Cybersex and the E‐teen: What Marriage and Family Therapists Should Know

Adolescents who use the Internet regularly (the “e‐teen”) present a new set of challenges for marriage and family therapists. This article introduces marriage and family therapists to (a) the basic technological concepts and unique psychological characteristics of the Internet important in understanding and addressing adolescent online sexual behavior, (b) the appropriate developmental expectations for teens online, including risk‐taking behaviors and critical decision‐making skills, and (c) suggested strategies for assessment, prevention, and intervention when dealing with problematic online sexual behavior in adolescents. Marriage and family therapists cannot ignore the role the Internet plays in adolescent sexual development and its implication for the family. This article will serve as a primer for the marriage and family therapist when presented with adolescents who engage in online sexual behaviors.     

Along the Cancer Continuum: Integrating Therapeutic Support and Bereavement Groups for Children and Teens of Terminally Ill Cancer Patients

Family life is altered irrevocably when a young parent is diagnosed with or dies from cancer. This article tracks the genesis and transformation of a comprehensive psychoeducational support and bereavement program for children, adolescents, and parents affected by cancer. From the inception of the program, families with parents in active treatment participated in time-limited support groups. When a parent died, families transitioned out of support and into bereavement groups. As the cancer experience became more chronic, families remained in these respective groups for longer periods of time. This required clinicians to reconsider group structure to avoid the additional losses incurred as newly bereaved families transitioned from one group to another. Restructuring the program allowed participants to remain in familiar environments and to experience greater support and continuity in their care. Children, teens, and parents made clinical gains in communicating their needs and feelings to loved ones. Further, children and teens stayed on track developmentally, academically, and socially. Clinicians structuring these programs must be skilled in working simultaneously in both support and bereavement modalities. Recommendations for self-care and supervision are suggested.     

An Effective Adoption Education Program That Can Be Replicated

ABSTRACT

The article details the creation, development and organization of a public adoption education agency. Founded in 1986, Adoption Option, Inc. has become a catalyst for a broad array of adoption education activities in Southwestern Ohio. These activities center around a three-step education initiative which targets three groups: (1) people who have direct contact, and a counseling role, with pregnant women/teenagers and their partners and families; (2) adolescents who are being schooled in family life, sexuality and health programs; and (3) the general public. The three program areas for carrying our the agency's mission are: (1) a training program for individuals who counsel and assist women and teens with unplanned pregnancies which provides factual information about adoption and how to present it in a non-directive way; (2) educational programs to put adoption into school-based health curricula aimed at students ages 12-18; (3) a media initiative to convey accurate information about adoption. The agency and its successful programs can be replicated by individuals who are interested in making their communities more adoption-literate and adoption friendly.     

The Association of Sexual Experience with Attitudes,Beliefs, and Risk Behaviors of Inner‐City Adolescents

We compared knowledge, attitudes, and demographic characteristics of 630 sexually experienced and 422 inexperienced inner‐city adolescents aged 14–17 years. Sexual experience was associated with indicators of risk previously reported in the literature: male gender, older age, single‐family home, smoking, drinking, and poorer academic performance. We found lower HIV knowledge in sexually inexperienced youth, which suggested an area of vulnerability compared with sexually active teens. However, most inexperienced adolescents intended to remain virgins for the next 6 months, most had peer groups they also perceived to be virgins, and they were more positive and confident about remaining abstinent. Differences between the groups suggest there may be benefits to developing intervention programs targeted to their different strengths and weaknesses.     

Pregnancy Prevention from the Teen Perspective

One hundred and five teens from primary and secondary pregnancy prevention programs attended focus group interviews. This article reports teens' perceptions of the factors that contribute to adolescent pregnancy and the steps that can be taken to prevent early childbearing. Lack of knowledge and accessibility to contraceptives as well as unfulfilled emotional needs were considered crucial factors. Suggestions for service delivery from findings are explored.     

Coming of Age in the Bubble: Suburban Adolescents' Use of a Spatial Metaphor as a Symbolic Boundary

This article explores how suburban middle‐class adolescents use a spatial metaphor, “bubble,” as a symbolic boundary. The narratives about the bubble, collected through focus group discussions and ethnographic observations, show consensus among the teenagers about the socioeconomic and cultural superiority of the community, but they also reveal opposing views on its moral status. I also find that the teens use the same metaphor to draw moral distinctions among their peers, based on whether they align their identity with the norms and values the bubble symbolizes. I argue that the adolescents living in this community develop a strong place identity, even when they identify flaws with it, because their mundane references to the bubble provide them with an opportunity to critically examine the implication of their middle‐class status.     

Therapeutic challenges in clinical work with adolescents

Clinicians are besieged by an array of personal responses to the hard-to-reach, acting-out adolescent of the 1990s. Practice principles are presented with special emphasis on the necessary modifications for effective work with teens. Countertransference, counter-reactions, alliance, misalliance and pseudo-alliance are defined and illustrated in a case vignette demonstrating the therapeutic challenges and precarious outcome of a fragile alliance. Empathy, self-awareness, insight and the real relationship are designated as key components for a safe holding environment in clinical work with vulnerable adolescents.Presented at the keynote address at the March 14, 1995 conference titledThey're So Different: Strategies For Counseling Adolescents, sponsored by Arms Acres and Student Assistance Services, held at the Holiday Inn, Crowne Plaza, White Plains, New York.     

Latino Adolescent Reproductive and Sexual Health Behaviors and Outcomes: Research Informed Guidance for Agency-Based Practitioners

Latinos are the largest and fastest growing minority youth group in the United States. Currently, Latino adolescents experience higher rates of teen pregnancy compared to any other racial or ethnic group and have disproportionately high levels of sexually transmitted infections and HIV. Latino teens are also affected by a number of social problems such as school dropout, poverty, depression and limited access to healthcare, which contributes to disparities in reproductive health outcomes for this population. Relatively few intervention research studies and programs have been dedicated to reducing sexual risk among Latino youth, despite their particular vulnerabilities in experiencing negative reproductive health outcomes. We provide recommendations for identifying the unique reproductive health needs of Latino youth and specific applied strategies so that agency-based social workers and other providers can develop family-based interventions that improve adolescent Latino sexual and reproductive health.     

Are There Homeless Youth in My Community? Differences of Perception Between Service Providers and High School Youth

While teen homelessness, like all homelessness, is increasing, there have been few solid estimates of the actual number of teens effected. A twofold methodology to count homeless teens was used in the Seacoast region of New Hampshire and Maine. Social service agencies were contacted to obtain a count of homeless adolescents, and over 3000 high school age teens were surveyed in the seacoast ofNew Hampshire and southwestern Maine to identify how many were homeless. By using different definitions of homelessness, it was found that a minimum of 5% of all teens in high school reported that they had been homeless sometime during the past year. When using a broadened definition of homelessness, it was found that 20% of the teens regularly stayed with others. However, this experience was not identified by social service providers, who reported that teen homelessness simply was not a problem in their communities. In order to more accurately describe the phenomenon experienced by teens, it is proposed that the term “homelessness” should be replaced with a more inclusive word, such as “housing distress.”     

Empowering Lesbian and Gay Foster Adolescents Through Mentoring Relationships

This article discusses a mentoring model as a resource for lesbian and gay adolescents in foster care. Interview data collected in a national study of foster adolescent mentoring programs led to the identification of elements of succesful programs. The authors apply these elements to the design of a model mentoring program for lesbian and gay adolescents. Such a model program would help to alleviate problems that are related to isolation, stigmatization, and lack of positive lesbian and gay role models. Selected lesbian and gay youth vignettes are described and implications drawn for program development.     

Reliability of translated measures assessing dating violence among Mexican adolescents

Research on the prevalence and correlates of dating violence in Mexican teens is challenged by the lack of culturally and linguistically appropriate assessment tools. This study modified, translated, and back-translated the Conflict in Adolescent Dating Relationships Inventory (CADRI; Wolfe et al., 2001) and the Attitudes Towards Dating Violence Scales (Price, Byers, & the Dating Violence Research Team, 1999) for Mexican adolescents. Analyses on 307 adolescents (15-18 years old) from Monterrey and Mexicali, Mexico, revealed that most of the translated CADRI subscales and Attitudes Towards Dating Violence Scales had acceptable internal consistency and test-retest reliability coefficients. The study offers some evidence that the measures may be useful in assessing dating violence in Mexican teens.     

Parent–Child Relationships in the Twilight Saga: Implications for Family Life Education

One source of cultural messages for adolescents is the novel. According to Reader Response Theory, readers interact with the text to construct meaning. This process makes novels an effective tool for facilitating parent–child communication. The current qualitative study examined the parent–child relationships portrayed in The Twilight Saga. Five themes emerged through inductive analyses. This article includes a comparison of the themes in the novels with the literature on parent–adolescent relationships. We also offer suggestions to family life educators regarding how to use the novels with parents and teens to facilitate communication about parent–child relationships.     

Trends in teen sexual behavior

This article examines trends in teen sexual behavior. Data were derived from 5 principal sources, which include: 1) the National Survey of Family Growth; 2) National Survey of Adolescent Males; 3) National Survey of Young Men; 4) Youth Risk Behavior Survey; and 5) National Survey for Men. There really was a sexual revolution, as the foregoing data indicate. An increase in sexual activity was observed among young teens, aged 15 years and below, as well as middle-class and white teenagers. The use of contraceptives also increases probably due to the fear of AIDS and the increasing proportion of teenagers who are having sex. Because more teenagers were using contraceptives, the pregnancy rate per 1000 sexually active teenagers actually declined during the 1980s, even when more teenagers were having sex. Nonetheless, failures of contraceptive usage have led to high levels of abortion, sexually transmitted diseases, and nonmarital births. Society should confront these two concerns. First, for younger teenagers, too early of a sexual experience can be emotionally distressing and inconsistent with healthy development. Second, for disadvantaged teens of all ages, sex always leads to an out-of-wedlock birth and long term welfare dependence. The challenge for school-based programs is to pursue the following goals: 1) lower the level of sexual activity and 2) raise the rate of contraceptive use among sexually active teens.     

Appropriation of African American slang by Asian American youth1

This article explores the ways in which Asian American teenagers creatively appropriated two African American slang terms: aite and na mean. While some teens racialized slang as belonging to African Americans, other teens authenticated identities as slang speakers. Through close analysis of slang‐in‐use and particularly of the metapragmatic discussions such uses inspired, this article examines how the teens specified relationships between language, race, age, region and class, while achieving multiple social purposes, such as identifying with African Americans, marking urban youth subcultural participation, and interactionally positioning themselves and others as teachers and students of slang. As slang emerged with local linguistic capital, the teens used slang to create social boundaries not only between teens and adults, but also between each other. The discursive salience of region implicitly indexed socio‐economic status and proximity to African Americans as markers that teens drew on to authenticate themselves and others as slang speakers.     

When the levee breaks: treating adolescents and families in the aftermath of hurricane katrina

Hurricane Katrina brought to the surface serious questions about the capacity of the public health system to respond to community-wide disaster. The storm and its aftermath severed developmentally protective family and community ties; thus its consequences are expected to be particularly acute for vulnerable adolescents. Research confirms that teens are at risk for a range of negative outcomes under conditions of life stress and family disorganization. Specifically, the multiple interacting risk factors for substance abuse in adolescence may be compounded when families and communities have experienced a major trauma. Further, existing service structures and treatments for working with young disaster victims may not address their risk for co-occurring substance abuse and traumatic stress reactions because they tend to be individually or peer group focused, and fail to consider the multi-systemic aspects of disaster recovery. This article proposes an innovative family-based intervention for young disaster victims, based on an empirically supported model for adolescent substance abuse, Multidimensional Family Therapy (MDFT; Liddle, 2002). Outcomes and mechanisms of the model's effects are being investigated in a randomized clinical trial with clinically referred substance-abusing teens in a New Orleans area community impacted by Hurricane Katrina.     

Experiencing Sampling Research from Its Beginnings into the Future

Early experience sampling research sought to map the ecology of adolescents’ lives. Its contributions include discovery of similar patterns in psychological states across diverse samples: positive emotions with friends, more negative states alone, high challenge but low motivation during schoolwork, and wider variability in teens’ than adults’ emotions, including more frequent extreme positive states. Recent ambulatory assessment research has expanded this mission and methods in valuable ways. Yet it still demands problem‐solving (e.g., engaging participants, formulating analyses that represent teens’ complex lives). A promising innovation is use of micro‐longitudinal analyses to examine sequential processes (e.g., linkages between stress–coping–emotions; relationship episodes). Qualitative data can add “zones” for development of empirically‐based theory about daily processes, such as adolescents’ meaning‐making and learning self‐regulation.     

Identity Transformation and Family Caregiving: Narratives of African American Teen Mothers

This article explores connections between informal caregiving and identity transformation as experienced by pregnant teens. Based on in‐depth interviews with 51 African American teen mothers, the article examines teens’ pregnancy narratives as an example of narrative repair, illuminating how attending to processes that connect one’s identity to the care of others can work to empower individuals to resist threats to a positive sense of self or a damaged identity. The authors suggest that family caregiving can provide an important context that supports identity transformation not only among pregnant teens as they strive to become good mothers but among those experiencing other types of disruptions to their lives.     

Context-driven gero-infusion: lessons learned from a curriculum development institute cohort

This article describes and compares the successes and challenges experienced by three social work programs in the United States working to infuse geriatric competencies into foundation Master of Social Work (MSW) courses, including field education. Adhering to the Planned Change Model each project utilized a range of approaches and strategies that emerged in each setting’s unique organizational and community context. This article examines and analyzes three context-driven accounts of curricular infusion for gerontological social work and lessons learned in this effort to establish gerontology as part of the implicit curriculum in social work programs in universities diverse in mission, size, programming priorities, and student population. Given the experiences of these programs, following the Planned Change Model, maintaining the context as being central to the process, anticipating common challenges, and preparing to engage strategies to overcome challenges are offered as recommendations for successful infusion and sustainment of the efforts.     

Technology-Based Interventions and Trainings to Reduce the Escalation and Impact of Alcohol Problems

There has been a rapid increase in the development of technological innovations to reduce the escalation and impact of alcohol problems among adolescents and adults. Technology-based interventions offer the possibility of reaching individuals who otherwise might not seek treatment, (e.g., those in remote areas, those not perceiving a need for treatment, or others who might resist treatment). This article describes 4 case examples of technology-based interventions for risky drinking: (a) a freely available and interactive Web site that provides individualized feedback and information on risky drinking patterns; (b) a brief intervention for adolescents that provides individualized feedback to teens regarding their alcohol use; (c) a computer-delivered screening and brief intervention for alcohol use among pregnant women; and (d) a simulation program for training social workers in screening and brief intervention. These case examples highlight how technology could have a role in addressing the Alcohol Misuse Grand Challenge.