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What is Adolescence?
The age period between childhood and adulthood
Characteristics of Adolescence
Increases in external body changes, heightened emotional responses and sexual desires
What does puberty begin with?
Hypothalamus releasing GRH which stimulates the pituitary to direct the release of sex hormones
Why is the HPG axis important?
Important to the production of sex hormones, which affects the body’s shape and function
Estrogen
Hormone responsible for most of the physical sexual changes in females
Hormones
An organic chemical substance, produced by one body tissue and conveyed via the blood stream to another to affect some physiological function
HPA axis
Hypothalamus-pituitary adrenal axi
HPG axis
Hypothalamus-pituitary-gonad (HPG) axis
What do the HPG and HPA axis represent?
Represents the routes followed by the hormones to regulate body functions, and to trigger the changes of puberty such as growth, sleep, appetite, sexual excitement, and various bodily changes
Testosterone
Hormone responsible for the physical and sexual changes in males
Average age of onset of puberty
11 to 12 years
Which gender sees hormonal changes earlier?
Females begin hormonal changes a few months earlier than males
Age of puberty onset depends upon
Genetics, gender, body fat and stress
How does stress impact age of onset of puberty?
Production of hormones is directly connected to stressful experience via the HPA axis; causes the hormones to increase at an earlier age with extreme/continued
Primary Sex Characteristics
Changes in the uterus, testicles, outward physical characteristics
Primary Sex Characteristics in Females
Nipple growth, few pubic hairs, peak growth spurt, hips widen, first menstrual period, full pubic-hair pattern, breast maturation.
Primary Sex Characteristics in Males
Growth of testes, few pubic hairs, growth of penis, first ejaculation, facial hair appears, peak growth spurt, deepening of voice, full pubic hair pattern
Average age for menarche
12 ½ years
Average age for spermarche
13 years
Menarche
Agirl’’s first periods; Signals ovulation has begun
Spermarche
A boy’s first ejaculation; Signals sperm production has begun
Growth Spurt
Sudden/rapid period of physical growth
Poor nutrition may result from
Anxiety about body image
Dissatisfaction with body image correlates with low self-esteem
Low self-esteem
Anorexia Nervosa
Self-starvation; voluntarily under-eating and often over-exercising, depriving the vital organs of nutrition
Diagnosis of Anorexia Nervosa requires
Significantly low body weight for age (BMI 17 or less), intense fear of weight gain, disturbed body perception and denial.
Bulimia
Eating disorder characterized by binge eating and subsequent purging, usually by induced vomiting and / or use of laxatives. More common than anorexia, and can cause damage to the gastrointestinal system or death.
Diagnosis of Bulimia requires
One episode of binge eating and subsequent purging / week for at least 3 months and an uncontrollable urge to overeat.
Body rhythms
Natural ‘rise and fall’ responses to environment
How does puberty alter biorhythms?
Hormones of HPA axis cause phase delay in the sleep-wake cycles
Personal fable
An aspect of adolescent egocentrism characterized by an adolescent’s belief that his or her thoughts, feelings, and experiences are unique, more wonderful or awful than anyone else’s.
Invincibility fable
An adolescent egocentric conviction that he or she cannot be overcome or even harmed by anything that might defeat a normal mortal, such as unprotected sex, drug abuse, or high-speed driving.
Imaginary audience
The other people who, in an adolescent’s egocentric belief, are watching and taking note of his or her appearance, ideas, and behavior. This belief makes many teenagers very self-conscious.
Adolescent egocentrism
A characteristic of adolescent thinking that leads young people to focus on themselves to the exclusion of others.
Egocentrism is a common explanation
Risk taking
Adolescent thinking becomes more evident by 12 to 13
Very egocentric and self-conscious: “all about me”, my thoughts and my friends.
Underdeveloped prefrontal cortex can cause
Impulsive behaviors
Limbic system develops faster than the
Prefrontal cortex
Limbic system
Emotional system
Prefrontal cortex
Rational thinking
What explains the impulsive, emotional reactions of teens?
The limbic system developing before the prefrontal cortex
Identity Achievement
Erikson’s term for the attainment of identity, or the point at which a person understands who he or she is as a unique individual.
Role Confusion
Characterized by a lack of values, traits, or commitments to goal achievement. The adolescent does not seem to know / care what his or her identity is; has a lack of values and avoidance of commitments to goals.
Foreclosure
Erikson’s term for premature identity formation, which occurs when an adolescent adopts parent’s or society’s roles and values wholesale, without questioning or analysis.
Moratorium
An adolescent’s choice of a socially acceptable way to postpone making identity-achievement decisions, with going to college a common example.
Identity Achievement
Erikson’s term for the attainment of identity or the point at which a person understands who he or she is as a unique individual
Erikson Four Areas of Identity Achievement
Religious
Political
Vocational
Gender
Sex Education has not lowered
Teenage Pregnancy
Political or ethnic identity
Tendency to identify politically with others of one’s group, such as same race, religion & ethnicity
Adolescent egocentrism
A characteristic of adolescent thinking that leads young people (ages 10 to 13) to focus on themselves to the exclusion
of others
Bickering
Peevish arguing, usually repeated
and ongoing. Often concerns clothes and personal habits
Granting greater autonomy
As adolescents get older, parents may grant more autonomy, often with positive affect
Better communication and balance
Both parents and teenagers try to balance the need for independence and closeness, with less disclosure but improved communication as the young person matures
During adolescence, there is
Distancing from adult influence, due to the drive for independence
Independence and culture
Teens find it difficult to live up to the parent/cultural expectations
Teens who are bisexual or are confused about sexuality tend to have more
Self-esteem issues, at an increased risk for use of drugs, sexual violence, STIs and have an increased risk of sexual abuse
Asking about sexual behavior may provide information
That encourages a better assessment of health needs
Sexual abuse
Can cause more long-term harm then even severe physical abuse
Sexually transmitted infections
Adolescents reluctant to seek care – particularly those with same-sex partners; this reluctance increases potential for infection to worsen and allow communicability to continue
Clinical depression
A deep sadness that disrupts all normal, regular activities. These feelings of hopelessness, lethargy, and worthlessness last for two weeks or more.
Suicidal ideation
Thinking about suicide; may lead to a specific plan, attempt or death
Cluster suicides
Pact of suicides
Parasuicides
Deliberate harm that could have been lethal; attempted suicide
Parental monitoring
A practice where parents keep a close eye on their teens to avert them from making bad decisions.
Causes of crimes
Neurological problem
Psychosocial risk factors
Neurological problem
ADHD, brain damage, child abuse, that increases the risk that a child will become a life-course-persistent offender,
Psychosocial risk factors
Having friends who commit crimes, few positive-focused relationships results in a adolescent-only or adolescence-limited offender.
Adolescent limited offender
Where a teen engages in delinquent activity UNTIL they are considered an adult (age 21), then the behavior stops.
Early-maturing girls
May see: low self-esteem, more depression, and poorer body image than do other girls
Early-maturing girls with older boyfriends
Are at increased risk for using drugs and alcohol and may face relational bullying and physical violence
Early-maturing boys
May be more aggressive, law-breaking, and alcohol abusing than later-maturing boys.
Late-maturing boys
Tend to be more anxious, depressed and afraid of sex
A diet high in fat
May result in earlier puberty
What changes during puberty?
Perception of body image
Dissatisfaction with body image correlates with
Low-self esteem
Characteristics of Egocentric Thinking
Leads adolescents to believe others are frequently judging them
Myelination of the prefrontal cortex
Improves with age and leads to improvements in decision making, and even reaction time.
As brain continues to develop
Cognitive skills develop leading to increased creativity, flexibility, and analytic abilities which encourage innovation and mastery – needed for the work of adulthood!
Formal Operational Thought
Characterized by more systematic logic and the ability to think about abstract ideas. This is possible because of brain development!
In the formal operational thought stage, the person now has the capacity of
Thinking of possibility, not just reality. It is hypothetical reasoning that includes if-then propositions. Can consider factors systematically, observe / track results, and draw conclusions.
Analytical Thought
Thinking logically using deductive and inductive reasoning and involves complex problem solving, planning for the future, and critical thinking
Intuitive thought
Quick, involves emotions, impacted by peer pressure, and may not be either logical or correct
Why might an A student’s grades slip from elementary school to middle school
Middle school uses more of analytical reasoning vs intuitive thinking
Emerging adulthood
Reflects ages 18-25
During emerging adulthood
Ratio of a person’s weight to height is at it’s healthiest
Homeostasis
Quick and efficient during young adulthood; maintaining equilibrium
Organ reserve
Extra power each organ employs when need is as its optimum; most adults adapt to stress quickly
Purpose of sex
Reproduction, relationship, recreation
Reproduction during emerging adulthood
Fertility (biologically) is stronger now than at other time period.
Sex and Relationships during emerging adulthood
Belief that sex is to strengthen pair bonding
Sex and recreation during emerging adulthood
Have more partners and more sex than those in earlier generations
In emerging adulthood, severe injuries are
High due to risky behaviors
Stereotype threat
Refers to the experience of anxiety, stress, and self-doubt that can arise in individuals when they are in a situation where they feel that their performance is being evaluated based on negative stereotypes associated with their social group.
Fear of confirming a negative stereotype
Leads individuals to feel that their abilities or worth are being questioned, and this can result in underperformance on tasks that are relevant to the stereotype.
Causes of anxiety and fear of failure
Stereotype threat
Emerging adulthood is characterized by
Focus on identity exploration, instability, self-focus, feeling in-between, and a sense of possibilities. Also, a period of exploration and experimentation in various life domains, such as career, relationships, and values.
Three factors during emerging adulthood that will impact adults’ identity formation
Ethic background, vocation, and personality.
Prefrontal Cortex
What part of the brain is overwhelmed when stress, arousal, passion, sensory bombardment, drug intoxication, or deprivation is extreme, flooding the adolescent brain with impulses?