Hazards of rearing children in foreign countries.
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In their article on gender development, C. L. Martin, D. N. Ruble, and J. Szkrybalo (see record 2002-18663-003) contrasted their conception of gender development with that of social cognitive theory. The authors of this commentary correct misrepresentations of social cognitive theory and analyze the conceptual and empirical status of Martin et al.'s (2002) theory that gender stereotype matching is the main motivating force of gender development. Martin et al. (2002) based their claim for the causal primacy of gender self-categorization on construal of gender discrimination as rudimentary self-identity, equivocal empirical evidence, and dismissal of discordant evidence because of methodological deficiencies. The repeated finding that gendered preferences and behavior precede emergence of a sense of self is discordant with their theory. Different lines of evidence confirm that gender development and functioning are socially situated, richly contextualized, and conditionally manifested rather than governed mainly by an intrinsic drive to match stereotypic gender self-conception.
Postmodern sensibilities, generally associated with relational psychoanalysis, are applicable also in traditional and contemporary Freudian psychoanalytic contexts. Historically speaking, views of femininity and female sexuality may be ordered according to positions designated as premodern, modern, and postmodern. This temporal continuum provides a basis for incorporating aspects of postmodern feminist approaches to deconstructing gender into a more traditional yet contemporary psychoanalytic framework. The postmodern "crisis of category" is addressed through a critique from a modern psychoanalytic point of view of the gender stereotyping inherent in certain false binaries and either/or thinking of premodern psychoanalytic thinking regarding female (as well as male) sex and gender. The cultural changes brought about by the consciousness-raising of postmodern feminist and contemporary psychoanalytic thinking contribute significantly to evolutionary changes in the understanding of gender that are further internalized and represented intrapsychically. That is, sequential transformations in the internalization of new cultural norms influence the development of still more new cultural norms, so that progression in these identificatory markers of gender can be observed over successive generations.
There is considerable controversy regarding the means by which lesbian, gay, and bisexual persons achieve a sense of sexual identity. In this paper, the concepts of identity and sexual identity are reviewed, and the literature on lesbian and gay "coming out" processes are critiqued. Major limitations of these studies include their narrow samples, their narrow focus on sexuality, their linear nature, and their lack of attention to the larger sociohistorical context. They tend to "minoritize" sexual identities. A more comprehensive cyclical model of identity development would put sexual identity into a context that includes other important facets of identity such as gender, race, and class-a more universalizing approach.
Researchers have frequently linked childhood sexual abuse (CSA) with some form of adult sexual disturbance. Unfortunately, research on how to treat sexual dysfunctions in women with a history of childhood sexual abuse has lagged behind. In this article, we review the literature concerning childhood sexual abuse and sexual dysfunction. In addition, we look at two theories that help explain the relationship between CSA and sexual dysfunction. Both of these theories highlight the importance of emotional experience. The contextual behavioral model described by Polusny and Follette (1995) is derived from the work of Hayes and colleagues (Hayes, Strosahl, & Wilson, 1999) and focuses on the role of experiential avoidance in understanding the problems experienced by CSA survivors. Greenberg and colleagues' emotion theory (Greenberg & Pavio, 1998; Greenberg, Rice, & Elliott, 1993; Greenberg & Savin, 1987) is useful in highlighting the way in which early abuse experiences can impair emotional development and result in maladaptive emotional schemes contributing to sexual problems. Treatments for CSA survivors' sexual problems based on the two above theories are outlined. The question concerning the applicability of traditional sex therapy for CSA survivors versus a modified treatment is discussed and recent developments in the field of sexual functioning as well as future directions for the field are also highlighted.
This paper analyzes real-life moral dilemmas of Israeli city and kibbutz adolescents. The contribution of Gilligan's theory to our knowledge of adolescent moral development as originally conceived by Kohlberg is emphasized. It is suggested that Kohlberg's view of the adolescent as a moral philosopher limits the understanding of the moral development of female adolescents, who use both care and justice in their self-descriptions within existing relationships.
In this article, the differences between male and female juvenile delinquency are discussed, from a behavioural and psychiatric perspective. At first the existence and nature of female juvenile delinquency is described. Further a, mostly literature-based, analysis of gender-related differences in juvenile delinquency and psychopathology is presented. Finally the results are given of a dossier research project into the behavioural aspects of female juvenile delinquency. Girls commit fewer and less serious offences. Girls in a detention centre are younger than boys in the same centre. Few Turkish and Moroccan girls are seen. The majority of girls are placed in a detention centre by a Civil Court Order. A relatively high percentage of retarded girls was found. Multiple sexual contacts from an early age, substance abuse, running away from home and truancy are risk behaviours in the development of female juvenile delinquency. In the majority of cases there was no record of previous contacts with the law. It seems as if there are gender-related factors according to the development of female juvenile delinquency. Answers on age-differences, early sexual development, the relation between behaviour and psychiatric diagnosis, the role of the risk behaviours in the development of the girls, intelligence and the reasons for placing girls in a detention centre should throw light on the development process of female juvenile delinquents.
Despite differences in psychological development and personality structure, blood levels of testosterone and estradiol were equivalent in two monozygotic male twins of divergent sexual orientation.
Since the sexual revolution of the 1960s there has been an openness regarding sexual exploration that has resulted in an increase of sexually transmitted diseases and teenage pregnancies. Clinicians can mitigate the unhealthy results of such exploration through a therapeutic relationship with their patients. This article provides practical ways to approach and educate the pediatric patient and parent regarding normal sexual growth and development and the promotion of healthy, responsible sexual behavior. Using developmental theories as a foundation, sexuality is examined from birth through the adolescent years.
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Contrary to when it was first proposed, infantile sexuality nowadays is accepted as an important part of child development. However, Freud's views on masculine primacy and feminine inferiority are seen to be incomplete and inaccurate not only because they over-emphasize sexuality and sexual anatomy, but also because they neglect aggression, object relations, ego and superego functioning, and the sense of self. Infantile sexuality is therefore reconsidered within the broader perspective of gender identity. Within this broader perspective, normal and aberrant sexual development is discussed, and new ideas are offered about familiar concepts such as castration anxiety and penis envy.
Beginning with the interaction between the coming-out process and adolescent development, this paper explores the young lesbian experience. The words and perceptions of over 20 young lesbians are used to depict the experience from their own points of view.
In view of the numerous questions raised by the recently disclosed pedophilia, sexual abuses and prostitution of children, it appeared worthwhile to review the recent studies dealing with the child sexual development and the onset of the gender identity. These studies consist partly in retrospective analysis of pathological situations and partly in the analysis of normal development. It appears that the social and emotional surroundings of the child, provided that they were continuous and devoid of ambiguity, play a prominent role in this process. At present, numerous authors consider that gender identity is achieved at about 2 years of age when the child has a harmonious general development. The family physician and the paediatrician are on the first line to detect potential problems provided that they were aware of the main determinants and symptoms involved.
In a study of hospitalized suicidal youth, the account of a sixteen-year-old girl, diagnosed as schizophrenic, is analyzed to gain insight into a family's role in the suicidal career of an adolescent preoccupied with death and dying, sleep, and drugs; the interplay of her construction of reality with her risk-taking, self-injurious way of life; and her perceived problems of living and need for help. Her cessation orientations revealed a kind of Sleeping Beauty syndrome with fantasies on sleep, drugs, and death, including a death of the mind from overdosing. Such qualitative research on suicidal careers may increase our understanding of the at-risk adolescent population and assist in the development of a policy for identifying and meeting needs and following up on clues for prevention and early intervention.
Sexual attitudes and behavior of adolescent females have been the topic of much interest over the past decade. Feelings about contraception, conception, and abortion have been described in relation to the adolescents' beliefs about the possibility of becoming pregnant, who will or will not "protect" them, and the influence of significant others on their decision making. This study explores differences in 35 women who had abortions during their teenage years with 36 women whose abortions occurred after the age of twenty. A demographic questionnaire, the Millon Clinical Multiaxial Inventory, and the Beck Depression Inventory were completed by women who were members of a patient-led support group. Premorbid psychiatric histories, the decision-making process itself, and distressing symptoms postabortion are reported. Specific differences in perceptions of coercion, preabortion suicidal ideation, and nightmares post-abortion were found in the adolescent group. Antisocial and paranoid personality disorders as well as drug abuse and psychotic delusions were found to be significantly higher in the group who aborted as teenagers. Hypotheses regarding the influences of adolescent development on mother/child relationships, power struggles, and the use of fantasy as a coping device are explored.
We present here two cases with depression and obsessional symptoms, in which the patients were 11-year-old girls just prior to the advent of menarche. Their clinical picture was fairly different from the one which Deutsch, H., Jacobson, E. and Blos, P. described in their classical cases so far. In our cases the regression to preoedipal level was very prominent, that is, the rapprochement crisis-like state (Mahler, M.S.) with transitional objects such as stuffed animals and dolls (Winnicott, D.W.) was observed. It was believed that with such a background there were changes in the parent-child relationship in preadolescence which the premature physical growth among recent children had brought about, and changes in the concept of the mother and father which cultural vicissitudes had induced. It was also indicated that this kind of direct observation would contribute not only to the encouragement of the sound development in this period of life, but also the understanding and treatment of adolescent or adult cases.