Unplanned adolescent pregnancy and the transitional object

This paper postulates that pre-oedipal factors are of major importance in understanding unplanned adolescent pregnancy. Of particular note is the adolescent's unconscious attempt to recreate by her pregnancy the pre-oedipal transitional object to meet her need for symbiosis and for individuation. Implications for understanding and treating the pregnant adolescent are discussed.in private practice and matriculated in the Doctor of Social Welfare Program of New York University.     

Neurodevelopment,impulsivity, and adolescent gambling

The prevalence of problem and pathological gambling in adolescence and young adulthood has been found to be two- to fourfold higher than in adulthood. Given that these high rates might predict future increases across all age groups, it is important to explore the causes of the elevated rates of problem and pathological gambling among youths. This article reviews evidence for a neurobiological basis for adolescent vulnerability to problem and pathological gambling behaviors. We propose that a common trait motif of impulsivity might underlie phenomenology of pathological gambling, commonly comorbid psychiatric disorders, and related aspects of adolescent behavior. Recent advances in understanding the brain mechanisms involved in motivation, reward, and decision-making allow a discussion of neural circuitry underlying impulsivity. Emerging data indicate that important neurodevelopmental events during adolescence occur in brain regions associated with motivation and impulsive behavior. We hypothesize that immaturity of frontal cortical and subcortical monoaminergic systems during normal neurodevelopment underlies adolescent impulsivity as a transitional trait-behavior. While these neurodevelopmental processes may confer advantage by promoting a learning drive for optimal adaptation to adult roles, they may also confer an increased vulnerability to addictive behaviors such as problem and pathological gambling. An exploration of the developmental changes in neural circuitry involved in impulse control has significant implications for understanding adolescent behaviors and treating problem and pathological gambling among youths.     

Videogames: Transitional phenomena in adolescence

Videogames are discussed in light of the concepts of transitional objects and transitional phenomena. Their role in the second individuation process of adolescence is considered.An earlier version of this article was presented at the Midwinter Meeting of the Division of Psychotherapy, American Psychological Association, San Diego, California, March, 1984.     

A child's imaginary companion: A transitional self

The article explores the use of the imaginary companion by normal children, two to five years of age. Some existing literature on the imaginary companion is reviewed. Three case presentations demonstrate the use of the imaginary companion and its effect on ego development.Major findings are the prevalence of the mechanism of splitting and the use of the imaginary companion as transitional phenomenon by the children. An ensuing discussion relates an object relations understanding of the normal developmental use of splitting and transitional phenomena to the case presentations. The imaginary companion is viewed as a transitional self on the developmental lines of narcissism and object relations.     

Adolescent males' willingness to report masturbation

This paper compares contemporaneous and retrospective reports of adolescent masturbation experience, partnered sexual behavior, and nonsexual problem behavior. Analyses are based on data from 59 White males who were followed for 3 years in early adolescence and later reinterviewed as young adults. Comparisons of adolescent and adult reports about adolescent behavior indicated that adolescent masturbation, but not coitus and wet dreams, was more likely to be reported in young adulthood than in adolescence, even when confidential reporting techniques were used. In contrast, nonsexual problem behavior occurring during adolescence was more likely to be reported in adolescence than in early adulthood. These findings are consistent with other literature indicating that masturbation is a distinctly sensitive behavior that adolescent respondents may be particularly reluctant to report. These results suggest that adult retrospective reports may more accurately represent adolescent masturbation activity, but may underrepresent adolescent nonsexual problem behavior.     

Computational Modeling of Statistical Learning: Effects of Transitional Probability Versus Frequency and Links to Word Learning

Statistical learning mechanisms play an important role in theories of language acquisition and processing. Recurrent neural network models have provided important insights into how these mechanisms might operate. We examined whether such networks capture two key findings in human statistical learning. In Simulation 1, a simple recurrent network (SRN) performed much like human learners: it was sensitive to both transitional probability and frequency, with frequency dominating early in learning and probability emerging as the dominant cue later in learning. In Simulation 2, an SRN captured links between statistical segmentation and word learning in infants and adults, and suggested that these links arise because phonological representations are more distinctive for syllables with higher transitional probability. Beyond simply simulating general phenomena, these models provide new insights into underlying mechanisms and generate novel behavioral predictions.     

Welfare Reform and Teenage Pregnancy,Childbirth, and School Dropout

This study estimates the effect of welfare reform on adolescent behaviors using a difference‐in‐differences approach. After defining the prereform and reform cohorts and considering the life course development of adolescent behavior by following each cohort from age 14 to age 16, we compare the welfare‐target and nontarget populations in the two cohorts. The difference‐in‐differences estimates are obtained using an event history model. Our analysis suggests that welfare reform has not reduced teenage fertility and school dropout. We find modest evidence that welfare reform is associated with higher risk of teenage births for girls in welfare families and higher risk of school dropout for girls in poor families. A combination of a difference‐in‐differences approach and a life course perspective can be a useful way to delineate the effect of societal‐level change on family phenomena.     

Adolescent sexuality

The reader is offered a contemporary view of adolescent sexuality, which has evolved into new forms of sexual behavior, in response to current shifts of values and societal realities. The current phenomena of excalating sexually transmitted diseases and teen-age pregnancy and parenthood are examined. The recent developments in clinicians views about homosexuality and heterosexuality are also offered. A case of more optimal adolescent heterosexual activity is presented, depicting the accompanying self questioning, uncertainties, passions and inner musings, regarding a male adolescent's sense of self and self object choices.in private practice     

Treatment of older adolescents in transitional programs: rapprochement crisis revisited

This paper draws largely upon the developmental theory of Margaret Mahler. It depicts a seemingly regressive revisitation of disturbed older male adolescents in transitional residential programs to unresolved elements of the original rapprochement crisis in the separation-individuation process. It describes how cycles of intense shadowing and darting behavior reemerge as the possibility of authentic independent functioning beckons. There is presentation of the way in which this revisitation, including splitting phenomena, is manifested in the residential treatment environment. Therapeutic implications are focused upon. A practic vignette illuminates the metapsychological thrust of the paper.     

Protectors of Indigenous Adolescents’ Post-disaster Adaptation in Taiwan

The study examined the protectors of post-disaster adaption in indigenous adolescent survivors of a devastating typhoon in Taiwan. In total, 152 adolescent participants were recruited from two mountainous districts that were the most severely destroyed by Typhoon Morakot (August 7, 2009). A self-reported questionnaire with five major sections including: (1) sociodemographic information and previous traumatic experience; (2) the adolescent-family inventory of life events and changes; (3) the Family APGAR Index; (4) the Family Satisfaction Scale; and (5) the WHO Quality of Life Scale was administered to the adolescents. Multiple regression was performed to analyze the collected data. Gender, religion, and perceptions of overall life changes, family functioning, and satisfaction with family were found to significantly affected post-disaster life adaptation in indigenous adolescents. The findings suggest that clinicians should be more sensitive to gender differences, strengthen adolescents’ beliefs and family systems, and minimize transitional post-disaster experience in order to assist indigenous survivors with coping with disasters.     

Gender Differences in Adolescent Perceptions of Parent-Adolescent Openness in Communication and Adolescent Empathy

Abstract

The purpose of this study was to examine how the relationship between adolescent perceptions of openness in parent-adolescent communication and adolescent empathy may differ by gender of the respondent. Hierarchical multiple regression analyses were used to test the possibility of an interaction between adolescent gender and parent communication in predicting two other-oriented dimensions of empathy (empathic concern and perspective taking) in 236 adolescents ages 14 tol6. Gender of the adolescent, openness in mother-adolescent communication, and openness in father-adolescent communication were significant predictors of adolescent empathic concern. Gender also moderated the relationship between openness in mother-adolescent communication and empathic concern. Further, openness in mother-adolescent communication was a significant predictor of adolescent perspective taking.     

Gambling Involvement and Drug Use Among Adolescents

The literature on youth gambling often notes the relationship of gambling involvement to drug use. The extent of this association and its importance toward advancing knowledge about the origins and course of adolescent gambling are discussed. The authors contend that (a) adolescent gambling, like drug use, may be a normal part of adolescence from a statistical perspective, (b) claims that the prevalence rate of problem/pathological gambling is comparable or higher than the rate of substance use disorders are not supportable at this time given the weaker methodological studies in the gambling area, (c) while research suggests that similar risk factors may be important determinants for both behavior domains, prospective studies of adolescent development are needed to further clarify which factors are unique and common to adolescent gambling, and (d) greater documentation of the harm associated with adolescent gambling is a major barrier to garnering more prevention and treatment resources for this issue.     

The Clinical Relevance of Divergence in Adolescent–Parent Reports of Adolescent Depression and Anxiety

This study examines associations between adolescent problem behaviors and adolescent–parent disagreement in ratings of adolescent depression and anxiety symptoms. Adolescent–parent dyads (N?=?463; mean age?=?12.68 years; 48.5% female; 78.2% White and 21.8% non-White) reported on adolescent depression and anxiety using parallel scales from the Youth Self Report (Achenbach et al., J Emot Behav Disord 10:194–203, 2002) and the Child Behavior Checklist (Achenbach and Rescorla, The manual for the ASEBA school-age forms & profiles, University of Vermont, Research Center for Children, Youth, and Families, Burlington, 2001) across four waves. Generalized estimating equations were used to examine the relationship between discrepancy scores and adolescent behavioral outcomes: incidence of adolescent past-year substance use (alcohol use, binge drinking, marijuana use, and nonmedical use of controlled medications), delinquency, self-harm behavior, and aggression. Findings showed that larger adolescent–parent divergence scores of depression were associated with higher odds of marijuana use, non-medical use of controlled medications, alcohol use, binge drinking, in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Results further revealed that larger divergence scores on anxiety were associated with higher odds of in-school delinquency, illegal behavior, self-harm behavior, and clinically significant levels of aggressive behavior. Adolescent–parent reporting discrepancy on adolescent’s depression and anxiety symptoms may be indicative of adolescent’s social, emotional, and behavioral problems, and the disagreement may signal further need for assessment of the adolescent.     

Exploring hope as a mediator between religiosity and depression in adolescents

ABSTRACT

Multiple studies have found an inverse relationship between adolescent religiosity and adolescent depression. However, further research is needed to better understand the complexity of this relationship. One potential mediator that may help to explain this relationship is hope. Prior research has found that adolescent religiosity is predictive of increased adolescent hope and that higher levels of adolescent hope have been associated with multiple positive outcomes, including mental health in adolescents. However, no research has explored the mediational role of hope between religiosity and depressive symptoms in adolescents. Cross-sectional data from 459 adolescents were used to test this mediational or indirect effect. The direct effect between religiosity and depressive symptoms was not significant. However, there was a significant indirect effect whereby higher levels of adolescent religiosity were associated with higher levels of adolescent hope, which in turn were associated with lower levels of adolescent depressive symptoms.     

Natural Mentoring Relationships Among Adolescent Mothers: A Study of Resilience

This study focused on natural mentoring relationships between nonparental adults and African American adolescent mothers. Data were collected from 93 adolescent mothers over 5 time points, starting in the adolescent mothers' senior year of high school and ending 5 years after high school. We found that having a natural mentor was related to fewer depressive symptoms and fewer anxiety symptoms over time. Natural mentor presence also modified the relationship between stress and mental health problems over time. Facilitating these natural mentoring relationships between adolescent mothers and nonparental adults may be a useful strategy for promoting healthy development within this population.     

Dimensions of Adolescent Employment

Work during adolescence, including part-time work during the school year, has been viewed as vocational behavior with mixed effects on other behaviors and attitudes. Using two different samples (West Point cadets and high school seniors who qualified for ROTC membership), we examined possible positive and negative correlates of adolescent work as a function of work dimensions, and both concurrent and subsequent performance criteria. Results indicated that concurrent costs and benefits of adolescent employment may depend on dimensions of work as well as adolescent characteristics. Similarly, adolescent employment was found to be generally related to subsequent work motivation and nonacademic performance.     

Risk Factors in Adolescence: The Case of Gambling, Videogame Playing, and the Internet

It has been noted that adolescents may be more susceptible to pathological gambling. Not only is it usually illegal, but it appears to be related to high levels of problem gambling and other delinquent activities such as illicit drug taking and alcohol abuse. This paper examines risk factors not only in adolescent gambling but also in videogame playing (which shares many similarities with gambling). There appear to be three main forms of adolescent gambling that have been widely researched. Adolescent gambling activities and general risk factors in adolescent gambling are provided. As well, the influence of technology on adolescents in the form of both videogames and the Internet are examined. It is argued that technologically advanced forms of gambling may be highly appealing to adolescents.     

Binge drinking in adolescence – social stratification and the collectivity of drinking cultures

Research investigating what shapes young people’s drinking habits is of great importance. This study aimed to analyse the relation between close social networks and adolescents’ drinking habits and the extent to which close social networks may explain differences in binge drinking among social groups. Data from the ‘Stockholm Survey 2012’ were analysed. The Stockholm Survey was a census survey administered to students in academic years 9 and 11, with a response rate of 76%. Ordered logit models were used to estimate relations between the frequency of binge drinking and the independent variables. Parental educational level is associated with adolescent binge drinking, as students with more highly educated parents are more frequent binge drinkers. Parents’ willingness to offer their teenagers alcohol and peers’ drinking habits are also associated with adolescent binge drinking, with a more permissive parental attitude and a prevalence of drinking among peers increasing the risk. Both parents’ willingness to provide alcohol and peers’ drinking habits may statistically explain a large portion of the observed differences in adolescent drinking by parental education. Close social networks are an important factor influencing adolescent binge drinking, and they may explain a large portion of the differences between social groups.     

Socialization Ambiguity in Samoan Adolescents: A Model for Human Development and Stress in the Context of Culture Change

Rapid globalization is forcing youth around the world to confront new developmental challenges, and conceptual models are needed that can capture this experience and its developmental implications. Exposure to nontraditional lifestyles opens up new socialization opportunities and raises the possibility of stress‐inducing dissonance between participating socializing agents and the messages they deliver. Socialization ambiguity is introduced as a model for culture change and adolescent stress, and it is applied to a sample of 10‐ to 20‐year‐olds (N=295) in the islands of Samoa. A physiological marker of stress (antibodies against the Epstein‐Barr virus) is employed to overcome some of the difficulties associated with measuring stress outcomes. Socialization ambiguity is found to be a significant source of stress on the remote island of Savai'i and the transitional area of rural Upolu, although the direction of the association is different, possibly reflecting divergent socialization goals in these two regions.     

A Latent Class Analysis of Behavioral and Psychosocial Dimensions of Adolescent Sexuality: Exploring Race Differences

Adolescent sexuality is a multidimensional concept involving sexual behavior as well as aspects of youth’s sexual self-concept and sexual socialization. The current study used latent class analysis (LCA) to examine patterns of adolescent sexuality, with data from a nationally representative sample of youth (Add Health; n = 13,447), incorporating information on behavioral and psychosocial dimensions of adolescent sexual experiences. LCA results highlighted that youth may exhibit similar sexual behaviors but vary on psychosocial dimensions, including sexual self-efficacy, knowledge, and views about sex. Sociodemographic characteristics, family factors, mental health, and substance use emerged as predictors of membership into different latent classes of sexuality. Given persistent racial differences in sexual outcomes and sexually transmitted infection (STI) rates, the current study also examined how adolescent patterns of sexuality may help mediate racial differences in sexual outcomes by young adulthood. Results suggested that racial differences in adolescent patterns of sexuality help mediate racial differences in the number of sexual partners by young adulthood but not differences in STI diagnosis. Findings highlight the need for research on multiple aspects of adolescent sexuality to understand linkages with later outcomes and group differences.