Supporting generous purpose in adolescence: the roles of school climate and spirituality*

Evidence grows to support the role of purpose on the path to thriving during adolescence, but less is known about what may support purpose development during the adolescent period. The study described here drew from positive youth development (PYD) theory and utilised longitudinal survey data collected from 106 adolescents (M age = 14.15) to test the possible links among generous school climate, spirituality and generous purpose construal. Multivariate regression analyses revealed significant individual associations between generous purpose construal and both generosity among students and community-sensing spirituality. However, both generosity among students and community-sensing spirituality lost their significance as predictors of generous purpose construal when included in the same model. These results are interpreted in a PYD framework, pointing to the potential roles of peers and spirituality in the development of generous purpose, but also highlighting the complex issues at work when measuring correlated aspects of PYD.     

Mental health,self-esteem,and influences on sexual values and attitudes among black South African adolescent males

This study investigated the relationships between sexual values and attitudes, self-esteem, and mental health among black South African adolescents. Adolescent males (n = 522) aged between 13 and 21 years participated in the study. They completed the Mathteck Sexuality Questionnaire for Adolescents: Attitude and Value Inventory, the Rosenburg Self-esteem Scale, and the Mental Health Continuum. Structural Equation Modelling (Mplus 7.31) was computed to identify an explanatory model for sexual values and attitudes as correlated to self-esteem and mental health of black adolescent males. Results suggest the youth's self-esteem significantly mediate the relationship between mental health and sexual values and attitudes. Specifically, mental health had indirect effects on values about sexuality and on healthy attitudes towards aspects of intimacy, through the teenagers’ self-esteem.     

Opening address by the IPA president to the conference on Parent–Infant Disturbance,Paris, November 13–14, 2015

Abstract

In his opening video address, Dr. Stefano Bolognini elaborates on “the social function of psychoanalysis in the field of psychic suffering in childhood and in adolescence.”     

The natural course of anxiety symptoms in early adolescence: factors related to persistence

Background and objectives: Anxiety disorders are the most common mental health problems during childhood and adolescence. This study examined the course of anxiety symptoms in early adolescents from the general population over three phases.

Design: Prospective cohort study.

Methods: Two hundred and forty-two participants (mean-age of 13.52) from a baseline sample of 1514 (mean-age of 10.23) were followed up three times. Of the 1514 children, those with emotional risk and controls without risk constituted the second-phase sample (n?=?562; mean-age of 11.25). The Screen for Child Anxiety Related Emotional Disorders-SCARED was administered in all three phases.

Results: Fifty-six percent and 32% of respondents showed total scores above the SCARED cutoff point at one and three years follow-up, respectively. Eight percent showed fluctuating symptoms. Fifty-five percent of respondents showed high scores for any subtype of anxiety over three years. Social phobia and generalized anxiety symptoms were the most prevalent and persistent. Participants with persistent separation anxiety showed the highest co-occurrence with symptoms of other psychopathological disorders. Participants with persistent anxiety showed lower academic performance. Being male was a protective factor against persistence.

Conclusions: The data support anxiety maintenance during early adolescence. Early adolescence is a critical period which may involve other serious academic, social, and family problems.     

Referrers' Perceived Utility and Outcomes of Clinical Neuropsychological Assessment in an Adolescent and Young Adult Public Mental Health Service

Despite frequent informal or anecdotal acknowledgement of the usefulness of neuropsychological services within various settings, including mental health settings, few studies have formally investigated the satisfaction, perceived utility, or outcomes associated with such a service. This survey‐based study evaluated referring clinicians’ (n = 35) perceptions of the usefulness and outcomes associated with the provision of clinical neuropsychological assessment and feedback within an adolescent and young adult public mental health service in Melbourne, Australia. The results suggest that referrers perceive the neuropsychological service, including formal neuropsychological assessment report and verbal and written feedbacks, as a highly useful adjunct to their clinical practice. In addition, referrers frequently reported clinically meaningful outcomes in association with the neuropsychological service, including diagnostic changes or additions (11% of clients referred), changes to approaches in treatment (52% of clients referred), and increased or appropriate access to services, education, or work (33% of clients referred). Referrers also reported that almost 60% of neuropsychological assessment reports were forwarded to other services or clinicians involved in the client's care. The findings suggest that mental health settings are likely to benefit from routine inclusion of specialist neuropsychology services. However, future research should also examine client and family perceptions regarding the satisfaction and usefulness of neuropsychological services.     

Shyness as a moderator of the link between advanced maturity and early adolescent risk behavior

Advanced maturity in early adolescence has previously been linked with several risk behaviors. In this study, we examine whether shyness and gender might moderate this link. The participants were 750 early adolescents (M(age) = 13.73; 390 girls and 360 boys), followed for one year. We conducted analyses with shyness and gender as moderators of the links between advanced maturity and different types of risk behavior, and between one risk behavior and another. Despite differential patterns for boys and girls, the results suggest that being shy or not being shy modifies the links between advanced maturity and risk behavior primarily for boys. For boys, shyness reduces relationships between advanced maturity and risk behavior, whereas not being shy exacerbates the relationships between advanced maturity and high-risk behavior. Controlling for romantic involvement and peer victimization did not alter the moderating effects, thus failing to support the idea that the weaker links for shy youths were due to shy youths not being drawn into advanced peer groups by romantic partners or peers. Thus, shyness might serve as a buffer against risk behavior in early adolescence.     

‘Get me out of this dream!’: making a therapeutic alliance and working in the transference with a psychotic adolescent boy

This paper discusses the challenges of struggling to build and maintain a therapeutic alliance with a psychotic adolescent boy who did not share an allied perception of reality with his therapist, and who insisted that his therapist did not exist. The paper poses the question of whether, under such circumstances, it is ever appropriate or tolerable to make transference interpretations. Drawing on detailed clinical material, the author attempts to make sense of how it was possible to make some contact with his patient, given these technical difficulties.     

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.