Externalizing problems consists of several aspects:Non-compliance (e.g. ignoring rules).Disruptive and aggressive actions.Delinquency.Substance use.Fighting.Risky driving.Yelling out.Destroying property.Stealing.Children with externalizing problems often come from families where parental monitoring and control is lacking (i.e. under-controlled). These problems are more common among males than females. There is a discrepancy between how adults and youth view the behaviour as youth often do not view it as problematic and do not experience distress. The problematic behaviour can be an expression of a desire for excitement (i.e. sensation seeking). Adolescents are more likely to have accidents when driving due to inexperience and because younger drivers are more likely to engage in risky driving. This includes driving at excessive speeds (1), following other vehicles too close (2), violating traffic signs and signals (3), taking more risks in lane changing and passing other vehicles (4), allowing too little time to merge (5) and failing to yield to pedestrians (6). In addition to this, they are more likely to drive under the influence and less likely to wear seatbelts. Risky driving is influenced by parental involvement (1), parental monitoring (2), friends’ influence (3), sensation seeking (4), aggressiveness (5) and the optimistic bias (6). The optimistic bias refers to the belief that one is less likely than others to get into a car crash. This belief is stronger in younger drivers. The probability of an accident during adolescence increases depending on how many peers are in the car. Almost all risk behaviour increases during adolescence. There are differences in risk behaviour (e.g. drinking) depending on whether one looks at onset, frequency, culture or gender. Substance use is a common form of risk behaviour in adolescence and emerging adulthood. The rate of substance abuse depends on the substance. The rate of all...


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      Adolescence: Developmental, Clinical, and School Psychology – Lecture summary

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 1 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 1 (UNIVERSITY OF AMSTERDAM)

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      Puberty refers to a set of biological changes involved in reaching physical and sexual maturity. This is universal. Adolescence refers to the life course between beginning puberty and adult status. It roughly contains the ages 10-18. In this stage, young people are preparing to take on the roles and responsibilities of adulthood in their culture. It is culturally constructed as the length (1), content (2) and daily experiences (3) differ across cultures. It is typically characterized by:

      • Conflicts with parents.
      • Mood disruptions.
      • Risk behaviour.

      It is debated whether this is a period of ‘storm and stress’ as this may depend on culture and individual characteristics. It may be context dependent how one experiences this period although it is more likely during this period that people experience storm and stress. Recapitulation states that the development of each individual re-enacts the evolutionary development of the human species as a whole. Adolescence was seen as reflecting a time of evolutionary turmoil and this was used as an explanation why adolescence is characterized by storm and stress.

      Emerging adulthood refers to the life course between beginning puberty and having adult status. This roughly contains the ages 18-25. It is characterized by:

      • Identity exploration.
      • Instability
      • Focus on the self.
      • Feeling in-between.
      • Possibilities.

      These characteristics are not unique to emerging adults as it occurs in childhood already and become more abstract during adolescence. However, it becomes more future-oriented (e.g. focus on future job; future partner) during emerging adulthood. People in this stage explore various possibilities in love and work and move towards making enduring choices. Emerging adults focus on themselves to develop knowledge, skills and self-understanding needed for adult life. Emerging adulthood is culturally dependent. Youth refers to both adolescence and emerging adulthood.

      The family (1), peer (2), school (3) and social media context (4) are important during adolescence and emerging adulthood. The authoritative parenting style is ideal for adolescence as it is very democratic. This is because adolescents are good at regulating themselves and have a desire for increasing autonomy. This parent style balances allowing autonomy to develop capacities and requiring the child to use this autonomy appropriately.

      The family context is a complex system which consists of complex interactions characterized by reciprocal effects between parents and children. It is a transactional model. The parent-adolescence conflict increases during adolescence, especially from the age of 11-12 to 15-16. This is because:

      • There is an increased capability of abstract thinking in adolescence. This makes it more difficult for parents to find good arguments.
      • There is a new degree of autonomy and there is conflict regarding boundaries (e.g. curfew).
      • There are topics which are difficult to talk about (e.g. sexuality) and this makes communication unclear.

      However, during adolescence, there is also a lot of agreement on topics (1), love (2) and respect (3).

      In adolescence, the self-conceptions are different

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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 2 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 2 (UNIVERSITY OF AMSTERDAM)

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      There are several developmental trends of social relationships in adolescence:

      • There is an increasing interest in other-sex relationships.
      • The peer group is used as a reference group (i.e. for a sense of identity).
      • The definition of peers changes from shared outside activities to shared mindsets and attitudes.

      There are developmental changes regarding peers. They go from being playmates to self-disclosing soulmates and friendships become more stable with age. There are different types of peer relationships:

      1. Peers (i.e. people who have aspects in common)
      2. Friends (i.e. valued, mutual relationships).
      3. Clique (i.e. small group of friends, regular social group).
      4. Crowds (i.e. larger, reputationally-based group; share similar norms, interests and values but are not necessarily friends).
      5. Dating relationships (i.e. relationships that provide autonomy, gain status, allow distance from family but also brings emotional risks).

      Although the definition of a peer changes, cliques are often focused around similar activities (e.g. making music). There is a preference for friends above family during adolescence. However, this may differ depending on topic (e.g. prefer to talk to parents about education but prefer friends to talk about sexuality). Adolescents feel good when they are with friends. This may be because friends mirror one’s own emotions and friends may understand one better. Friendships allow for a feeling of freedom and openness.

      Cliques (i.e. 3 to 12 people) refer to small groups of friends who know each other well. They form a regular social group and can be defined by distinctive shared activities. There are five stages of clique development:

      1. Stage 1 (i.e. adolescents have same-sex cliques)
      2. Stage 2 (i.e. mixed-sex cliques become more common)
      3. Stage 3 (i.e. gender divisions break down as clique leaders form romantic relationships).
      4. Stage 4 (i.e. cliques and crowds are mixed-sex groups)
      5. Stage 5 (i.e. structure of cliques and crowds break down as a result of romantic relationships)

      Crowds refer to larger, reputation-based groups of adolescents who are not necessarily friends and do not necessarily spend much time together. The function of crowds is helping adolescents locate themselves and others within the school social structure. It helps them define their own and others’ identity. The types of crowds are typically elites (i.e. populars) (1), athletes (2), academics (3), deviants (4) and others (5). Crowd development parallels the course of identity development.

      There are culture differences regarding friendships in adolescence. Generally speaking, there is a greater focus towards peers and friends than family in adolescence but this is less so in traditional cultures compared to Western cultures. People in collectivistic cultures value family members higher and friends lower on companionship and enjoyment. This means that people in collectivistic cultures like spending time with their family.

      Time spent with same-sex friends remains stable and time with other-sex friends increases in adolescence. The relationships with friends and family change in quality and quantity. Intimacy refers to the degree

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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 3 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 3 (UNIVERSITY OF AMSTERDAM)

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      In adolescence, there are three main biological changes:

      • Influx of pubertal hormones.
      • Growth spurt.
      • Change in circadian rhythm.

      Adolescence is characterized by more advanced moral reasoning due to more advanced perspective taking and more risk and impulsive behaviour. There are large structural changes in the brain during adolescence. This occurs through two important processes:

      1. Synaptogenesis
        This refers to the formation of new synapses and occurs both during prenatal development and after birth. In adolescence, the connections between neurons change as most of the neurons are in place. This allows for plasticity.
      2. Pruning
        This refers to the elimination of the synapses and is experience-based fine-tuning of functional networks (i.e. ‘use it or lose it’). Synapses that are not used will be eliminated. This allows for a more functionally connected and specialized brain.

      Overproduction (i.e. exuberance) refers to the thickening of synaptic connection and this mainly occurs around the time puberty begins. The disadvantage of pruning is that the brain becomes less plastic.

      There are regional differences in grey matter as brain development occurs at different rates for different brain areas (e.g. prefrontal cortex develops later into life). There are also regional differences in myelination. Myelination is believed to be relatively experience-independent. White matter is mainly involved in structural connectivity.

      Brain development is influenced by the social environment and by pubertal hormones as they are able to pass the blood-brain barrier. An enriched environment can lead to increased brain development. This may mean that people with a lower socio-economic status have a different brain development (e.g. slower; poorer). It may specifically influence the anterior cingulate cortex (i.e. more activity with a more enriched environment) and the amygdala, striatum and hippocampus (i.e. more activity with medium family income).

      The relative size of the neocortex is associated with the size of the social group. There are several systems in the brain:

      • Cognitive control (i.e. self-regulation)
        This includes the lateral parietal cortex (1), lateral prefrontal cortex (2) and the anterior cingulate cortex (3).
      • Valuation and emotion
        This includes the amygdala (1), ventral striatum (2) and ventromedial prefrontal cortex (3).
      • Social cognition
        This includes the posterior superior temporal sulcus (1), temporal parietal junction (2) and the medial prefrontal cortex (3).

      The medial prefrontal cortex is associated with thinking about social contact and how one is perceived. The systems together make up the social brain (i.e. social information processing network), the network which is active with social contact. It is associated with shame (1), guilt (2), self-focus (3), mental state attribution (4), shifting of attention to others (5), perspective taking (6), face recognition (7) and biological motion (8).

      The valuation and emotion network is also dubbed the socioaffective circuitry. It is critical for detection of salient information (1), assignment of hedonic, aversive or emotional value to that information (2), social cognition (3 and

      .....read more
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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 4 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 4 (UNIVERSITY OF AMSTERDAM)

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      The goal of secondary education is to promote independent thinking and make your own well-informed choices. In the past, the goal was more about socialization and conformity. Secondary education was for the elite and males only before the last century. However, after the last century, a knowledge economy started to develop so secondary education was needed. In developing countries, there is a similar but delayed pattern. This means that secondary education cannot be taken for granted.

      There are differences between developed countries when it comes to secondary education. In Europe, children have to decide about their future at an earlier age. The advantage of this is that children will have an early idea of future and this allows for better tailoring of teaching. However, the disadvantage is that there are children who are developing a bit later and those will be disadvantaged.

      In the United States, there is a distinction between public and private schools and funding depends on state. In Japan and China, the admission to university is only for the highest performing students. This does not make them more unhappy and they still see and use college as a time of fun and exploration.

      There are several factors promoting educational success and engagement:

      • Socioeconomic status
        A higher socioeconomic status is associated with better nutrition (1), fewer health problems (2), fewer stressors (3), more involved parents (4) and a higher IQ (5).
      • School environment
        The school should have a size of 500 to 1000 students (i.e. allows for extracurricular activities without losing individuality) and classes should be between 20 to 40 students. However, for at-risk students, the classes should be smaller. The school climate (i.e. quality of interactions between teachers and students) should be characterized by an authoritative teaching style (i.e. high on demandingness; high on support).
      • Individual characteristics
        The individual should not have a job for more than 10 hours a week and motivation is essential. Abundant leisure (e.g. socializing with friends) also interferes with adolescents’ school work.
      • Peer characteristics
        Higher achieving peers will lead to enhanced educational success. However, it may lead to a lower self-concept (i.e. comparison to very positive peers).
      • Parent characteristics
        An authoritative parenting style leads to the best educational success. Parents with high expectations also tend to be more involved and this contributes to school success. However, this may be dependent on parent SES and IQ.
      • Cultural beliefs
        The value placed on education ultimately influences school performance of adolescents.

      All factors are interconnected. This makes causality difficult to establish. Teaching should be characterized by a combination of warmth (1), clear communication (2), high standard for behaviour (3) and a moderate level of control (4). However, it may be necessary that students, parents and teachers have the same beliefs as a school which reinforces already existing beliefs could promote outcomes.

      Engagement refers to the quality of being psychologically committed

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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 5 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 5 (UNIVERSITY OF AMSTERDAM)

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      Externalizing problems consists of several aspects:

      • Non-compliance (e.g. ignoring rules).
      • Disruptive and aggressive actions.
        • Delinquency.
        • Substance use.
        • Fighting.
        • Risky driving.
        • Yelling out.
        • Destroying property.
        • Stealing.

      Children with externalizing problems often come from families where parental monitoring and control is lacking (i.e. under-controlled). These problems are more common among males than females. There is a discrepancy between how adults and youth view the behaviour as youth often do not view it as problematic and do not experience distress. The problematic behaviour can be an expression of a desire for excitement (i.e. sensation seeking).

      Adolescents are more likely to have accidents when driving due to inexperience and because younger drivers are more likely to engage in risky driving. This includes driving at excessive speeds (1), following other vehicles too close (2), violating traffic signs and signals (3), taking more risks in lane changing and passing other vehicles (4), allowing too little time to merge (5) and failing to yield to pedestrians (6). In addition to this, they are more likely to drive under the influence and less likely to wear seatbelts.

      Risky driving is influenced by parental involvement (1), parental monitoring (2), friends’ influence (3), sensation seeking (4), aggressiveness (5) and the optimistic bias (6). The optimistic bias refers to the belief that one is less likely than others to get into a car crash. This belief is stronger in younger drivers. The probability of an accident during adolescence increases depending on how many peers are in the car.

      Almost all risk behaviour increases during adolescence. There are differences in risk behaviour (e.g. drinking) depending on whether one looks at onset, frequency, culture or gender.

      Substance use is a common form of risk behaviour in adolescence and emerging adulthood. The rate of substance abuse depends on the substance. The rate of all substance use rises through the late teens in the early 20s before declining in the late 20s with the peak of substance use being in emerging adulthood. There are different reasons to use substances:

      • Experimental substance use (i.e. curiosity; common in adolescence).
      • Social substance use (i.e. using substances during social activities).
      • Medicinal substance use (i.e. self-medication; relieve unpleasant emotional state).
      • Addictive substance use (i.e. dependency; addiction).

      The propensity and opportunity theory states that people behave defiantly when they have a combination of sufficient propensity (i.e. motivation to behave defiantly) and sufficient opportunity to do so. Emerging adults have a high degree of opportunity for engaging in substance use and other deviant behaviour.

      Unstructured socializing refers to spending time together with no specific event as the centre of activity (e.g. driving around). Substance use may be especially high during unstructured socializing due to the lack of activity and sensation seeking. Substance use may decline in the late 20s due to a decline in unstructured socializing.

      .....read more
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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 6 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 6 (UNIVERSITY OF AMSTERDAM)

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      Antisocial behaviour includes lying (1), fighting (2), bullying (3), truancy (4) and stealing (5) and it also occasionally occurs in typically developing children, adolescents and adults. This behaviour is most common in toddlerhood as disruptive behaviour in young children one of the most common problems experienced in the parenting context. It is one of the main reasons for parents to seek help.

      The age-antisocial behaviour curve refers to antisocial behaviour becoming more common during adolescence and decreasing in frequency after adolescence. About 70% of the adolescents have ever engaged in antisocial behaviour. Antisocial behaviour is most common during adolescence in the interpersonal sphere and antisocial behaviour also hurts the development of the individual.

      The maturity gap refers to a gap between biological and social maturation. This may explain the rise in the age-crime curve during adolescence.

      Disruptive behavioural disorders refer to disorders which include problems in the self-control of emotions and behaviours. The problems are manifested in behaviours that violate the rights of others (e.g. aggression; destruction of property) and it brings the individual into significant conflict with societal norms or authority figures.

      There are several types of disruptive behavioural disorders:

      1. Conduct disorder (CD)
        This characterized by disruptive behaviour and is mainly about behaviour.
      2. Oppositional defiant disorder (ODD)
        This is characterized by angry and irritable behaviour and the adolescent being conflict seeking and disobedient. It includes behaviour and emotions.
      3. Intermittent explosive disorder
        This is characterized by uncontrolled and disproportional anger and is mainly about emotions.
      4. Antisocial personality disorder

      There is a continuum between behaviour and emotions with behaviour and emotions in the middle. Oppositional defiant disorder has a prevalence from 1% to 11% and has several characteristics:

      1. A pattern of angry/irritable mood
        This includes argumentative/defiant behaviour or vindictiveness for at least six months as characterized by any of the following symptoms from the categories exhibited during interaction with at least one individual who is not a sibling:
        1. Anger
          1. Often losing temper.
          2. Often touchy or easily annoyed.
          3. Often angry and resentful.
        2. Argumentative/defiant behaviour
          1. Often arguing with authority figures or adults (i.e. do or have to allergy).
          2. Often actively defies or refuses to comply with requests from authority figures or with rules.
          3. Often deliberately annoys others.
          4. Often blames others for one’s mistakes or misbehaviour (i.e. never one’s fault).
        3. Vindictiveness
          1. Has been spiteful or vindictive at least twice in the last six months.
      2. Distress
        The disturbance in behaviour is associated with distress in the individual or others in one’s immediate social context or it negatively impacts social, educational, occupational or other important areas of functioning.
      3. Alternative explanation
        The behaviours do not exclusively occur during the course of a psychotic, substance use, depressive or bipolar disorder. In addition
      .....read more
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      Adolescence: Developmental, Clinical, and School Psychology – Lecture 7 (UNIVERSITY OF AMSTERDAM)

      Adolescence: Developmental, Clinical, and School Psychology – Lecture 7 (UNIVERSITY OF AMSTERDAM)

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      A depressed mood refers to an enduring period of sadness without any related symptoms. About 35% of adolescents report a depressed mood within the past six months. To receive a diagnosis of major depressive disorder (MDD), at least five of the following symptoms need to be present during a 2-week period, and must represent a change from previous functioning:

            • Depressed or irritable mood for most of the day, nearly every day.
            • Reduced interest or pleasure in all or almost all activities, nearly every day.
            • Significant weight loss or gain, or decrease in appetite.
            • Insomnia or oversleeping.
            • Psychomotor agitation or retardation, observable by others.
            • Low energy or fatigue.
            • Feelings of worthlessness or inappropriate guilt.
            • Diminished ability to think or concentrate.
            • Recurrent thoughts of death or recurrent suicidal thoughts.

      At least one symptom needs to be depressed mood or reduced interest and pleasure. The prevalence is 3% to 7%.

      There are several courses of depression:

      1. Major depression
        This refers to a lot of symptoms for a brief period of time.
      2. Minor depression
        This refers to moderate symptoms for a brief period of time (i.e. not a diagnosis).
      3. Recurrent depression
        This refers to a recurrent form of major depression.
      4. Chronic depression
        This refers to a lot of symptoms for a longer period of time.
      5. Dysthymia
        This refers to moderate symptoms for a longer period of time (i.e. more than a year).
      6. Bipolar disorder
        This refers to a lot of changes between highs and lows (e.g. depressed mood).

      The prevalence of depression increases with age and peaks in adolescence and emerging adulthood, especially for females. The relapse rate of depression is 40% to 70%.

      There rise in depression in adolescence may be explained by several things:

      • It is a life phase with great biological changes.
      • Peers become more important.
      • There is more distance from parents and this can lead to conflicts.
      • There is a greater independence and a greater need for executive functions.

      Hormones sensitize brains for harmful effects of stress and this is especially the case for girls, partially explaining the higher prevalence of depression in girls. Peer relationships require work and depression can lead to isolation, exacerbating the disorder.

      The difference in depression rates between males and females may be explained by several things:

      • Society’s emphasis on gender roles, especially during adolescence.
      • Girls’ greater body shame.
      • Females experiencing more stress.
      • Females having a stronger focus on interpersonal relationships.

      About 40% to 70% of adolescents with depression have a comorbid disorder with anxiety (30%) and ADHD (15%-30%) being very common. This may be due to common factors such as a difficult temperament and a deficient emotion regulation. Depression is characterized

      .....read more
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