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.     

An approach to evaluating adolescent adaptive processes: Validity of an interview-based measure

The authors present an initial exploration, of the validity of 15 scales designed to assess adaptive ego processes in adolescence. These scales are rated solelyThis study was supported by the Youth Development Project of the Joslin DRTC (NIH AM 20530-01), grants from the Psychoanalytic Research Fund of the American Psychoanalytic Association, the Spencer Foundation, the MacArthur Foundation, the Harris Trust, National Instutute of Mental Health, a Research Scientist Award (K-05-MH-70178) (Dr. Hauser), the Maternal and Child Health Research Grants Program, and a Faculty Scholar Award of the William T. Grant Foundation (Dr. Beardslee).Clinical director, Department of Psychiatry, The Children's Hospital; and assistnt professor in psychiatry, Harvard Medical School. Received M.D. from Case-Western Reserve University. Currently studying adaptation and intervention with youngsters at high risk for psychopathology.Chief of psychiatry, Joslin Diabetes Center; and associate professor in psychiatry, Harvard Medical School. Received M.D. from the University of Chicago. Currently studying psychosocial consequences of diabetes mellitus.Associate professor in psychiatry, Harvard Medical School. Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development and outcomes in diabetic adolescents.Director of evaluation research, The Children's Unit of McLean Hospital. Received Dipl. Psych. from Freie Universitat, Berlin (clinical psychology); Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.Research associate, Henry A. Murray Research Center of Radcliffe Colleges; and instructor of psychology, Department of Psychiatry, Harvard Medical School. Received Ed.D. from Harvard University (School of Education). Currently studying adolescent and family coping processes in response to stressful events.Currentlyand tudying research methodology and statistics.M.S.W., Smith College School of Social Work. Currently attending Dartmouth Medical School.     

Attitudes toward sexuality in a group of 1500 middle class teen-agers

The purpose of the study was to determine the attitudes toward sexuality in a group of randomly selected middle class teen-agers. The sample included boys and girls, young (13–14) and older (16–18) teen-agers, in a variety of geographic locations from 1962 to 1970. Results demonstrated significant differences between the sexes and between younger and older teen-agers. It did not show differences between teen-agers' attitudes toward sexuality from 1962 to 1970 and neither were there any differences in the attitudes of adolescents in the American cities and in Hobart, Australia. The main finding is that there is no evidence to suggest that the adolescent population is in the midst of a sexual revolution. Presented at the VIIIth International Congress for Child Psychiatry and Allied Professions, Jerusalem, Israel, August 1970.Received M.D. from the University of Chicago; psychiatric training at Michael Reese Hospital; and is a graduate of the Chicago Institute for Psychoanalysis. Main interests are the developmental psychology of adolescents and young adults and juvenile delinquency.The paper was prepared with the collaboration of H. Diesenhaus, Ph.D., Assistant Professor of Psychology, University of Illinois College of Medicine, Chicago, Illinois, and E. Ostrov, Research Associate, Michael Reese Unit, Illinois State Psychiatric Institute, Chicago, Illinois.     

Studying schizophrenia outside the psychiatric setting

Two groups of college students were identified using the MMPI as a screening device: those with normal profiles and those with schizophrenic profiles. All those with previous psychiatric treatment were eliminated. A third group of hospitalized schizophrenics was matched to the first two along lines of age, sex and socioeconomic status. The three groups were then studied via a semistructured interview and compared for the clinical features of hospitalized schizophrenics and for objective enironmental stresses. As predicted, a group of well-functioning, untreated schizophrenics was delineated. The usefulness of the MMPI as a screening device is clarified, and the question of the true prevalence of schizophrenia is discussed. Contrary to prediction, the well-functioning schizophrenics were similar to the hospitalized schizophrenics, not to the normal controls, with regard to objective environmental stresses. The possible meaning of this is discussed considering the concept of subjective environmental stresses.This research is in part supported by USPHS grants MH-18991, MH-19477-01, and State of Illinois 131-13-RD, State of Illinois 218-12-RD.This reasearch is part of an extensive program investigating schizophrenia which is being conducted jointly by the Psychosomatic and Psychatric Institute of Michael Reese Hospital, the Department of Psychiatry, Pritzker School of Medicine, the University of Chicago, and the Illinois State Psychiatric Institute.Received M.D. from Northwestern University. Served psychiatric residency at the Psychosomatic and Psychiatric Institute of Michael Reese Hospital. Main interest is in psychotherapy and psychodynamics of youth.     

WISC-R Verbal Performance IQ discrepancies among quay-classified adolescent male delinquents

Wechsler Verbal-Performance IQ discrepancies have been associated with the broad classification of delinquency, but not with a specific criterion of acting out or psychopathic adjustment. Accordingly, this study examined the hypothesis that the WISC- R Verbal-Performance IQ discrepancy would be larger or more frequent for persons classified as exhibiting a psychopathic delinquent adjustment than for persons classified as either neurotic or subculturally delinquent. Within-subject differences on intellectual measures were obtained for both the psychopathic and subcultural, but not the neurotic, delinquent adjustment classification. This result indicated consistency of intellectual asymmetry across behaviorally diverse delinquent subgroups. No between-group differences were obtained. The results were interpreted as affirming a reliable intraindividual intellectual asymmetry which provides a foundation to model and test hypotheses relating intellectual processes and delinquent behavior.This work was conducted while the second author was a Clinical Research Training Fellow in Ad-lescence (funded by T32 MH14668) with the Adolescent Program of the Illinois State Psychiatric Institute. The training program was also sponsored by the Departments of Behavioral Science (Human Development) and Psychiatry, University of Chicago, and the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center.Received Ph.D. from Purdue. Research interest is cognition.Received Ph.D. from Purdue. Research interest is incest.     

Self-image in adolescents with delayed puberty and growth retardation

Fifty-six adolescents with varying combinations of pubertal delay and growth retardation were given the Offer Self-Image Questionnaire. Delay in sexual maturation by itself had no significant deleterious effect on self-image; however, growth retardation did. These results have important implications in determining indications for the endocrinological treatment of pubertal disorders.Received highest degree from University of the Witwatersrand, Johannesburg, South Africa. Presently Child Psychiatrist, Geha Psychiatric Hospital. Main interest is adolescent psychiatry.Received highest degree from Bar Ilan University. Current research interest is psychology of the adolescent: hormones and behavior.Received highest degree from Bar Ilan University. Current research interest is psychological disturbances in short stature.Received highest degree from Sackler School of Medicine. Current research interest is growth and diabetes.     

Cognitive mediators of ego functioning in adolescence

It has often been assumed that a relationship exists between higher levels of cognitive functioning, particularly formal operations, and mature ego functioning in adolescence. This research examined the relationships between ego functioning and two domains of operational thinking: social interpersonal reasoning and physical-mathematical reasoning in 139 high school seniors. Subjects were given two measures of physical-mathematical reasoning, two measures of interpersonal reasoning, and the Sentence Completion Test of ego functioning, as well as a measure of verbal intelligence. Results indicated significant differences between males and females in patterns of correlations as well as in patterns of relationships in a causal analysis. Ego functioning was predicted by interpersonal reasoning for females and by physical-mathematical reasoning and verbal intelligence for males.This research represents a portion of the doctoral dissertation completed by the senior author in 1981. The research was supported by a grant to A. Petersen from the Spencer Foundation.Received Ph.D. from University of Illinois at Chicago. Current interests are sex-related differences in adolescent ego development and psychosocial variables in adolescent chronic illness.Received Ph.D. from the University of Chicago. Current interest is biopsychosocial development in adolescence, primarily early adolescence.Research Affiliate, Laboratory for Study of Adolescence, Michael Reese Hospital. Received Ph.D. from University of Chicago. Current interest is sex-related differences in the psychological effects of puberty.Research Associate, Laboratory for the Study of Adolescence, Michael Reese Hospital; Program Associate, Health Program, MacArthur Foundation. Received Ph.D. from Syracuse University. Current interest is sex-related differences in socialization.     

The school failure as tutor: An exploratory approach

This paper describes a pilot program in the use of high school near dropouts as tutors for young children. The work is set in the context of adolescent developmental tasks and draws its rationale from the general human tendency to reach mastery by turning passivity into activity. We ask whether adolescents who have experienced a decade of school failure and misery might use the opportunity for a new form of more active contact with the schools to master old failures. We reasoned that the very area of failure, where these adolescents show apparent uninterest through truancy and minimal work, must be a highly emotionally charged one (albeit negatively) precisely because it is an area of failure. After describing the setting and the rationale, we analyze the experience for several tutors from the point of view of their relationship to (1) the tutees, (2) the tutor-supervisor, (3) the group of adolescent tutors, and (4) the social system of the elementary school.Received Ph.D. from Department of Social Relations, Harvard University, 1956. Main current research interest is in the developmental process.This work was conducted while on the staff of the Department of Psychiatry, Bronx Municipal Hospital Center. Currently Instructor, Department of Psychiatry, Montefiore Hospital, Albert Einstein College of Medicine. Received Ph.D. from School of Education, New York University, 1971. Main current interest is in early childhood development.     

On the adolescent process as a transformation of the self

The purpose of this paper is to clarify and extend the psychoanalytic theory of adolescence. Three sources of data are used: biographical source material about Freud's adolescence, introspective accounts from the self-analysis of psychoanalysts, and other biographical vignettes and reports from the psychoanalytic literature. It is proposed that a change in the self emerges as the pivotal focus during adolescent development. An intense peer relationship serves to maintain narcissistic balance and the cohesion of the self. This allows deidealization of archaic parental imagoes and their transformation into newly internalized idealizations. The newly acquired idealizations consolidate into a stable ego ideal which eliminates the need for an alter ego relationship. The self-objects chosen for these new idealizations are related to the need to overcome specific disappointments in the archaic self-objects. The stability of the new ideals depends on the invulnerability of the idealized self-objects. Transient states of narcissistic disequilibrium manifest as turmoil. Presented at a meeting of The Chicago Psychoanalytic Society on May 23, 1972.Received M.D. from the University of Maryland; psychiatric training at the Cincinnati General Hospital; graduate of The Chicago Institute for Psychoanalysis. Main interests are the development of psychoanalysis from a historical perspective and the psychology of adolescence.Received M.D. from New York University; psychiatric training from Associated Psychiatric Faculties of Chicago; graduate of The Chicago Institute for Psychoanalysis. Main interest is the intellectual history of psychoanalysisReceived M.D. from the University of Chicago; psychiatric training at Michael Reese Hospital, Chicago; graduate of The Chicago Institute for Psychoanalysis. Main interest is psychoanalytic metapsychology of development.     

Hungarian adolescents' self-concept

Hungarian and United States adolescents' self-image was studied using the Offer Self-Image Questionnaire (OSIQ). In Hungary, 1,163 younger and older male and female adolescents were studied using a Hungarian translation of the OSIQ. Analyses of endorsement patterns of OSIQ items showed that Hungarian and American adolescents endorsed many items in the same way. Similarities in endorsement patterns were much more common between the two countries than were differences. Analyses of OSIQ scales showed that for most scales younger Hungarian adolescents reported better adjustment than younger American adolescents. Differences were not as great or reversed in the older age groups. Implications for cross-cultural studies of adolescent self-image were drawn based on these results.Received M. D. from the Semmelweis Medical university in Budapest. Research interest is complex somato-mental health care of adolescents.Received M. D. from the University of Chicago. Major interests are concepts of mental health and the developmental psychology of adolescence.Director, Forensic Psychology, Michael Reese Hospital and Medical Center. Received J. D. from the University of Chicago School of Law; received Ph. D. in human development from the University of Chicago. Research interests are adolescence and delinquency.Professor of Psychology, Northwestern University. Received Ph. D. in psychology from the University of Chicago. Major interests are psychotherapy research and adolescence.     

Perceived Support and Internalizing Symptoms in African American Adolescents: Self-Esteem and Ethnic Identity as Mediators

Existing research leaves a gap in explaining why African American adolescents do not exhibit more anxiety and depression than other youth, at the same time that they experience more contextual risk factors. The current study examined the roles of social support as well as possible mediators self-esteem and ethnic identity (sense of belonging to one’s ethnic group) in reducing internalizing symptoms in 227 African American adolescents (mean age = 12.55). Structural equation models indicated that self-esteem and ethnic identity partially mediated the relation between social support and depression. For depression, ethnic identity accounted for more of the social support effect for males, whereas self-esteem had more impact for females. The mediation model for anxiety was supported in females, with self-esteem more important than ethnic identity. The results suggest that ethnic identity and self-esteem function as important links in how social support reduces internalizing symptoms in African American youth. Assistant Professor, Clinical Psychology, Loyola University Chicago. Received Ph.D. in Psychology from The University of Memphis. Current interests include coping and resilience in African American youth and the role of family characteristics in children and adolescents’ stress and coping processes. Teaching Associate, School of Education and Social Policy, Northwestern University. Received Ph.D. in Psychology from University of Rhode Island. Research interests include ethnic identity in African American youth and the effects of exposure to violence on well-being. Assistant Professor, Human Development and Social Policy, Northwestern University. Received Ph.D. in Psychology from University of California, Riverside. Primary research examines the nature and effects of socialization, father’s involvement, and how they interact with gender, race, and SES to impact youths’ academic and social development. Professor, Clinical and Developmental Psychology, Loyola University Chicago. Received Ph.D. in Human Development from the University of Chicago. Current research interests include the developmental stage of adolescence with a focus on the daily experience of urban African American young adolescents and how this relates to their psycho- social well being. Dr. Richards served as a Predoctoral Adolescent Fellow (1979–1981) and Postdoctoral Adolescent Fellow (1984–1985) at the Clinical Research Training Program in Adolescence in Chicago, IL, which was co-directed by Dr. Daniel Offer., Loyola University Chicago, 6525 N. Sheridan Rd., Chicago, IL, 60626 USA Visiting Professor, Humphrey Institute of Public Affairs; President, University of Minnesota and Global Philanthropy Alliance. Received Ph.D. in Measurement, Evaluation, and Statistical Analysis from the University of Chicago. Research interest is in adolescent development. Dr. Petersen served as Coordinator of the Clinical Research Training Program in Adolescence (1978–1982) and Associate Director (1976–80) and Director (1980–82) of the Laboratory for the Study of Adolescence at Michael Reese Hospital and Medical Center (Chicago, IL) where Dr. Daniel Offer served as Director of the Department of Psychiatry. Dr. Petersen and Dr. Offer collaborated on numerous research papers while working together at Michael Reese Hospital., University of Minnesota and Global Philanthropy Alliance USA     

Delinquent behaviors and male adolescent development: A preliminary study

Commonly identified developmental tasks of male adolescence were examined for their relationship to delinquent behavior during adolescence among a general sample of 11-to 18-year-old males (N=337). Evaluations of the prevalence and mean level of delinquent acts across the age groups confirms previous suggestions that delinquent behavior follows the adolescent years quite closely. Measures of three primary developmental domains—family relations, social relations, and educational/vocational orientations—were taken and correlated with delinquent behavior across three substages of adolescence. The patterns of correlations suggest there is support for the view that a substantial portion of delinquent behavior is tied to struggles with adolescent development tasks.This work was conducted 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 Departments of Behavioral Science and Psychiatry, University of Chicago and the Adolescent Program of the Illinois State Psychiatric Institute. It is based, in part, on a presentation made at the annual meeting of the American Psychological Association, August 1985.Dr. Tolan received his Ph.D. in Psychology from the University of Tennessee in 1983. Primary research interests are delinquency, prevention, and families.     

Selective attention and self-control in delinquent adolescents

Research studies are briefly reviewed to examine the hypothesis that delinquent adolescents may process information in a different manner than non-delinquents. Studies suggest that delinquents may have less control over which information they attend to, may expose themselves to more stimulation, may process information more slowly, and may selectively attend to different information than matched controls. Findings from a recent study are presented in support of the latter hypothesis. A clinical example illustrates how these attention differences may appear in the course of treatment.This work was conducted while Dr. Rosenthal was a Clinical Research Training Fellow in Adolescence in a program jointly sponsored by the Adolescent Program of the Illinois State Psychiatric Institute, the Institute for Psychosomatic and Psychiatric Research and Training at Michael Reese Hospital and Medical Center, and by the Departments of Behavioral Science (Human Development) and Psychiatry of the University of Chicago. The training program was funded by Public Health Service grant T32MH14668.A version of this paper was presented at the Conference on the Psychology of Adolescence, Chicago, June 20–21, 1980. Portions of this article are based upon the doctoral dissertation submitted by Frank Lani in partial fulfillment of the Ph.D. degree, Loyola University, Chicago, Illinois.Received his Ph.D. in clinical psychology at Vanderbilt University. Current research interests include delinquency, hyperkinesis, and evaluation of hospital treatment.Received his Ph.D. in clinical psychology at Loyola University. Current research interests include social cognition in delinquency.     

Content scaling of affect in adolescent speech samples

Data are reported which extend the applicability of the Gottschalk-Gleser scales for the content analysis of speech samples to adolescents. The data were gathered on 112 youngsters aged 11–18 stratified by age, race, and sex in a balanced design. Girls had higher Anxiety scores and relatively lower scores on Hostility Directed Inward, Ambivalent Hostility, and Social Alienation and Personal Disorganization than did boys. Blacks spoke less words and expressed more Overt Hostility Outward than did Whites. These latter scores increased with age, as did Hostility Directed Inward. The affect scores for this normative group are also compared to those for normal adults and to an adolescent clinic and a juvenile delinquent population. Correlations with three paper-and-pencil inventories (Adolescent Life Assessment Checklist, Defense Mechanisms Inventory, and Rotter I-E scale) are presented.This study was partially funded by The Adolescent Clinic, Inc., Joseph Rauh, M.D., Director, Division of Adolescent Medicine, Children's Hospital Medical Center.Received her Ph.D. in psychology from Washington University, St. Louis; received a Foundations Fund for Research in Psychiatry interdisciplinary research-teaching grant, 1959–1965. Current research interests include test development, evaluation, and personality research.and a licensed psychologist with the State of Ohio. Received her M.A. from the University of Cincinnati. Current research interests include verbal behavior, psychotherapeutic efficacy, and dream research.Received her M.D. from Medical College of Georgia at Augusta; interned at Michael Reese Hospital, Chicago. Current research interests include stress, coping, and adaptation in children and adolescents.     

The relation of personality functions and adaptive skills to self-esteem in early adolescence

This paper examines the relation, in early adolescence, of competence in personality functions and adaptive skills to self-esteem. As part of a longitudinal study of adolescent personality development, a nonclinical group of 63 adolescents underwent a comprehensive assessment at age 13. Their personality functioning status was assessed by means of a semistructured psychiatric interview. A psychometric battery was administered to assess verbal and nonverbal adaptive skills. In addition, global self-esteem was assessed. The findings indicate that positive self-esteem was associated with competence in both personality functions and in adaptive skills. Both domains contributed to self-esteem to a similar degree.This study was supported by a grant from the Ministry of Community and Social Services of the Province of Ontario, Canada. This paper was presented at the annual meeting of the Canadian Academy of Child Psychiatry, Quebec City, Quebec, Canada, 1985.Received his Ph.D. from the State University of New York at Stony Brook. Research Interests include adolescent personality development and the effects of affective disorders on development.Received his M.D. from the University of Toronto. Research interests include mood disorders, personality development in adolescence, and preventive psychiatry.Received his M.D. from the University of Toronto. Research interests include adolescent personality development, effects of psychosis on personality, and psychophysiology of schizophrenia.Received his M.D. from the University of Toronto. Research interests include affective disorders in adolescence and individual psychotherapy.     

Factors affecting perception of pregnancy risk in the adolescent

Perception of pregnancy risk, fertility knowledge, and probability-based teaching examples of risk were assessed in 104 primiparous urban adolescents 13–18 years of age in their second and third trimester of pregnancy. Perception of risk was not associated with age, actual frequency of intercourse, or level of fertility knowledge. Sexually active adolescents were surprised at subsequent conceptions. Adolescents were unable to utilize concepts of risk taking, even after concrete examples and teaching techniques had been presented.This study was conducted under the auspices of the Department of Obstetrics and Gynecology, Baylor College of Medicine, which provides medical faculty to the Harris County Hospital District, Houston, Texas.Received Ph.D. from the University of Texas at Austin. Current interests are patterns of adolescent child bearing and rearing.Received M.P.H. from the University of Texas School of Public Health. Current interests are adolescent contraceptive behavior.Received D.P.H. from the University of Texas School of Public Health. Current interests are biological psychiatry and socio-medical research.Received M.D. from Baylor College of Medicine. Current interests are continuing education in medical and nonmedical settings.     

Sex differences within the family: Studies of adolescent and parent family interactions

Sex differences in verbal family interactions were investigated in a group of 79 adolescents and parents from normal and psychiatric settings. The analyses were designed to study these differences in both generations, parent and adolescent. Parent and adolescent interactions with one another were observed in a semistructured, revealed-differences family discussion. All of the individual speeches were then scored with our Constraining and Enabling Coding System (CECS). Initial predictions involved both adolescent and parent differences. These hypotheses were only partially confirmed. The strongest findings pertained to parent sex differences, as we found strikingly higher levels of cognitive enabling speeches expressed by fathers and significantly more speeches addressed to fathers. We discuss several alternative interpretations of these findings. Perspectives included in our considerations are direction of effect and influences of task/context upon the expression of family sex differences.This study was supported through a grant from the National Institute of Child and Human Development (NICHD Grant No. R01 HD18684-02) and a Research Scientist Development Award No. 5 K-02-MH-70178 (Dr. Hauser) from the NIMH.Received M.D. from Yale University and Ph.D. from Harvard University (psychology). Currently studying family contexts of adolescent development.Received B.A. from Michigan University. Currently graduate student in organizational behavior, Northwestern University. Current interests are women and work.Received his Ph.D. from Boston University. Research interests are in methodology and statistics.Henry A. Murray Research Center of Radcliffe College. Received Ed. D. from Harvard University (School of Education). Currently studying family coping processes in response to stressful events.Received Ph.D. from Ohio State University (psychology). Current interests in assessing ego development and family systems.Parent-Place, Judge Baker Guidance Center. Received Ph.D. from the University of Miami (clinical psychology). Research interests are in family studies and adolescent development.Received M.D. from the University of Chicago. Currently studying psychological consequences of diabetes mellitus.the Children's Unit of McLean Hospital. Received Diploma Psych. from Freie Universitat, Berlin (clinical psychology), and Ed.D. from Harvard University (School of Education). Currently studying relationships between psychopathology and development among adolescent psychiatric patients.     

At-risk factors for the adolescent mother and her infant

This article describes some at-risk features for the adolescent mother and her infant. The inadequacies of the adolescent mother may be manifest in her inability to provide for herself or her infant, and in difficulties in relating to a mate in a suitable fashion since she is still dependent on and, to some extent, symbiotic with her own mother. Complications, such as the increased possibility of having crises in pregnancy, a premature birth, giving up the baby for adoption, malnutrition, decreased stimulation, and divided mothering, are detailed. Compared to infants of adult mothers, offspring of adolescent mothers have a greater risk later on of conduct disorders, absence of both parents, and placement in foster homes or institutions. The adolescent mother's dynamics seem related to oedipal conflicts, wishes to mother and be mothered, and a predominance of symbiotic or other preoedipal conflicts. Becoming a mother in adolescence may be based on efforts to separate from infantile objects, an attempt to make up for the loss thereof, or substitution and avoidance of separation-individuation conflicts; or it might be an accident to avoid regression. At-risk factors are listed for the psychiatrist and pediatrician to observe in the adolescent mother and her infant in order to be alert to the possibilities of increased complications.Past President of American Society for Adolescent Psychiatry. Received his M.D. from the University of Toronto Faculty of Medicine in 1948. Trained in psychiatry and child psychiatry in New Orleans. Main interests include group and family therapy, separation and attachment processes, and early child development, particularly in prematures.     

The incongruous achiever in adolescence

The authors wished to study some of the internal psychological dynamics of achievement in a nonpatient identified high school population. Questionnaires were administered to the Grade 13 students and their parents in a large high school. A number of students whose achievement and educational plans were not congruous with their general background were selected for interview. The findings suggest that a wide variety of ages and developmental stages can be discerned as critical points in the development of a student's attitude toward higher education. These students have many values in common, and their values appear related to a positive or negative identification with parental values. The students themselves show a wide range of personality integration. They relate in a special way to a wide variety of teachers' personalities.Received M.D. from University of Alberta, Edmonton, in 1969 and completed specialty training in psychiatry at University of Toronto in 1974. Main interests include psychoanalysis, community psychiatry, and currently antabuse implants.Received M.D. from University of Toronto in 1960, D. Psych. from University of Toronto in 1963, C.R.C.P.(c) in 1965, and F.R.C.P. in 1972. Main interests include adolescent psychiatry, psychoanalysis, psychiatric residency training programs, and mental health delivery systems.     

Perception and experience of types of social stress and self-image among adolescents

Eighty-four 16–18-year-old male and female volunteers were sampled to test the relationship of ratings and experience of four types of social stressors (developmental transitions, induced transitions, daily hassles, and circumscribed events). Also the relationship of self-image as measured by the Offer Self-Image Questionnaire to each type of stressor was studied. Contrary to previous research, we did not find correlations between ratings and experience, and observed minimal gender differences in ratings, experience levels, and psychopathology. Several differences in impact were found when stressor types were differentiated. Apparently, developmental transitions are least stressful for adolescents and daily hassles are most influential on their self-image. Gender differences were noted in the perceived change required by types of stressors and the manner in which stressors impacted on self-image. These results suggest that it is important to distinguish type of Stressors by type of adjustment process required, and that previously reported gender differences are less a matter of global differences or affects of specific Stressors than a matter of variations in perceived adjustment required and aspect of functioning impacted.Based on a presentation at the annual meeting of the American Psychological Association, Washington, D.C., August 26, 1986. This work was conducted in part while the senior 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 Departments of Behavioral Science and Psychiatry, University of Chicago, and the Adolescent Programs of the Illinois State Psychiatric Institute. Support was also provided by an award from the DePaul University Council.Received Ph.D. in Psychology from University of Tennessee. Current research interests are prevention of delinquency, family systems theory, and adolescent development.Current research interest is obesity in children.Current research interests are family functioning assessment and delinquency.