Chapter 4 While growing Introduction Dear student friends, now you are learning in ninth standard and all of you fall in the age group of 10 to 19 years. This age group is called adolescence. All of you must be experiencing lot of changes in your body and mind. These changes may be very confusing for you and trying to adjust with them with the best of your ability. The horizon of your life, your thinking, emotions and experiences is widening and you may be struggling to cope up with these changes in your physical, psychological, emotional and social spears of life. In this chapter we will be discussing in detail about those changes and the ways to deal with them effectively which will help you to grow in to healthy, balanced and responsible adults and empower you to face the challenges of life ahead effectively Adolescence is often described as a phase of life that begins in biology and ends in society. Adolescence is a transitional stage of physical and mental human development generally occurring roughly between ages of 10 to 19 years of life. The end of teenage and the onset of puberty herald the beginning of adolescence and are characterized by turmoil of physical and psychological changes. This period is very confusing for the child. He is neither small for some jobs nor big enough for some other jobs. If the child demands to ride a scooter himself, he is told that he is too small for it. If the child wishes to sleep in mother’s lap, he is rebuked that he is too big for it. The child does not understand if he is small or big and gets confused about his or her role in family and society. Adolescence is marked as a period of growth spurt and maturation. The extent of physical growth is not only determined by genetic factors alone but also on availability of adequate nutrition, micronutrients in the diet and access to health services. Extra nutritional requirement include adequate intake of calcium, iron, iodine, minerals and proteins. Unmet nutritional needs lead to several health problems such as stunted and retarded growth , impaired mental development , anemia complications during pregnancy and low birth weight babies. Adolescents are poorly informed about physical health, their bodies and sexuality. The ignorance gets accentuated by lack of proper sex and health education. The reluctance among adults to impart relevant information due to embarrassment is a matter of concern. Children often get information about bodily changes from their friends which is usually wrong. Postponement of early marriage among adolescent girls and information on anatomy and physiology of reproduction and contraception are the urgent needs which can be fulfilled by teachers with whom students stay for a long period of day. 4.11 Physical changes during adolescence The main change during this period is the onset of puberty. It is characterized by rapid physical growth and the development of secondary sexual characteristics. Puberty usually starts at the ages of 10 or 11 in girls and at 12 or 13 for boys. The age of onset of puberty may vary from child to child and is influenced by heredity, diet and exercise. 1. Pituitary gland 2. Thyroid gland 3. Thymus 4. Adrenal glands 5. Pancreas 6. Ovaries 7. Testes Puberty begins with a surge in hormone production which in turn causes a number of physical changes. This is triggered by the pituitary gland which secrets a surge of hormonal agents into the blood stream, initiating a chain reaction. The male and female gonads are activated and start producing sex hormones in mass quantity. The testes in boys primarily release testosterone which is a male hormone and the ovaries in girls predominantly release estrogen, which is a female hormone. The production of these hormones increases gradually until sexual maturation is complete.( Some boys may develop a little enlarged breast due to imbalance of sex hormones or obesity.) In boys the voice breaks, becomes deeper and Adam’s apple becomes large. Growth of hair in armpit, body and pubic hair starts. Boys start having nocturnal ejaculations or wet dreams. Many boys develop “dhat syndrome”, which is a culturally acquired phenomenon. It is found in Indian subcontinent and is because of a belief that semen is a very vital fluid and its loss leads to weakness. These boys become very anxious, depressed and develop sleep problems and guilt feelings. They start loosing concentration in studies. The Facial hair starts growing in a specific order. The first facial hair to appear tends to grow at the corners of the upper lip typically between 14 to 16 years of age. It then spreads to form moustache over the entire upper lip. This is followed by the appearance of hair on the upper part of the cheek and the area under the lower lip, both the sides of face to form a full beard. The facial hair is often present in late adolescence around ages of 17 and 18 but may not appear until significantly later. Facial hair will continue to get coarser, darker and thicker for two to four years further. At about 10 years of age, girls show a dramatic growth spurt and increase in height and weight. Boys begin their growth spurt two years later. Boys grow most rapidly during the thirteenth year when they may grow as much as 4-6 inches in height. The body changes in almost every area. The nose and mouth widen, the nose becomes longer and more prominent, and the jaw puts out. The sweat glands, inoperative in childhood, become active leading to secretions that cause body odor. Skin complexion start changing and acne problems begin to appear. Sever acne problems may distort the self image and lower the self esteem. The major landmark of puberty in boys is the first ejaculation of semen which occurs on average at age of 13. Early maturing boys are usually taller and stronger than their friends. They have the advantage in becoming hand- picked for sports. Pubescent boys often tend to have a good body image, are more confident, secure and more independent. Late maturing boys can be less confident because of poor body image when comparing themselves to already developed friends and peers. However, early puberty is not always positive for boys; early sexual maturation in boys can be accompanied by increased aggressiveness due to the surge of hormones that affect them, because the fact that their cognitive and social development may lag behind their appearance. Early maturing boys are more likely to participate in risky behaviors. Boys usually complete puberty by ages 16-18. Any increase in height beyond the post pubertal age is uncommon. The muscles continue to get stronger naturally even after post pubertal age. ( In girls, puberty is heralded by the development of breast, more curved and prominent hips.) The major landmark of puberty in girls is menarche that is the onset of menstruation which occurs on average between ages of 12 and 13. The onset of menarche is influenced by heredity. Diet and life style may contribute as well. A girl must have certain proportion of body fat to attain menarche. Girls who have a high fat diet and who are not physically active begin menstruating earlier than girls whose diet contains less fat and whose activities involve fat reducing exercises like games and gymnastics. Girls who experience malnutrition or belong to societies in which children are expected to perform physical labor also begin menarche at later ages. By the age of seventeen they will be young men and women who may be bigger than their parents and. In spite of this, they often still need support from parents and teachers. Boys and girls and their parents may worry less if they remember that there is a lot of difference in the ages at which these changes occur. Growth and development use a lot of energy, and this may be why adolescents often seem to need so much sleep. Their getting- up late may be irritating. But it may well not be just laziness. 4.12 Psychological changes Along with growing taller, starting to shave or having periods, adolescents start to think and feel differently. They make close relationships outside the family, with friends of their age. Relationships within the family also change; Parents become less important in their children’s eyes as their life outside the family develops. Real disagreements emerge for the first time as young people develop views of their own that are often not shared by their parents and teachers. Adolescents spend a lot of time in each others company or on the telephone to each other. Although this can be irritating to parents, it is an important way of becoming more independent. These friendships are a part of learning how to get on with other people and gaining a sense of identity that is distinct from that of the family. Cloths and appearance are a way of expressing solidarity with friends, although adolescents are still more likely to get their values from the family. Parents often feel rejected, and in sense, they are. But this is often necessary for young people to develop their own identity. In spite of lots of arguments and differences children often think a lot about their parents, but this is very necessary if they have to become independent and have their life. Young people want to try out new things, but often recognize that they have little experience and fall back on parents and other adults when things get difficult. This may produce rapid changes in self-confidence and behavior- feeling very adult one minute, very young and inexperienced the next. Being upset, feeling ill or lacking confidence can feel them vulnerable. They may show this with sulky behavior rather than obvious distress. Parents and teachers have to be very flexible with all these changes and may feel under considerable strain themselves. Young people can crave excitement in a way that most adults find difficult to understand. Exciting activities may be dangerous. Fortunately most adolescents manage to find their excitement in music, sports or other activities that involve a lot of energy but little real physical risk. When they experiment with drink, drugs or smoking, it is usually with friends. If a young person does this alone, he or she may be in a greater danger. Although the most obvious changes of adolescence are physical, significant changes also take place in the way they think. With adolescence, children acquire the ability to think abstractly. They engage in hypothetical reasoning, imaging all kinds of possibilities in a given situation. They also begin to approach problems more systematically and logically rather than relying on trial and error strategies. The marked cognitive changes around the age of 12 make them think deductively. With their increased ability to think logically and abstractly, teen agers often detect what they consider to be logical inconsistencies in other peoples thinking and they may be impatient with the thought process and decision of others. Adolescents may also question their own judgments and the result is often confusion. . Refusal to go to school can be due to difficulties in separating from parents or too much expectation from oneself leading to depression. Disturbed family life due to various reasons is an important reason for school refusal, playing truant or poor academic performance. Such students often have physical symptoms, such as head ache or stomach ache. Pressure to do well and to pass exams may come from parents or teachers. Most adolescents usually want to do well and will push themselves due to self motivation or peer pressure. Excessive nagging by parents or teachers can be counter productive. Exams are important but they should not be allowed to dominate life or to cause unhappiness. Bullying is also an important cause of problems at school. Short children are more likely to be bullied. School authorities should handle problem of bullying openly. Obesity is increasing in Indian students. If an adolescent is overweight and is criticized or made fun of, he is more likely to dislike himself and to become depressed. This can lead to inactivity and comfort eating which worsens the problem. The importance of regular exercise and balanced diet can be emphasized by occasional visit of a dietician. Drug and alcohol abuse is more common in boys coming from disturbed families. Adolescent children are exploring life, but need a base to come back to. Home should be some where they feel safe to come back to, where they will be protected, cared for and taken seriously. Adults like parents and teachers need to be a source of advice, sympathy and comfort. Student needs to know that his parents or teacher will not automatically jump down their throat with a judgment, a criticism or routine advice. Listening to the students come first. Corporal or physical punishment has become a thing of past. But still it is being used by some parents and teachers. It creates the impression that violence is an acceptable way to solve problems and children are likely to grow up to use violence as adults. Adolescence is also a time when children begin to ponder and debate such complex issues as social justice, the meaning of life, the validity of religious values and rituals. They explore all kinds of “what if” possibilities. They may feel compelled to contribute to ending human misery, poverty, social injustice and war. As adolescents grow older, much of their idealism is replaced with a more pragmatic or practical view. In addition to the physical, cognitive and moral development of adolescence, there are also significant social and behavioral changes. During this period, relationships with parents may be under stress. The peer group may become of paramount importance in influencing behavior. Perhaps the most important task an adolescent faces to answer the question “who am I?” To answer this question children start assuming many roles whose nature may change even on day to day basis leading to unpredictability of their behavior. By experimenting with different roles, many adolescents eventually form a functional and comfortable sense of self. The rapid social changes in today’s society have greatly complicated the task of achieving a sense of identity. Not only the traditional gender role but also values associated with religion, marriage and patriotism are being challenged. As a result, today’s adolescents continue to struggle with their identity crisis well into their college years. An important part of establishing an identity is gaining independence from parents. However relationships between parents and their adolescent children do not necessarily take a bad shape. Most children and parents resolve their conflicts with a minimum of fire work. When conflicts increase, family tension often rises. Culturally defined adult behaviors such as driving, drinking, and smoking are sometimes used by adolescents as symbol of maturity or as a form of rebellious behavior, reasoning that they are not children any more. However this is a period when they need more support and help from adults still more than before. But rather than from adults, adolescents like to take help typically from their peers who are in the same boat. Adolescent friendships are much closer and more intense than at any period of life. They share intimate information with each other than with adults. The peer group maintains different standards, life styles, dress up, haircut and behaviors different than adults. But adolescents otherwise are much influenced by their parents than their peers as far as issues like politics, religion, morality and major decisions such as carrier choices. It may not be out of place here to say that many parents and adolescents are confused about the carriers of children due to the vast number of carrier choices available today; it will be prudent to take the help of aptitude test and carrier counselor wherever it is possible. As a matter of fact this facility should be made available in every school or taluka place. It is impossible to explore the psychological development of adolescents without taking notice of the changes that take place in their sexual behavior. The big questions faced by adolescents Who am I? Do people like me? Do I measure up? Am I normal? Is my body alright? Am I attractive? Am I smart? Am I strong? What do people say about me? What am I doing in my life? Who can I trust? What lasts? Where I want to be? Am I and will I be like my parents? Am I in control? Am I too dependent on money? Am I being true to myself? Can I be happy? Can I do what I really want to do? Will I like my work? Can I do good work? 4.13 Emotional problems Transformation of a child into an adolescent is usually a smooth process. Most of the adolescents do not face any problems while growing. But 10-20% experience severe emotional disturbance or dramatic disruption in family relationships and self – concepts. Over-eating, excessive sleepiness and a persistent over concern with appearance may be signs of emotional distress. Anxiety may produce phobias and panic attacks. Emotional disorders are often not recognized by family, friends and teachers. A significant number of adolescents may feel so miserable that they cry and want to get away from everyone and everything. Many adolescents have a low self esteem and feel that life is not worth living. In spite of these powerful feelings, depression may not be obvious to other people. The increasing number of suicide is a cause of concern. An open discussion on this subject with vulnerable students is worth while. The dramatic physical changes of adolescence can be very worrying to some students, especially to those who are shy and don’t like to ask questions. The heterosexual and homosexual activities may be undertaken due to strong sexual feelings. Those who start having physical relationship at early age are at greater risk of early pregnancy and health problems. Sexually transmitted diseases like AIDS (Acquired Immune Deficiency Syndrome) and HPV( Human Papilloma Virus ) infection are the real dangers of disinhibited sexual activities. Both the diseases are caused by viruses of different types. Unfortunately no vaccine for prevention of AIDS is available as on today. HPV infection which may be responsible for the development of cancer of cervix that is the mouth of uterus in women, is preventable by vaccination in adolescent girls. Sensitive support, clear guidance and accurate information about different aspects of sex are essential from parents, schools and family doctors. Adolescents who are close to their parents are less likely to indulge in hazardous sexual activities. Adolescents can get confidential advice on various sexual issues from family doctors or school counselor or a trained teacher who do not have to inform to their parents. 4.2 Defining peer pressurePeer pressure refers to the influence exerted by a peer group of same age people in encouraging a person to change his or her attitudes, values or behavior in order to conform to group norms. A person affected by peer pressure may or may not want to belong to these groups. Peer pressure is quiet high in schools where students spend a large amount of time in fixed groups. Some students may lack the maturity to handle pressure from friends. Students tend to behave negatively towards those who are not members of their own peer groups. Peer pressure can also have positive effect. for example if one is involved with a group of students who are ambitious and working to succeed, an average student might feel pressured to follow suit to avoid feeling excluded from the group. That is why a proverb, “a man is known by the company he keeps.” seems to be true. Peers influence your life even if you do not realize it. You learn from them and they learn from you. It is only human nature to listen to and to learn from other people of your age group. Peer can have a positive influence on each other. May be another student in your class taught you an easy way to remember the planets in solar system, or someone in cricket team taught you a cool trick of spin bowling. You might admire a friend who is always a good sport and try to be like him or her. Some times peers influence each other in negative ways. For example a few students in your school might persuade you to bunk mathematics class for some another fun with them. For your cricket team friend might try to convince you to be mean to another player for malafied intentions or a friend in the neighborhood might want to shoplift with you. Some students give in to peer pressure because they want to be liked, to fit in, or because they worry that other students might make fun of them if they do not go along with the group. Others go along because they are curious to try something new that others are doing. The idea that “everyone is doing it” can influence some students to leave their better judgment. Why do students give in to peer pressure? How to deal with peer pressure? It is tough to be only one who says ‘no’ to negative peer pressure, but you can do it. Paying attention to your own feelings and beliefs about what is right and wrong can help you to know the right thing to do. Inner strength and self confidence can help you to the right thing to do. Inner strength and self confidence can help you to stand firm and resist doing something you know is wrong. It can really help to have at least one other friend who is willing to say ‘no’ too. This takes a lot of the power out of peer pressure and makes it easier to resist. You probably have a parent or teacher advice you to choose your friends wisely. Even if you are faced with peer pressure while you are alone, there are still things you can do. You can simply stay away from the group who pressurize you to do the thing you know is wrong. You can tell them a firm “no” and walk away. Next time they will dare not involve you in wrong things. Find better friends. If you continue to face peer pressure and you are finding it difficult to handle, talk to someone you trust. Do not feel guilty if you have made a mistake or two. Talking to a parent, teacher or school counselor can help you feel much better and prepare you for next time you face peer pressure. 4.3 Family bonds Tolstoy said, “All happy families are happy in one way and all unhappy families are unhappy in their own way”, that is to say, the happiness of family depends upon bonds. A family is a group of people related to each other by blood and love. The main functions of family are the socialization of children. A nuclear family is one where father, mother and their children stay together. Extended family also called joint family consists of other relatives like grand parents, uncles and aunts and their children. Building family bonds requires work and effort to make it successful. Parenting is a tough job and maintaining close relationships and open communication helps to ensure parents and their children stay connected through all ages of their upbringing. The parents and children should express openly that they love each other unconditionally. Parents should tell children about their faiths and beliefs. The child should be allowed to ask questions and parents should answer them honestly. A special bed time ritual likes story telling or prayers will be remembered for a long period of time. The children should be evolved in day to day house hold works as per the capacity of the child. This will increase the sense of belonging. Parents should play with their children singing joking together. The type of play is not important. Eating together sets the stage for conversation and sharing. 4.32 Relationships with siblings Siblings are people who share at least one parent. A male sibling is called a brother, and a female sibling is called a sister. Siblings usually grow up together and spend a good deal of their childhood socializing with one another. This genetic and physical closeness is marked by the development of strong emotional bonds such as love or hostility. The emotional bond between siblings is often complicated and is influenced by factors such as parental treatment, birth order, and personality of the child and personal experiences outside the family. Firstborns or the eldest children are usually conservative and high achieving. They are more socially dominant, less agreeable and less open to new ideas. Middle children are natural mediators , and the youngest children are charming and outgoing. The arrival of a new baby in the family is often stressful for the firstborns and for the siblings between 3 and 5 years, and they develop sibling rivalry. They fear that the parental love and attention will be largely shared by the new born child and behave with it with a sense of animosity. It is a type of competition among brothers and sisters. It is more intense when children are very close in age and of the same gender, leading to aggressive behavior towards each other. Although they love each other sibling rivalry often continues throughout childhood and is at the peak between the age group of 10 to 15 years. It can be very frustrating and stressful to parents. Each child in a family competes to define who they are as persons and want to show that they are separate from their siblings. Although most parents spread love and other materialistic resources equally among all children in the family, but a child wants most of the love and resources for him or herself. Sibling rivalry often continues in adulthood and can change dramatically for the better over the years. With the increasing norm of one or two children in a family, this problem is decreasing as compared to the past years wherein families used to be quite large. Sibling relationships include helping, sharing, and teaching, fighting, playing and doing constructive activities together. Intense positive and negative emotions are often expressed by siblings towards each other. Many adolescents have mixed feelings towards their siblings. Siblings typically know each other very well, and this intimacy suggests that they can either provide support or tease and undermine each other, depending upon the situation. In many situations siblings understand each other’s problems and dilemmas better than the parents can. To summarize, we now know that growing is a very complex and tender process. The foundations of future adult life are laid during adolescence. To lay healthy foundations, not only the child’s but the role of adults who come in contact with the child is of paramount importance. Let us play our roles with responsibility. Exercises 1. What are the various factors responsible for the healthy growth and development during adolescence? 2. What are the positive psychological changes during adolescence? 3. What are the negative emotional changes during adolescence? 4. Write a short note on family. 5. What are the bad and good effects of friends? 6. “A man is known by the company he keeps”; discuss the proverb. 7. Fill in the blanks A) The process of adolescence starts in…………. and ends in………… . B) Adolescence starts at the age of ……years and ends at the age of……. . C) Adolescence is a……………. phase of physical and psychological development. D) A lot of ………… is needed for the growth and development during adolescence E) While growing the dreamy idealism of adolescents is gradually replaced by………… and …………. . view. 8. Wright or wrong A) Due to psychological restlessness the behavior of adolescents becomes unpredictable B) The behavior of teachers and parents towards children should be very strict. C) The undue pressure from parents and teachers leads to unhealthy competition in children. D) Peer pressure may push a vulnerable child towards suicide. E) Teachers and parents should not be a guiding source for adolescents. F) Your education does not enable you to change superstitions in society. G) The physical changes in your body make you uncomfortable. H) Peer pressure is always bad. I) You can get correct information about physical changes during adolescence from your friends. 9.) What do you think? / What is your opinion? / What will you do? A) Your parents want you to be a doctor, but you like fine arts How will you convince your parents to allow to choose career of your choice? B) Due to money shortage you are not able to pursue your C) How will you adjust with the financial problems of your parents? D) What are the reasons for not liking your school? E) Your parents may not like your extracurricular activities. How will you convince them about the importance of hobbies? F) What will you do to reduce the tension at home? I) Do you feel jealous about your brother or sister and why? J) How do you manage your stress? References: 1.Kaplan & Sadock’s comprehensive textbook of psychiatry Seventh edition 2000 Editors Benjamin Sadock Virginia Sadock 2. Developmental Psychology Author : Elizabeth Hurlock 5th Edition Dr Avinash D Joshi M.B.B.S; M. D. (Psychiatry) 001, Sankalp sahanivas, Khare Town, Dharampeth, Nagpur 9423677685