Trust VS Mistrust Infancy (Birth 12 months)

The mother is the primary companion according to the chart. Patient was breastfed until 1 y/o

Classification of needs: Feeding Basic trust in the mothering figure and be able to generalize it to others

The father was not stated in the chart of the patient.

From ages birth to one year, children begin to learn the ability to trust others based upon the consistency of their caregiver(s). If trust develops successfully, the child gains confidence and security in the world around him and is able to feel secure even when threatened.

According to the chart, the patient was raped by her stepfather.

During the patients young age, his biological father died.

MISTRUST

Due to that rape incident, the patient is now under DSWD's child protection program.

The patient was admitted to NCMH. During psycho therapies he only listens to his student nurse.

According to the chart, from tension she had, behavioral changes like crying, poor eating and sleeping patterns. Patient only drinks water and most of the time irritable and assaultive.

Autonomy VS. Shame and Doubt Early Childhood (18 months 3 years old)
The mother took him on street and begged for their daily survival. The mother is mentally challenged that leads her incapable to take care of the patient. The father was not stated in the chart of the patient.

Classification of Needs: Toilet training, walking, speaking Other important events include gaining more control over food choices, toy preferences and clothing selection.

Children needs to develop a sense of personal control over physical skills and a sense of independence. Success leads to feelings of autonomy, failure leads to shame and doubt or more likely that child would show lack of confidence.

Patients history revealed that he was good in socializing with other children, staff and visitors.

The patient also disclosed that he wants to study hard from him to be a good computer specialist which drove him to often visit the office from the center to learn and see how to use the computer.

AUTONOMY

Initiative VS Guilt Late Childhood (3 6 years old)

The mother took him on street and begged for their daily survival. The mother is mentally challenged that leads her incapable to take care of the patient.

The father was not stated in the chart of the patient. Classification of Needs: Control and power over the environment by taking initiative by planning activities, accomplishing tasks and facing challenges

During this stage, it is important for caregivers to encourage exploration and to help children make appropriate choices. Play and imagination takes on an important role at this stage. Children have their sense of initiative reinforced by being given the freedom and encouragement to play.

Patient stated that she not participating in their lessons.

Most of the time, she was bullied by her classmates, but she is still friendly.

It was observed that he has difficulty in understanding his lessons. GUILT

Industry vs. Inferiority School Age (7 12 years old)

The mother was not stated in the chart.

Classification of Needs: School and social interaction play an important role during this time of a childs life. Through social interactions, children begin to develop a sense of pride in their accomplishments and abilities.

As stated in the chart, the stepfather allegedly raped the patient

They initiate projects, see them through to completion, and feel good about what they have achieved. During this time, teachers play an increased role in the childs development. If children are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals.

The patient stated that she knows how to do household chores.

The patient entered school at age 7. Chart stated that she was an average performer in school

Patient was bullied in school.

The patient was raped by her step father and patient was brought to DSWD for protection