What Makes an Adult? Examining Descriptions from Adolescents of Divorce

The present study examined conceptions of “what makes an adult” within a sample of adolescents (13–19 years) from divorced families. Arnett’s (2003) seven criteria-of-adulthood categories (independence, interdependence, role transitions, norm compliance, biological transitions, chronological transitions, and family capacities) were used as an initial framework for grouping open-ended written responses, while inductive content analysis was employed to analyze all other responses. Although the majority of responses (N=568) fit into Arnett’s categories, 35.2% of responses were coded into eleven newly created categories (e.g., knowledge/wisdom, role model/leader). The present study confirmed that independence qualities are believed to be most important. However, role transitions (e.g., marriage) were considered more significant than in previous research. The qualitative findings and their specific pattern should inform existing quantitative measures of adulthood criteria. Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include parent–adolescent relationships, adolescent development, and the transition to adulthood. Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include adolescent social development; adolescent romantic relationships and risk-taking behaviors; psychological approaches to the transition to adulthood; and developmental methods and statistics Associate Professor at the University of Arizona. She received her Ph.D. in Child and Family Studies from University of Wisconsin–Madison. Her major research interests include post-divorce parent–adolescent relationship, adolescent development and adjustment, and psychological/physical well-being of adults caring for elderly family members Doctoral Student at the University of Arizona. She received her MS in Family Studies and Human Development from the University of Arizona. Her major research interests include parental divorce and its impact on adolescents’ future relationships, adolescent development, and mixed methodology     

Early work experience: A partial antidote for adolescent egocentrism

One of the most important lessons a young person may learn from working is how to interact effectively with others. This potential outcome of work experience has received virtually no attention from proponents of the early integration of adolescents into the workplace. In this paper we suggest that working may contribute to the development of more advanced social understanding (i.e., social sensitivity, social insight, and effective social communication and manipulation) by requiring youngsters to (a) shift back and forth between diverse roles and (b) interact frequently with strangers. Illustrative material is presented from interviews with 100 working adolescents and their parents.This study is part of a large-scale investigation of the costs and benefits of part-time employment during the high school years. The first two authors are Co-Principal Investigators of the Spencer Foundation grant and share primary and equal responsibility for this report.Received Ph.D. in human development and family studies from Cornell University. Main research interests are adolescent development, life-span development, and social policy.Received Ph.D. in clinical psychology from Harvard University. Main research interests are adolescence and social institutions, life-span development, and social policy.Main research interests are environmental and community psychology.Main research interests are human development and social policy.     

Timing of first sexual intercourse: the role of social control,social learning,and problem behavior

Prior research has pointed to several distinct processes that may affect the timing of first intercourse among adolescents. In the present study, the role of six hypothesized processes was assessed in a sample of 289 rural adolescent boys and girls. Results support the importance of family socialization and problem-behavior for both sexes, the role of biological factors for boys, and the role of social control processes for girls. Two other hypothesized influences—social class and poor psychosocial adjustment—were not supported in either gender. These results indicate that multiple processes influence the timing of first intercourse; thus, they underscore the need for eclectic predictive models that incorporate the multiplicity of influences.Received Ph.D. in Human Development from the University of Chicago. Current research interests include adolescent psychosocial development and risk behaviors.Received Ph.D. in Human Development and Family Studies from the Pennsylvania State University. Current research interests include adolescent sexuality and health-related behaviors.Received Ph.D. in Health Education from The Pennsylvania State University. Current research interests include adolescent health.Received Ph.D. in Education from The Pennsylvania State University. Current interests include adolescent substance abuse and pregnancy, as well as community health interventions.     

The workplace as a context for the socialization of youth

A number of respected social critics, including the President's Science Advisory Committee (PSAC), have recommended the earlier integration of adolescents into the workplace. The PSAC Panel on Youth (1973) claims that work settings provide opportunities for developing and exercising personal responsibility, taking responsibility for the welfare of others, and establishing more extensive instrumental and social relations with nonfamilial adults. This study of naturally occurring employment among high school students examines these claims about the nature of the workplace. Drawing on interview, questionnaire, and observational data, we argue that the PSAC's expectations are somewhat optimistic. With respect to personal responsibility taking, although many adolescent workers have opportunities for self-management and report performing assigned tasks dependably, very few report going beyond the call of duty. With respect to social responsibility, workers experience only modest levels of task interdependence and centrality to a team effort; yet substantial numbers of adolescent workers feel that their work serves a socially useful purpose. Finally, with respect to intergenerational contact, the workplace fails to induce meaningful interaction with adults. Taken together, the results of this study suggest that if the workplace is to become a truly vital context for adolescent socialization, it needs to be designed more deliberately with such aims in mind.This study is part of a large-scale investigation of the cost and benefits of working to adolescent development. The research program is supported by the National Institute of Education and the Spencer Foundation; dissemination of policy-oriented papers is supported by the Ford Foundation. The authors, who are Co-Principal Investigators of the research program, share equal responsibility for this report.Received Ph.D. in clinical psychology from Harvard University. Main research interests are adolescence and social institutions, life-span development, and social policy.Received Ph.D. in human development and family studies from Cornell University. Main research interests are adolescent development, life-span development, and social policy.     

A comparison of the self-image of talented teenagers with a normal adolescent population

The self-image of a group of 177 adolescents talented in one of five areas — mathematics, science, music, athletics, and art — was compared to that of a normal group of teenagers, using the Offer Self-Image Questionnaire for Adolescents (OSIQ). In addition, correlations between the talented OSIQ scores and instructor ratings of engagement and aptitude in the talent area was obtained. The findings indicate that talented adolescents educated in a normal high school setting evidence patterns of self-image and esteem very similar to their more average peers. The talented teenagers, however, also report considerable uncertainty involving issues of sexual and social competence. Discussion focuses on the implications of these findings for later patterns of talent development.This study is part of a longitudinal study of talented adolescents supported in full by a grant from the Spencer Foundation.Research interests include adolescent self-concept and the psychology of challenging experience.Research interests include the psychology of adolescence and the study of optimal experience, creativity, and intrinsic motivation.     

The Same Old Song?—Stability and Change in Relationship Schemas from Adolescence to Young Adulthood

Relationship schemas are core elements of personality that guide interpersonal functioning. The aim of this study is to examine stability and change in relationship schemas across two developmental epochs—adolescence and young adulthood—in the stories that people tell about their interactions with others. Using the Core Conflictual Relationship Theme Method, relationship themes were coded from semistructured interviews conducted in adolescence and again at age 25. The sample consisted of 40 participants in a longitudinal study of adolescent and young adult psychological development. There was considerable stability in the frequency with which particular themes were expressed in the narratives of adolescents and young adults. Significant changes from adolescence to young adulthood included a decrease in the perception of others as rejecting and of the self as opposing others. Young adults saw themselves and others more positively, and used a broader repertoire of themes in their relationship narratives than they had as adolescents. The basic continuity and particular changes in relationship schemas found in this study are consistent with knowledge about the adolescent-to-young-adult transition derived from other empirical and clinical findings. Relationship schemas may be rich units of study for learning about the development of interpersonal functioning.     

Intimacy development in middle adolescence: Its relationship to gender and family cohesion and adaptability

The relationships of family cohesion and adaptability to adolescent intimacy development were explored by administering the Family Adaptability and Cohesion Evaluation Scales survey and the Fundamental Interpersonal Relationship Orientation — Behavioral Version survey to 207 middle adolescents (70 males and 137 females) from a small midwestern high school. The adolescents' perceptions of family adaptability correlated with the amount of responsibility the teens expressed in their relationships, while cohesion correlated with companionship and affection in their relationships; however, females' scores were related to cohesion, while males' scores were related to satisfaction with cohesion in their families. The study suggests that family cohesion and adaptability differentially influence intimacy development based on the adolescent's gender.Received Ph.D. in marital and family therapy from Purdue University. Research interests include family influences on adolescent development and family issues related to incarceration.Received Ed.D. in human development from Boston University. Research interests include major life transitions (e.g., adolescence, middle adulthood).     

Adolescents' uses of media for self-socialization

The emphasis of this paper is on the role of media in the socialization of adolescents. First, a typology of adolescent media uses is presented, including entertainment, identity formation, high sensation, coping, and youth culture identification. Then, these five uses are discussed in relation to adolescent socialization. The central point of this discussion is that media differ from socializing agents such as family, school, community, and the legal system in that adolescents have greater control over their media choices than they do over their socialization from these other sources. The result is a substantial degree of self-socialization, in the sense that adolescents may choose from a diverse range of media materials the ones that best suit their individual preferences and personalities. Another result is that there is often a lack of integration in the socialization of adolescents, in the sense that they may receive different socialization messages from media (and peers) than they do from the adult socializes in their immediate environment.An earlier version of this paper was presented at the fifth biennial meeting of the Society for Research on Adolescence, San Diego, Califormia, February 10–13, 1994.Received Ph.D. from University of Virginia. Research interests include adolescent reckless behavior, adolescents' uses of media, and the transition to adulthood.     

Introspectiveness and adolescent development

This study introduces a measure of introspectiveness for adolescents aged 12–18 and investigates its association with several aspects of adolescent development. Introspectiveness—the tendency to deveote diffuse attention to thoughts and feelings about the self—increased during adolescence, and may be stimulated by discontinuities associated with adolescent development, other kinds of discontinuities, and parental introspectiveness. Also, introspectiveness was positively associated with depression, anxiety, and physical symptoms, and may help explain the increase in symptom reporting during this developmental period. Highly introspective adolescents participated in more artistic activities and spent more time alone than those low on introspectiveness. Finally, highly introspective college students chose self-oriented academic majors, which may have implications for future occupational development. Together these results suggest that the concept of introspectiveness may increase our understanding of several important aspects of this developmental period.This research was supported by grants from the William T. Grant Foundation, the Robert Wood Johnson Foundation, and NIMH Grant No. 39590. An earlier version was presented at the 1984 annual convention of the American Sociological Association in San Antonio, Texas.Research interests include medical sociology and health and illness behavior among adolescents and older adults.Received a Ph.D. from Stanford University. Research interests include medical sociology, health care policy, and aging research.Received an M.A. from Rutgers University. Research interests include adolescent development and therapy.     

Adolescents’ time use: Effects on substance use,delinquency and sexual activity

Using an integration of social control theory and the routine activity perspective, adolescent time use was examined for effects on problem behaviors. We examined a wide variety of time use categories, including homework, extracurricular activities, sports time, alone time, paid work, housework, television watching, as well as indices of family time and peer time, for their effects on heavy alcohol use, cigarette smoking, illicit drug use, delinquency and sexual activity. The study employed a representative household sample of adolescents (n=606) and took into account important sociodemographic factors – gender, age, race (Black and White), and socioeconomic status. The most important predictors of adolescent problem behaviors were family time and peer time. Family time serves as a protective factor against all five problem behaviors while peer time is a highly significant risk factor for all five problem behaviors. Ph.D. in Sociology from the University at Buffalo. She is a Senior Research Scientist at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, Buffalo, The State University of New York 14203. Her research interests include family influences on the development of adolescent substance use, gambling, and other problem behaviors M.A. in Mathematics from the University of Rochester. He is Project Manager/Data Analyst at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. His current research interests include advanced data analysis techniques for studies of alcohol, other substance use and gambling behaviors among youth and adults. Ph.D. in Psychology from the University at Buffalo. He is a Senior Research Scientist at the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. His research interests include the substance abuse/crime nexus, the epidemiology of substance abuse, and the etiology and epidemiology of pathological gambling. Ph.D. in Sociology from Yale University. He is Professor and Chair in the Department of Sociology, University at Buffalo, 430 Park Hall, Buffalo, The State University of New York, 14260. His research interests include interpersonal relations in adolescent, family, friendship, and work groups. M.S. in Epidemiology from the University at Buffalo. She is a retired Research Scientist from the Research Institute on Addictions, University at Buffalo, 1021 Main Street, The State University of New York 14203. Her research interests include alcohol and other substance use among adolescents and families     

Are Stressful Developmental Processes of Youths Leading to Health Problems Amplified by Genetic Polymorphisms? The Case of Body Mass Index

Although previous research has documented the adverse influence of early socioeconomic disadvantage on youths’ physical health outcomes and the increase in health inequalities over the early life course, little is known about genetically informed sequential life course developmental processes leading to health outcomes. Consistent with the life course-stress process perspective, we hypothesized that early socioeconomic adversity initiates a stress process over the early life course. This process involves the disrupted transition from adolescence to young adulthood, which increases the risk of health problems during young adulthood. Behavioral, psychosocial, and genetic data were collected from 12,424 adolescents (53 % female) over a period of 13 years participating in the nationally representative National Longitudinal Study of Adolescent Health (Add Health). Early cumulative socioeconomic adversity and the polygenic influence were measured using composite indices. The study provided evidence for stressful developmental processes of adolescents, involving parental rejection, depressive symptoms, and adolescents’ precocious transition. This longitudinal process was initiated by early cumulative socioeconomic adversity and eventuated with young adults’ increased body mass index (BMI). Furthermore, the study provided evidence for the influence of life context–gene interactions (G × E) on adolescents’ precocious development and young adult BMI (after controlling for the lagged measure) amplifying the stress process over the early life course. These findings emphasize the need for incorporating individual genetic characteristics in a longitudinal context into life course stress research. Furthermore, policies focused on eradicating childhood/adolescent adversities are necessary as well as youth programs and policies that promote youth competencies that aid in their successful transition to young adulthood.     

Parents' and teachers' beliefs about adolescents: Effects of sex and experience

Three studies examine beliefs that parents and teachers have about adolescents. A distinction is made between category-based beliefs (concerning adolescents as a group) and target-based beliefs (concerning individual adoles cents). In Study 1, 90 late elementary and junior high school teachers indicated degree of agreement with a set of category-based statements about adolescents. Parents of early adolescents in Study 2 (N=1272) responded to category- and target-based statements. Study 3 compares the responses of teachers in Study 1 and parents in Study 2. Both teachers and parents endorsed beliefs that adolescence is difficult, and that adults can have an impact. Compared to fathers, mothers believed more in difficulty and in the negative effects of biological change on behavior. Parents of daughters believed adolescence is more difficult than parents of sons. Among teachers, amount of experience with adolescents was positively associated with the belief that adolescence is a difficult period of life. For parents, the effect of amount of experience was mixed. Experience had a greater impact on the category-based beliefs of teachers than parents. Possible influences on the origins and modification of beliefs are discussed.Received Ph.D. in psychology from The University of Michigan. Research interests: adolescent development, effects of pubertal development on social development, hormones and behavior in early adolescence, and family processesCurrently on leave from The University of Michigan. Received Ph.D. in psychology from the University of California at Los Angeles. Research interests: development of self-concept, subjective task value, interests, and activity preferences, especially during early and middle adolescence. Dr. Eccles is also investigating the impact of school and family experiences on these constructs.Received Ph.D. in psychology from The University of Michigan. Research interests: the impact 6f family stress on adolescent development and family decision-making practices.Received Ph.D. in educatiqn from The University of Michigan. Research interests: adolescent development, middle years education, teacher beliefs, and classroom processes.Received M. A. in education from the University of Michigan. Research interests: adolescent development, classroom environments, and supporting beginning teachers.Received Ph.D. in social work and psychology from The University of Michigan. Research interests: family processes and development.Portions of this paper were presented at the 1987 biennial meetings of the Society for Research in Child Development. This research was made possible by grants from the National Institute of Mental Health (MH31724-04, -05) to Jacquelynne S. Eccles, and the National Institute of Child Health and Human Development (HD17296-01, -02, -03,S1) to Jacquelynne S. Eccles.     

Factors related to cigarette smoking during adolescent pregnancy

Previous research suggests that maternal smoking during pregnancy remains prevalent, particularly among adolescents. However, little is known about the factors related to smoking during adolescent pregnancy. The goal of the present study is to identify intrapersonal, familial, and peer factors that are related to smoking during adolescent pregnancy, and to determine the relative degree to which they affect this behavior. Interviews were conducted with 241 unmarried pregnant adolescents who planned to carry their pregnancies to term. Consistent with previous studies, 27% of the respondents reported daily smoking during pregnancy, and whites reported higher rates of use than members of other racial groups. Smoking during adolescent pregnancy was related to intrapersonal, familial, and peer factors. The results of a regression analysis suggest that perceived parental disapproval of smoking during pregnancy, friends' cigarette use, and race play a particularly important role in this behavior. The implications of these findings for preventive programs are discussed.Research reported here and the preparation of this report were supported by Grant DA-05208 from the National Institute on Drug Abuse.Received M.A. in sociology from the University of Washington. Research interests include health behaviors, and the relationship between social stratification and health.Received Ph.D. in social welfare from the University of Washington. Research interests are in adolescent development, gender issues in adolescent development, and health promotion and problem prevention with children and adolescents. Received Ph.D. in sociology from the University of Washington. Research interests are adolescent problem behaviors, and particularly adolescent sexual decision making.Received M.S. in educational psychology from the University of Wisconsin—Madison. Research interests: adolescent substance use, pregnancy and parenthood, and peer relations.     

Age differences in adolescent future-oriented goals,concerns, and related temporal extension in different sociocultural contexts

The aim of this study was to investigate the extent to which differences in agegraded sociocultural contexts influence adolescent future-oriented goals, concerns, and related temporal extension. Ninety-five 13–14-year-old Australian boys and 104 girls, 87 16–17-year-old Australian boys and 81 girls, 67 13–14-year-old Finnish boys and 86 girls, and 56 16–17-year-old Finnish boys and 107 girls were investigated. Half of the subjects in each group came from an urban environment and half from rural regions. The subjects filled in the Hopes and Fears Questionnaire measuring the content and temporal extension of goals and concerns. Overall, the results showed that adolescent goals, concerns, and related temporal extension reflected the major developmental tasks of their own age and early adulthood. However, interesting cross-cultural, gender, and urban rural differences were also found, reflecting variation in societal options and cultural values. For example, Australians were more interested in leisure and more concerned about their own health and global issues. Later school transitions meant that in older age groups the Finnish adolescents expected goals related to their future education and occupation to be actualized later than Australian youths did. Because of a lack of career options, interest in a future occupation decreased with age among adolescents living in rural regions.Received Ph.D. from University of Helsinki. Research interests are adolescent development and cognitive and attributional strategies as pathways to problem behavior. To whom correspondence should be addressed.Received Ph.D. from La Trobe University. Research interests are higher education policy, research management, women and careers, and adolescence.Received M.A. from University of Helsinki. Research interests are identity development and problem solving.     

An extension of Marcia's Identity Status Interview into the interpersonal domain

This article describes an extension of Marcia's (1966) Identity Status Interview into three interpersonal domains: friendships, dating, and sex roles. The Identity Status Interview method is assessed favorably in terms of identity theory, justification for the three new sections is provided on the basis of theory and research on sex differences in adolescent identity, and methodological refinements in the interview are described. A study is reported in which the extended interview was administered to 41 male and 40 female high school juniors and seniors. Average percentage of exact agreement for ratings of exploration, commitment, and identity status was over 70% when two coders were used and over 94% when the ratings of two out of three coders were used. It is concluded that this extended interview is psychometrically sound and provides a method for assessing interpersonal issues salient to contemporary adolescents.This work was supported in part by a grant from the Office of the Vice President for Academic Affairs, University of Texas at Austin.Received his Ph.D. in child psychology from the University of Minnesota. Main Interest is the influence of the family on adolescent personality development, especially identity and vocational interests.Doctoral candidate in counseling psychology, with special interst in sex roles and adult development.Received Ph.D. in community psychology from the University of Texas at Austin. Main interests include adult development, communities, and spiritual growth.     

Adolescent-Mother Agreement about Adolescent Problem Behaviors: Direction and Predictors of Disagreement

Correlations between adolescent and parent reports of adolescent problems are low in magnitude. In community samples adolescents tend to report more problems than parents and in clinical samples adolescents tend to report fewer problems than parents. Indices of agreement may be biased if some adolescents in a given sample report more problems and others report fewer problems than parents. In the current study, order and mean agreement between adolescent and maternal reports of adolescent internalizing and externalizing problems, taking into account the direction of disagreement, was examined in a community sample of 133 young adolescents and their mothers. Two-thirds to three-quarters of adolescents reported more problems than mothers. Accounting for the direction of discrepancies resulted in improved agreement between adolescents and mothers and differing patterns of predictors of discrepancies. Additionally, the results demonstrate the need to control for relations between adolescent-reported problems and discrepancies when exploring predictors of discrepancies. Erin T. Barker received her Ph.D. in Applied Developmental Psychology from the University of Alberta. Her research interests include internalizing and externalizing problems in adolescence and emerging adulthood. Marc H. Bornstein received his Ph.D. in Psychology from Yale University. He has contributed scientific papers in the areas of human experimental, methodological, comparative, developmental, cross-cultural, neuroscientific, pediatric, and aesthetic psychology. Diane L. Putnick received her Ph.D. in Developmental Psychology from George Washington University. Her research interests include child and family processes across cultures. Charlene Hendricks received her Ph.D. in Developmental Psychology from George Mason University. Her research interests are in the areas of early adolescent development and adjustment and families by adoption. Joan T. D. Suwalsky received her M.S. degree in Human Development from Cornell University. Her research interests include parent-child interaction and child development in at-risk populations, including families by adoption.     

The Role of Perceived Stress and Self-Efficacy in Young People’s Life Satisfaction: A Longitudinal Study

Life satisfaction is an important indicator of successful development. However, adolescents’ life satisfaction tends to be relatively unsteady, and environmental influences play a critical role in shaping life satisfaction among adolescents in the transition to young adulthood. Given the paramount importance that education plays in adolescents’ lives, adolescents’ life satisfaction may vary as a function of school-related stress experience. At the same time, coping resources may help reduce adverse effects of stress on life satisfaction. With this in mind, we examined whether, and to what extent, perceived stress in education and general self-efficacy (a resource that facilitates coping) affect the life satisfaction of adolescents in transition to young adulthood. We distinguished between baseline levels of stress and self-efficacy and within-person change in stress and self-efficacy to determine whether life satisfaction is sensitive to fluctuations in stress and self-efficacy when person-specific levels of stress and self-efficacy are taken into account. Estimating growth curve models on data from a panel study on the life trajectories of compulsory-school leavers (n?=?5126, 55.3?% female), we found that baseline levels of stress and self-efficacy, as well as within-person change in stress and self-efficacy, affected adolescents’ life satisfaction. Moreover, our results showed that baseline self-efficacy mitigated the negative effect of baseline stress on life satisfaction. These findings improve our understanding of two major psychological determinants of adolescents’ life satisfaction and extend our knowledge of life satisfaction trajectories during the transition to young adulthood.     

The relationship of observed maternal behavior to questionnaire measures of parenting knowledge,attitudes, and emotional state in adolescent mothers

Although relationships have been found between maternal psychological characteristics and cognitive and emotional outcomes in children, the behaviors which may mediate these relationships are seldom examined. This is especially true for adolescent mothers, whose children are thought to be at high risk for adverse outcomes. In this study, adolescent mothers in two special programs completed questionnaires measuring perception of the newborn (Neonatal Perception Inventory), knowledge of influences on child development (Infant Caregiving Inventory), and emotional state (General Health Questionnaire); they were also systematically observed while interacting with their infants in a naturalistic situation. Specific maternal behaviors were found to vary with the age of the mother and of the baby. Mothers with neutral or negative perceptions of their infants touched them less than did mothers with positive perceptions. Degree of emotional disturbance was inversely related to the amount of time that the mother looked at her infant while in physical contact.This research was supported in part by NIH Biomedical Research Support Grant No. BRS 507 RR 05445-19 to Johns Hopkins University School of Hygiene and Public Health.Received her Sc.D. in mental hygiene (comparative behavior) from Johns Hopkins University. Main interests include relationships between observable behavior and reported psychological states, and behavioral and emotional disorders of children.Received her Ph.D. in population dynamics from Johns Hopkins University. Main interests are adolescent health and pregnancy and population changes influencing perinatal health.Received her Ph.D. in psychology from George Peabody College. Main interests include parenting of infants and children's rights.Received her Ph.D. in anthropology from the University of Florida. Main interests include adolescent health and utilization of health services by children and adolescents.Received his Ph.D. in child psychology from the University of Iowa. Main interests are infant and child development, with focus on measurement of developmental status and its determinants.     

Psychiatrists' concept of adolescent self-image

The objectives of the study were as follows: (1) to determine the accuracy of psychiatrists' concepts of the self-image of healthy and disturbed adolescents, and (2) to examine the effects of psychiatrists' gender, experience, and specialization on the accuracy of these concepts. Toward this end, eighty-four psychiatrists completed a modified Offer Self-image Questionnaire as they believed a mentally healthy 15-year-old of their gender would respond. These responses were compared to those of 140 nonpatient 15-year-olds. Sixty-one psychiatrists completed the questionnaire as they believed a disturbed 15-year-old of their gender would respond. These responses were compared to the responses of 70 psychiatric inpatient 15-year-olds of the same diagnosis. The results were that psychiatrists had a more accurate concept of normal adolescents' self-image than was found in 1981. However, their view of the self-image of disturbed adolescents was more psychopathological than the disturbed adolescents viewed themselves. Psychiatrists' gender, number of years postresidency, and type of training had no effect on the accuracy of the psychiatrists' concepts. The results demonstrate that while psychiatrists work with disturbed adolescents, they have a more accurate perception of the self-image of normal adolescents. This can effect the diagnosis and treatment of adolescent patients.Presented on May 24, 1994, at the annual meeting of the American Psychiatric Association, Philadelphia, Pennsylvania.Received M.D. from Rush Medical College. Research interest is in adolescent psychology.Received M.D. from University of Chicago. Research interests are in adolescent development psychology and psychopathology.Received Ph.D. from University of Chicago. Research interests are in psychotherapy research and adolescent psychology.Received Ph.D. in Clinical Psychology from Northwestern University. Research interests are in adolescence and child development.     

Self-image of adolescents with cystic fibrosis

Cystic fibrosis (CF) is a lethal genetic disease, yet improved care has extended the mean age of survival into the young adult years. Many of the surviving adolescents have respiratory and digestive problems which delay growth and sexual development. It has been suggested that the specter of fatal disease interferes with adjustment to adolescence. We administered the Offer Self-Image Questionnaire to three groups with mean height less than the fifth percentile: CF males aged 12–19 (n=16); CF females aged 12–19 (n=8); and otherwise healthy males with short stature and/or delayed puberty aged 13–19 (n=34). The values obtained were compared to published normative data for a large number of normal adolescents and a smaller number of adolescents actively undergoing treatment for emotional disorders. CF males showed an abnormal pattern of adjustment that could be considered comparable to disturbed males and to growth-delayed and sexually delayed males. The CF female group was concordant with the normal population, rather than with the emotionally disturbed population. Thus CF and pubertally delayed males have a self-perception of maladjustment to the psychologic problems of adolescence. This suggests that adjustment problems of the CF male may be related to growth retardation and pubertal delay, the social stigma of which may be more easily disguised in the female. This is important in health care, since recent evidence suggests that exemplary attention to medical compliance and nutrition may ameliorate some of the growth lag both in pubertal delay and CF.Postdoctoral medical research fellow in allergy, immunology, and respiratory disease at Children's Hospital at Stanford. Received his M.D. from the University of Southern California and pediatric training at Stanford University Hospital. Main research interests are clinical nutrition and behavioral intervention in adolescents with chronic disease.Received his M.D. from Stanford University and pediatric training at Stanford University Hospital. Main research interests are growth disorders and adolescent development.Studied psychology at Dartmouth College and Oxford University before coming to Stanford University, where he is currently completing his Ph.D. in social psychology. Main research interests are the social determinants of motivation.Chief of the Allergy and Pulmonary Disease Service at Children's Hospital at Stanford and Assistant Professor of Pediatrics at Stanford University. Received his M.D. from University of Iowa; pediatric training at Yale-New Haven Hospital and Stanford University Hospital; and allergy, immunology, and respiratory postdoctoral training at Stanford University Hospital. Main research interest is cystic fibrosis.