1 Psychology and human development1.12 Stages of human development

1.12.10 Adolescence as a developmental phase

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Written by Resident Doctor Committee · Published

Phases

Phase

Main features

Early

Pubertal change and conformity to peers

Middle

Negotiating autonomy, stronger peer influence and risk-taking

Late

Identity, intimate relationships and vocational direction

Puberty

  • Puberty usually starts at 8 to 13 years in girls and 9 to 14 in boys, and takes about 3 to 4 years from the first physical sign to adult maturity.

  • Tanner stages run from 1 (prepubertal) to 5 (adult), rating breast or genital development and pubic hair separately.

Feature

Girls

Boys

First sign

Breast budding, Tanner stage 2

Testicular volume of at least 4 mL

Growth spurt

Early, Tanner breast stages 2 to 3

Late and larger, Tanner stages 3 to 4

  • Girls therefore reach peak height velocity about two years before boys, and before menarche.

  • Menarche comes at about breast stage 3 to 4, roughly 2 years after breast budding.

Compare the two peaks: girls reach peak height velocity about two years before boys, whose peak is taller, and menarche falls after the girls' peak on the descending limb of their curve. Drawn for MRCPsychiatrist

Parents and peers

  • Conflict with parents rises early, peaks in mid-adolescence and then settles, and it is mostly about everyday matters such as curfews and clothes, not values.

  • Adolescents choose confidants by topic: friends of their own age for sex, relationships and private worries, and parents for future decisions such as education and career.

  • Fear of rejection by peers emerges at 11 to 13 years, peaks at about 15 and declines by 17.

Storm and stress

Storm and stress (G. Stanley Hall, 1904; revisited by Arnett) holds that adolescents show more negative behaviour than younger children or adults, as an age-typical pattern.

Domain

Evidence

Externalising

Substance experimentation, injury and offending increase

Internalising

Mood variability, depression and anxiety increase, depression especially in girls

Parent-adolescent relationship

Conflict rises modestly

Inevitable crisis

Unsupported: most young people keep functioning and good relationships

  • Regular drinking from early adolescence predicts later alcohol misuse and dependence in UK young people.

Culture and the transition to adulthood

  • Communities that mark adulthood with a single, public, formal initiation ceremony conferring adult status generally show less negative transition and less adolescent risk-taking.

Normal development or disorder

  • Persistent low mood, hopelessness, suicidal thinking, developmental regression or a decline in functioning need assessment, not dismissal as ordinary moodiness.

  • Clinicians judge change against the young person's own baseline, its duration, their developmental stage and their culture.