‘Sleeping beauties’: succession problems of adolescence

The author explores the succession problems of adolescence. She uses the Brothers Grimm’s fairy tale Sleeping Beauty to consider various characters and narratives possible in the analytic field during the succession process. Use of the characters in a fairy tale allows an analyst to play with the different roles the patient unconsciously assigns her. The author conceives of the avoidance of adolescent turbulence as a common reaction to adolescence, but one that can also become entrenched, and result in a restriction of emotional growth. The paper explores the psychic isolation of adolescence and the splitting required to manage the conflicting desires of the phase. The persistent absence of passion, including in the analytic process, constitutes a psychic retreat from developmental turbulence. The analyst of such an adolescent may need to allow them to be ‘somnolent’ for some time, but may eventually need to wake them (metaphorically) or even pierce the somnolent, avoidant state. The author uses clinical vignettes of late adolescents to demonstrate such transitions, exploring her countertransference experience as well as the reaction of adults to the succession process of adolescence.     

Maternal Prenatal Stress and Other Developmental Risk Factors for Adolescent Depression: Spotlight on Sex Differences

Maternal stress during pregnancy has been linked to premorbid abnormalities associated with depression (e.g., difficult temperament, cognitive deficits) in offspring. However, few studies have looked across developmental periods to examine maternal stress during pregnancy and offspring depression during adolescence and whether these associations differ by sex. The current study used data from 1711 mother-offspring dyads (offspring sex: 49.8% male) in a longitudinal birth cohort study. Maternal narratives collected during pregnancy were qualitatively coded for stress-related themes by independent raters. Latent class analysis (LCA) identified distinct subgroups of offspring based on exposure to maternal prenatal stress and other developmental factors from the prenatal, childhood, and adolescent periods that have been associated with depression and/or maternal prenatal stress. LCA identified subgroups that were compared to determine whether and to what extent they differed on adolescent depressive symptoms. LCA revealed a subgroup of “high-risk” individuals, characterized by maternal factors during pregnancy (higher ambivalence/negativity and lower positivity towards the pregnancy, higher levels of hassles, lower maternal education and higher maternal age at birth, higher pre-pregnancy BMI) and offspring developmental factors (decreased cognitive functioning during childhood and adolescence, lower perceived parental support during adolescence, and higher levels of maternal depression during adolescence). High-risk females exhibited elevated conduct symptoms and higher birth order, while high-risk males exhibited decreased internalizing symptoms and lower birth order. Both high-risk males and females reported elevated depressive symptoms during adolescence relative to their “low-risk” counterparts.     

Religiousness, spiritual seeking, and personality: findings from a longitudinal study

The hypothesis that personality characteristics in adolescence can be used to predict religiousness and spiritual seeking in late adulthood was tested using a structural equation modeling framework to estimate cross-lagged and autoregressive effects in a two-wave panel design. The sample consisted of 209 men and women participants in the Berkeley Guidance and Oakland Growth studies. In late adulthood, religiousness was positively related to Conscientiousness and Agreeableness, and spiritual seeking was related to Openness to Experience. Longitudinal models indicated that Conscientiousness in adolescence significantly predicted religiousness in late adulthood above and beyond adolescent religiousness. Similarly, Openness in adolescence predicted spiritual seeking in late adulthood. The converse effect, adolescent religiousness to personality in late adulthood, was not significant in either model. Among women, adolescent Agreeableness predicted late-life religiousness and adolescent religiousness predicted late-life Agreeableness; both these effects were absent among men. Adolescent personality appears to shape late-life religiousness and spiritual seeking independent of early religious socialization.     

Depression and Axis II symptomatology in an adolescent community sample: concurrent and longitudinal associations

The relationship between personality pathology and depression has been the focus of increasing attention, but few investigators have examined this issue prospectively or in adolescent community samples. The present study used both self report and interviewer assessments of personality disorder symptomatology and depression in a sample of 155 late adolescent women followed over three years. Personality pathology cluster and total scores demonstrated moderate to fairly high degrees of stability, indicating endurance of these traits in late adolescence. As predicted, Axis II symptoms were associated with concurrent depressive symptomatology. Overall, self-reported personality disorder symptoms, as well as those specifically in Clusters A and B, predicted interviewer-rated depression over two years beyond the contribution of initial depression, indicating that subclinical Axis II symptoms are a risk factor for subsequent depressive symptomatology.     

Die Auswirkungen der Wende 1989 auf Adoleszente

The significance of adolescence for psychosocial development is a controversial theme with discussions ranging from an emphasis on the importance of early childhood to the ideas propagated by Freud that the dynamics of adolescence play an important role in the psychological development of the individual and transculturation. The course of adolescence provides a starting point for understanding the psychodynamics of patients, which is often given insufficient consideration. Today, it can repeatedly be seen that patients in their mid-thirties are coming for treatment: patients who experienced their adolescence during the period of political upheaval in Germany. For a variety of reasons this proves to have been a vulnerable life phase, above all for East Germans. Puberty and adolescence comprise developmental tasks whose completion in a crisis situation, such as represented by the political change in East Germany with the reunification process, suffered considerably. Accordingly, the consequences of this conflict-laden coping process can be revealed during later therapy in transference and central relationship conflicts. The adolescents made considerable efforts to adapt to the new conditions, however, without adolescent altercations with GDR parents and conditions having taken place in sufficient measure. The treatment of a female patient is presented for whom the political change during adolescence proved to be a critical life event. Her narcissistic deficits together with her fragile identity were exacerbated as a result of the social upheavals. It is demonstrated how this ??critical life event?? was intertwined with her earlier psychological structure, the problems of adolescence and her search for identity during the course of psychoanalysis.     

Self-report and stability of physical symptoms by adolescents

Verbal reports of physical complaints and their relationship to school-related stress was investigated in two adolescent samples. It was hypothesized that symptom reporting is a function of age and sex, and is connected to psychological factors such as test (state) and trait anxiety. In addition, the consistency of symptoms reported during the course of one year was evaluated. It was found that, overall, the two adolescent groups complained of more physical symptoms than did Br?hler's (1978) adult sample. Differences between males and females in reporting symptoms were apparent only in the older adolescent group (ages 14 to 15); females reported more physical complaints. The positive correlation between body symptoms and test-trait anxiety was highly significant. During the year, few adolescents exhibited well-defined patterns of body complaints. On the contrary, many complaints seemed to be transient phenomena, although the number was high. In this respect, adolescence plays an important role in the self-reporting evaluation and development of physical complaints.     

Bereavement and triangular relationships in a case of a child suffering from anorexia

This paper describes the mother–child assessment of a five-year-old girl suffering from anorexia since weaning, which was carried out in an Italian NHS neuropsychiatric child and adolescent unit. The author aims to show how she was able to link the little girl’s refusal of food to a death in the maternal family, which occurred soon after her birth. As well as this post-traumatic formulation, the author links the child’s anorexia to two related aspects of the family dynamics: avoidance of the awareness of death and the inability to manage triangular relationships, due to important intrusion and exclusion anxieties. Using extracts from the sessions, the author shows how the little girl was able to begin to work through the death phantasy which was previously inaccessible to her and her family. The concept of the death phantasy is defined and explored and possible analogies between this case and what is observed in some anorexic adolescent girls and their families are described.     

Does Human Facial Attractiveness Honestly Advertise Health? Longitudinal Data on an Evolutionary Question

Inspired by the evolutionary conjecture that sexually selected traits function as indicators of pathogen resistance in animals and humans, we examined the notion that human facial attractiveness provides evidence of health. Using photos of 164 males and 169 females in late adolescence and health data on these individuals in adolescence, middle adulthood, and later adulthood, we found that adolescent facial attractiveness was unrelated to adolescent health for either males or females, and was not predictive of health at the later times. We also asked raters to guess the health of each stimulus person from his or her photo. Relatively attractive stimulus persons were mistakenly rated as healthier than their peers. The correlation between perceived health and medically assessed health increased when attractiveness was statistically controlled, which implies that attractiveness suppressed the accurate recognition of health. These findings may have important implications for evolutionary models.     

How to grow up or (nearly) die trying: developing trust in one’s own capacity for growth

This paper is a single case study describing intensive psychoanalytic psychotherapy with an adolescent girl, an apparently bright and capable girl who was struck down at 15 by a double blow of trauma and loss. She cracked along her fault lines which, it is argued, were created during the ordeal of her psychic birth in the first year of life. It is proposed that ordinary Oedipal humiliations precipitated anxiety about dependency. While any adolescent is likely to have to grapple with these difficulties, the terrible life events that befell this girl compounded her dependency just when she might have been moving towards independence. In addition, the ordinary task of mourning childhood and familiar family relationships was obscured by the new and devastating losses that needed to be mourned. Unable to face this task, she spurned the support of her loving family and any potential good object and instead became dependent on manic over-achievement and grievance. The paper traces how the intricacies of the patient’s internal world slowly unfurled through the transference and countertransference and through her story as she told it to her therapist. The therapist describes the slow and difficult process of making links between that story and their experiences together in the consulting room. The theoretical concepts that enabled these links to be made are outlined and the ways in which they guided the therapist’s technique are discussed.     

From biography to theory: the role of Anna Freud in the emergence of the ‘adolescent process’

Some aspects of Anna Freud’s life reveal the existence of specifically adolescent conflicts, which can be tied to some of her theoretical and clinical discoveries in the field of adolescent psychoanalysis. Her historical input in the gradual construction of a theoretical corpus on adolescence has often been ignored. These links between biography and theory gave rise to a movement of conceptualisation, making it possible to develop a psychoanalytic metapsychology of adolescence: indeed, emerged such notions as asceticism, intellectualisation in relationship with anorexia and the struggle against the genitalisation of the adolescent body. Today, the Annafreudian school of thought has remained the main source of investigation and theoretical transmission of what is now called the adolescent process.     

The relation between infant freezing and the development of internalizing symptoms in adolescence: A prospective longitudinal study

Given the long‐lasting detrimental effects of internalizing symptoms, there is great need for detecting early risk markers. One promising marker is freezing behavior. Whereas initial freezing reactions are essential for coping with threat, prolonged freezing has been associated with internalizing psychopathology. However, it remains unknown whether early life alterations in freezing reactions predict changes in internalizing symptoms during adolescent development. In a longitudinal study (N = 116), we tested prospectively whether observed freezing in infancy predicted the development of internalizing symptoms from childhood through late adolescence (until age 17). Both longer and absent infant freezing behavior during a standard challenge (robot‐confrontation task) were associated with internalizing symptoms in adolescence. Specifically, absent infant freezing predicted a relative increase in internalizing symptoms consistently across development from relatively low symptom levels in childhood to relatively high levels in late adolescence. Longer infant freezing also predicted a relative increase in internalizing symptoms, but only up until early adolescence. This latter effect was moderated by peer stress and was followed by a later decrease in internalizing symptoms. The findings suggest that early deviations in defensive freezing responses signal risk for internalizing symptoms and may constitute important markers in future stress vulnerability and resilience studies.     

成熟对青春期型反社会行为的影响

Moffitt的反社会行为发展理论将反社会行为分为两种类型, 即终身型和青春期型, 其中, 青春期型反社会行为在青少年群体中发生的频率更高, 它一般在青春期早期产生, 在青春期晚期或成年期早期结束, 青春期个体的发育成熟会对青春期型反社会行为产生影响。成熟包括生理成熟和心理成熟两方面, 生理成熟或心理成熟的单独影响和共同影响均从不同角度解释了青春期型反社会行为的产生、发展和停止：生理成熟对青春期型反社会行为具有发展和强化作用; 心理成熟对青春期型反社会行为具有减缓和削弱作用; 生理成熟与心理成熟的交互作用减弱或强化了青春期型反社会行为; 生理成熟与心理成熟之间的成熟差距抑制了青春期型反社会行为。未来的研究还需就拓展不同类型成熟的研究、改进成熟度的计算方法、结合青少年成熟特点进行有针对性干预等方面进行更多的尝试和探索。     

Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: a six-site,cross-national study

This study used data from 6 sites and 3 countries to examine the developmental course of physical aggression in childhood and to analyze its linkage to violent and nonviolent offending outcomes in adolescence. The results indicate that among boys there is continuity in problem behavior from childhood to adolescence and that such continuity is especially acute when early problem behavior takes the form of physical aggression. Chronic physical aggression during the elementary school years specifically increases the risk for continued physical violence as well as other nonviolent forms of delinquency during adolescence. However, this conclusion is reserved primarily for boys, because the results indicate no clear linkage between childhood physical aggression and adolescent offending among female samples despite notable similarities across male and female samples in the developmental course of physical aggression in childhood.     

Childhood precursors of adolescent drug use: a longitudinal analysis.

Childhood and adolescent intrapersonal and interpersonal influences on older adolescents' drug use were examined with an interactional approach. Data were obtained when subjects were 5-10, 13-18, and 15-20 years old. Latent-variable confirmatory factor analysis was used to determine the fit of the variables to the latent constructs. Next, a structural model was hypothesized and tested to assess the influences of childhood and earlier adolescent factors on later adolescent drug use. Childhood aggression and parental sociopathy affected drug use in late adolescence. Unconventionality during early and middle adolescence had an important and pervasive impact on all aspects of middle and late adolescent functioning. Finally, both intrapersonal and interpersonal factors from childhood and early adolescence affected self-drug use during middle and late adolescence.     

THE ROLE OF AN IMMIGRANT MOTHER IN HER ADOLESCENT’S IDENTITY FORMATION: “WHO AM I?”

Immigration is a complex bio-psycho-social process and the immigrant mother has a truly complex task in lending her ego strength to her adolescent offspring. The normal adolescence’s decathexis of the love object and the consequent search for a new object may not happen smoothly for those adolescents whose mothers are immigrants. The immigration experience may cause the immigrant mother, who lost her motherland, deeper disturbance in self-identity as well as disequilibrium in her psychic structure, which in turn impacts adversely her adolescent’s development. The adolescent’s inadequate early experience with an immigrant mother may result in a deeper disturbance in his separation-individuation process as well as his identification process. An immigrant mother who has not mourned adequately, with a different sociocultural background has to go through a far more complex development of motherhood. The case of an adolescent boy, Jason, demonstrates the impact of immigrant motherhood on his ego development.     

Romantic involvement and depressive symptoms in early and late adolescence: The role of a preoccupied relational style

Two studies examined the association between depressive symptoms and romantic involvement in adolescence and tested the hypothesis that romantic involvement is associated more strongly with symptoms among adolescents who have a more preoccupied style of relating, compared to adolescents who have a less preoccupied style of relating. Study 1 (N = 96 early adolescent females) examined concurrent associations and Study 2 (N = 80 late adolescent males and females) examined longitudinal associations. In both age groups, romantic involvement was associated with greater depressive symptoms and this was most true among adolescents with a preoccupied style of relating. Implications for models of depression and adolescent romantic functioning are discussed.     

ABSTRACTS OF LITERATURE

This paper attempts to formulate dynamics based on clinical material from family sessions rather than based on individual reconstruction. It is believed that the identified adolescent patient regresses with narcissistic symptoms because, in the struggle for independence, he upsets the family equilibrium. The parents emerge from their adolescence with low self-esteem and the need for the support of external objects. The adolescent's separateness from the family recreates the problem for the parents and prevents his individual growth as well as his separation from the family.     

Breaking the Silence Surrounding Female Adolescent Sexual Desire

Abstract

This review of the literature related to female adolescent sexual desire reveals that, in spite of interest by feminist scholars, actual discourse around sexual desire and bodily pleasure associated with female sexuality appears to be lacking for the majority of adolescent girls. In our culture females are the objects of male desire, hence the focus on attractiveness. Little attention has been paid to their embodiment, the inner sense of their own sexual desire. Sexual desire has traditionally been accepted as part of male sexual development and is associated with positive sexual identity for men. Researchers stress the importance of increasing sex-positive attitudes towards female sexual desire, in order to counter much of the shame and confusion experienced by females, especially during adolescence. The double standard is still being conveyed to young women through popular culture, parents, peers, and schools. Sex education primarily emphasizes the dangers of sex. The media stresses the importance of attractiveness and women as sex objects rather than agents of their own sexual desires. Researchers suggest that a young woman's ability to be conscientious about and fully present in her sexual experiences is correlated with her ability to act as an agent. The ability to make responsible and self-affirming sexual decisions is a crucial act of agency.     

Women in group and women's groups

Female development is characterized by the introjection of maternal and paternal objects, which creates a rich internal world for women. However, the feminine tendency to become diffused in identifications sometimes results in women feeling overpowered in mixed-gender groups. The author advocates women's groups for the traditionally "feminine" woman, that is, the woman who has a rather impoverished sense of self in terms of her internalized objects. Women's groups are also helpful during adolescence, pregnancy, and menopause, milestones of female development. These are times when women are in profound crisis and may find it difficult to speak about these quintessentially feminine events in the presence of men.     

青少年抑郁情绪的行为遗传学研究

本研究意在探讨青少年抑郁情绪遗传率的性别和年龄差异及遗传和环境对抑郁情绪跨时间连续性的影响。508对同卵双生子, 176对同性别异卵双生子参加了两轮追踪研究, 时间间隔约为一年半(1.37±0.44)。第一轮测量双生子的年龄范围为10~18岁, 平均年龄为13.69±2.04岁, 男生比例为46.2%。采用儿童抑郁量表(CDI)对青少年的抑郁情绪进行多报告者评定。结果发现, 青少年抑郁情绪的遗传解释率不存在性别差异, 处于青春早期青少年的遗传解释率高于青春中期的青少年。遗传是影响青春早期青少年抑郁情绪持续发生的主导因素, 而环境是影响青春中期青少年抑郁情绪持续发生的主要因素。