Contraceptive behavior in adolescence: A decision-making perspective

The contraceptive behavior of adolescent girls was viewed from a decision-making perspective. A semistructured interview protocol was used in interviewing 120 girls aged 12–19 in three clinics (Teen Family Planning, Prenatal, Pediatric Acute Care) at Michael Reese Hospital and Medical Center on (1) demographic in formation; (2) sexual and obstetric history; (3) contraceptive and sexual knowledge, attitudes, and practices; (4) environmental pressures; (5) personality factors; and (6) decision-making style. We found that the girls were generally poor contraceptors. They viewed the costs of contraception (in terms of safety) to be high; and they positively valued physical intimacy, opportunities for which come up unexpectedly and sporadically. These factors, along with their ambivalent views toward pregnancy and childbearing seemed to encourage their risk-taking behavior. Once pregnancy occurred, it was carried to term because of the strong internal and external pressures they felt to have and keep the baby. The peer-led intervention program that we are developing based on the survey findings will focus on (1) the teenagers' lack of accurate and complete knowledge about birth control and conception, (2) their limited sense of options concerning birth control and pregnancy outcomes, and (3) their poor understanding of and lack of insight into what motivates their behavior.This study is part of the investigation being conducted by the YADMAC (Young Adult and Adolescent Decision Making About Contraception) Project at Michael Reese Hospital and Medical Center, 2959 South Cottage Grove, Chicago, Illinois 60616. The authors are all members of the YADMAC research team.Received Ph.D. from the University of Chicago. Current interests are human sexuality and reproductive behavior. Currently at Department of Psychology, St. Xavier College.Received M.D. from the University of Michigan. Current interests are liaison child psychiatry and adolescent sexuality.Received Ph.D. from the University of Chicago. Current interests are early adolescent development issues.Current interests are puberty and sex differences.B. A. candidate in social work, Roosevelt University. Current interests are adolescent sexuality and contraceptive behavior.     

Measuring physical status and timing in early adolescence: A developmental perspective

Recently, the timing-of-events model typically used for exploring adult development has been proposed for studying early adolescence and the pubertal processes occurring then. As a consequence, new interest has been generated about the psychological effects of being early, on time, or late in sexual maturation during early adolescence. A major issue has to do with the choice of maturational events to study, since puberty is a process involving numerous events, all of which have a different developmental course. This paper reviews some of the maturational events that are applicable in studying psychological effects of pubertal status and timing. Nine changes are reviewed (bone, height, weight, body fat, breast, body hair, penile, testicular, and menarcheal changes) in terms of measurement techniques, psychometric properties, and intercorrelations with other pubertal events. In addition, the usefulness of each measure for psychological research on maturational timing and status is discussed. Finally, how pubertal measures may be incorporated into a developmental perspective is considered, especially with regard to rate, duration, and asynchrony of pubertal changes.Research Interests: Girl's psychological adaptation to pubertal change, biosocial aspects of female reproductive events, development of biological and socially at risk children and adolescents.Research Interests: Reproductive endocrinology, anorexia nervosa, neuroendocrinology, adolescence.     

青年文化:青年社会化的新视角

青年文化,作为在青年中流行、并对青年产生重大影响的因子,是青年社会化的主要执行者。同时,随着时代的发展,青年文化又使青年社会化出现了新特点,蕴含着当今青年社会化的二重性。因此,积极加强青年文化建设,对青年社会化的顺利实现乃至社会的发展都有着极大的现实意义。     

Future-time perspective in adolescence: The present of things future revisited

Several theorists have suggested that the observed changes in adolescent future-time perspective are due to the emergence of formal-operations reasoning [e. g., T. J. Cottle and S. Klineberg (1974),The Present of Things Future, Free Press-Macmillan, New York; P. Fraisse (1963),The Psychology of Time, Harper & Row, New York; H. Hartmann (1958),Ego Psychology and the Problem of Adaptation, International Universities Press, New York; J. Piaget (1968),Six Psychological Studies, Vintage Book, New York]. Using a cross-sectional sample of 60 Caucasian adolescents, the present study was designed to examine this hypostatized interrelation. Data obtained through individual interviews provide only limited support for a cognitive hypothesis. As predicted, older students showed greater future extension and the more cognitively advanced students proved better able to project a set of events into the distant future. However, neither the older, nor the more cognitively advanced, students projected a greater number or a more consistent set of future events than did their respective counterparts. Moreover, analysis of the types of events projected obtained significance only for grade level. The findings are discussed from a contextualist perspective, within which consideration is given to the influence of experiential and life-span status factors.This paper is an expanded version of one presented as part of the symposium entitled, The Timing of Life Events in Adolescence, at the annual meeting of the Educational Research Association, Montreal, Canada, April 11–15, 1983. This work was completed while the author was a Clinical Research Training Fellow in Adolescence (funded by T32 MH 14668) at the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, in a program also sponsored by the Department of Behavioral Science (Human Development) and Psychiatry, University of Chicago, and the Adolescent Program of the Illinois State Psychiatric Institute.Received a Ph.D. from Boston University. Research interests include cognition, self-concept, and adolescence.     

Identity in adolescence: Present and future self-concepts

This paper reports an investigation to test the hypothesis that anxiety concerning a concept of the self in the future will increase with age during adolescence, while anxiety relating to the self in the present will not. Subjects included a total of 80 adolescent boys from schools in a working class area of London, divided into three groups of 12-year-olds, 14-year-olds and 16-year-olds. The results strongly substantiated the hypothesis, and are discussed in relation to Erikson's theory of an adolescent identity crisis.At present Senior Lecturer in Psychology at The London Hospital Medical College (University of London). Is both a Developmental and Clinical Psychologist, with interests in adolescence and the preschool years.Medical student at The London Hospital Medical College, having a special interest in psychology.     

Literature and Youth Development:

No abstract available for this article.     

Intended childlessness in late adolescence: Personality and psychopathology

A series of studies are presented which examine the relation between parenthood intentions (intend to be a parent and intend to remain childless) and self-concept, mental health, and grade point average in a college student population. The results suggest that college students not intending to have a child tend to be statistically deviant on all the variables examined. Cross-validation results suggest a high frequency of psychopathology among the sample of young intended nonparent college students. Based on the MMPI results, the intention to be a nonparent appears to be associated with general maladjustment, rather than just a deviancy from social norms.Received his Ph.D. from the University of Iowa. Primary interest is parenting attitudes and parent training.     

Attachment in adolescence: A narrative and meta-analytic review

The purpose of this paper is to review the literature that has examined adolescent attachment relations with parents, and any association between attachment and adolescent development or adjustment. The paper begins with a review of traditional attachment theory and concepts. The organizational perspective advanced by Sroufe and his colleagues is described in addition to other extensions of the study of attachment. The study of adolescent attachment is one extension of the attachment literature that has received increasing attention in recent years. A narrative review of studies of adolescent attachment is presented in which conceptualizations of adolescent attachment, methodologies, and results are described. The narrative review is followed by a metaanalytic review of this literature. The paper concludes by discussing the results of the reviews, the current state of adolescent attachment research, and some recommendations for further advancing the empirical and theoretical literature on adolescent attachment and adaptation.Received Ph.D. from the University of Notre Dame. This paper was completed while the author was a doctoral student at the University of Notre Dame. Major interests are in object relations theory and adolescent ego development. 511     

Ego development in adolescence: Longitudinal studies

Adolescents from four schools (one inner-city, two suburban, and one private) were tested two or three times using the Washington University Sentence Completion Test of Ego Development. Testing intervals ranged from 1.5 to 6 years. About half (N=193) the original pool was retested at twelfth grade. Every sample showed a mean rise in ego level; for six of eight samples that rise was statistically significant. Every pair of testings showed a postive correlation between scores; 10 of 14 correlations were significantly different from zero. Thus both test-retest correlations (about 0.5) and change scores support the hypothesized sequence of ego development. Significant correlation between ego level and intelligence occurred in two schools (0.6 at elementary and junior high grades and 0.4 at twelfth grade), but correlation was about zero in the private school.These studies were supported by Grant MH-05115 and Research Scientist Award MH-00657, both from the National Institute of Mental Health, Public Health Service.Received her Ph.D. from Washington University. Main interest is adolescent development.Received her Ph.D. from the University of California, Berkeley. Main interest is theory and measurement of ego development.     

Youth in Crisis: The Well-Being of Middle Eastern Youth and Adolescents During War and Peace

This study reports data of psychological well-being and self-esteem of Gaza Palestinian, Israeli Bedouin Arab, and Israeli Jewish adolescents during the time shortly before and after the signing of the Israeli-Palestinian Autonomy Agreement. The study is a partial follow-up to previous research examining the impact of violence, warlike conditions, and extreme social change on the mental health adjustment of adolescents of this region. Results of the Derogatis Symptom Checklist, revised and Coopersmith Self-Esteem Inventory showed the following: (a) psychopathology was significantly higher among Gaza youth, while Israeli Jewish and Bedouin youth showed lower levels; (b) youth from Gaza had the lowest levels of self-esteem, while there were no differences between Israeli Jewish and Bedouin youth; and (c) despite the long interval that had elapsed between the first (amid the Intifada) and second administrations (subsequent to the Oslo accords) of the measures, and the changing conditions, there was minimal evidence of change in levels of distress.     

Schizophrenia in adolescence

The emergence of schizophrenic psychoses during middle and late adolescence poses the question of how adolescence as a developmental stage is related to the emergence of severe psychopathology. This paper examines several possible explanations for adolescence as the beginning of the high-risk age, particularly for the schizophrenias. After discussing the nature of adolescence as distinguished from puberty, and then considering the nature of schizophrenia, we report some data from a long-range study of young adult psychiatric patients, both schizophrenic and nonschizophrenic. Our data support the idea that serious psychopathology—not only schizophrenia—occurs in a setting of poor competence in a variety of crucial skills which include the social, intellectual, and physical realms. The demands made on adolescents by societal expectations for independence and role establishment summon a variety of competencies. Where these competencies are dysfunctional, societal demands strain an already vulnerable youth, and potentiate disorganization.This work is supported in part by Public Health Service grants MH-05519, MH-18991, and MH-19477.This research is part of a program investigating schizophrenia which is being conducted jointly by the Psychosomatic and Psychiatric Institute of Michael Reese Hospital, the Department of Psychiatry, Pritzker School of Medicine, University of Chicago, and the Illinois State Psychiatric Institute.Received his Ph.D. in psychology from the University of Kansas. His research has been in individual consistencies in cognition and perception, and more recently in perceptual aspects of severe psychopathology. He was for 22 years on the senior staff of the Menninger Foundation, where he performed clinical and research functions, including that of Training and Supervising Analyst in the Topeka Psychoanalytic Institute, and Director of Research Training. He currently is a recipient of a Career Scientist Award from the NIMH (K5-MH-70900).Received his medical degree from Rush Medical College in Chicago. His psychiatric and psychoanalytic training took place in Chicago, Vienna, Zurich, Hamburg, and London. His research has been in psychosomatic medicine, stress and anxiety, clinical syndromes (including schizophrenia), normal development, and psychotherapy.     

Self-image complexity and identity formation in adolescence: Longitudinal studies

Using a specially designed Q-sort technique, multiple self-images which were held by each of 60 adolescents were studied. Sixty normal and psychiatrically hospitalized adolescents were tested initially and then every 6 months for 12–18 months. Each subject's self-images were analyzed in terms of their complexity. Results showed that, as predicted, the patients and normals differed significantly. The patients had consistently lower complexity scores on each trial. The patients' and normals' patterns of complexity scores are discussed in terms of their reflecting the ego identity configurations described clinically by Erikson and operationally defined herein.This study was supported in part by a Research Scientist Development Award (Kl-70-178) from the National Institute of Mental Health.Received his medical training at Yale University School of Medicine and his psychiatric training at Massachusetts Mental Health Center. Currently continuing graduate training in personality and development in the Psychology and Social Relations Department at Harvard University. Present research interests are in the interplay between fantasy and nonverbal process in interracial adolescent dyads; and in the longitudinal study of adolescent identity development.     

Social support and self-esteem in adolescence

This study assessed contingencies in the effect of social support from parents and friends on adolescent self-esteem. Questionnaires were administered to 76 Israeli adolescents regarding self-esteem, stressful life events, and perceived level of support from mother, father, and friends. Maternal support had a strong effect on self-esteem. Aid from friends was influential primarily when that of mothers was absent. Paternal support had little effect, once other support sources were controlled. Despite the negative influence of stress on self-esteem, support and stress had no interactive effects. These findings, consistent with attachment theory and social provision theories, were contrary to cross-pressure or separate world models of peer/parent influence.He received his doctorate in Educational Psychology from University of California at Los Angeles. His current research interests involve stress, coping, and social support in childhood and adolescence, as well as factors bearing on interethnic relations in the Israeli classroom.where she is working on her doctorate in social psychology from Bar Ilan. Her research addresses resilience in early and middle adulthood.Received her doctorate in Clinical Psychology from The Hebrew University in Jerusalem. She studies ego development and identity across the life span, the transition to parenthood, and stress and coping.     

Deviant behavior and self-enhancement in adolescence

The hypothesis that “among initially high self-derogation subjects deviant response patterns (alcohol and drug abuse, delinquent patterns, etc.) are related to subsequent decreases in self-derogation” was tested with data from a longitudinal survey study of adolescents. Among higher and lower socioeconomic status (SES) males initially high self-derogation subjects who adopted (relative to those who did not adopt) any of several deviant patterns manifested significantly greater subsequent base-free decreases in self-derogation. For higher SES females only narcotics use (and among lower SES females no deviant pattern) was significantly related to subsequent decrease in self-derogation. Together with collateral data, these results indicated that where the deviant patterns were compatible with valued social roles and the subjects were able to defend against negative responses by others (but not under mutually exclusive conditions), deviant patterns functioned to reduce self-rejecting feelings among initially highly self-derogating subjects.     

Birth order and self-concept in adolescence

The effect of birth order on self-concept was examined in a sample of adolescent boys and girls. Based upon self-theory, which suggests that the two main processes of self-concept formation (e.g., reflected appraisals and social comparisons) are affected by the power and role relationships associated with ordinal position in the family, several hypotheses were tested: (1) The self-evaluations of only and oldest children are more positive than those of younger siblings; (2) middle-borns have the lowest self-evaluations; (3) these relationships are affected by the sex and spacing of nearest sibling; and (4) the self-conceptions of oldest and only children are more similar to those of their parents than the self-conceptions of younger siblings and their parents. Using analysis of variance and several different measures of self-evaluation, very little support was found for any of these hypotheses. The strongest support was found for the hypothesis on middle-borns, but even these relationships were not large. Several explanations are offered for these weak and inconsistent findings.     

Health habits and depression in adolescence

In a study of the relationship between health habits and depression, 80 high school students, selected on an availability basis, were administered a Health Behaviors Questionnaire (HBQ) and the Beck Depression Inventory (BDI). The HBQ and the BDI significantly correlated (r=0.43p<0.01). Those who smoked were more frequently depressed than those who did not (X ²=10.5p<0.05), and those who used drugs other than marijuana were depressed more frequently than those who did not (X ²=9.2p<0.01). Mildly overweight boys (overweight by more than 5% of their ideal weight) and mildly under-weight boys (underweight by more than 5% of their ideal weight) were moreThis research was supported in part by a grant from the American Diabetes Association and by National institute of Health Grant MH 15529.Received his M.D. at George Washington School of Medicine. Major interest is interface of child psychiatry and pediatrics.Received his M.D. at Downstate Medical Center, State University of New York. Major interest is metabolic changes in adolescence.Received her M.A. from Queens College, New York. Major interest is measurement of human behavior.Received his M.D. from the University of Wisconsin. Major interest is adolescent sexuality.Received her Ph.D. in psychology from Hofstra University. Major interest is evaluation of clinical programs. depressed than boys of normal weight (p<0.02). The more pounds underweight the girls were, the more depressed they were (r=0.482, p<0.05). The closer the weight of a girl who perceived herself as overweight was to her ideal weight, the more depressed she was (r=–0.428,p<0.05).     

Pregnancy in early and late adolescence

The degree to which adolescent pregnancy is viewed as a social problem varies with the age of the adolescent: the younger the adolescent, the greater the perceived risks and costs. The young adolescent has been found to be at greater risk medically; both the young adolescent and her infant are subject more frequently to prenatal and postpartum complications. A sample of 130 pregnant adolescents and adolescent mothers was surveyed to determine the factors that discriminate between girls who become pregnant in early years versus late adolescence. The younger group had begun dating and particularly steady dating at a significantly earlier age than the older group. The age discrepancy between the groups is even greater for the average age at which subjects began steady dating, that is, dating 1 boyfriend exclusively. While ages at which the adolescent began dating and particularly steady dating were found to be significantly related to early pregnancy, this vulnerability was increased by the subjects' lack of knowledge and use of birth control. Subjects in both groups reported that prior to pregnancy they desired quite frequently to leave their parents' home and be on their own. Early pregnancy appeared instead to have increased the adolescents' dependence upon her parents, especially the mother. The findings point to a need for instruction in reproduction and birth control to begin at an earlier age. Opportunity is needed for guided discussion among peers about their feelings regarding the costs and benefits of relationships and how one might deal with potential problems.     

Adjustment and sex-role orientation in adolescence

The purpose of the present study was to reexamine the relationship between sex-role orientation and self-esteem in adolescence. One hundred and six senior high school students completed the Rosenberg self-esteem measure (Rosenberg, 1965) and two measures of sex-role orientation, the Bem Sex Role Inventory, Short Form (BSRI; Bem, 1981), and the Personal Attributes Questionnaire Short Form (PAQ; Spence et al., 1975). The relationship between sex-role orientation and self-esteem was found to vary depending on the sex-role measure employed. Results of the BSRI revealed that androgynous individuals had higher levels of self-esteem than masculine, feminine, and undifferentiated adolescents. PAQ results indicated that androgynous individuals had higher levels of self-esteem than feminine and undifferentiated individuals. When the independent contributions of masculinity and femininity were assessed, both BSRI and PAQ masculinity and femininity significantly predicted self-esteem. Analyses also revealed that the effects of sex-role orientation on self-esteem varied by sex across both the BSRI and PAQ. Implications of the present findings for previous work on sex-role development in adolescence are discussed.Received Ph.D. in human development and family studies from Texas Tech University. Present research interests are sex-role orientation and its relationship to self-esteem, adjustment, and shyness in adolescents and young adults.