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The Institutes Developmental Profile

The Institutes Developmental Profile is a delineation of the significant stages of child brain development through which children pass as they progress from birth to six years. The purpose of the Developmental Profile is to reduce the thousands of accomplishments that a child enjoys to those functions that are actually causes rather than mere results of other functions. It is a clear and reliable tool for measuring the degree of ability or disability—and rate of progress—of brain-injured and well children.

In the past, it was believed that this progression was predestined and unalterable as a result of genetic inheritance superimposed upon a rigid schedule of time and sequence.

The work of the staff of The Institutes from 1940 to the present has shown that this is untrue and that the order in which the significant stages take place is a function of brain development, as successively higher brain stages are brought into play. The time schedule is highly variable and depends, not upon genetic factors, but rather upon the frequency, intensity and duration of the stimuli provided to the brain by the child's environment, which is notably and most often his family.

The Institutes proposes that the goal of teaching children between birth and age six must be to take each child through these stages of normal development in their normal order and with the greatest possible speed consistent with perfection. The Institutes Developmental Profile represents that progression against which each child's progress is measured.  

This table represents the stages of sensory development, as described in The Institutes Developmental Profile:

Brain Stage

Time Frame

Visual Competence

Auditory
Competence

Tactile
Competence

VII
Sophisticated Cortex

Superior 36 mon.

Average 72 mon.

Slow 144 mon.

Reading with total understanding

Understanding of complete vocabulary & proper sentences

Tactile Identification of objects

VI
Primitive Cortex

Superior 18 mon.

Average 36 mon.

Slow
72 mon.

Identification of visual symbols and letters within experience

Understanding of 2000 words and simple sentences

Ability to determine characteristics of objects by tactile means

V
Early Cortex

Superior
9 mon.

Average 18 mon.

Slow
36 mon.

Differentiation of similar but unlike simple visual symbols

Understanding of 10 to 25 words and two couplets

Tactile differentiation of similar but unlike objects

IV
Initial Cortex

Superior 6 mon.

Average 12 mon.

Slow
24 mon.

Convergence of vision resulting in simple depth perception

Understanding of two words of speech

Tactile understanding of the third dimension in objects which appear to be flat

III
Midbrain and Subcortical Areas

Superior 3.5 mon.

Average 7 mon.

Slow
14 mon.

Appreciation of detail within a configuration

Appreciation of meaningful sounds

Appreciation of gnostic sensation

II
Brain Stem and Early Subcortical Areas

Superior 1 mon.

Average 2.5 mon.

Slow
5 mon.

Outline perception

Vital response to threatening sounds

Perception of vital sensation

I
Early Brain Stem and Cord

Superior Birth to .5 mon.

Average Birth to 1 mon.

Slow Birth to 2 mon.

Light reflex

Startle reflex

Babinski reflex

This table represents the stages of motor development, as described in The Institutes Developmental Profile:

Brain Stage

Time Frame

Mobility
Competence

Language
Competence

Manual
Competence

VII
Sophisticated Cortex

Superior 36 mon.

Average 72 mon.

Slow 144 mon.

Using a leg in a skilled role which is consistent with the dominant hemisphere

Complete vocabulary and proper sentence structure

Using a hand to write which is consistent with the dominant hemisphere

VI
Primitive Cortex

Superior 18 mon.

Average 36 mon.

Slow
72 mon.

Walking and running in complete cross pattern

2000 words of language and short sentences

Bimanual function with one hand in a skilled role

V
Early Cortex

Superior
9 mon.

Average 18 mon.

Slow
36 mon.

Walking with arms freed from the primary balance role

10 to 25 words of language and two couplets

Cortical opposition bilaterally and simultaneously

IV
Initial Cortex

Superior 6 mon.

Average 12 mon.

Slow
24 mon.

Walking with arms used in a primary balance role most frequently at or above shoulder height

Two words of speech used spontaneously and meaningfully

Cortical opposition in either hand

III
Midbrain and Subcortical Areas

Superior 3.5 mon.

Average 7 mon.

Slow
14 mon.

Creeping on hands and knees, culminating in cross pattern creeping

Creation of meaningful sounds

Prehensile grasp

II
Brain Stem and Early Subcortical Areas

Superior 1 mon.

Average 2.5 mon.

Slow
5 mon.

Crawling in the prone position culminating in cross pattern crawling

Vital crying in response to threats of life

Vital release

I
Early Brain Stem and Cord

Superior Birth to .5 mon.

Average Birth to 1 mon.

Slow Birth to 2 mon.

Movement of arms and legs without bodily movement

Birth cry and crying

Grasp reflex


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