Lecture 8: physical, cognitive and psychosocial development in adolescence Flashcards
Adolescence
Aus Indigenous vs Modern Western cultures
- 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
Puberty
Primary sex characteristics
Secondary sex characterisitcs
gonadotrophin
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
Variations in Timing of Puberty
Environmental factors
Amennorrhea
Largely genetically determined
Environmental factors include:
- Nutrition
- Underweight delays puberty
• Obesity accelerates puberty
Amenorrhoea
• Associated with extreme weight loss or malnutrition
Non-Normative Puberty: Males
Early maturing
Late maturing
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
Non-Normative Puberty: Females
Early maturing
Late maturing
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
Adolescent Obesity
- 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
Body Image
- How one believes one looks
- Concern most intense during adolescence
- Pattern is more intense with females
- Normal increase in girls’ body fat
Eating Disorders: Anorexia Nervosa
- 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
Eating Disorders: Bulimia Nervosa
• 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
Treatment of Anorexia and Bulimia
- 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
Sexually Transmitted Infections (STIs)
- 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
Australian Statistics STIs
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
Drug Use and Abuse
Substance abuse
Addiction
- 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
-
Substance abuse
Alcohol Use and Abuse
- 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
Tobacco
Primary and secondary prevention
- 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
Piaget Formal Operational
Hypothetico-deductive reasoning
Propositional reasoning
• 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