This discussion uses Dr Cushman’s ideas about adultification and infantilization as a jumping off point for thinking about the nuanced ways in which these concepts may influence development. It offers a number of clinical anecdotes to describe both their use as Dr. Cushman proposes and the expansion of their use into other aspects of maturation and development. It suggests thinking of them as independent concepts, each applicable on a continuum of influence, rather than the inverse of one another. It emphasizes the importance of taking into account class, race, gender, sexuality, and geography in employing ideas about adultification and infantilization.