Childhood and Society originated in Erik Erikson’s clinical practice of psychoanalysis of young patients. Starting with his medical practice, Erikson embarked on the systematic study of how both healthy and unhealthy children mature. Because psychotherapy involves the intersection of somatic process, ego process, and societal processes, he made use of the disciplines of biology, psychology, and the social sciences.
Childhood and Society was organized into four parts (Erikson’s ‘conceptual itinerary’):
1. The biologic basis of psychoanalytic theory, Freud’s timetable of libido development, and its relation to the ego and to society
2. Socialization of growing children, for which the author studied school children and several cultural groups using cultural anthropology methods; all in addition to his clinical practice with patients.
3. Ego pathology and normal ego function – how individual personality mediates between physical development and societal expectations - how much psychopathology appears as immature or regressive versions of ‘normal’
4. End of childhood and entry into adulthood – including the important concept of identity formation; this required extending his psychosocial stages beyond the puberty or adolescence limits of Freud’s psychosexual stages.
Freud observed that most of his psychiatric patients were infantile and regressed in their sexuality. Freud’s psychoanalytic method focused on free association (including dreams and hypnosis) of the individual patient’s past history, many of which were largely about childhood sexual trauma, especially the hysterias which were a big part of Freud’s practice. Erikson borrowed much of Freud’s terminology including the internal struggle between one’s wishes or id with one’s internal conscience or super-ego. The developing personality or ego was the ground where these conflicts were resolved. Each psychosocial stage involved a separate conflict resolution.
Freud used the idea of libido to describe sexual energy. Before puberty, libido energy could be used in non-sexual ways such as breastfeeding, toilet training, and learning to stand and walk. Erikson borrowed from Freud the language of body zones (organ: oral, anal, genital), and modes (incorporative, incorporative-biting, retentive, eliminative, intrusive).
Erikson developed from his observations and studies of cultural modalities. Embryology provided the metaphor of epigenesis or the stepwise development through stages with appropriate sequence and timing. Importantly, Erikson grafted onto Freud’s scheme tasks involved in the progressive socialization of the child and young adult.
Freud had said that the study of dreams was the ‘royal road’ to understanding the adult unconscious. Erikson suggests the study of children at play is another ‘royal road’, this one to understand the infantile ego’s efforts to synthesize a unified personality. Erikson observed daydreaming as well as nocturnal dreams. Erikson observed the struggle to find equilibrium (ego) between what we might like to do (id) and what we think we ought to do (conscience or super-ego). In looking at cultures, Erikson observed the mythological or religious pressures brought to bear on what we wish for, and what we think we ought to do. He studied how the maturing ego is influenced by societal or communal pressures to extend Freud’s psychosexual theory to a psychosocial understanding.
“In between the id and superego the ego dwells… To safeguard itself, the ego employs defense mechanisms… These are unconscious arrangements which permit the person to postpone satisfaction, to find substitutions, and otherwise arrive at compromises between id impulses and superego compulsions…. The ego is victorious when it restricts anxiety … The ego is an inner institution evolved to safeguard the order within individuals upon which all outer order depends.” Erikson developed his conceptual scheme of eight sequential ages of man, each with its developmental conflict to be resolved:
• Infancy: basic trust versus mistrust
• Toddler: autonomy versus shame or doubt
• Preschool age: initiative versus guilt
• School age: industry versus inferiority
• Adolescence: identity versus identity confusion
• Young adulthood: intimacy versus isolation
• Middle age: generativity versus stagnation
• Old age: integrity versus despair
Erikson pointed out how traditional Freudian psychosexual stages focused on childhood and young adulthood until the subject was mature enough to marry and start a family: “For psychoanalysis has consistently described the vicissitudes of instincts and of the ego only up to adolescence at which time the rational genitality was expected to absorb infantile fixations and irrational conflicts or to admit them to repeat performances under manifold disguises. The main recurrent theme thus concerned the shadow of frustration which falls from childhood on the individual’s later life – and on his society…”
Accordingly, an important part of Childhood and Society, and Erikson’s lifework generally, was to extend the psychosocial stepwise maturation process to include tasks of adulthood, starting with adolescence and the formation of personal identity. “In this book (Childhood and Society) we suggest that to understand either childhood or society, we must expand our scope to include the study of how societies lighten the inescapable conflicts of childhood with a promise of some security, identity, and integrity. In thus reinforcing the values by which the ego exists societies create the only condition under which human growth is possible.” Ultimately Erikson extended the scheme to include additional components of healthy adult maturation.
The text Erikson wrote was meant to supplement the psychiatric education of physicians, psychologists, and social workers. I recommend Childhood and Society to anyone interested in human growth and development, particularly about identity and personality.