Erikson's Stages: A Clinical Summary
Erik Erikson's psychosocial stages describe developmental tasks across the lifespan — each stage a tension requiring resolution.
The stages
- Trust vs Mistrust (infancy): responsive care builds basic trust. Failure: anxiety, mistrust.
- Autonomy vs Shame and Doubt (toddler): safe choices build self-direction. Failure: shame, self-doubt.
- Initiative vs Guilt (preschool): exploration and leadership. Failure: guilt, fear of initiative.
- Industry vs Inferiority (school age): competence through learning. Failure: inferiority.
- Identity vs Role Confusion (adolescence): coherent self and values. Failure: confusion, weak identity.
- Intimacy vs Isolation (young adulthood): committed relationships. Failure: isolation.
- Generativity vs Stagnation (middle adulthood): contributing to others and future. Failure: stagnation, self-absorption.
- Integrity vs Despair (older adulthood): accepting one's life as meaningful. Failure: despair, regret.
Clinical application
- Infants and parents: support responsive care; separation distress is a normal attachment signal.
- Toddlers: encourage safe autonomy (allow choices, accept messes within limits).
- School age: celebrate skill-building; chronic academic failure risks inferiority.
- Adolescents: protect identity exploration; rigid family systems or pressure to conform breed role confusion.
- Older adults: facilitate life review; reminiscence therapy can support integrity.
Erikson is not a check-box but a frame: when a client struggles, ask which stage's tension is at play and what intervention supports a healthier resolution.
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