At which cognitive stage do children experience the greatest fear of surgery, according to Piaget?

The preoperational stage, which spans from about ages 2 to 7, is characterized by limited logical reasoning and a strong reliance on magical thinking. During this stage, children often engage in imaginative play and have difficulties understanding abstract concepts. Their perceptions of reality are heavily influenced by emotions and experiences, which means they can be particularly sensitive to potential threats, like surgery.

Children in the preoperational stage may not fully comprehend the nature of surgical procedures. They might feel fear due to their limited understanding, relying instead on their imaginations which can lead to exaggerated fears or misconceptions about pain and the medical environment. Their egocentric thinking means they may believe that their thoughts and feelings can directly affect the outcome of events, exacerbating fears.

Thus, the heightened fear of surgery in this developmental stage stems from their emotional responses and cognitive limitations, making it a crucial time for caregivers and healthcare professionals to offer appropriate support and reassurance.