Changes of adolescence A development bridge Adolescence can be seen as the ‘developmental bridge’ from childhood to adulthood, the move from dependency to autonomy, from shared family bonds to shared bonds with close friends and intimate partners. As important social relations broaden to peers, school and work colleagues, romantic partners, family bonds need to be balanced and reorganised to accommodate these new relationships. The physical, cognitive and emotional changes of adolescence enable young people to achieve this ‘development task’ and make the transition to adulthood. However, the intensity of the changes can, and often does, have a major impact on the young person, their family relationships and parents. The changes of adolescence Growth The onset of puberty typically begins with a marked growth spurt starting between the ages of nine and ten and continuing through puberty – at its peak, boys can grow by 10cm a year and girls by 9cm a year. Hands and feet grow before the trunk, often resulting in the clumsiness associated with adolescence. This period of rapid growth may result in changes in both appetite and sleeping habits. Sleep is an important requirement for growth and adolescents need more sleep through puberty than in childhood, 9.25 hours for optimal functioning. Changes in the biological clock, connected with altered timing of melatonin release, also mean that teenagers often naturally go to sleep later at night and wake up later in the morning. SP88/0410 Brain development Recent discoveries in neuroscience suggest that the adolescent brain goes through a period of major physical reorganisation and that adolescence may be a second ‘critical period’ in human development, similar in magnitude to infancy. The connections between brain nerve cells are known as neuronal pathways or synapses. At around the age of 12, the brain enters a period of ‘synaptic pruning’ whereby the most frequently used neuronal pathways become strengthened and the less frequently used connections die off. This process ensures that the most important connections remain nourished, thus creating an adult brain that has fewer, but stronger and more selective, neuronal connections than in childhood. As in infancy, this process of synaptic pruning is also experience dependent; nurture and environment, as well as hormonal and chemical changes, influence brain development and maturation. This synaptic activity reduces the adolescent brain’s efficiency in processing information and controlling impulses. Recent advances in neuro-imaging also show that brain reorganisation takes place in two stages: firstly in the limbic system, associated with emotion; and secondly in the prefrontal cortex, which is responsible for the ability to control impulses and underpins judgement and good decision making. The different rate of change creates periods when the adolescent brain becomes ‘out of sync’ with itself. The changes in the limbic system, leading to an increase in emotionality, occur at a time when the prefrontal cortex is least able to balance emotion with calm judgement, resulting in the mood swings typical of early and mid-adolescence and in increased willingness to engage in risk taking behaviour. Vulnerability to risk taking behaviour begins in early adolescence, peaks around the age of 15 and then slowly decreases as the teenager matures. To complicate matters further, the brain undergoes shifts in levels of key neurotransmitters (the chemicals that support synaptic activity between brain cells), particularly serotonin and dopamine. Serotonin is responsible for inhibiting behaviour and levels appear to drop temporarily during mid-adolescence. At the same time, the brain appears to crave higher levels of dopamine that are produced during the elevated arousal states related to thrillseeking and substance abuse. Most teenagers survive this period of confusion and develop into adults with brains that can make well-informed decisions, retrieve important information, plan future activities and control strong emotions. However, there is growing evidence to suggest that disruptions in adolescent neurodevelopment contribute to the onset of several serious psychiatric disorders. For example, some researchers theorise that the adolescent onset of schizophrenia is caused by congenitally related malfunctions that occur during the synaptic pruning process. It appears that many of the difficulties associated with the teenage years are related to biochemical and structural changes in the brain. However, this brain reorganisation is also experience dependent; new connections are made, whilst other synapses are pruned, in response to the teenager’s experiences. This underscores the importance of ‘nurture’ in determining adolescent outcomes. For example, some scientists now believe that ongoing verbal and physical abuse during 2 adolescence may reinforce the development of less productive neuronal pathways that interfere with emotional regulation in early adulthood. These facts have widespread implications for educational and social policies, as well as for parenting. Authoritative parenting that combines warmth and respect with clear expectations of responsible behaviour is likely to strengthen the connections in the adolescent brain that enable empathy and self-control. Sexual maturation One of the most obvious transitions of adolescence is the change from child to sexually mature adult. Physical and sexual changes usually start at about the age of ten and proceed at a rapid pace until sexual maturity. The early signs of onset of puberty are: • Girls: o development of breasts (typically occurring at age 10.5 years) o onset of menstrual period (typically between 12 and 13 years) • Boys: o descending of testicles (between 11 and 12 years) o first sperm release (usually between 13 and 14 years). The rate and timing of sexual maturity often has significant developmental consequences. 11 to 13 year old boys have 800% more testosterone than a toddler. In some boys the excess testosterone of the early teenage years can convert to oestrogen leading to breast swelling. This is a normal and temporary process, although it can lead to anxiety if boys are unaware of the cause. Children whose sexual maturation occurs at the same time as their peers are likely to continue to develop competently and confidently. However, the early onset of puberty is associated with adverse outcomes for both sexes. Early maturing girls are significantly more likely to suffer from depression or develop eating disorders, whereas early and late maturing boys are more likely to abuse alcohol and/or struggle academically. The late onset of puberty in girls appears to play a protective function, however, as it has been positively linked to higher academic achievement in girls. Sexual maturation activates an interest in sex and romantic relationships; these may be linked to certain risks, such as sexually transmitted infections and teenage pregnancies. Early romantic involvement also appears to trigger moodswings and may lead to depression and low self-esteem. However, research also suggests that adolescent romances, in common with adult relationships can constitute important protective factors in terms of resilience and wellbeing, providing healthy opportunities for some young people to gain additional emotional support. Intellectual development While the dramatic shift in adolescent thought originally documented by Piaget has been challenged by many, there is no question that teenagers think differently from both children and adults. 3 They develop the ability to form hypotheses and test thoughts through deductive and inductive reasoning. This kind of thinking is qualitatively different from younger children and enables young people to regulate their own thought processes. During this time of development, many young people demonstrate amazing sophistication in their ability to grasp complex concepts and reinvent them in creative and innovative ways. This is due to improvements in the ‘executive functions’ that include a better active working memory, more efficient information processing skills and greater self-inhibition. Adolescents are also able to think more flexibly and utilise more sophisticated problem solving strategies than younger children. Adolescents’ newly found cognitive skills allow them to engage in ‘higher order’ thought processes, such as critical analysis, logical reasoning and metacognition - the ability to think about one’s own thinking. As teenagers mature, they become less egocentric and better able to appreciate the perspectives of others. However, these higher levels of rational thought are not achieved by everyone; many individuals have difficulty understanding evidence that conflicts with their own personal beliefs. In fact, many adults (of all ages) cease to show any development in higher order thinking processes beyond the levels typically achieved by 12 year olds. It would be easy to conclude that some young people are simply ‘smarter’ than others. On the other hand, thinking skills may well develop in response to use, since experience ultimately determines which neuronal connections become stronger and which eventually die off. For example, logical/rational thought processes are routinely reinforced in maths and the sciences, whilst critical analysis and abstract thinking may be strengthened in the study of humanities. In this respect, adolescence becomes a period of specialisation, where what you do directly affects what you know and how you think about it. In this respect, positive intellectual development is directly related to high quality learning experiences. It is likely that optimal levels of cognitive stimulation during adolescence contribute to improved intellectual functioning in adulthood in the same way that appropriate levels of stimulation during infancy determine improved developmental outcomes in childhood. Conversely, a lack of appropriate stimulation (or too much inappropriate stimulation) in adolescence may reverse or impede otherwise positive childhood trajectories. Indeed, evidence suggests that experiences in later childhood and adolescence are at least as influential in determining adult outcomes as they are in infancy. Psychosocial development The reorganisation of thought in an adolescent’s brain development often results in questioning – family, culture, society and ultimately themselves. Many adolescents experience a ‘loss of innocence’ as their maturing intellect forces them to confront the uncertainties of life and their own vulnerability. They may also go through an identity crisis as they ‘try on’ a variety of roles and ideas as a way of understanding who they are and how they best fit into society. In fact, teenagers may need to go through a period of rebellion and experimentation to develop a strong sense of self and a high degree of emotional autonomy. 4 In a recent reworking of Erikson and Marcia’s ideas, Nurmi (2004) suggests that adolescents need to learn how they fit into society on two levels: in terms of production and reproduction: Production involves learning how to contribute to society as an economically independent individual. Teenagers need to assess their strengths, so they can make decisions about education and careers. Reproduction involves becoming able to produce and raise children. Individuals must form romantic relationships and remain in them, as well as engage in the activities required for maintaining a family and caring for children. The ways in which adolescents meet these two general challenges defines the individuation process (ie the emotional and economic separation from the childhood family) and lays the foundation for adulthood and the formation of a stable identity. According to Nurmi, four sequential processes are involved in adolescent psychosocial development: channeling, selection, adjustment and reflection: Channeling describes the socio-cultural environments that define the range of educational and relationship opportunities that adolescents have to choose from that, in effect, channel adolescents’ developmental trajectories. These environments consist of the social expectations held by parents, teachers and peers who, in turn, set standards for behaviour and determine the options adolescents have to choose from. Within this pre-defined (or channelled) set of opportunities, adolescents then make decisions or: Selections regarding their future life goals. Selections are informed by personal motives and interests that determine the choices adolescents make regarding their education, peer group and leisure time. Teenagers achieve specific outcomes that are accompanied by feedback from parents, teachers and friends. This feedback is then used to make: Adjustments to behaviour and goals, as adolescents continue to engage in educational and personal activities. At various points during this process, adolescents make use of their newly found meta-cognitive skills to: Reflect on their characteristics, achievements and social position. These reflections then inform the teenager’s evolving self-concept or identity. It is clear that parents play a critical role in each one of these processes: Parents lay the foundation for the channelling process through their beliefs and values, as well as the educational opportunities they provide for their teenagers. For example, mothers’ beliefs regarding traditional sex roles are significantly related to their daughters’ educational choices and their career goals. Parents are instrumental during the selection process, particularly when it comes to their teenagers’ goal setting, which in turn, determines how they spend their time and who they spend their time with. Parents also inform the strategies teenagers use to pursue these goals. Parents who adopted a flexible approach to problem solving and consistently provide positive emotional support were significantly more likely to have teenagers who could flexibly solve problems and engage in effective planning. 5 Through feedback, parents also play a critical role in helping their teenagers adjust their attitudes and reformulate strategies, especially when it comes to coping with failure. For example, authoritative parenting is associated with a problem-focussed approach to dealing with failure, whereas more negative parental styles are linked with emotion-based forms of coping. Parents also influence their teenager’s causal attributions regarding success and failure High levels of achievement are related to adolescents’ ability to attribute success to their own efforts rather than external factors. The ability to take credit for one’s successes has its roots in a positive attachment history, as well as parents who adopt an authoritative approach to caregiving. Parents’ attitudes are key to reflection and identity formation. Adolescents’ beliefs about themselves are linked to their perceptions of their parents’ attitudes towards them. For example, teenagers’ self-concepts are more likely to be based on their parents’ attitudes towards them than on their actual school grades. Peer influence Although parents remain highly influential throughout their children’s lives, the role of peers and the peer group becomes increasingly significant during early adolescence and remains so throughout the teenage years. Within their peer group, teenagers seek emotional support and learn how to develop and maintain relationships as well as experiment with different personas. The importance of the peer group appears to peak at the age of 15 and then gradually diminishes. In addition, peer influence is consistently stronger amongst boys than it is girls. Research suggests that peers are highly influential in terms of teenagers’ decisions regarding risk taking behaviour, misconduct, drug abuse, sexual activity and gender identification. Peer approval may be a natural part of the individualisation process, as peers also provide valuable feedback which adolescents use to inform their developing self-concepts. The need for peer approval may well create tensions at home, however, as the values of the peer group may be different to parents’ values. The desire to ‘fit in’ also causes many teenagers to become hypersensitive to the opinions of others and in some cases, extremely self-conscious. While self-consciousness is common amongst both sexes, girls tend to rate themselves as more self-conscious than boys, most likely because of a greater concern for interpersonal relationships. Whilst this self-consciousness diminishes, for some young adults it may be enduring. Despite this heightened reliance on peers for external validation, the power of the peer group may not be as strong as some parents fear. Teenagers rarely use overt pressure to force each other to engage in specific kinds of behaviours. Drug, tobacco and alcohol use is more strongly predicted by the presence of peers and family members who model these behaviours, rather than by any direct ‘pressure’ peers might use with each other. Peers also influence each other through conversations that include gossip and teasing. These conversations often reinforce the normative expectations of the group, but rarely 6 contain any overt pressure for compliance. For example, Paxton et al (1999) found that friendship cliques reinforced eating and dieting habits – not through direct pressure, but through conversations regarding other people’s weight and comparisons of body shapes. While these conversations predicted group members’ preoccupation with body image and extreme weight loss behaviour, the authors noted that there appeared to be a certain degree of self-selection amongst the teenage girls participating in these groups, suggesting that they were likely formed by individuals who already shared similar values regarding body image and appearance. It therefore appears that adolescents actively seek out peers who share similar values to their own, but it is also likely that parents play a critical role in this process (Malmberg, 1996; Ryan, 2001). Brown and his colleagues (1993) have identified a pattern of parenting practices that suggests that while parents rarely choose their teenagers’ friends, parental values and practices (especially those that encourage academic achievement and joint parent-child decision making) indirectly determine their adolescents’ choice of peer group or ‘crowd.’ Once these peer groups are established, parental values receive further reinforcement through the activities of the group. What teenagers need The extent to which teenagers avoid the risks associated with adolescence and develop emotionally, socially and intellectually is largely influenced by environmental factors that include the quality of their home life and their relationship with their parents. A recent literature review by the Policy Research Bureau (Research Report RR830, Asmussen et al) highlighted that: While peers are more influential during adolescence than they are during any other point in child development, they are still not nearly as influential as parents are. In fact, parenting processes moderate the effects peers have on their teenage children. Experiences in adolescence are at least as influential in determining adult outcomes as they are in infancy. High quality educational and homelife experiences are key in determining positive adolescent outcomes. Attachment and adolescence Attachment security in adolescence (Ainsworth, 1990; Kobak et al, 1991) is dependent on: 1. Primary caregivers being available for open communication. 2. Primary caregivers being accessible. 3. Primary caregivers providing protection and help if needed. Whilst attachment in the early years is dependent on physical interactions with parents and caregivers, in adolescence conversation becomes the vehicle through which attachment security (or lack of it) is negotiated. 7 Parenting style Adolescents benefit from a set of parental practices that include both an authoritative style of parenting and consistent age-appropriate supervision. Parental practices that are either highly punitive or extremely lax are likely to put teenagers at risk, both developmentally and in terms of behaviour. Young people need what they have always needed from their parents: love, support, encouragement, nurture, acceptance and attention. Parents can provide this by: . thinking about what things are like from their teenager’s point of view . taking action on their behalf, when asked . providing a positive role model and not operating double standards, ie behaving one way and expecting teenagers to behave differently . listening without judgement or criticism and treating them with respect . noticing their positive qualities and telling them . encouraging them to join in family activities (without pressurising) . encouraging contact with other wise adults, eg family friend, older sibling, aunt or uncle, grandparent . encouraging and accepting self expression, eg listening to/playing music, drama, art, physical outlets . letting them know about other people’s needs and how to get along together. Age-appropriate and respectful use of parental authority is also key to positive outcomes during the teenage years. Whilst a key element of the parenting task during adolescence is allowing and supporting the young person to take on a greater degree of independence, this needs to happen within a framework that provides adequate levels of supervision and guidance. Parents can provide this framework by: . being aware of what their teenagers are doing, where they are and who they are with . chatting and showing an interest in their teenager’s life: as well as showing teenagers that their parents care, this keeps communication channels open and makes it easier to resolve conflict when it arises . negotiating agreements and boundaries . reviewing boundaries in accordance with their teenager’s age . communicating clear values and expectations about responsible behaviour . communicating positive but realistic expectations about achievement in and out of school . accepting that teenagers will make mistakes and helping them learn from their mistakes without unduly criticising them . being willing to step in and provide a ‘safety net’ when teenagers get out of their depth . accepting that teenagers are very likely to experiment with drugs, alcohol and sex and talking to them about how to reduce the risks and stay safe . seeing the bigger picture: recognising that young people need appropriate boundaries, even though they may fight against them 8 . separating the behaviour from the teenager and holding faith in their teenager’s positive qualities, whilst limiting behaviour. Supporting parents of teenagers The teenage years are often a challenging time for parents, as they cope with new issues and changes. Even parents who have felt effective and confident when their children were younger may feel out of their depth as they struggle to keep up with a rapidly changing reality and its impact on family life. For parents who have already experienced difficulties in the parenting role or who are experiencing other stresses in their life, adolescence can precipitate a crisis. The Policy Research Bureau report highlighted the following key messages for service providers and practitioners: . Universal services are needed to improve parents’ awareness of adolescent development and the needs of teenagers. . Parents need and want to be able to access information about adolescence, including brain development, and how they can best fulfil the important role they play in their teenagers’ lives. Organisations such as Parentline Plus are particularly well suited to provide all parents with general guidance and advice on the needs of adolescents through their website, helpline and information materials. . . Preventative support should be universally available at community level . Parents want universally offered preventative support, in the form of parenting groups, especially during the transition to secondary school. Such support should offer a mixture of advice, as well as provide parents with the opportunity to share their own experiences. . Targeted support needs to be sufficiently resourced so that it can flexibly address the needs of families with teenagers confronting very serious problems. . . Different parents have different needs: a wide range of services needs to be available to families with teenagers of all ages. . Parents benefit from a mixture of support, that includes: o advice and information about adolescent development, including brain development, and parenting strategies o knowledge and understanding to build their confidence as a parent o validation and the opportunity to share their concerns o support to address issues and learn new skills. . Parents will not use services that they perceive as judgemental or stigmatising: services should adopt a strength based approach, rather than highlight inadequacies. . Services need to be accessible and friendly, provided in a way that is convenient, preferably in the local community and at a time that is convenient for both working and nonworking parents. In addition, parents are more likely to value support from non- 9 judgemental professionals who have an established history of working with teenagers and their families. Resources to support work with teenagers www.gotateenager.org.uk Parentline Plus website to support parents of teenagers, including: . Information about teenagers and parenting . Message boards for parents . Question and answer section . Interactive e-learning modules that parents can undertake alone or with support to help them understand the changes of adolescence and how they can provide effective parenting support . Information about other Parentline Plus services such as the freephone helpline, email support and parenting groups www.studyofadolescence.org.uk Young People in Focus website (formerly Trust for the Study of Adolescence or TSA) which provides information and resources to helps individuals and organisations working with young people and families to provide better services. Adapted from Supporting Parents of Teenagers, Asmussen, Corlyon, Harauri, La Placa. Policy Research Bureau, 2007. 10