Adolescence: Culture, Health, and Identity

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Questions and Answers

Explain how cultural context influences the experience of adolescence, referencing Margaret Mead's research in Samoa.

Mead's research suggests that cultures providing a gradual, stress-free transition from childhood to adulthood do not exhibit the typical 'storm and stress' often associated with adolescence.

List three potential health risks associated with obesity in teenagers.

High cholesterol, hypertension, and diabetes.

Why might dieting be counterproductive for adolescents?

Dieting can interfere with the nutritional needs required for the rapid growth during adolescence.

What societal factors contribute to the prevalence of eating disorders?

<p>Societies where food is abundant and slimness is equated with attractiveness.</p> Signup and view all the answers

Describe the trend for obesity in male versus female adolescents in India.

<p>Male adolescents are more likely to be obese than female adolescents.</p> Signup and view all the answers

Give two factors which correlate with increased rates of obesity among Indian adolescents.

<p>Living in an urban area and attending a private school.</p> Signup and view all the answers

Why might girls experience increased body dissatisfaction during early to midadolescence?

<p>Due to the normal increase in body fat during puberty.</p> Signup and view all the answers

What influences might contribute to weight concerns during this time?

<p>Parental attitudes and media images.</p> Signup and view all the answers

Explain how the paradoxical nature of anorexia nervosa complicates treatment strategies.

<p>Anorexia is both deliberate and involuntary, in that people deliberately refuse food, yet cannot stop doing so even when rewarded or punished. The deliberate aspect may require behavioral interventions, while the involuntary aspect may need psychological or medical approaches.</p> Signup and view all the answers

Describe how a distorted body image contributes to the maintenance of anorexia nervosa, even after significant weight loss.

<p>Individuals with anorexia have a distorted body image and, though typically severely underweight, think they are too fat. This perception drives them to continue restricting food intake and/or engaging in excessive exercise, regardless of their actual weight or health status.</p> Signup and view all the answers

What potential risks do young people face when they struggle to establish a clear occupational identity or encounter limited opportunities?

<p>Increased risk of negative behaviors such as criminal activity or early pregnancy.</p> Signup and view all the answers

What are the risks of using the methods that people with bulimia use to purge high caloric intake?

<p>The methods that people with bulimia use to purge high caloric intake can cause electrolyte imbalances, esophageal damage, cardiac abnormalities, and other gastrointestinal issues.</p> Signup and view all the answers

How might low self-esteem contribute to the cycle of binge eating and purging in bulimia nervosa?

<p>Low self-esteem can lead to feelings of shame, self-contempt, and depression, which act as triggers for binge eating episodes. Purging then becomes a misguided attempt to cope with the guilt and anxiety associated with the binge, perpetuating a harmful cycle.</p> Signup and view all the answers

In Kohlberg's Stage 5 of moral reasoning (social contract orientation), how might someone justify Heinz stealing the drug, and what counterargument could they present?

<p>Justification: The law wasn't designed for such circumstances, making stealing justified. Counterargument: Extreme circumstances don't justify breaking the law; the ends don't always justify the means.</p> Signup and view all the answers

In what ways can family therapy address the symptoms of anorexia nervosa in adolescents?

<p>Family therapy helps address the symptoms of anorexia nervosa by having parents take initial control of their child's eating patterns. As the child complies, they may be given more age-appropriate autonomy.</p> Signup and view all the answers

In Kohlberg's Stage 6 of moral reasoning (universal ethical principle orientation), what arguments could be made for and against Heinz stealing the drug?

<p>Pro: Morally right to steal to save a life, acting on the principle of preserving life. Con: Heinz must consider the value of all lives involved, including others who need the drug.</p> Signup and view all the answers

How might Cognitive Behavioral Therapy (CBT) aid the treatment of anorexia nervosa?

<p>CBT seeks to change a distorted body image and rewards eating with such privileges as being allowed to get out of bed and leave the room, which may be part of the treatment. This can help to modify thoughts and behaviors related to food and body image.</p> Signup and view all the answers

What are the primary characteristics of individuals in a state of 'identity moratorium'?

<p>Individuals in identity moratorium are in crisis, struggling with decisions, lively yet anxious, and often struggle with both authority and forming close relationships.</p> Signup and view all the answers

How might a person in Kohlberg's Stage 5 reasoning evaluate a situation where a company pollutes a river, causing harm to the local community, but argues it is maximizing profits and creating jobs?

<p>They might argue that while maximizing profits and creating jobs is beneficial, it should not come at the expense of the community's health and well-being. The long-term societal impact outweighs short-term economic gains, and regulations are in place to protect the community.</p> Signup and view all the answers

What are the primary reasons for hospitalizing a patient with anorexia nervosa, and what types of interventions are typically provided in this setting?

<p>Patients who show signs of severe malnutrition, are resistant to treatment, and do not make progress on an outpatient basis, may be admitted to a hospital where they can be given 24-hour nursing. This provides continuous medical supervision and nutritional rehabilitation.</p> Signup and view all the answers

How can genetics influence the development of eating disorders like anorexia and bulimia?

<p>Twin studies have found associations between eating disorders and the brain chemical serotonin; a variant of the protein BDNF, which influences food intake; and oestrogen. This suggests that genetic predispositions can increase susceptibility to these disorders.</p> Signup and view all the answers

Describe how a person in Marcia's 'identity moratorium' stage might react to being offered a prestigious job opportunity that conflicts with their values or personal interests.

<p>A person in moratorium might experience significant internal conflict and anxiety. They would likely struggle with the decision, as they are still exploring and questioning their values and goals, making it difficult to commit to a career that doesn't align with their sense of self.</p> Signup and view all the answers

Contrast how an individual in Kohlberg’s Stage 5 (social contract orientation) and Stage 6 (universal ethical principle orientation) might view civil disobedience, such as protesting a law they believe is unjust.

<p>Stage 5: Might support it if it reflects the will of the majority and aims to improve society, but generally favors adherence to the law. Stage 6: Might support it if it aligns with their personal ethical principles, regardless of legal consequences or popular opinion.</p> Signup and view all the answers

Imagine a young adult in Marcia's identity moratorium is pressured by their parents to pursue a specific career path. How might their behavior reflect their identity status, and what internal conflicts might they experience?

<p>The young adult may show anxiety, fear, and resistance towards their parents' wishes, struggling to reconcile external pressures with their own evolving values and interests. They might be lively and talkative about their interests but indecisive about long-term commitments, reflecting their active exploration and internal crisis.</p> Signup and view all the answers

Describe how an individual in identity diffusion might behave in a group project setting.

<p>An individual in identity diffusion may be uncooperative, unsure of themselves, and avoid commitments within the group project.</p> Signup and view all the answers

How did Carol Gilligan critique Kohlberg's theory of moral development, and what alternative perspective did she propose?

<p>Gilligan argued Kohlberg's theory was biased towards male values of justice and fairness. She proposed that women view morality more in terms of care, responsibility, and avoiding harm.</p> Signup and view all the answers

Explain how Erikson's view on identity and intimacy development differs between men and women, according to the provided text.

<p>Erikson believed that for women, identity and intimacy develop together, while for men, identity typically precedes intimacy. Women define themselves through relationships and care, whereas men define themselves through achieving a separate identity.</p> Signup and view all the answers

In what ways might societal expectations of adolescent rebellion influence parental expectations and interpretations of teenage behavior?

<p>If there is an expectation that teens will rebel, parents might misinterpret typical adolescent behaviors as rebellion. Likewise, it may cause parents to become overly strict in anticipation of rebellion.</p> Signup and view all the answers

Describe a situation where an adolescent's 'care-related moral reasoning' (as described by Gilligan) might lead to a different decision than 'justice-based moral reasoning' (as described by Kohlberg).

<p>In a scenario where a student is aware that a friend cheated on a test; a care-based approach might lead to protecting the friend to avoid harming their reputation, while a justice-based approach might lead to reporting the friend to uphold fairness.</p> Signup and view all the answers

In what ways could the concept of 'storm and stress' in adolescence impact the parent-child relationship?

<p>The belief in 'storm and stress' may lead parents to expect conflict and emotional turmoil which could strain parent-child interactions. Parents may be less understanding of typical developmental challenges and emotional changes.</p> Signup and view all the answers

How might an adolescent's self-esteem fluctuations impact their exploration of identity, according to Marcia's identity statuses?

<p>An adolescent with low self-esteem might struggle to explore different identity options, possibly remaining in a state of diffusion or foreclosure. Fluctuating self-esteem may also make the commitment aspect of identity achievement more difficult.</p> Signup and view all the answers

Explain how an adolescent experiencing 'identity diffusion' might be more susceptible to peer pressure, and what long-term consequences may arise from this susceptibility.

<p>Those in identity diffusion lack a firm sense of self; this makes them eager to conform to peer expectations to fit in. Long-term, they may make choices misaligned with personal values, leading to dissatisfaction and a continued lack of identity.</p> Signup and view all the answers

Identify three significant risk factors that may predispose adolescents to substance abuse?

<p>Difficult temperament, poor impulse control, and association with drug users.</p> Signup and view all the answers

Explain why adolescents are considered more vulnerable to the negative impacts of alcohol compared to adults. What specific cognitive functions are most at risk?

<p>Adolescents' brains are still developing, making them more susceptible to alcohol's damaging effects on learning and memory.</p> Signup and view all the answers

How does cannabis use potentially affect an adolescent’s cognitive functions and academic performance?

<p>Cannabis use can impair memory, thinking speed, learning, and overall school performance.</p> Signup and view all the answers

Considering the health risks associated with cannabis, outline two significant physical consequences of heavy usage.

<p>Heavy cannabis use can result in damage to the brain, lungs and heart, as well as nutritional deficiencies.</p> Signup and view all the answers

Besides addiction, what are the primary potential effects of alcohol on one's well-being?

<p>Alcohol can have a profound and negative impact on an individual's physical, emotional, and social well-being.</p> Signup and view all the answers

What underlying psychological factors might explain why teenagers start smoking?

<p>Teenagers may start smoking as a sign of rebelliousness, toughness, and passage from childhood to adulthood.</p> Signup and view all the answers

Describe how 'binge drinking' is defined. What ramifications does binge drinking have on academic performance and risky behavior?

<p>Binge drinking is consuming five or more drinks on one occasion, leading to poor school performance and higher engagement in risky behaviors.</p> Signup and view all the answers

What lasting cognitive impairments were observed in adolescent alcohol abusers even after they stopped drinking, compared to their peers who did not abuse alcohol?

<p>Even after abstaining from alcohol, adolescent abusers exhibited cognitive impairments for weeks, in comparison to their nonabusing peers.</p> Signup and view all the answers

Explain how social environment can influence smoking habits in adolescents.

<p>Adolescents are more likely to initiate smoking if they come from environments--homes, schools, neighborhoods--where smoking is common. This suggests that social norms and exposure play a significant role in shaping their behavior.</p> Signup and view all the answers

Why are STDs often undetected in adolescent girls, and what are the potential consequences?

<p>STDs are often undetected in adolescent girls because symptoms can be mild or absent. If untreated, STDs can lead to severe health problems, like pelvic inflammatory disease (PID), which can cause infertility and chronic pain.</p> Signup and view all the answers

What factors increase the risk of contracting STDs among adolescents?

<p>Early sexual activity, multiple partners, inconsistent or incorrect contraceptive use, socioeconomic disadvantage, substance use, and inadequate sex education all increase the risk of contracting STDs among adolescents.</p> Signup and view all the answers

Describe the role of parental disapproval in preventing smoking among adolescents.

<p>Adolescents are less likely to smoke if they believe their parents disapprove of smoking. Parental disapproval acts as a deterrent by setting clear expectations and communicating the negative consequences of smoking.</p> Signup and view all the answers

Explain why initial smoking experiences are often unpleasant and how individuals overcome this?

<p>The initial smoking experience is often unpleasant due to the irritating effects of smoke. However, the addictive properties of nicotine soon take over making the individual desire the act of smoking.</p> Signup and view all the answers

What is HPV and why is it a significant health concern for adolescent girls?

<p>HPV (human papillomavirus) is a very common STD that causes genital warts and is the leading cause of cervical cancer in women. Early detection and vaccination are crucial for prevention.</p> Signup and view all the answers

Why is it important to use condoms correctly and consistently?

<p>Consistent and correct condom use greatly reduces--but doesn't eliminate--the risk of STDs. Incorrect or inconsistent use significantly lowers their effectiveness. They need to be used every single time during sexual activity.</p> Signup and view all the answers

While the stats show that STDs have gone up, give one reason as to why there might be inaccuracies with these findings?

<p>There may be inaccuaracies due to better screening and detections methods. This is because more cases get reported.</p> Signup and view all the answers

Flashcards

Occupational Identity

The sense of self in relation to career and societal roles.

Criminal Activity Risks

Negative behaviors associated with unresolved identity issues.

Stage 5: Social Contract Orientation

Rational thinking valuing the majority's will and law adherence.

Stage 6: Universal Ethical Principle Orientation

Acting based on internal ethical standards, regardless of laws.

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Heinz's Dilemma

A moral scenario highlighting ethical decision-making in crisis.

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Identity Moratorium

A state of crisis where an individual explores identity but lacks commitment.

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Characteristics of Moratorium

Anxious and self-confident individuals in search of identity.

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Consequences of Identity Issues

Negative outcomes like early pregnancy or crime from identity struggles.

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Identity diffusion

A state where individuals have not committed to values or goals.

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Gilligan's Theory

Carol Gilligan's theory suggesting women see morality in terms of care, not just justice.

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Moral reasoning genders

Research shows small differences in moral reasoning based on gender preference.

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Identity and intimacy in women

Erikson's view that women's identity is closely linked with their relationships.

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Adolescent rebellion

A phase of emotional turmoil, conflicts, and rejection of adult values in teens.

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Storm and stress

A concept by Hall describing adolescence as a period of conflict and turmoil.

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Gender differences in self-esteem

During adolescence, self-esteem declines more sharply for girls than boys.

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Kohlberg vs. Gilligan

Gilligan criticized Kohlberg's male-oriented stages of moral development.

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Early warning signs of anorexia

Determined dieting, dissatisfaction after weight loss, and excessive exercise can indicate anorexia.

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Anorexia paradox

Anorexia involves voluntary refusal of food despite the inability to stop it even when consequences arise.

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Signs of eating disorders

Excessive focus on weight and body image may indicate anorexia or bulimia.

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Prevalence of anorexia

Anorexia affects approximately 0.3-0.5% of adolescent girls and young women in Western countries.

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Bulimia nervosa

Bulimia involves frequent binges followed by purging through various means, yet individuals are often not overweight.

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Common traits of bulimia

People with bulimia tend to have low self-esteem and may struggle with shame and depression.

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CBT in eating disorder treatment

Cognitive Behavioral Therapy aims to change distorted body images and encourages eating through privileges.

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Family therapy for anorexia

Family therapy helps control a child's eating habits and gradually increases their autonomy as they comply.

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Margaret Mead's study

Mead concluded that a smooth transition to adulthood reduces stress in youths.

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Teenage obesity risks

Obese teenagers face health issues, like high cholesterol and diabetes.

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Factors increasing obesity

Genetics, metabolism issues, and depression can lead to obesity in teens.

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Dieting effects on teens

Dieting may worsen obesity issues in adolescents.

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Body image concern

Concerns about body image often begin in childhood and peak in adolescence.

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Gender differences in body image

Girls often become dissatisfied with body image, while boys become more satisfied.

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Influences on weight concerns

Parental attitudes and media impact body image more than peers do.

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Prevalence of obesity in India

The obesity rate among adolescents in India ranges from 4% to 29.8%.

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Substance Abuse

Harmful use of alcohol or drugs leading to dependence.

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Adolescent Vulnerability

Adolescents are more at risk for negative effects of drugs.

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Binge Drinking

Consuming five or more alcoholic drinks on one occasion.

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Cognitive Impairment

Decreased mental functions after substance abuse.

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Risk Factors for Drug Use

Traits or conditions that increase drug use risk in adolescents.

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Cannabis Effects

Heavy use can damage health and impair cognitive functions.

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Tobacco Initiation

Smoking often starts in early teens as a rebellious act.

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Common Substances Used

Tobacco, alcohol, and cannabis are widely used among youth.

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Adolescent smoking initiation

Young people often start smoking due to peer influence and habit formation.

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Parental disapproval

Adolescents are less likely to smoke if they believe their parents disapprove.

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Teen sexual activity rates

Estimates suggest 15% to 50% of Indian adolescents are sexually active.

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Risks of STDs

Young people are at higher risk for STDs if they engage early, have multiple partners, or don't use protection.

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Prevalence of STDs

8.7% of Indian adolescents are estimated to have STDs, an increase from 3.4% in 2000.

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Human papillomavirus (HPV)

HPV is a common STD affecting 18.3% of adolescents, linked to cervical cancer.

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Chlamydia and gonorrhea

Common curable STDs that can lead to severe health issues if untreated.

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Genital herpes simplex

A contagious STD that can cause severe health problems and is often asymptomatic in women.

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Study Notes

Primary Sexual Characteristics

  • Primary sexual characteristics are organs necessary for reproduction
  • Female sex organs include ovaries, fallopian tubes, uterus, clitoris, and vagina
  • Male sex organs include testes, penis, scrotum, seminal vesicles, and prostate gland
  • During puberty, these organs enlarge and mature

Secondary Sexual Characteristics

  • These characteristics develop during puberty
  • Girls: Breasts, pubic hair, axillary hair, changes in voice, increased pelvis width and depth, muscular development, changes in skin
  • Boys: Pubic hair, axillary hair, muscular development, facial hair, changes in voice, broadening of shoulders, changes in skin

Signs of Puberty

  • Breast tissue and pubic hair in girls; enlargement of testes in boys
  • Boys may experience temporary breast development
  • Pubic hair appears differently in males and females
  • Voice deepens in boys due to larynx enlargement and androgen production
  • Sebaceous glands become more active, causing acne
  • Acne is more common in boys due to increased testosterone
  • Facial and body hair appears, mainly around the chest

Growth Spurt

  • Rapid increase in height, weight, muscle, and bone growth during puberty
  • Occurs between ages 9.5-14.5 in girls and 10.5-16 in boys
  • Lasts for about two years on average
  • Caused by a surge in HGH and sex hormones (androgens and estrogens)
  • Rate of muscular growth peaks at age 12.5 for girls and 14.5 for boys

Signs of Physical Maturity

  • Males: Primary sign is sperm production (spermarche). Nocturnal emission (nightfall) may occur
  • Females: Primary sign is menstruation (menarche). Timing of menarche varies between ages 9 and 16.5

The Adolescent Brain

  • Dramatic changes in brain structures involved in emotions, judgment, behavior organization, and self-control occur between puberty and young adulthood
  • Risk-taking behaviors involve two brain networks: socioemotional and cognitive-control
  • Socioemotional network is more active during puberty
  • Cognitive-control network develops more gradually into adulthood

Effects of Atypical Maturation

  • Negative effects occur when adolescents are significantly more or less developed than peers
  • These effects are worsened if the changes are viewed as disadvantageous and stressful life events occur around the same time as puberty
  • Contextual factors like ethnicity, school, and neighborhood can influence the impact of early or late maturation

Piaget's Stage of Formal Operations

  • Highest level of cognitive development
  • Characterized by abstract thought
  • Occurs around age 11, allowing adolescents to manipulate information flexibly
  • Enables adolescents to think beyond physical limitations, use symbols to represent others, and appreciate metaphors and allegories in literature
  • Allows for hypothetical thinking and hypothesis testing

Hypothetico-Deductive Reasoning

  • Ability to develop, consider, and test hypotheses
  • Developed during formal operational stage
  • Adolescents can form hypotheses, design experiments to test them, eliminate false hypotheses, and arrive at true conclusions
  • Facilitated by brain maturation and expanding environmental opportunities

Physical Changes

  • Males: Shoulders widen, legs lengthen relative to trunk and upper arms, ability to ejaculate
  • Females: Pelvis widens, fat accumulation leading to rounded appearance, different rate and areas of fat accumulation compared to males

Cognitive Development

  • (Note: The specific text about cognitive development is spread across separate sections.) This is a general area and further information is needed.

Moral Development

  • Studied by Kohlberg using the Heinz Dilemma
  • Kohlberg's work showed moral reasoning reflects cognitive development
  • Three levels of moral reasoning: preconventional, conventional, and postconventional
  • Each level is further divided into stages, with age ranges associated with each
  • Preconventional (ages 4-10), Conventional (ages 10-13 or beyond), Postconventional (early adolescence to young adulthood)

Id Formation: Gender Differences

  • Research supports Erikson's view that identity and intimacy develop together for women
  • Carol Gilligan argues female self-development occurs through relationships and responsibility
  • Few gender differences appear in research on Marcia's identity statuses during adolescence
  • Self-esteem tends to drop during adolescence, more rapidly for girls than boys.

Adolescent Rebellion

  • Pattern of emotional turmoil, conflict with family or society, and rejection of adult values
  • Only some adolescents are rebellious.
  • Hall believed storm and stress are universal, driven by early sexual drive
  • Research shows these struggles are not always typical.

Nutrition and Eating Disorders

  • Overweight teens tend to have poorer health than peers
  • Risks include: higher cholesterol, hypertension, diabetes, and obesity
  • Genetic and other factors can influence obesity
  • Obesity among adolescents have a higher occurrence in urban populations with a greater occurrence in males and private schools.
  • Behavioral approaches, some with success, have been used to help teens
  • Dieting in adolescents may be counterproductive
  • Body image concerns develop early
  • Eating disorders, including anorexia nervosa, and bulimia nervosa, involve obsessive efforts
  • Anorexia involves deliberate but involuntary refusal of food due to a distorted body image
  • Bulimia involves binge eating followed by purging methods
  • Treatment involves therapy and may have inpatient care if severe malnutrition is found.

Substance Abuse

  • Substance abuse involves harmful alcohol or drug use, potentially resulting in dependence
  • Adolescent brains are still developing; this increases addiction vulnerability
  • Substance use is prominent in many parts of the world, and can occur long before adolescence has concluded
  • Tobacco, cannabis, and alcohol abuse are all commonly seen

Sexual Behavior and STDs

  • Estimates of sexual activity in Indian adolescents vary widely (15-50%)
  • Major concerns include risk of STDs and pregnancy
  • Risk factors include early sexual activity, multiple partners, lack of contraception, and a lack of accurate information regarding sexual health
  • STDs in girls are often difficult to diagnose, with risks for HIV, genital herpes, and gonorrhea.

Academic Decisions

  • Many factors influence adolescent academic decisions (ability, personality, socioeconomic status, ethnic background, school counselors, life experiences, societal values)
  • Self-efficacy beliefs shape career choices and preparation
  • Parental values on academic achievement and societal values influence teens' occupational goals
  • Gender influences career goals, with boys more likely to choose STEM fields, and girls more likely to enter nursing, social welfare professions, or teaching.

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