concerning the acceptance of the mental illness and trusting the idea of recovery.
The Erikson Psychosocial Stage Inventory (EPSI) was based on Erikson’s stages, and the modified version following it (MEPSI) is a reliable tool used to assess psychosocial development.[9][10]
A model of psychodynamic psychotherapyis based on the concept and staging of Erikson’s theory.[3]
Nursing, Allied Health, and Interprofessional Team Interventions
Erikson's Stages of Psychosocial Development can be utilized by mental health providers when treating patients who are facing periods of adjustment or turning points in life. When taken in the appropriate context to social and cultural factors, it can be a means for the patient to augment awareness and understanding of themselves. While many stagesfocus on periods early in life, it can serve as a conceptual and possibly actionable guide for those later in life as well.[11]This area continues to be an active focus of research, as Erickson's developmental maturity in mid-life is studied alongside global cognitive and executive function, as well as emotional health.[12]
This research was supported (in whole or part) by HCA Healthcare and/or an HCA Healthcare affiliated entity. The views expressed in this publication represent those of the author(s) and do not necessarily represent the official views of HCA Healthcare or any of its affiliated entities.
References
- 1.
Carrey N. The Two Ericksons: Forgotten Concepts and what Constitutes an Appropriate Professional Knowledge Base in Psychiatry. J Can Acad Child Adolesc Psychiatry. 2010 Nov;19(4):248. [PMC free article: PMC2962535] [PubMed: 21037913]
- 2.
Kivnick HQ, Wells CK. Untapped richness in Erik H. Erikson's rootstock. Gerontologist. 2014 Feb;54(1):40-50. [PubMed: 24136991]
- 3.
Knight ZG. A proposed model of psychodynamic psychotherapy linked to Erik Erikson's eight stages of psychosocial development. Clin Psychol Psychother. 2017 Sep;24(5):1047-1058. [PubMed: 28124459]
- 4.
Stark PA, Traxler AJ. Empirical validation of Erikson's theory of identity crises in late adolescence. J Psychol. 1974 Jan;86(1):25-33. [PubMed: 4809739]
- 5.
Gilleard C, Higgs P. Connecting Life Span Development with the Sociology of the Life Course: A New Direction. Sociology. 2016 Apr;50(2):301-315. [PMC free article: PMC4797195] [PubMed: 27041774]
- 6.
Zock H. Human Development and Pastoral Care in a Postmodern Age: Donald Capps, Erik H. Erikson, and Beyond. J Relig Health. 2018 Apr;57(2):437-450. [PMC free article: PMC5854735] [PubMed: 28905275]
- 7.
Logan RD. A re-conceptualization of Erikson's identity stage. Adolescence. 1983 Winter;18(72):943-6. [PubMed: 6229976]
- 8.
Vogel-Scibilia SE, McNulty KC, Baxter B, Miller S, Dine M, Frese FJ. The recovery process utilizing Erikson's stages of human development. Community Ment Health J. 2009 Dec;45(6):405-14. [PMC free article: PMC2791471] [PubMed: 19533350]
- 9.
Darling-Fisher CS. Application of the Modified Erikson Psychosocial Stage Inventory: 25 Years in Review. West J Nurs Res. 2019 Mar;41(3):431-458. [PubMed: 29676219]
- 10.
Rosenthal DA, Gurney RM, Moore SM. From trust on intimacy: A new inventory for examining erikson's stages of psychosocial development. J Youth Adolesc. 1981 Dec;10(6):525-37. [PubMed: 24310543]
- 11.
Osborne JW. Commentary on retirement, identity, and Erikson's developmental stage model. Can J Aging. 2009 Dec;28(4):295-301. [PubMed: 19925695]
- 12.
Malone JC, Liu SR, Vaillant GE, Rentz DM, Waldinger RJ. Midlife Eriksonian psychosocial development: Setting the stage for late-life cognitive and emotional health. Dev Psychol. 2016 Mar;52(3):496-508. [PMC free article: PMC5398200] [PubMed: 26551530]
