Lecture 8: physical, cognitive and psychosocial development in adolescence Flashcards

1
Q

Adolescence

Aus Indigenous vs Modern Western cultures

A
  • Period from about age 12-18 years
  • Traditional Indigenous Australians
  • Initiation at puberty
  • Abrupt social role change to adult
  • Modern Western cultures
  • Period of gradual transition

• Coming-of-age

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2
Q

Puberty

Primary sex characteristics

Secondary sex characterisitcs

gonadotrophin

A

Primary sex characteristics

• Development of sex organs

Secondary sex characteristics
• External/physiological changes/signs of sexual maturation

Release of gonadotrophin stimulates

  • Male testes to increase testosterone
  • Female ovaries to increase oestrogen
  • Both sexes produce both hormones but to different levels
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3
Q

Variations in Timing of Puberty

Environmental factors

Amennorrhea

A

Largely genetically determined

Environmental factors include:

  • Nutrition
  • Underweight delays puberty

• Obesity accelerates puberty

Amenorrhoea

• Associated with extreme weight loss or malnutrition

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4
Q

Non-Normative Puberty: Males

Early maturing

Late maturing

A

Early maturing males

  • Have opportunities for leadership and higher social status with peers
  • Academic, emotional, and behavioural problems, but these might be short-lived

Late maturing males

  • Negative impact on esteem short-lived
  • Develop positive qualities (e.g., insight)
  • Less pressure to engage in risk behaviours
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5
Q

Non-Normative Puberty: Females

Early maturing

Late maturing

A

Early maturing females

  • Negative long- and short-term effects
  • Premature dating and sexual encounters
  • Vulnerable to STIs, eating disorders, smoking and drinking, depression, anxiety, poor academic achievement
  • Related to family environment

Late maturing females

  • Lower peer status, but generally more positive outcomes
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6
Q

Adolescent Obesity

A
  • 25% Australian adolescents are overweight or obese
  • Rate of obesity doubled between 1985 and 1995

Associated health risks:

  • High blood pressure, respiratory disease, orthopaedic disorders, diabetes
  • Psychosocial consequences
  • Causes complex
  • Combination of genetics and environment
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7
Q

Body Image

A
  • How one believes one looks
  • Concern most intense during adolescence
  • Pattern is more intense with females
  • Normal increase in girls’ body fat
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8
Q

Eating Disorders: Anorexia Nervosa

A
  • Involves self-starvation
    • Loss of 25-50% of original body weight
    • Less than 85% normal weight for age
  • Found across cultures and over time
  • Distorted body image – belief they are fat
  • Constant dieting and exercising
  • May cause irregularity/cessation of menstruation
  • Often good students and “perfectionists”
  • Family dynamics: very involved mothers, emotionally absent fathers
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9
Q

Eating Disorders: Bulimia Nervosa

A

• Bingeing and undoing of caloric intake on regular basis

“Undo” calories by:
• Self-induced vomiting

  • Excessive exercise
  • Laxatives or enemas
  • Diuretics
  • Dieting

Linked with depression and low self-esteem

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10
Q

Treatment of Anorexia and Bulimia

A
  • Immediate goal is to get patient to eat and gain weight
  • Patients may be hospitalised if severely malnourished
  • Behaviour therapy – reward eating
  • Cognitive therapy – change body image

• Institutional settings and family therapy

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11
Q

Sexually Transmitted Infections (STIs)

A
  • Syphilis, gonorrhoea, genital lice, scabies, chlamydia, herpes, genital warts, trichomoniasis, hepatitis, HIV/AIDS
  • May result in infertility, life-threatening complications
  • Abstinence the only complete prevention, but practicing ‘safer sex’ may be more achievable
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12
Q

Australian Statistics STIs

A

ABS (2008) for the whole population:

  • STIs the most commonly reported communicable diseases, accounting for 43% of all notifications, followed by vaccine preventable diseases (21%), and gastrointestinal diseases (17%)
  • Chlamydia was the most common STI (58,515 notifications, 84% of total STIs)
  • The average number of new HIV cases from 2004 – 2008 was 984 per year
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13
Q

Drug Use and Abuse

Substance abuse

Addiction

A
  • Experimentation
    • Substance use
  • Habitual use
    • Substance abuse
      • Harmful use of alcohol or other drugs
    • Addiction
      • Can be psychological or physiological
      • Especially dangerous for adolescents because of changing brain structures
    • Tolerance
    • Short- and long-term health threats
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14
Q

Alcohol Use and Abuse

A
  • Significant proportion engage in regular use of alcohol
  • Binge drinking: consecutive consumption of 5- 7+ drinks in less than 2hrs
  • Associated with accidental death and injury, interpersonal violence, suicide
  • Health and social problems
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15
Q

Tobacco

Primary and secondary prevention

A
  • Nicotine highly addictive
  • As few as 10 cigarettes can establish psychological and physical dependency

• Primary prevention

• Advertising, tax impost, bans

• Secondary prevention
• Life-skills and decision-making training

• ‘Immunisation’ against substance abuse

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16
Q

Piaget Formal Operational

Hypothetico-deductive reasoning

Propositional reasoning

A

• Move from concrete to formal operational thought

• Hypothetico-deductive reasoning

• Systematic, scientific approach

• Propositional reasoning
• Making logical inferences
• May apply to premises that are not factually true

• Understand validity of logic

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17
Q

Individual Differences in Formal Operational Thinking

A
  • Piaget assumed horizontal décalage – formal operations found in some domains but not others
  • Achievement of formal operations overestimated
    • Only half achieve full operational thought, some never achieve it
    • Influenced by sociocultural context
  • Post-formal thinking – formal operations used as a problem solving tool for ambiguous problems
18
Q

Impact of Formal Operations

A
  • Become more critical of adult authority and can argue more skillfully
  • Better able to understand philosophical and abstract topics at school
  • May become more judgemental about perceived short-comings of social systems
  • May try to apply logic to bigger, more complex problems such as world peace – may appear naive
19
Q

Kohlberg’s Levels of Moral Reasoning

A
  • preconventional
  • conventional
  • postconventional
20
Q

Concerns About Kohlberg’s Theory

A
  • Scoring procedures not sufficiently objective or consistent
  • Content of dilemmas too narrow
  • Dilemmas not aligned with real-life
  • No distinction between moral knowledge and social conventions
  • Gender and culture bias
21
Q

Gilligan’s Ethics of Care Model

A

female moral reasoning

22
Q

Morality in Adolescence

A

• Kohlberg claimed moral reasoning a good predictor of moral behaviour

  • The correlation is fairly modest though
  • May be a gap between reasoning and actual behaviour
  • The development of moral self-relevance may be important
  • Integration of morality into self-concept may have impact on behaviour
23
Q

Adolescence and Identity Formation

A

• Traditionally a time of turbulence, now a period of transition

Three stages:
• Early (11-13yrs)
• Middle (14-16yrs)

• Late (17-18yrs)

• Identity issues are central – questions of identity arising from cognitive and hormonal changes; awakening sexual interest; normative societal expectations; vocational expectations

24
Q

Erikson: Identity Formation

A

• THE major task of adolescence

  • Successful identity formation necessary for future development of friendships and intimate relationships
  • Struggle to become an adult with unique sense of self and role in society
  • Individuals must achieve balance – identity an ongoing life project
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Process of Identity Formation
* Content of identity contains multiple aspects * Identity achieved through exploration and experimentation with various domains * Identity evaluation important within the process of experimentation * Psychological moratorium * May take “developmental time out”, e.g., a gap year
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Resolving Erikson’s Identity Crisis
**Successful resolution leads to the virtue of “fidelity”:** • Feelings of belonginess to friends or family * Identification with a set of values * Sustained loyalty and faith * Able to trust oneself **The danger is identity confusion** • Some degree of confusion is normal
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Marcia: Identity Status Model
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Factors Affecting Identity Formation
**• Gender:** studies have mixed findings; gender role may be more important than gender per se **• Peers:** increasing importance of influence during adolescence **• Parents:** identity diffusion associated with lack of parental support, warmth, and open communication * *• Personality:** bidirectional relationship * *• Societal and cultural factors:** ethnic identity
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Development of Self Personal fabel Imaginary audience
* Self-concept becomes more complex and abstract reflecting formal operational thought * Increased skills in perspective taking * Adolescent egocentrism **• Personal fable** (i.e., belief adolescent’s life embodies special story that is heroic/unique; no-one else understands them) **• Imaginary audience** (i.e., adolescent egocentrism - group of followers exist who constantly watch and judge their every move) * Recognise inconsistencies of self * Interpreted as differences between ‘true’ and ‘false’ selves
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Self-Esteem
* Global self-esteem * Overall view and evaluation of self • Decreases in adolescence associated with * Transitions, stresses and challenges of adolescence and school * More realistic self-appraisals • Authoritative parenting enhances self- esteem; authoritarian parenting reduces it
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Gender Differences in Self-Esteem
* Girls’ self-esteem declines twice as much as boys’ during adolescence * May be associated with girls’ greater concern for body image * Sex-role effects may also be important * Girls more vulnerable to negative aspects of opposite-sex friendships • Romantic relationships more likely to enhance boys’ self-esteem
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Family Relationships during Adolescence Parent-child
* Adolescent parent-child relationships * Based on those established in childhood * Become more egalitarian * Adolescents increase self-regulation; seek control, choice, and autonomy * Parenting styles, gender and culture * Behavioural vs. psychological control * Parental monitoring
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Parent-Child Conflict
* Conflict may arise from: * Discrepancies between expectations of responsibilities and freedoms * Views on appropriate and inappropriate behaviour * Everyday issues * Conflict more common in early adolescence than later * Less than 10% of families experience significant intergenerational conflict
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Reasons for Intergenerational Conflict
* A lack of understanding of the viewpoint and challenges of a different age group * A lack of respect for a different age group * Intolerance by parents of adolescents’ behaviour * Resentment of parents’ power and restrictions by adolescents
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Adolescent Friendships
* Based on mutuality and intimacy and appreciate each other’s uniqueness * Complementarity is important – different strengths provide mutual benefit * Benefits of adolescent friendships: * Source of social and emotional support * Help to promote autonomy * Help in defining a sense of self
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Romantic Relationships
* Dating considered to be recreational, fun, separate from ‘courting’ function * Follow a dating script, based on gender roles * Early relationships less enduring and more superficial * Cultural differences relate to age for dating * Relationships for homosexual adolescents more difficult
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Sexual Behaviour
* Average age at first intercourse – 16 years * Age is decreasing * Concern about HIV/AIDS * Transition to coitus depends on motivation, social controls, attractiveness (Udry & Billy, 1987) * Access to contraception changed attitudes * Permissiveness with affection * Double standard * Premarital sex permitted for males, but not for females * Cultural differences in attitudes to sexual behaviour
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Sexual Orientation
* Sexual orientation * Continuum from exclusively homosexual to exclusively heterosexual * Some identify as lesbian, gay, or bisexual * Individuals identify their minority sexual orientation * Self-labelling * Disclosure
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Difficulties for Non-Heterosexual Adolescents Factors determining sexual orientation
* Achieving personal identity more difficult * May experience rejection from family, school, religious groups * Feel isolated in a hostile environment * Risk depression and suicide * No association between homosexual orientation and emotional or social problems * ...apart from those caused by societal treatment of homosexuals * Factors determining sexual orientation * Biological and genetic predisposition * Possible role of prenatal hormone – no definitive evidence
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Adolescent Pregnancy and Parenthood
* Adolescent pregnancy: * Australian rate – 17 per 1000 * Options: keep baby, terminate, adopt * Reaction depends on: * Self-esteem, feelings about school * Relationship with baby’s father * Relationship with and support from parents • Peers who are parents
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Consequences and Risks of Teenage Pregnancy
* More prenatal and birth complications: * Prematurity and low birth-weight * Fetal, neonatal or infant death * Possible negative outcomes for children of teen mothers: * Health and academic problems * Abuse and neglect * Developmental disabilities * Teen mothers less likely to: * Complete education, have stable well-paying job, enter secure marriage, achieve above average income * Teen fathers less negatively affected * Have early contact with baby, but declines over time
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