Enhancing intuitive skills among adolescent mothers

Studies indicate that adolescent mothers differ from adult mothers in their ability to interact with the infant in an adaptive fashion. In particular, teenage mothers appear to possess immature representational capacities which prevent them from predicting imminent infant achievement. As a result, they behave in a manner that undermines the emergence of new developmental skills in the infant. For example, the visual and vocal cues of adolescent mothers tend to be either subdued or absent, while holding behavior often fails to convey a sense of security. Physically punitive actions are also more common among these younger caregivers than among adult mothers. The application of a new developmental strategy referred to as previewing may, however, reverse these trends by fostering representational and interpersonal skills in adolescent mothers.     

Menarche: A crossroads that previews developmental change

In recent years the developmental implications of menarche have garnered particular attention. Investigators have determined that this developmental event tends to affect three significant domains of the adolescent girl's function: psychological status, relationships with peers, and role in the family. This paper explores these issues and introduces a new technique, referred to as previewing, that may help the teenage girl acclimate to the status of sexual maturity. Derived from the early life interactions of caregiver and infant, previewing promotes representational skills and enhances self-esteem as the adolescent confronts developmental challenges.     

Developmental effects of an intervention for preterm infants of teenage mothers

Since preterm infants and infants born to teenage mothers are noted to be at risk for developmental delays, a group of infants who were both preterm and born to teenage mothers was provided a sensorimotor exercise intervention program for the first year of infancy. The development of these infants was compared to the development of preterm infants without intervention and term infants of teenage mothers as well as term and preterm infants of adult mothers to determine the degree to which developmental delays were prevented. The intervention infants showed more optimal growth, cognitive development, temperament and play behaviors during interactions with their mothers across the first year of development.     

Correlates of adolescent parenting

A self-selected sample of 177 teenage parents participated in a study of the correlates of teenage parenting. An ecological model of the predictors of parenting behavior was used to define factors which potentially influence teenage parents' parenting skills as measured by the Home Observation for Measurement of the Environment (HOME). The factors tested include level of punitiveness toward child rearing, knowledge of developmental milestones, level of depression, perceived social support, parental age, and parental race. The results of a stepwise hierarchical regression analysis found that parental race, punitive attitudes toward child rearing, and parental age were statistically significant predictors of total HOME scores. The older, white adolescent mother with less punitive attitudes toward child rearing and child discipline scored the highest on parenting skills. The relevance of these findings to program planners and service providers involved in teenage parent support and education programs is discussed.     

Suicidality in adolescence: review and legal considerations

Adolescence is a unique developmental stage in which suicidality first emerges as a public health problem. The increasing trend of teenage suicide since the 1950s has only relented in the past ten years. The risk factors for adolescent suicide, suicidal ideation, and suicide attempts and an approach to assessing the suicidal adolescent for risk of future self-harm are reviewed. Treatment consists of ensuring safety and then treating the underlying psychiatric, psychological, and interpersonal disturbances. Issues of consent, confidentiality, and malpractice actions are addressed.     

"I want to read stuff on boys": white,Latina, and black girls reading seventeen magazine and encountering adolescence

This study is based on interviews with four focus groups consisting of fourteen white, Latina, and black girls, ages 13 to 16 years, from diverse backgrounds. The objectives of the study are to gain insight into what forum girls use to learn about the adolescent experience and to examine teenage girls' views of their sexuality and femininity. The girls' discussion of their lives and perceptions of the teen magazine Seventeen reveal a displacement of female sexuality. The magazine's message to teenage girls of gaining self-worth through emphasized femininity seems to resonate with these girls regardless of class and race. We conclude that responsible adults need to challenge the distorted media images of adolescent development and teenage girls' sexuality.     

Applying developmental previewing to the principles of family therapy

This paper discusses the application of principles of infant psychiatry to the diagnosis and treatment of multigenerational family conflict. Using a technique referred to as previewing, the therapist can focus on the interpersonal meaning that the infant's development precipitates in the family and determine how the parents' relationships with the infant replicate their relationships with their own families of origin. The therapist may then use these insights for overcoming conflict and for acclimating parents to new developmental skills in an optimal manner. Specific suggestions for how parents may promote more adaptive patterns of interaction with the infant using previewing are offered.     

Parenting Stress, Social Support, and Depression for Ethnic Minority Adolescent Mothers: Impact on Child Development

Rates of teenage pregnancies are higher for African American and Latina adolescents compared to their White peers. African American and Latina adolescent mothers also experience more adversities than their White peers, such as higher rates of depression, school dropout, and economic disadvantage. Furthermore, children of adolescent mothers are at higher risk for adverse development. Parenting stress and social support can impact outcomes experienced by adolescent parents and their children. The present study examined the influence of adolescent mothers’ parenting stress and perceived social support on maternal depression at baseline (6 months after birth), and its impact on infant development 1 year later (18 months after birth). Participants were 180 adolescent mothers of African American or Latino/Hispanic descent. Results suggest that higher levels of parenting stress and less perceived social support were associated with higher levels of depression in the adolescent mothers at baseline. Higher levels of maternal depression were also associated with more developmental delays in infants 1 year post-baseline. Additionally, depression mediated the relationship between parenting stress and later child outcomes. These findings highlight the importance of examining parenting factors such as parenting stress, social support, and maternal depression in ethnic minority adolescent parents, and provide valuable information regarding unique risk and protective factors associated with positive maternal outcomes for ethnic minority adolescent parents and healthy development for their children.     

Moderator influences of informal experimenter support

This study examined the effect of experimenter support during an intensive 1-year research project on teenage mothers and their infants at 1 and 3 years of age. A variety of information concerning the infants' developmental levels, the mothers' psychological and sociological status, and the mother-infant interaction was collected at both ages. Results indicated that the positive effects of informal support at 1 year of age were no longer evident in mother or child 2 years later. The findings are discussed in light of the effects of observational research and possible implications for intervention programs for teenage mothers.     

Maternal unresolved attachment status impedes the effectiveness of interventions with adolescent mothers

Children of adolescent mothers are at risk for a variety of developmental difficulties. In the present study, the effectiveness of a brief intervention program designed to support adolescent mothers' sensitivity to their infants' attachment signals was evaluated. Participants were adolescent mothers and their infants who were observed at 6, 12, and 24 months of age. The intervention conducted by clinically trained home visitors consisted of eight home visits between 6 and 12 months in which mothers were provided feedback during the replay of videotaped play interactions. At 12 months, 57% of the mother–infant dyads in the intervention group and 38% of the comparison group dyads were classified as secure in the Strange Situation. Seventy‐six percent of the mothers in the intervention group maintained sensitivity from 6 to 24 months compared with 54% of the comparison mothers. Further analyses indicated that the intervention was effective primarily for mothers who were not classified as Unresolved on the Adult Attachment Interview.     

Can Math-Gender Stereotypes Be Reduced? A Theory-Based Intervention Program with Adolescent Girls

Math-gender stereotypes have been prevalent with adolescent girls and negatively affect their developmental outcome. The discrepancy between these negative stereotypes and early adolescent girls’ pronounced mathematical performance provides a good opportunity for intervention on negative math-gender stereotypes. This study designed a three-month intervention program based on Identity Threat Model to reduce math-gender stereotypes for middle school girls. Nine intervention sessions were held in classrooms and targeted at changing adolescent girls’ collective representations, situational cues and personal characteristics. Three-wave measures were collected before the intervention (pre-test), immediately after the intervention (post-test), and three months after the end of the intervention (follow-up test). Intervention effect indicators included math-gender stereotypes, self-esteem, math scores and language-gender stereotypes. The results immediately after the intervention showed that math-gender stereotypes were significantly reduced, math scores were improved, and self-esteem and language-gender stereotypes were not significantly affected among girls in the intervention group compared with control group. Follow-up test showed no significant differences between the intervention group and the control group except that math-gender stereotypes in intervention group were still lower than control group, indicating that the intervention activities were effective to reduce adolescent girls’ math-gender stereotypes. The intervention program provided theoretical and educational implications for effective intervention on adolescent girls’ math-gender stereotypes in school or classroom settings.     

The practice of using makeup: A consumption ritual of adolescent girls

The consumption of makeup by teenage girls may represent a ritual critical to the rite of passage to adulthood. To explore this issue, depth interviews were conducted with 25 teenage girls in France, ages 14–18 years, about their makeup use. The data in this exploratory study suggest that putting on makeup is a ritual that plays a critical role for adolescent girls separating from their childhood and transitioning toward adulthood. Evidence of ritual dimensions (repetition, symbolic, codification, and dramaturgy) was found. The data further suggest that the traditional rite of passage associated with primitive societies is useful in identifying ritual teenage girls' makeup consumption in modern society, although with some differences. Copyright © 2012 John Wiley & Sons, Ltd.     

A comparison of the psychological profiles of teenage mothers and their nonmother peers: II. Responses to a set of TAT cards.

In Part I of this investigation (Oz, Tari, & Fine, 1992), it was found that, in comparison with nonmother peers, teenage mothers demonstrated a higher degree of ego development. This was in contradiction to most of the literature on the subject. In the second part of the study, the Thematic Apperception Test was employed to examine defenses and motivations which may impact upon the young girls' functioning within family and heterosexual relationships. Results confirmed reports in the literature which have indicated that adolescent mothers attempt to resolve autonomy-dependence conflicts in heterosexual relationships, whereas nonmothers do so within the family of origin. Consistent with their enhanced ego maturity, teenage mothers were more likely to confront their conflicts than were nonmothers. However, whereas nonmothers reacted to environmental stressors by rejecting the source of the stress, teenage mothers tended to react with self-abasement. It is recommended that further research be directed toward uncovering the emotional and cognitive resources of teenage mothers rather than focusing on their more obvious weaknesses.     

Two adolescents at risk for schizophrenia: A family case study

This is a study of the complex factors that contributed to the development of adolescent psychoses in two stepbrothers, ages 12 and 15. The identified patient, the younger boy, was in what appeared to be a reversible stage of early adolescent psychosis and his 15 year old newly acquired stepbrother in a nonreversible stage. Each boy was a mentally gifted, neurologically handicapped adolescent who was inextricably vulnerable on the basis of his neurodevelopmental sensitivity to specific immobilizing parental fears and conflicts. Their inherent problems set them apart from their intact teenage sisters and affected the nature and quality of their total life experience. Those working with psychotic children and their families must bear these relationships in mind for optimal strategic intervention and change. In the management of psychotic adolescents and their families, the individual and family therapist could work to everyone's disadvantage if these important neurodevelopmental difficulties are not considered.1979, SummerThis study was supported in part by the Maternal and Child Health Services Training and Study Project No. 144, Department of Health, Education and Welfare.     

Two adolescents at risk for schizophrenia: A family case study

This is a study of the complex factors that contributed to the development of adolescent psychoses in two stepbrothers, ages 12 and 15. The identified patient, the younger boy, was in what appeared to be a reversible stage of early adolescent psychosis and his 15 year old newly acquired stepbrother in a nonreversible stage. Each boy was a mentally gifted, neurologically handicapped adolescent who was inextricably vulnerable on the basis of his neurodevelopmental sensitivity to specific immobilizing parental fears and conflicts. Their inherent problems set them apart from their intact teenage sisters and affected the nature and quality of their total life experience. Those working with psychotic children and their families must bear these relationships in mind for optimal strategic intervention and change. In the management of psychotic adolescents and their families, the individual and family therapist could work to everyone's disadvantage if these important neurodevelopmental difficulties are not considered.This study was supported in part by the Maternal and Child Health Services Training and Study Project No. 144, Department of Health, Education and Welfare.     

Teenage parenting and child development: a literature review

Research on teenage parenting together with medical and behavioral research related to child development is reviewed in an effort to determine causal factors related to reported developmental deficits among children of teenage parents. 4 general conclusions are suggested: 1) several researchers agree that children of teenage parents show poor social and intellectual competence when compared with children on non-teen parents. However, the amount of sound empirical data to support this view is minimal. For example, there are few published studies of the longterm effects of teenage parenting or of actual behavioral interactions of teenage mothers and their children. 2) It is unlikely that research along the lines of the "continuum of reproductive casualty" will lead to identification of causal factors sufficient to account for developmental deficits in children of teenage mothers. 3) Research along the lines of "the continuum of caretaking casualty" suggest numerous behavioral and environmental variables that may be related to the development of children of teenage mothers. 4) Research designs applied to the study of teenage parenting must shift from linear models to complex multivariate models that permit simultaneous analysis of organismic, environmental, and behavioral determinants of development. Finally, mental health specialists, government agencies, and researchers alike, must be willing to entertain the hypothesis that much of our knowledge of the childrearing skills of teenage mothers is based on myth rather than empirical fact. 1 such myth may be that below 19 years of age, maternal age in and of itself is an important determinant of infant development and parent-infant interaction. Poor social-economic status, family support systems, marital stability, nutrition and prenatal care may be far more important determinants of development for these children than the age of their mothers.     

Interventions for Suicidal Youth: A Review of the Literature and Developmental Considerations

Suicidal behavior is developmentally mediated, but the degree to which interventions for suicidal behaviors have been developmentally tailored has varied widely. Published controlled studies of psychosocial treatment interventions for reducing adolescent suicidal behavior are reviewed, with a particular emphasis on the developmental nuances of these interventions. In addition, developmental considerations important in the treatment of suicidal adolescents are discussed. There are insufficient data available from controlled trials to recommend one intervention over another for the treatment of suicidal youth, but interventions that are sensitive to the multiple developmental contexts have potential for greater effectiveness in reducing adolescent suicidal behavior.     

Unwanted teenage pregnancies: incidence, interpretation, and intervention.

North American and western European cultures are more permissive than they were before World War II about the increased incidence of teen sexual activity. Societies may be more open and teens are having more premarital sex than they used to, but they surely are not using contraception as often as they should. As such, there is a great deal of unintended and unwanted teenage pregnancies, especially in the US. Even the threat of contracting and/or transmitting HIV has not caused heterosexual youths to change their sexual or contraceptive behaviors. The authors conceptualize explanations for this lack of adolescent behavioral change, including procedures designed to identify deficiencies and to bring about necessary changes in contraception-relevant information, motivation, behavioral skills, and situational constraints. Examples of successful intervention programs are outlined. Sections consider the incidence of premarital intercourse, contraceptive use, and unwanted pregnancies; contraceptive neglect; unintended and unwanted pregnancies; and why teenagers have unprotected sexual intercourse. The conceptual framework of intervening to prevent unwanted teenage pregnancies is presented in sections on providing improved contraceptive information, increasing precontraceptive motivation, improving contraceptive skills, altering situational factors which inhibit contraception, and evaluation research.     

Working with the complexities of adolescent mental health problems: applying time-limited adolescent psychodynamic psychotherapy (TAPP)

This article discusses the application in a CAMHS setting of a distinctive intervention for adolescent mental health difficulties, time-limited adolescent psychodynamic psychotherapy (TAPP). TAPP has been developed specifically for working with adolescents and the characteristic developmental and psychosocial complexities they present to mental health services. It is widely recognised that supporting the developmental process in adolescence is central to therapeutic interventions and the therapeutic aim of TAPP is to enable recovery of the capacity to meet developmental challenges. The key factors of TAPP are described, including the formulation and working with a developmental focus, the therapeutic stance, working with transference and counter-transference, working with time limits, and the emphasis is placed on engagement of adolescents in therapy in TAPP. The experiences of introducing and developing TAPP in the CAMHS service are discussed with two brief and one extended case examples and this leads to a discussion of the kinds of outcomes achieved. It is concluded that TAPP is a key and relevant intervention for adolescents in complex and vulnerable situations; further work will be undertaken to continue its application in these settings and to formally assess outcomes.