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.