Eating disordered adolescent males

The purpose of this study was to describe a sample of 40 eating disordered adolescent males in order to complete a series of follow-up studies on adolescent females who were seen for evaluation and treatment at Boston Children's Hospital Outpatient Eating Disorders Clinic between 1981 and 1991. The sample was drawn from all males seen at the clinic (between 1981 and 1995) who were eligible for inclusion because of a diagnosis of anorexia nervosa, bulimia nervosa, or eating disorder-not otherwise specified. Data were collected via retrospective chart review and three self-administered quantitative scales. Although the response rate to the mailed follow-up questionnaires was low, comparisons with the three studies on females were consistent with those of other investigations, suggesting that the course and outcome of these illnesses are remarkably similar for males and females. The findings support the idea that clinicians, coaches, peers, and family members should encourage young men to share concerns about body image and weight at an earlier, less severe juncture, with assurance that these issues are common to both sexes.     

Testosterone and cortisol responses to competitive fighting in human males: A pilot study

Serum testosterone and cortisol levels were measured by radioimmunoassay in 14 young male judo competitors, in samples taken 10 minutes before and 45 minutes after two different procedures. The first involved physical exercise and the second competitive fighting. Both procedures were of 5 minutes duration and sessions took place at the same time (between 10:00 A.M. and 12:00 P.M. local time) but on different days. Comparing the two situations over all subjects revealed that testosterone increased after exercise and decreased slightly after Competition. Between subject comparisons suggested that contrary to previous claims, winning or losing did not significantly change the testosterone and cortisol levels. Comparisons of subjects who were members of the Regional Team with individuals who were not part of that group confirmed that members increased their testosterone levels after competition, whereas the nonmembers showed a significant decrease. Moreover, success of the individuals, in their sporting record, correlated positively and significantly with the changes of testosterone observed during the competition. These preliminary results suggest that previous personal experience of success can influence the pattern of the psychoendocrine response to a contest situation.     

Family transitions during the adolescent transition: implications for parenting

This study explored how family transitions affect parenting practices in a sample of 7,000 ethnically diverse students in 9th, 10th, or 11th grade over a period of 2 years. Adolescent perceptions of parental control and parental responsiveness were assessed in three groups: (1) adolescents moving into mother-custody households following a marital separation or divorce, (2) adolescents from stable never-divorced households, and (3) adolescents from stable mother-custody households. The study examined pre- and posttransition data to determine whether adolescents in newly formed single-parent families experienced a larger drop in parental control and responsiveness than did adolescents in stable nondivorced and stable mother-custody households. Adolescents from all family types reported significant declines in behavioral control, but not parental responsiveness. However, the lack of family-type differences contrasts sharply with findings from the childhood-divorce literature. Findings suggest that adolescent individuation may overshadow family-type differences during middle adolescence. As expected, boys reported lower parental control than did girls. Ethnic differences revealed that European American adolescents reported the highest levels of parental responsiveness, and African American adolescents reported the highest levels of parental control. Contextual and individual pathways in adolescence are discussed.     

Family therapy with problem drinkers and drug takers: A pilot follow-up study

We report a retrospective outcome study of 36 problem drinkers and/or drug takers, treated with structural-strategic family therapy. The interval between treatment and follow-up varied from six months to two years. Follow-up data was available on 34 cases. Twenty had a pure alcohol problem and of these 18 had a good outcome at follow up. Five had a mixed drug/alcohol problem; of these all were free from problem drinking and four had become abstinent from drugs at follow-up. Of the nine patients with a pure drug problems, eight were abstinent from drugs at follow-up. Given the retrospective nature of this study and the lack of control data, these results must remain impressionistic but the implications of the findings are discussed.     

The effects of value confrontation and reinforcement counseling on the career planning attitudes and behavior of adolescent males

An experiment was conducted to compare the relative effectiveness of a value confrontation procedure and a procedure based on verbal operant conditioning in enhancing career development attitudes and increasing the frequency of information-seeking behavior in rural adolescent males. Ninety subjects were identified as internally controlled or externally controlled based on their locus of control scores and then randomly assigned to one of the two experimental treatment groups or a control group. The value confrontation procedure involved developing an awareness of self-dissatisfaction about one's career planning and relating this self-dissatisfaction to the importance one gave to the values logical and responsible. These values had been identified empirically in this study as having a relationship to career planning. The reinforcement counseling treatment involved the interpretation of individual career maturity data followed by the verbal operant conditioning of responses indicative of career maturity. Post tests administered 7 weeks after the treatments showed that the value confrontation procedure resulted in significantly greater frequency of information seeking for internally controlled subjects when compared to the reinforcement counseling and control procedures. No treatment was significant in increasing the maturity level of career development attitudes.     

Social cognition and aggression in delinquent adolescent males

The relationship of aggression to several social cognitive variables in delinquent adolescent males was investigated. Subjects were fifty-eight institutionalized males identified by peers as high-aggressive or low-aggressive. Participants were administered measures of perspective taking, moral judgment, and person perception. The findings indicated that only perspective-taking ability was significantly related to aggressive behavior in delinquents. High-aggressive delinquents were less able to perceive others' viewpoints than were low-aggressive delinquents. These findings are consistent with previous research concerning perspective taking and aggression, but disconfirm research involving other social cognitive variables and aggression. Results further indicate the importance of studying social cognitive variables as they relate to relevant clinical behaviors.     

Intergenerational transmission of violent behavior in adolescent males

The purpose of this study was to examine the intergenerational influence of experiencing parental violence on the expression of violent behavior in adolescent males and to attempt to assess the importance of psychological mechanisms in this transmission. Sixty-five consecutive male admissions to a Young Offenders Unit and 25 male high school boys were administered the Minnesota Multiphasic Personality Inventory (MMPI), the Culture-Free-Self-Esteem Inventory, an intelligence test, and a violence questionnaire. Violent behavior in adolescence was found to be associated with experiencing paternal violence. This transmission was also found to be associated with higher levels of psychotic symptomatology. Violent behavior in adolescence was not found to be associated with maternal violence experienced or parental violence witnessed or with low self-esteem, externalizing defences, or internalizing defences. © 1992 Wiley-Liss, Inc.     

Attitudes toward male roles among adolescent males: A discriminant validity analysis

This study investigates the discriminant validity of a measure of attitudes toward male roles, i.e., beliefs about the importance of men adhering to cultural defined standards for masculinity. Using data from the 1988 National Survey of Adolescent Males, the Male Role Attitude Scale (MRAS) is evaluated in terms of (1) its independence from measures of attitudes toward female roles, and of attitudes toward gender roles and relationships, and (2) its differential correlates with and incremental ability to explain variance in criterion variables compared to measures of these two other gender-related attitudes. As predicted, the MRAS is unrelated to attitudes toward the female role, but is significantly associated with attitudes toward gender roles and relationships. As further predicted, the MRAS, but not attitudes toward women or attitudes toward gender roles and relationships, is associated with homophobic attitudes toward male homosexuality and with traditional male procreative attitudes. In addition, the MRAS explains significant incremental variance in these criterion measures when attitude toward female roles and attitude toward gender roles and relationships are controlled for. These results support the theoretical argument that attitudes toward male roles are conceptually distinct from the other gender-related attitudes examined here.This research was supported by grants from the National Institute of Child Health and Human Development and from the Office of Adolescent Pregnancy Programs. The authors wish to thank James Kershaw, Susan Wellington, and Elizabeth Crane for their assistance.     

Family factors related to adolescent autonomy

This paper analyzes the role that the family plays in the development of adolescent autonomy. Three family factors are analyzed in relation to the development of adolescent autonomy; parenting styles, family interaction, and transitions related to the family life cycle.     

Family risk factors and adolescent substance use: moderation effects for temperament dimensions

This research tested for moderation in the relation of family risk factors (parent-child conflict, family life events, and parental substance use) to adolescent substance use (tobacco, alcohol, and marijuana). A sample of 1,810 participants was surveyed at the mean age of 11.5 years and followed with 2 yearly assessments. Temperament dimensions were assessed with the Revised Dimensions of Temperament Survey and the Emotionality, Activity, and Sociability Inventory. Multiple-group latent growth analyses indicated moderation occurred through (a) alteration of effects of parental variables on the adolescent substance use intercept and on the peer substance use intercept and slope and (b) alteration of the effect of the peer substance use intercept on the adolescent substance use slope. The impact of parental risk factors was decreased among participants with higher task attentional orientation and positive emotionality (resilience effect) and was increased among participants with higher activity level and negative emotionality (vulnerability effect). Results from self-report data were corroborated by independent teacher reports.     

Self-concept and violent delinquency in urban African-American adolescent males

African-American adolescent males experience a disproportionate rate of victimization associated with and arrest for violent crime. This study examined the between self-concept and violent delinquency within a group of 155 urban African-American adolescent males. Walter Reckless's 1967 containment theory, which suggest that a positive self-concept will insulate a juvenile from delinquency and crime, served as the theoretical frame of reference. The participants included 155 African-American males aged 13 to 19 years who completed the Adolescent Life Survey, developed by the investigators, and the Tennessee Self-concept Scale. Quantitative measurments of self-concept and delinquency were obtained. In general, the findings did not support containment theory. However, the study does present new data regarding serious violent delinquency.     

Family functioning and the adolescent mother: a systems approach

This study examines unwanted adolescent pregnancy and early childbearing within the context of the family system. Fifty pregnant adolescents and their families were interviewed prenatally and again during the postpartum period. Utilizing the concepts of structural family theory and therapy as described by Minuchin, certain characteristics of family style and structure of organization were rated. These family variables were then related to aspects of the adolescent mother's adaptation postpartum. Boundaries, in terms of degree of intrusiveness and differentiation, were related to such variables as whether the adolescent is maintained in the household and to her continuing relationship with the baby's father. Similarly, the family's style of dealing with conflict was related to the relationship between the adolescent parents, among other outcome variables. Implications of the findings both for working with these families and for further research are discussed, and issues are raised about hypothesized relationships between independent and dependent variables which were not borne out.     

Family factors and adolescent substance use: models and mechanisms

This article considers the relation of family factors to adolescent substance use, with a focus on the specific pathways by which family factors have their effects. We review findings on four types of variables (family substance use, parental support and monitoring, parent-child conflict, and family life events) and discuss theoretical models of how family risk and protective factors are related to adolescents' outcomes. The evidence favors a transactional model in which family factors have largely mediated effects on adolescent substance use through relations to adolescents' self-control, life events, and peer affiliations; interactions between variables are also prominent. We discuss the implications of mediated effects for theoretical models of human development and consider how the transactional approach opens avenues for preventive intervention.     

Family therapy with adolescent offenders: A collaborative treatment strategy

Abstract

An intervention strategy is presented which can be used with families of adolescents who continue breaking the law despite improvement of family functioning during therapy. The strategy emphasizes collaboration between the therapist and juvenile justice system in stopping the child's law-breaking behavior in the shortest amount of time. The treatment strategy is suggested as a specific intervention to be used only when conventional family therapy strategies have failed to promote the cessation of the adolescent's law-breaking behavior. As such, it is suggested as a strategy to be used in conjunction with family therapy rather than as a comprehensive treatment approach in itself.     

Motor impairment and antisocial behavior in adolescent males at high risk for schizophrenia

A familial link between schizophrenia and antisocial behavior has been established (e.g., Silverton, 1985). This study examined this relationship in a Danish cohort. The subjects were 36 high-risk males (offspring of a schizzophrenic parent) and 36 low-risk males (offspring of parents without psychopathology). This high-risk subjects exhibited more antisocial behavior than the low-risk subjects. We tested the hypothesis of a correlation between neurointegrative deficits, as defined by motor impairment, and antisocial behavior, rated at ages 10–13, in subjects at genetic risk for schizophrenia. Path analyses were conducted from motor impairment at 1 year and motor impairment at 10–13 years to antisocial behavior separately for high-risk and low-risk subjects. Adolescent motor impairment was a significant predictor of antisocial behavior for high-risk subjects. Motor impairment at 1 year was also associated with antisocial behavior for these subjects, although the association was partly due to the indirect effects of motor impairment at 1 year on motor impairment at 10–13 years, which, in turn, was associated with changes in antisocial behavior. As predicted, none of the path coefficients nor the effect coefficient was significant for low-risk subjects.