The differential use of metaphor in psychotherapy

Metaphor is seen to play a significant role in psychoanalytic theory and technique. While acknowledging this view, this paper examines the differences in which individuals of varying developmental profiles, experience, comprehend and use metaphor in the context of psychotherapy. Differences in the capacity to play, adaptively regress, regulate affect, maintain ego boundaries, and symbolize, are found to affect capacities to employ those figures of speech in words or phrases literally denoting one type of object or idea but used in place of others by suggesting likenesses or analogies. A rationale for differential use of interventions involving metaphor is offered.     

Gambling in young adolescents

A questionnaire was used to investigate gambling in British adolescents. Responses from fifty 13- to 14-year-olds were analyzed. Gambling was found to be very pervasive (90% of subjects reported at least some gambling activity). Males gambled more than females, both in absolute terms and as a proportion of income. Income was found to have some influence on gambling behavior, but the effects of intelligence and social class were nonsignificant. Slot machines were the commonest form of gambling in both sexes.The willing cooperation of the teacher and students concerned is gratefully acknowledged. This paper is based on a report submitted by the first author in partial fulfillment of the requirements for the BSc degree at the University of Exeter. Some of the data were presented to the conference of the British Psychological Society Developmental Section, held in Exeter in September 1986, and to the colloquium of the International Association for Research in Economic Psychology, held at Aarhus, Denmark, in September 1987.     

Doing research with children and young people who do not use speech for communication

Despite emphasis in policy on participation of disabled children,¹ we still know relatively little about how to obtain the views of disabled children with significant communication impairment and their views are often overlooked in planning and service provision. This article describes how the views of children who do not use speech were accessed in research aiming to identify disabled children and young people's priorities regarding outcomes of social care and support services. The main challenge was to develop a method that was reliable, non‐threatening, enjoyable and relevant to individual children, as well as enabling children to think beyond their everyday life and express what they aspire to.     

Miracles of love: The use of metaphor in egg donor ads1

In recent years, the appearance of egg donor advertisements in American college newspapers, sometimes offering five‐ and six‐figure fees to ‘genetically gifted’ donors, has given rise to critical comment on both sides of the Atlantic, and has caused some to fear that the use of these procedures will eventually result in the creation of ‘designer babies’ with preselected genetic qualities. Whether such fears will be realized depends, to a great extent, upon how both the participants themselves and society as a whole come to view and understand these procedures. This article explores emerging images of assisted reproduction through an analysis of the use of metaphor in egg donor ads that appeared in the student newspaper of the University of California, Los Angeles. I argue that the attitudes displayed in these ads result from a mapping of existing cultural stereotypes associated with biological parenthood, including the role of childbearing in marriage and ‘coupledom’, onto the assisted‐reproduction process, and that these metaphors are used precisely because they construct this cultural model and adapt it to the new reality of the assisted‐conception experience.     

Attitudinal and normative predictors of alcohol use by older adolescents and young adults

A model of alcohol use based on the theory of planned behavior, expectancy theory, and the developmental literature on the influence of parents and peers was examined with 87 eleventh grade students, 105 college freshmen, and 107 college juniors. Specifically, the influence of attitudes about the positive and negative consequences of drinking, perceived parental and peer norms about alcohol consumption, and perceived control over drinking predicted self-reported alcohol use. The results suggest that, during adolescence, decisions to consume alcohol are rational, based on the consideration of the positive consequences of alcohol use and perceptions of control over drinking; however, the negative consequences of alcohol use are discounted. While perceived peer norms predicted alcohol consumption in all three age groups, the influence of perceived parental norms varied such that they predicted alcohol use only among the college juniors. Implications and avenues for future research are discussed.     

"The young ones are the condom generation": condom use amongst out-of-school adolescents in rural southwest Uganda

This article reports on factors influencing condom use among out-of-school adolescents in rural southwest Uganda. Despite an abundance of negative discourses and myths about condoms in the community, these adolescents believe condoms protect them from sexually transmitted infections, HIV, and premarital pregnancies. Girls want partners to use condoms, but most lack the confidence to insist. Girls aged 13 to 14 reported the least difficulty asking for condoms; older girls attributed this to coming-of-age in the era of AIDS when condom use is the norm. Boys under 16 years want to use condoms, but lack confidence in application skills. Boys over 17 years always use condoms with casual partners, but only occasionally for pregnancy prevention with steady partners. Girls need skills training to improve confidence in negotiating condom use. Younger boys require training to improve confidence in skills with condom application. These findings are compared with studies conducted with in-school adolescents in the same study area. Health promotions that provide this skills training and focus on the need to think of the health of future family would be most effective for out-of-school adolescents. This study shows that it is self-confidence, rather than years of schooling, that has the greatest impact on condom use in this cohort.     

The experiences of adolescents and young adults residing with their families in emergency shelters in Canada

Emergency homeless shelters can be stressful environments for families. They can be associated with emotional distress and feelings of restriction for parents, and with behavioural, social, and developmental challenges for children. However, little is known about the experiences of accompanied youth residing in shelter with their families, as the literature about this age group's experiences of homelessness has mainly focused on unaccompanied youth. Findings from the current study are drawn from qualitative interviews with 16 adolescents and young adults (aged 16–21) who were homeless and living with their families in family homeless shelters in Ottawa, Ontario, Canada. Youth described family homeless shelters as stressful environments but also found that the shelters provided support to them and their families. Youth discussed the various strategies they used to cope in facing the challenges of shelter life. These findings add to our understanding of youth who are homeless and highlight the ways in which they adapt to the challenges of living in a family homeless shelter with their families. Recommendations are included for ways that shelter staff and policymakers can enact operational and systemic changes that could potentially improve the experiences of such youth and their families.     

Manifestations of the therapeutic alliance in children and adolescents

Building the therapeutic alliance is a creative process and is a central issue for all age groups. In the absence of an alliance, there can be no therapy. The alliance contains many primitive sources for collaboration with the therapist. It is a combination of both rational and irrational elements. The therapist's awareness of developmental issues and defense mechanisms are utilized to guide one along the pathway of productive therapy. In addition, the unique psychodynamic factors are considered when working with children and adolescents. The clinical examples distinguish pitfalls which are destructive and could be avoided, in contrast with understanding and responding appropriately to the verbal and nonverbal communications of the young patient.This paper was presented to the International Conference for the Advancement of Private Practice of Clinical Social Work, Rio de Janeiro, Brazil, August 1987. Ms. Marcus is in private practice in New Orleans.     

A model for outpatient treatment of young adolescents with anorexia nervosa

The recent literature is reviewed and interpreted as supporting the view that anorexia nervosa is a disorder with discrete subgroups. Two cases are presented which suggest that one particular subgroup of anorexics shares a common dynamic of failure to resolve the issues inherent in the rapprochement crisis of the separation-individuation sequence. The reworking of residuals from the rapprochement crisis, particularly the union of good and bad self, modulation of omnipotence, and integration of hostility, are essential aspects of therapy with these anorexics. The treatment of choice for anorexics in this subgroup is described as an outpatient team approach which separates medical from psychotherapeutic interventions, adolescent therapy from that of parents, and avoids hospitalization if at all possible.Maxine L. Penn is in Private Practice in Potomac, Maryland.     

The perceived effects of drug messages on use patterns in adolescents

Following a survey of over 5,000 students in north central Idaho and southeast Washington, an interviewing strategy was implemented with 223 adolescents randomly selected by their principals. The strategy was designed to learn: 1) which sources have utility and credibility with youth in providing drug information; 2) whether different message content and delivery style have differential effects upon that group; and 3) whether widely held perceptions voiced by parents and teachers about their ineffectiveness as information sources were accurate. Double-blind interviews, arranged to protect respondent anonymity, were conducted by trained interviewers from a research methods class. No interview was held when either an interviewer or respondent knew the other. Among the important findings of the study were that: 1) parents and teachers are trusted, credible sources of drug information; 2) doctors, nurses, law officers, and clergy are also credible but not visible to youth; 3) the evil media and celebrity fears of parents and teachers are largely ungrounded in adolescent perception; and 4) factual information from credible sources emphasizing the range of types of negative consequences associated with drug use can exert powerful effects upon adolescents' reported personal use of drugs.     

Identity development and self-esteem of young adolescents in foster care

For adolescents in foster care progress towards achieving the developmental tasks of adolescence may be more challenging because of the additional stress of being separated from their birth families. Examined in this study is the influence of identification with birth family on the ability of 116 youth in foster care, in a midwestern state, to develop a self-identity and positive self-esteem.     

The use of node-link mapping in the chemical dependency treatment of adolescents.

The current study examined treatment perceptions of youth adjudicated to an eight-month residential treatment facility. Participants were randomly assigned to standard or mapping-enhanced counseling. They completed established questionnaires assessing group sessions, program features, treatment motivation, and number of program infractions. Mapping residents rated group sessions as deeper over time. Mapped sessions appeared to also maintain residents' arousal over time. Mapping residents rated themselves as more motivated to get along with staff, and also tended to be more motivated to engage in the treatment process. In addition, mapping residents had fewer program infractions thirty days after the beginning of the experiment compared to standard residents. These findings extend previous research on node-link mapping in adult treatment settings.     

Cognitive dissonance and risk denial: The case of cannabis use in adolescents

This paper integrates insights from both sociology and psychology into the economic approach of drug use. Within this theoretical framework, the utility provided by cannabis use depends on the ability to deny its riskiness, and this ability is a kind of human capital accumulated through earlier consumption. This assumption is tested with a dataset of French adolescents. A simultaneous equation model is estimated, with one equation for cannabis use, and one for risk denial. The results provide some empirical evidence in favour of the tested assumption, and they also cast doubt on the efficiency of preventive information at school.     

The five careers of the biological metaphor in economic theory

The paper distinguishes among five different roles which the biological metaphor has played, or could play, in economic theory. First, the “selfish-gene” metaphor shows that non-human agents allocate scarce resources and behave non-selfishly according to rationality optimization—not different from how neoclassical theory models human choice. Second, the “ecological influx” metaphor examines the prowess of the non-human/human agent to produce surplus (net product), which differs from rationality optimization. Third, the “genotype” metaphor casts light on how the technology/institution scheme informs the development and behavior of organization. Fourth, the “organism” metaphor illuminates the order of organizations such as firms and states. Fifth, the “ecosystem” metaphor explicates the order of markets, which differs from the order of organizations.     

Onset of substance use among early adolescents in Sweden

ABSTRACT

Problem: Early onset, prevalence, and predictors of substance use – tobacco, alcohol-drinking, alcohol-drunkenness, and drugs – were studied in 13 and 14-year-old boys and girls in Sweden. Methods: Self-reported data in four communities were used (n = 1,716). A large set of psychological and social factors were tried as predictors of early onset use (n = 1,459). Results: There were few gender differences and low prevalence. Primary predictor for early onset in tobacco use was availability; perceived parental approval for alcohol use, and delinquent behaviors for alcohol-drunkenness and drug use. Conclusions: Individual behavioral factors and parental norms seem to be most important in this age.     

Perceived popularity of adolescents who use weapons in violence and adolescents who only carry weapons

Prior research has found that persistently delinquent youth or more violent youth were less popular than their less delinquent peers [Young, Jacob T. N. 2014. “‘Role Magnets’? An Empirical Investigation of Popularity Trajectories for Life-Course Persistent Individuals During Adolescence.” Journal of Youth and Adolescence 43 (1): 104–115]. However, recent research has also found that weapon carrying is associated with being more popular in adolescence [Dijkstra, Jan Kornelis, Siegwart Lindenberg, René Veenstra, Christian Steglich, Jenny Isaacs, Noel A. Card, and Ernest V. E. Hodges. 2010. “Influence and Selection Processes in Weapon Carrying During Adolescence: The Roles of Status, Aggression, and Vulnerability.” Criminology 48 (1): 187–220]. The present paper examines the perceived popularity of adolescents who carry weapons in comparison to those who both carry and use weapons in acts of violence or threatened violence. Data consist of two waves from the National Longitudinal Study of Adolescent to Adult Health. Analyses use OLS regression with lagged predictors. This paper found no differences in number of friends between weapon carriers and weapon users. However, among both male and female gang members, those who did not use or carry weapons (abstainers) named significantly fewer friends than weapon users. Among females, weapon abstainers both named and were named by significantly more people than weapon users. These differences were not observed for males. Implications of these results and directions for future research are discussed.     

The influence of ethnic identity on drug use among ethnic minority adolescents

Ethnic identity is a significant factor related to self-concept and psychological development and similar to other aspects of identity, is of particular importance during the adolescent years when there is increased vulnerability to drug involvement. However, much of the research relative to adolescent drug use has focused on the annual and current prevalence rates among particular ethnic groups with little attention to ethnic or group identity issues. However, it is important to study and compare ethnic and group identity and its correlates to drug use. This article presents face-to-face interview questionnaire measures of ethnic identity as measured by affirmation and belongingness, ethnic identity achievement, ethnic behavior, and other group orientation [1], and drug use as measured by misuse, abuse, and chemical dependency diagnoses [2]. The questionnaires were administered to 127 (60 Ethnic, 67 White) adolescents from ethnically diverse schools in a large urban school district in the Pacific Northwest. The relationship of ethnic identity to drug use was examined. This study indicates that the questionnaire measures can be used to examine similarities and differences in ethnic identity and drug use among adolescents from different ethnic groups. A key finding of this study was that white adolescents scored lower in ethnic identity than did members of the four ethnic minority groups and the mixed racial group. However, the most significant key finding was that in the ethnic minority sample high levels of cultural identity were associated with heavy drug use. The results of this study suggest that social influences may play a larger role in the development of heavy drug use irrespective of the nature and origins of these social influences.     

Correlates of the contraceptive behavior of adolescents/young adults

Pregnancy among adolescents/young adults continues at epidemic levels despite widespread concern regarding its social and psychological consequences. Cognitive psychologists point out that active decisions and behaviors such as those involved in effective contraception are facilitated or inhibited by any of a number of relevant attitudes and beliefs. The present investigation examined several such cognitive variables. Specifically, the following hypotheses were tested: Among adolescents/young adults, the use of effective contraception would be positively related to (a) the number of known cases of unwanted pregnancy of which subjects were directly aware, and (b) sexual guilt. A sample of 147 sexually active single college students aged 18–19 provided information relevant to these hypotheses. Analyses indicated that contraceptive behavior was unrelated to the number of unwanted pregnancies of which subjects were aware, but was substantially and significantly associated with sexual guilt, even when the possibility of pregnancy was precluded. The nature and implications of these findings are explored.