Adolescence is a time when youth make decisions, both good and bad, that have consequences for the rest of their lives. Some of these decisions put them at risk of lifelong health problems, injury, or death. The Institute of Medicine held three public workshops between 2008 and 2009 to provide a venue for researchers, health care providers, and community leaders to discuss strategies to improve adolescent health.
This informative and useful volume provides a substantial contribution to the understanding of adolescent risk behavior. The book combines theoretical analysis and the findings of a broad-based research project, with accessible presentation throughout.
Adolescence is a developmental period of accelerating physical, psychological, social! cultural, and cognitive development, often characterized by confronting and surmounting a myriad of challenges and establishing a sense of self-identity and autonomy. It is also, unfortunately, a period fraught with many threats to the health and well-being of adoles cents and with substantial consequent impairment and disability. Many of the adverse health consequences experienced by adolescents are, to a large extent, the result of their risk behaviors. Many adolescents today, and perhaps an increasing number in the future, are at risk for death, disease, and other adverse health outcomes that are not primarily biomedical in origin. In general, there has been a marked change in the causes of morbidity and mortality among adolescents. Previously, infectious diseases accounted for a dispro portionate share of adolescent morbidity and mortality. At present, however, the over whelming toll of adolescent morbidity and mortality is the result of lifestyle practices.
This book is based on the idea that increasing juvenile risk behaviours – like substance abuse, nonsuicidal self-injury, and antisocial or suicidal behaviour – allow adolescents to fulfill developmental tasks like identity-formation and regulation of self-worth. Narcissistic self-exploitation, mobility tasks, flexibility and the challenges of new media exert social pressure on parental figures, distracting and putting strain on their mental resources, which in turn changes and even destroys the emotional dialogue with their offspring. If children themselves experience neglect and lack of emotional bonding - resulting in a lack of self-regulating capacities – risk behaviours are the consequence. The book combines different views in the psychological, social and metatheoretical domains. It consists of three parts: developmental problems of young people, diagnosis of risk behaviours in the nosological framework, and presentation of new morbidity with an increase in symptom prevalence. The book also discusses the threat of the acceleration of social processes and the risks of postmodern society.
Adolescents obviously do not always act in ways that serve their own best interests, even as defined by them. Sometimes their perception of their own risks, even of survival to adulthood, is larger than the reality; in other cases, they underestimate the risks of particular actions or behaviors. It is possible, indeed likely, that some adolescents engage in risky behaviors because of a perception of invulnerabilityâ€"the current conventional wisdom of adults' views of adolescent behavior. Others, however, take risks because they feel vulnerable to a point approaching hopelessness. In either case, these perceptions can prompt adolescents to make poor decisions that can put them at risk and leave them vulnerable to physical or psychological harm that may have a negative impact on their long-term health and viability. A small planning group was formed to develop a workshop on reconceptualizing adolescent risk and vulnerability. With funding from Carnegie Corporation of New York, the Workshop on Adolescent Risk and Vulnerability: Setting Priorities took place on March 13, 2001, in Washington, DC. The workshop's goal was to put into perspective the total burden of vulnerability that adolescents face, taking advantage of the growing societal concern for adolescents, the need to set priorities for meeting adolescents' needs, and the opportunity to apply decision-making perspectives to this critical area. This report summarizes the workshop.
The articles in this volume illustrate how development is propelled by the bidirectional relations that occur between the person and all levels of the context. The authors argue that adolescent life is embedded in a complicated developmental system involving multiple features of the individual (e.g., biology, emotions, personality, and cognition) and the multiple levels of his or her social ecology (e.g., peers, family, school, the workplace, and the public policy and legal systems that structure and impact behavioural opportunities for and the actions of adolescents). These articles have important implications for the design of interventions aimed at adolescent problem behaviours.
This report constitutes one of the first activities of the Forum on Adolescence, a cross-cutting activity of the Institute of Medicine and the National Research Council of the National Academies. Established under the auspices of the Board on Children, Youth, and Families, the forum's overaching mission is to synthesize, analyze, and evaluate scientific research on critical national issues that relate to youth and their families, as well as to disseminate research and its policy and programmatic implications. The goals of the forum are to: (1) review and establish the science base on adolescent health and development and make efforts to foster this development; (2) identify new directions and support for research in this area, approaching research as a resource to be developed cumulatively over time; (3) showcase new research, programs, and policies that have demonstrated promise in improving the health and well-being of adolescents; (4) convene and foster collaborations among individuals who represent diverse viewpoints and backgrounds, with a view to enhancing the quality of leadership in this area; and (5) disseminate research on adolescence and its policy implications to a wide array of audiences, from the scientific community to the lay public.
This book focuses on the crucial role that relationships play in the lives of teenagers. The authors particularly examine the ways that healthy relationships can help teens avoid such common risk behaviors as substance abuse, dating violence, sexual assault, and unsafe sexual practices. Addressing the current lack of effective prevention programs for teens, they present new strategies for encouraging healthy choices. The book first traces differences between the “rules of relating” for boys and girls and discusses typical and atypical patterns of experimentation in teens. The authors identify the common link among risk behaviors: the relationship connection. In the second part of the book, they examine the principles of successful programs used by schools and communities to cultivate healthy adolescent development. An illuminating conclusion describes the key ingredients for engaging adolescents, their parents, teachers, and communities in the effort to promote healthy, nonviolent relationships among teens.
Adolescents are more likely than any other age groups to engage in behaviors that contribute to injuries, violence, unintended pregnancies, sexually transmitted diseases, and reckless alcohol, tobacco, and drug use. At-risk adolescents may also exhibit signs of moodiness, aggression, and even self-injury, and these behaviors often cause parents, teachers, and clinicians to become extremely frustrated. Adolescents themselves may even believe that change is impossible. Drawing on proven-effective dialectical behavior therapy (DBT), Dialectical Behavior Therapy for At-Risk Adolescents is the first reader-friendly and easily accessible DBT book specifically targeted to mental health professionals treating adolescents who may be dangerous to themselves or others. If you work with adolescents who exhibit at-risk behavior, you know how important it is to take immediate action. However, you may also have trouble “breaking through” the barrier that these young people can build around themselves. This book can help. The DBT skills outlined in this book are evidence-based, and have been clinically proven to help build emotion regulation skills, which are useful for all age groups, though perhaps especially for the millions of at-risk adolescents experiencing depression, anxiety, anger, and the myriad behaviors that can result from these emotions. This book also includes practical handouts and exercises that can be used in individual therapy sessions, skills training groups, school settings, and when working with parents and caregivers. Adolescents stand at the precipice of the future, and the decisions they make now can have life-long impacts. By showing them how to manage their emotions and deal with the stresses that are common in day-to-day life, you are arming them with the tools they will need to succeed and thrive.
The Second Edition of the Handbook of Adolescent Behavioral Problems clarifies the current state of treatment and prevention through comprehensive examinations of mental disorders and dysfunctional behaviors as well as the varied forces affecting their development. New or revised chapters offer a basic framework for approaching mental health concerns in youth and provide the latest information on how conditions (e.g., bipolar disorder, suicidality, and OCD) and behaviors (e.g., sex offenses, gang activities, dating violence, and self-harm) manifest in adolescents. Each chapter offers diagnostic guidance, up-to-date findings on prevalence, biological/genetic aspects, risk and resilience factors, and a practical review of prevention and treatment methods. Best-practice recommendations clearly differentiate among what works, what might work, what doesn't work, and what needs further research across modalities, including pharmacotherapy. Key topics addressed include: Families and adolescent development. Adolescent mental health and the DSM-5. Oppositional Defiant Disorder and Conduct Disorder. Autism spectrum disorder. Media and technology addiction. School failure versus school success. Bullying and cyberbullying. The Second Edition of the Handbook of Adolescent Behavior Problems is a must-have reference for researchers, clinicians, allied practitioners and professionals, and graduate students in school and clinical child psychology, education, pediatrics, psychiatry, social work, school counseling, and public health.
