Borderline daughters: An optimal configuration for their growth

A significant majority of patients with borderline personality disorder, in a long-term psychiatric hospital for adolescents, had been the daughters of younger middle class mothers (14–20) with fathers absent since birth or before age 5. This family configuration is optimal for the growth of a symbiotic mother-daughter relationship and the identity disorder prevalent in borderline patients. The similar histories of these patients are examined. They can be described in two categories: those who combine precocious sexuality with infantile behavior and a smaller group with a somewhat masculine pseudo-mature identity. The first group usually attempts to retreat to the father, has clinging, dependent relationships with males, sexually acts out and is at a very high risk for pregnancy and a repetition of the mothers' lives.This paper was presented at the American Association of Psychiatric Services for Children, Las Vegas, Nevada, March, 1986.Mr. Levy is at Wesleyan University     

网络暴力游戏涵化青少年的传播学解析

网络游戏已经成为青少年最喜爱的娱乐方式之一,而网络暴力游戏的盛行,对尚处于青春期的青少年的成长和发展有着不容忽视的影响。研究表明,随着接触网络暴力游戏时间的增长,青少年对暴力行为的赞成度会有所提高,也更易产生暴力情绪,同时考察了网络暴力游戏对青少年的涵化效应,即曲解暴力符号、宣泄权力欲望,以便得到心理上的满足和认同。同时分析了网络暴力游戏的盛行原因、传播现状和发展趋势,解析了网络暴力游戏涵化青少年的传播理论基础。     

The Effects of Parenting on the Development of Adolescent Alcohol Misuse: A Six‐Wave Latent Growth Model

Alcohol use increases throughout adolescence. Based on family socialization theory, it was hypothesized that family factors, particularly parental support and monitoring, would influence individual trajectories in the development of alcohol misuse. Six waves of data were analyzed, based on interviews with 506 adolescents in the general population of a northeastern metropolitan area. Using growth‐curve longitudinal analysis, results show that parenting significantly predicts adolescents' initial drinking levels (intercepts) as well as their rates of increase in alcohol misuse (slope). This study provides evidence that effective parenting is an important factor in preventing alcohol misuse.     

Psychological response to disasters: focus on adolescents

The effects of disasters may predispose many adolescents to psychological stress, which can interfere with their growth and development and disrupt their intrapsychic homeostasis. This may lead to negative long-term health outcomes and hamper normal development. Many nurses view traumatic events involving children, including adolescents, as the most frequent and stressful critical incidents. There is a need to address psychological emergency preparedness for mass disasters with the development of protocols and practice guidelines. Assessing and managing physical injuries may take priority in emergencies, but incorporating rapid, cost-effective mental health assessments for children and adolescents is essential.     

Boundary Ambiguity and Borderline Personality Traits: Implications for Treatment for Adolescent Girls in Foster Care

This article explores the relationship between boundary ambiguity and borderline personality traits in adolescent girls in foster care. Boundary ambiguity is a family systems concept: family members are uncertain about who is in or out of the family—in either psychological or physical presence or absence. In foster care, it can be assumed that an adolescent girl has experienced trauma significant enough to be removed from her family. The connection between early childhood trauma and attachment disruption in addition to the connection between insecure/disorganized attachment and borderline personality disorder leads to the conclusion that these same adolescents are at high risk for developing borderline personality traits. The sample consists of 40 caseworkers from New England’s child protection departments and therapists from residential programs working with adolescent girls. They completed the Shedler-Westen Assessment Procedure for Adolescents to determine the presence of personality disruption as well as a variation of Pauline Boss’s Boundary Ambiguity Scale #1, and demographic questionnaires. The results find a significant correlation between boundary ambiguity and borderline personality traits. These findings provide directions for future research in clinical treatment and child welfare policy making.     

A latent class analysis of resilient development among early adolescents living in public housing

The aim of this study was to identify types of early adolescents living in public housing neighborhoods based on patterns of resilient development. Informed by ecological-transactional theory, we evaluated a broad range of individual, relational, and contextual influences on resilient development among an ethnically diverse sample of 315 early adolescents (M_age = 12; 51% female) living in public housing neighborhoods. Results of a latent class analysis of 11 indicators and 2 outcome variables suggest three empirically derived classes representing overall patterns of favorable and unfavorable behavior. Daily hassles, low neighborhood cohesion, and a relaxed attitude towards substance use corresponded with a higher probability of substance use and delinquency. Significant differences in favorable behavior patterns reflecting resilient development between classes were found in attitudes towards substance use, academic efficacy, and school commitment. Results suggest important implications for preventive interventions for early adolescents living in public housing neighborhoods that are discussed.     

Trajectories of positive youth development and promotive factors among adolescents during the transition to high school in China

Within the framework of positive youth development (PYD) and life course theory, this study was designed to examine patterns of PYD and promotive factors over the first semester of Chinese high school with a sample of 480 students (boys, 43.96%). The growth mixture model identified four trajectories of PYD, labeled high start–fast decreasing, high start–low decreasing, low start–low increasing, and mid–persistent. Results also showed that membership in a PYD trajectory is significantly related to three promotive factors: parental involvement, teacher involvement, and intentional self-regulation. These findings have important theoretical and practical insights for a deeper understanding of the underlying mechanisms of positive development in adolescents following the critical period surrounding the transition to high school.     

Career Maturity: The Construct's Validity,Vitality, and Viability

Career maturity is a useful construct for studying adolescents, but it has limits. Professional counselors need to integrate personality and decision-making style into research on career maturity as well as give more than a passing nod to developmental theory. They cannot study career development at the individual level alone; context matters and is an integral part of career development. The amount of variance in individual career development accounted for by context and change may be so great that longitudinal research on individuals may not be worthwhile.     

Ego Development,Ego Strengths,and Ethnic Identity Among First Nation Adolescents

Three conceptualizations of psychosocial development were investigated among Canadian First Nation adolescents. Loevinger's social cognitive model of ego development reflects the way in which an individual views the self and social reality. From Eriksonian theory, ego strengths refer to the emergent values or outcomes that represent resolution of the eight psychosocial stages of development, and ethnic identity is a domain of personal identity with special relevance for minorities. As expected, age and biological gender differences were found for ego development. Associations between ego development and ego strengths were supported as were age differences in ethnic identity status. Traditional students (strongly identified with indigenous culture) demonstrated greater ego strengths than bicultural (identified with both their own and mainstream cultures) adolescents.     

The Role of Curiosity in the Sociopolitical Development of Black and Latinx Adolescents

Sociopolitical development, the process of coming to understand and take action against systems of oppression, is associated with key outcomes for youth. Although rooted in Paulo Freire's work on critical consciousness, sociopolitical development models overlook a motivational attribute—curiosity—that Freire characterized as a catalyst of such development. This longitudinal study investigated the relationship between curiosity and two aspects of sociopolitical development (social analysis, societal involvement) in a sample of Black and Latinx adolescents (N = 659). Longitudinal growth models demonstrated positive growth in all constructs over 4‐years of high school. Multivariate growth models revealed a positive correlation at baseline between curiosity and both constructs; growth in curiosity was also positively correlated with growth in social analysis and societal involvement.     

Anxiety in Adolescence: The Integration of Attachment and Neurobiological Research into Clinical Practice

Attachment theory illuminates aspects of adolescent development and points to critical treatment directions for adolescents. Recent neurobiological research illustrates the importance of integrating physiological understanding into clinical work. The application of attachment theory and neurobiology to treatment is illustrated best through the case example of one adolescent with panic disorder treated in an outpatient setting.     

The Appreciation of Career Literature in Adolescents

With adolescents, the appreciation of career literature was predicted to relate to their reading skill and cognitive development as well as their need for career information. Forty 11th-grade and forty 12th-grade students at a university school read two passages from each of three domains of career literature: short stories, formal literature, and popular literature. The results indicated that both reading skill and cognitive development were related to the extent to which adolescents appreciated three passages in which career information was presented in the form of short stories and personal accounts. Reported need for information to make career choices did not relate to the appreciation of any of the six passages. Implications for theory and practice in the use of career literature are discussed.     

Family treatment of a borderline personality

This article discusses family therapy as a complementary treatment modality with the adult borderline patient. According to theory, the separation-individuation process is the underlying conflict of the pathological adaptation of the adult borderline patient and the goal of therapy is often considered to be separation of the patient from the family. Family treatment can facilitate the process of separation-individuation as it allows for the concomitant enhancement of the separateness of the parents. Family treatment can also reduce anxiety about separation, minimize the development of a premature intense transference, and prevent the battle for control between the therapist and the parents. Moreover, the process of the family treatment itself, described in this article, reflects the developmental phase of symbiosis, followed by the subphases of the separation-individuation process, i.e., differentiation, practicing and rapprochement, with the groundwork being laid for moving into object constancy. The ego functioning of all family members has the potential of being enhanced and strengthened through this process.     

Case management with borderline children: Theory and practice

Case management with borderline children requires collaborative work with parents and teachers in which the focus is on the child's needs and relationships with others. Understanding of borderline pathology from the perspectives of developmental psychology and object relations theory can be used implicitly in management planning and explicitly in enabling parents and teachers to comprehend the issues and goals of the child's therapy.     

Adolescent Socialization in Rural Appalachia: The Perspectives of Teens,Parents, and Significant Adults

ABSTRACT

The purpose of this qualitative study was to explore the social networks of Appalachian adolescents to understand socialization strategies and goals. A total of 46 interviews were conducted with five families (mothers, fathers, and adolescents) and 11 socialization agents the families identified as exerting significant influence in the lives of the adolescents. Interviews were transcribed and then analyzed using principles of grounded theory. Five themes developed from the interviews: the importance of community to the socialization process, adult involvement and support, adolescent monitoring, teaching respect and responsibility, and adolescent autonomy. Results suggest the need for in-depth investigation of adolescent development within a variety of cultural and social contexts to more fully understand these processes.     

Examining the relationship between childhood sexual abuse and borderline personality disorder: does social support matter?

The relationship between childhood sexual abuse and borderline personality disorder is a prominent issue in the etiological research on borderline personality disorder. This study further explored the relationship between childhood sexual abuse and the development of borderline personality features while evaluating the moderating role of a primary social support source in a sample of 290 female undergraduate students enrolled at a major southeastern university. Consistent with previous research, retrospective self-reports of childhood sexual abuse and low social support were both positively correlated with current borderline personality features. It was hypothesized that the presence of a supportive relationship at the time the childhood sexual abuse occurred would moderate the relationship between childhood sexual abuse and borderline personality features. This moderation hypothesis was not supported in the current study, but post-hoc analyses reveal the need to further examine how we define social support following childhood sexual abuse. This research is a stepping stone toward the prevention of borderline personality disorder following childhood sexual abuse.     

Examining the Relationship between Childhood Sexual Abuse and Borderline Personality Disorder: Does Social Support Matter?

The relationship between childhood sexual abuse and borderline personality disorder is a prominent issue in the etiological research on borderline personality disorder. This study further explored the relationship between childhood sexual abuse and the development of borderline personality features while evaluating the moderating role of a primary social support source in a sample of 290 female undergraduate students enrolled at a major southeastern university. Consistent with previous research, retrospective self-reports of childhood sexual abuse and low social support were both positively correlated with current borderline personality features. It was hypothesized that the presence of a supportive relationship at the time the childhood sexual abuse occurred would moderate the relationship between childhood sexual abuse and borderline personality features. This moderation hypothesis was not supported in the current study, but post-hoc analyses reveal the need to further examine how we define social support following childhood sexual abuse. This research is a stepping stone toward the prevention of borderline personality disorder following childhood sexual abuse.     

Selfobject functions of the family: Implications for family therapy

The application of Self-Psychology theory to family functioning adds to our models of understanding and intervention in family therapy. This article develops a theory of the family as a supraordinate selfobject and explores diverse clinical applications of the theory. The family as a selfobject matrix enhances the self development of the child by the provision of continuity through the maintenance of proximity over time, and by an enhanced quality and quantity of selfobject responsiveness for the individual. This application of Self Psychology theory has wide implications for family therapy with children in foster care, family therapy with elderly couples coping with dementia in one spouse, and family therapy as a component of treatment with suicidal adolescents.     

Child and adolescent homicide survivors. Complicated grief and altered worldviews

The act of homicide may influence the worldviews of children and adolescents. Problematic beliefs of uncertainty, inadequacy, perceiving the world as dangerous, self-denial, and lack of control can contribute to complicated grief in children and adolescents, and can potentially disrupt their normal psychosocial growth and development. Mental health professionals' understanding of grief after the homicide of a family member enhances their ability to intervene with and support young people struggling to cope with and adapt to a sudden loss.     

Borderline Personality Disorder and Adolescence

SUMMARY

This chapter addresses many of the potential challenges clinicians face when working with adolescents with BPD. First, we present the diagnostic issues related to an adolescent population. Second, we review issues related to the families, peers, and larger systems (e.g., schools) that reciprocally influence the adolescent and the treatment. Third, we discuss specific treatment concerns and propose solutions, including how to effectively manage therapists' own reactions to working with this population. Many of the clinical vignettes and suggested interventions in this chapter derive from our experience working in an outpatient adolescent Dialectical Behavior Therapy (DBT) program. As described later in this book, DBT is an evidence-based treatment effective for suicidal multi-problem individuals with promising data published with suicidal adolescents diagnosed with borderline features (Rathus & Miller, 2002).