Chat with us, powered by LiveChat Discuss why it is important to understand physical development and brain functioning when working as an adolescent mental health therapist??Unit3Chapter6and7and8.docx | EssayAbode

Discuss why it is important to understand physical development and brain functioning when working as an adolescent mental health therapist??Unit3Chapter6and7and8.docx

 Discuss why it is important to understand physical development and brain functioning when working as an adolescent mental health therapist? 

Unit 3: Articles, Websites, and Videos:

The brain of an adolescent is not done developing. In fact, some research says our brains continue to develop until we are 25 years of age. This video helps us understand more about how adolescents respond to and get used to risks presented to them in their environment and how these processes change their ever-developing brains.

https://youtu.be/VLDwh4ivNf4

Adolescent suicide is real and present in almost all of our communities. Sadie Penn is a suicide survivor and now an advocate of suicide prevention. In this video, she provides us in her personal story and pointed views on the prevalence of suicide with a focus on how all of us must get involved and assist those around us.

https://youtu.be/sRo5Db_7yVI

Children need strong and consistent attachments in order to thrive and reach their full potential. Yet, they are exposed to many different types, both positive and negative, throughout their lives. In this video, various types of attachments in children are explored with the connection being made as to how each will impact their ability to establish relationships later in life.

https://youtu.be/WjOowWxOXCg

Biological Development in Adolescence: Chapter: 6

Chapter Introduction

Biological Development in Adolescence

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Learning Objectives

This chapter will help prepare students to

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EP 6a

EP 7b

EP 8b

· LO 1 Define adolescence

· LO 2 Describe major physical changes during adolescence (including puberty, the growth spurt, the secular trend, and primary and secondary sex characteristics)

· LO 3 Explain psychological reactions to physical changes

· LO 4 Describe sexual activity in adolescence

· LO 5 Assess sex education and empowerment

· LO 6 Identify sexually transmitted diseases

· LO 7 Explain major methods of contraception

Roger sat in study hall gazing out the window. He had an intense, pained expression on his face. Roger was 15 years old, and not one thing was going right for him. His arms were too long for the rest of his body. He felt like he couldn’t walk from the desk to the door without tripping at least once. Homecoming was coming up soon, and his face suddenly looked like a pepperoni pizza. Amanda, the light of his life, wouldn’t even acknowledge his existence. To top it all off, even if he managed to get Amanda to go to homecoming with him, he’d still either have to scrounge up another older couple to drive or else have his father drive them to the dance. How humiliating. Roger continued to gaze out the study hall window. The primary theme in his thoughts was, Life is hard.

Change and adjustment characterize adolescence. Roger is not unique. Like other people his age, he is trying to cope with drastic physical changes, increasing sexual awareness, desires to fit in with the peer group, and the desperate need to develop a personal identity.

We have established that the attainment of developmental milestones is directly related to human behavior. We have also established that within any individual, the biological, psychological, and social aspects of development mutually affect each other. Together, they interact and significantly impact growth, change, and ultimately, well-being.

Biological development and maturation affect both how adolescents perceive themselves and how they behave. Rapid and uneven physical growth may cause awkwardness, which may result in feeling self-conscious and consequently uncomfortable in social interactions. For example, some psychological and behavioral differences exist between males who develop earlier or later and those who develop at an average rate.

Biological development often affects the transactions between individuals and their immediate social environments. For instance, when adolescents begin to attain physical and sexual maturity, sexual relationships may begin to develop. Likewise, new and different alternatives become available to adolescents and young adults as they mature. For example, alternatives concerning sexuality may range from no sexual activity to avid and frequent sexual relations. These new alternatives merit evaluation in terms of their positive and negative consequences. Decisions need to be made about such critical issues as whether to have sexual relations and which, if any, methods of contraception to use.

A Perspective

Chapters 67, and  8 address, respectively, the biological, psychological, and social-environmental aspects of adolescence. The goal is to provide a framework for a better understanding of this difficult yet exciting time of life.

6-1Define Adolescence

LO 1

Adolescence is the transitional period between childhood and adulthood during which young people mature physically and sexually. The word is derived from the Latin verb adolescere, which means “to grow into maturity.”

There is no precise time when adolescence begins or ends, although it usually extends from about age 11 or 12 to the late teens or early 20s. Adolescence should be differentiated from puberty, which is more specific. Adolescence might be considered a cultural concept that refers to a general time during life.  Puberty, on the other hand, is a physical concept that refers to the specific time during which people mature sexually and become capable of reproduction. The word  puberty is derived from a Latin word meaning “to grow hairy” (Nairne, 2014, p. 97).

Some societies have specific rites of passage or events to mark the transition from childhood into adulthood. For example, among the Mangaia of the South Pacific (Hyde & DeLamater, 2017 Marshall, 1980), when a boy reached the age of 12 or 13 years, he participated in a ceremony where a superincision was made on his penis. The cut was made along the entire length of the top of the penis. After the completion of this extremely painful ceremony, the boy ran out into the ocean or a stream to ease the pain. He then typically exclaimed, “Now I am really a man.”

Our society has no such distinct entry point into adulthood. Although we might breathe a sigh of relief at not having such a painful custom, we’re still left with the problem of the vague transitional period we call adolescence. There are no clear-cut guidelines for how adolescents are supposed to behave. On the one hand, they are children, but on the other hand, they are adults.

Some occurrences tend to contribute to becoming an adult. These include getting a driver’s license, graduating from high school, graduating from college, and perhaps getting married. However, not all individuals do these things. Some young people drop out of high school, and many high school graduates don’t go on to college. Substantial numbers of young people choose not to marry or to marry much later in life. Even people who do go through these rites do so with varying levels of maturity and ability to handle responsibility. At any rate, becoming an adult still remains a confusing concept.

The gradual, but major, physical changes do not help to clarify the issue. Adolescents must strive to cope with drastic changes in size and form, in addition to waves of new hormones sweeping through their bodies. Resulting emotions are often unexpected and difficult to control. This time can be very difficult for an adolescent struggling with their gender identity. Within this perspective of change and adjustment, we will look more closely at specific physical changes and at the effects of these changes on the developing personality.

6-2Describe Major Physical Changes during Adolescence

LO 2

A range of physical changes occur during adolescence. These include puberty, a growth spurt, results of the secular trend, and the development of primary and secondary sex characteristics.

6-2aPuberty

Puberty is marked by the sudden enlargement of the reproductive organs and sexual genitalia, and the development of secondary sex characteristics (features that distinguish the genders but are not directly involved in reproduction). Most girls begin puberty around 8 to 12 years of age, while boys are 2 years later (Hyde & DeLamater, 2017). Girls tend to attain their full height by about age 16, whereas boys may continue to grow until age 18 to 20 (Sigelman & Rider, 2012).

The two-year age difference in beginning puberty causes more than its share of problems for adolescents. Girls tend to become interested in boys before boys begin noticing girls. One dating option for girls involves older boys of the middle or late teens. This can serve to substantially raise parental anxiety. An option for boys is to date girls who tower over them.

There is a wide age span for both boys and girls when puberty begins. Although in general, there is a two-year difference, substantial individual differences also must be taken into account. In other words, one boy may begin puberty four years earlier than another.

What causes the abrupt and extraordinary changes brought on by puberty? Acting as a catalyst for all of these changes is an increase in the production of hormones.  Hormones are chemical substances secreted by the endocrine glands. Among other things, they stimulate growth of sexual organs and characteristics. Each hormone targets specific areas and stimulates growth. For example, testosterone directly affects growth of the penis, facial hair, areas in the brain, and even cartilage in the shoulder joints. In women, the uterus and vagina respond to the female hormones of estrogen and progesterone. For transgender adolescents, puberty may be the time they start to consider reassignment surgery. This is a difficult decision for both transgender adolescents and their families. They must weigh the pros and cons of any operation (which in the case of fully transitioning may involve multiple operations) and attempt to determine the best time for surgery (before or after puberty). Social workers need to work closely with the adolescents, their parents, and medical professionals to determine the best course of action.

6-2bThe Growth Spurt

The initial entrance into puberty is typically characterized by a sharp increase in height. During this spurt, boys and girls may grow between 2 and 5 inches. Before the growth spurt, boys tend to be 2 percent taller than girls. However, because girls start the spurt earlier, they tend to be taller, to weigh more, and to be stronger than boys during ages 11 to 13. By the time both sexes have completed the spurt, boys once again are usually larger than girls.

The adolescent growth spurt affects virtually the entire body, including most aspects of the skeletal and muscular structure. However, boys and girls grow differently during this period. Boys’ shoulders get relatively wider, and their legs and forearms relatively longer, than those of girls. Girls, on the other hand, grow wider in the pelvic area and hips. This is to enhance childbearing capability. Girls also tend to develop a layer of fat over the abdomen, hips, and buttocks during puberty. This eventually will give a young woman a more shapely, rounded physique. However, the initial chubby appearance can cause the adolescent a substantial amount of emotional stress. Crash and starvation diets can create a physical health hazard during this period.

Adolescents tend to have unequal and disproportionate growth. Most adolescents have some features that look disproportionate. The head, hands, and feet reach adult size and form first, followed by the legs and arms. Finally, the body’s trunk reaches its full size. A typical result of this unequal growth is motor awkwardness and clumsiness. Until the growth of bones and muscles stabilizes, and the brain adjusts to an essentially new body, awkward bursts of motion and misjudgments of muscular control will result.

6-2cThe Secular Trend

People generally grow taller and bigger than they did a century ago. They also reach sexual maturity and their adult height faster than in the past. This tendency toward increasing size and earlier achievement of sexual maturity is referred to as the  secular trend.

The trend apparently has occurred on a worldwide basis, especially in industrialized nations such as those of Western Europe and Japan. This suggests that an increased standard of living, along with better health care and nutrition, is related to the trend.

This secular trend seems to have reached its peak and stopped. A 14-year-old boy of today is approximately 5 inches taller than a boy of the same age in 1880.

6-2dPrimary and Secondary Sex Characteristics

A major manifestation of puberty is the development of primary and secondary sex characteristics.

Primary sex characteristics are those directly related to the sex organs and reproduction. The key is that they have a direct role in reproduction. For females, these include development of the uterus, vagina, and ovaries. The ovaries are the major sex glands in a female, which both manufacture sex hormones and produce eggs that are ready for fertilization.

For males, primary sex characteristics include growth of the penis and development of the prostate gland and the testes. The prostate gland, which is located below the bladder, is responsible for a significant portion of the ejaculate or whitish alkaline substance that makes up semen, which carries the sperm. The testes are the male sex glands that both manufacture sex hormones and produce sperm.

We have already defined  secondary sex characteristics to include those traits that distinguish the genders from each other but play no direct role in reproduction. These include menstruation, hair growth, development of breasts, growth of reproductive organs, voice changes, skin changes, and nocturnal emissions.

Proof of Puberty

One of the most notable indications that a female has achieved the climax of puberty is her first menstruation, also called  menarcheMenstruation is the monthly discharge of blood and tissue debris from the uterus when fertilization has not taken place.

Girls today are experiencing first menstruation at earlier ages than girls growing up three or four decades ago. The average age for first menstruation, menarche (pronounced “men-ar-key”) in the United States is now  years. That means that many girls have their first period before the end of seventh grade, and many begin as early as fourth or fifth grade. It also means that many girls will at least be in the eighth grade before their first period, and some may be seniors in high school before they get a period. All of these situations are normal. (Greenberg, Bruess, & Oswalt, 2014, p. 417)

Note that frequently young females begin to menstruate before they begin to ovulate, so they might not be capable of becoming pregnant for two or more years after menarche (Hyde & DeLamater, 2017) During puberty, females also experience an increased blood supply to the  clitoris (a small structure at the entrance to the vagina that’s highly sensitive to stimulation and gives sexual pleasure), a thickening of the vaginal walls, and significant growth of the uterus, which doubles in size from the beginning of puberty to age 18 (Hyde & DeLamater, 2017)

A wide variation in the age for first menstruation is found from one female to another. A Peruvian girl of age 5 is the youngest mother ever recorded to have a healthy baby. This occurred in 1939. The baby was born by cesarean section. At the time, physicians found that the mother was mature sexually, and that she apparently had begun menstruation at the age of 1 month. The youngest parents known are an 8-year-old mother and 9-year-old father. This Chinese couple had a son in 1910 (Hyde, 1982).  Spotlight 6.1 reviews some recent research on the differences in the age of menarche for various ethnic groups in the United States.

Spotlight on Diversity 6.1

Diversity and Menarche

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EP 3a

EP 3b

Some research has found differences in the age of menarche among white Americans, African Americans, and Hispanic Americans (Chumlea et al., 2003). The sample included 2,500 girls aged 8 to 20. African Americans began menstruating significantly earlier than the other two groups in the study. Hispanic girls also began menstruating earlier than white girls, but not as early as African American girls. Between ages  and 14, a total of 90 percent of girls in all three groups had begun menarche.

It is somewhat more difficult to establish that a boy has entered the full throes of puberty. In males, hormones cause the testes to increase in size and to begin producing sperm by age 14 on average (Rathus, Nevid, & Fichner-Rathus, 2014). Increased testosterone production also initiates a growth in penis size, first in thickness and then in length.

Hair Growth

Hair begins to grow in the pubic area during puberty. After a period of months and sometimes years, this hair changes in texture. It becomes curlier, coarser, and darker. About two years after the appearance of pubic hair, axillary hair begins to grow in the armpits. However, the growth of axillary hair varies so much from one person to another that in some people axillary hair appears before pubic hair. Boys’ facial hair also begins to grow on the upper lip and gradually spreads to the chin and cheeks. Chest hair appears relatively late in adolescence.

Development of Breasts

Breast development is usually one of the first signs of sexual maturity in girls. The nipples and areola, the darkened areas surrounding the nipples, enlarge. Breasts initially tend to be cone-shaped and eventually assume a more rounded appearance.

Some women in our culture tend to be preoccupied with breast size and feel that breasts come in one of two sizes—too small or too large. However, all breasts are functionally equipped with 15 to 20 clusters of mammary or milk-producing glands. Each gland has an individual opening to the nipple or tip of the breast into which the milk ducts open. The glands themselves are surrounded by various amounts of fatty and fibrous tissue. The nipples are also richly supplied with sensitive nerve endings, which are important in erotic stimulation. There is no indication that breast size is related to a woman’s ability to experience pleasurable sensation (Masters, Johnson, & Kolodny, 1995).

Some adolescent boys also undergo temporary breast development. Although this may cause them some anxiety concerning their masculinity, this enlargement is not abnormal. Hyde and DeLamater (2017) indicate that this occurs in approximately 80 percent of boys in puberty. The probable cause is small amounts of female sex hormones produced by the testes. The condition usually disappears within about a year.

Voice Changes

Boys undergo a noticeable lowering in the tone of their voices, usually fairly late in puberty. The process involves a significant enlargement of the larynx or Adam’s apple and a doubling in the length of the vocal cords. Many times it takes two years or more for boys to gain control over their new voices.

Girls also experience a slight voice change during adolescence, although it’s not nearly as extreme as the change undergone in boys. Girls’ voices achieve a less high-pitched, more mature tone due to a slight growth of the larynx.

Skin Changes

Adolescence brings about increased activity of the sebaceous glands, which manufacture oils for the skin. Skin pores also become coarser and increase in size during adolescence. The result is frequently a rapid production of blackheads and pimples, commonly referred to as acne, on the face and sometimes on the back. Unfortunately, a poor complexion is considered unappealing in many cultures (Hyde & DeLamater, 2014). Acne adds to the stress of adolescence. It tends to make young people feel even more self-conscious about their bodies and physical appearance.

Nocturnal Emissions

Approximately 90 percent of men and 40 percent of women experience nocturnal emission sometime in their lives (Yarber & Sayad, 2016). A  nocturnal emission, also referred to as a wet dream, is the ejaculation or emission of semen while a male is asleep. The highest frequency of approximately once a month tends to occur during the late teens. The number then tapers off during the 20s, and finally stops after age 30.

Nocturnal emissions are a natural means of relieving sexual tension. Often, but not always, they are accompanied by sexual dreams. It’s important that adolescents understand that this is a normal occurrence and that there’s nothing physically or mentally wrong with them.

Females also have orgasms during sleep (Yarber & Sayad, 2013). However, these apparently don’t occur as frequently or as early as males’ nocturnal emissions.

6-3Explain Psychological Reactions to Physical Changes

LO 3

One thing that marks adolescence is self-criticism. Physical imperfections are sought out, emphasized, and dwelled on. It may be a large lump on a nose. Or it may be an awesome derriere. Or it may even be a dreadful terror of braces locking unromantically during a goodnight kiss. Adolescents seek to conform to their peers. Any aspect that remains imperfect or too noticeable becomes the object of criticism. Perhaps it’s because the age is filled with change and mandatory adjustment to that change that adolescents strive to conform. Perhaps before an individual personality can develop, a person needs some predictability and security.

A substantial amount of research focuses on adolescents’ perceptions of themselves. Special areas of intense interest include body image, self-concept, weight level, weight worries, and eating disorders.

6-3aBody Image and Self-Concept

Perception of one’s body image and attractiveness is related to adolescents’ level of self-esteem, especially for girls (Bearman, Presnall, Martinez, & Vaughn, 2006; Moore & Rosenthal, 2006; Newman & Newman, 2015) People who consider themselves attractive tend to be more self-confident and satisfied with themselves.

Girls generally tend to be more critical of and dissatisfied with their physical appearance than are boys (Newman & Newman, 2015). This is especially true concerning weight. One national survey of adolescents explored their thoughts about weight control; 85 percent of respondents thought that girls emphasized weight control, but only 30 percent thought that boys did (Newman & Newman, 2009). This is probably due to the extreme importance placed on females’ appearance in this culture. For example, a girl might think, “My thighs are too fat, and my butt sticks out too much. I’d really like to fit into size 7 jeans, but can’t get under a size 9. Can girls my age have cellulite?”  Chapter 8 discusses eating disorders, which are problems directly related to weight control and self-perception.

Although before puberty levels of depression among girls and boys are similar, during adolescence girls are more likely to experience depression; this is true for white, African American, and Hispanic adolescents (Leadbeater, Kuperminc, Blatt, & Hertzog, 1999; Newman & Newman, 2015). This may be due to at least four factors (Newman & Newman, 2015). First, the estrogen cycle is linked to emotional variations and low self-esteem. Second, girls tend to criticize their appearance and weight when they reach puberty. This may set the stage for long-term displeasure with themselves, eventually resulting in depression. Third, girls tend to blame themselves for their problems and issues. They are more introspectively self-critical. Boys, on the other hand, tend to blame others and things outside of themselves as causes for their problems. Fourth, girls tend to be more perceptive of and upset by experiences their friends, family, and others are having. Such sensitivity and deep concern may lead to depression.

Ethical Questions 6.1

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EP 1

1. Is it right or fair to place so much importance on external physical appearance, especially when this emphasis concerns weight? Is it equitable that the burden of weight control rests more heavily on women than on men? How have these concerns about weight and physical appearance affected you and aspects of your own biological, psychological, and social development?

6-3bEarly and Late Maturation in Boys

Rathus (2014b) summarizes the research on early- and late-maturing boys:

Research findings about boys who mature early are mixed, but most of the evidence suggests that the effects of early maturation are generally positive (Teunissen et al., 2011). Late-maturing boys may feel conspicuous because they are among the last of their peers to lose their childhood appearance…

Early-maturing boys tend to be more popular than their late-maturing peers and more likely to be leaders in school (Graber et al., 2004; Windle et al., 2008). Early-maturing boys in general are also more poised, relaxed, and good-natured. Their edge in sports and the admiration of their peers heighten their sense of self-worth…

On the negative side, early maturation is associated with greater risks of aggression and delinquency (Lynn et al., 2007) as well as abuse of alcohol and other drugs (Costello et al., 2007; Engels, 2009). (p. 467)

What are the reasons for such negative effects of early maturation in boys? Possibly, early-maturing males may not yet have gained the emotional and intellectual maturity that ongoing development and simple life experience can provide them. Because such boys look older and more mature, other people might attribute to them greater decision-making skills, perceptiveness, and leadership ability than they actually possess (Ge, Conger, & Elder, 2001; Newman & Newman, 2015). They might be thrown into situations they can’t handle because they’re not yet ready. Because they look older, they might get involved with older peers and be exposed to situations they’re emotionally and intellectually unable to handle. They might be unprepared to make responsible decisions regarding involvement in antisocial behavior.

In comparison to early-maturing boys, prior studies viewed boys who matured late as feeling inferior because of their smaller size and younger appearance. This, in turn, led to lower levels of self-esteem and more adjustment problems (Sigelman & Rider, 2012). It is still thought that late-maturing boys perceive themselves more negatively and feel less popular than their early-maturing counterparts (Santrock, 2016). Late-maturing boys may be denied the respect and attention given to more mature-looking boys.

However, one earlier study found that when boys who matured late reached their 30s, they established a stronger and more robust sense of identity than did those in other maturation groups (Peskin, 1967). Perhaps, dealing with earlier stress made late maturers more resilient and, as a result, stronger. Possibly having more time to mature gave them more opportunities to focus on exploring educational and career options. Or maybe they tended to focus on achievement and personality development instead of relying on their advanced physical prowess. What comes to mind is a character in a movie who was an unpopular, “geeky nerd” in high school. However, at his 20-year high school reunion, he was admired by all because he had invented and patented a number of high-tech innovations, thus becoming a multimillionaire.

By adulthood, the differences between early and late maturers become much less clear (Kail & Cavanaugh, 2014; Santrock, 2012b). So many other elements are involved in a person’s development, including those that are cognitive and social, that it

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