Reflective Essay Teenage Relationships With Parents

1. Almquist YB, Östberg V, Rostila M, Edling C, Rydgren J. Friendship network characteristics and psychological well-being in late adolescence: exploring differences by gender and gender composition. Scand J Public Healt. 2014;42(2):146–154.[PubMed]

2. Phillips TM. The influence of family structure vs. family climate on adolescent well being. Child Adolesc Social Work J. 2012;29(2):103–110.

3. Uusitalo-Malmivaara L, Lehto JE. Social factors explaining children’s subjective happiness and depressive symptoms. Soc Indic Res. 2013;111(2):603–615.

4. La Greca AM, Harrison HM. Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression? J Clin Child Adolesc Psychol. 2005;34(1):49–61.[PubMed]

5. Kinnunen P. Nuoruudesta kohti aikuisuutta. Varhaisaikuisen mielenterveys ja siihen yhteydessä olevat ennakoivat tekijät [From Adolescence Towards Adulthood. Mental Health in Early Adulthood and Connecting and Proactive Facts] [dissertation] Finland: University of Tampere, Acta Universitatis Tamperensis; 2011. p. 1676. Finnish.

6. Aalberg V, Siimes MA. Lapsesta Aikuiseksi, Nuoren Kypsyminen Mieheksi Tai Naiseksi [From child to adult, development of adolescent to man or woman] Helsinki: Kustannus oy Nemo. 2007:125–130. Finnish.

7. Umberson D, Montez JK. Social relationships and health: a flashpoint for health policy. J Health Soc Behav. 2010;51(Suppl):S54–S66.[PMC free article][PubMed]

8. World Health Organization Adolescents and Mental Health. 2016. [Accessed February 10, 2017]. [updated July 29, 2016; cited February 3, 2016]. Available from: http://www.who.int/maternal_child_adolescent/topics/adolescence/mental_health/en/

9. Costello EJ, Copeland W, Angold A. Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry. 2011;52(10):1015–1025.[PMC free article][PubMed]

10. Moses T. Being treated differently: stigma experiences with family, peers, and school staff among adolescents with mental health disorders. Soc Sci Med. 2010;70(7):985–993.[PubMed]

11. Burnett-Zeigler I, Walton MA, Ilgen M, et al. Prevalence and correlates of mental health problems and treatment among adolescents seen in primary care. J Adolesc Health. 2012;50(6):559–564.[PubMed]

12. National Institute of Health and Welfare Kouluterveyskysely: Ystävyyssuhteet tukevat nuorten hyvinvointia [The School health promotion study: friendships support adolescents’ well-being] [Accessed February 10, 2017]. [updated September 21, 2015; cited February 3, 2016]. Available from: https://www.thl.fi/fi/-/kouluterveyskysely-ystavyyssuhteet-tukevat-nuorten-hyvinvointia. Finnish.

13. Anttila K, Anttila M, Kurki M, Hätönen H, Marttunen M, Välimäki M. Concerns and hopes among adolescents attending adolescent psychiatric outpatient clinics. Child Adolesc Ment Health. 2015;20(2):81–88.

14. Woodgate RL. Living in the shadow of fear: adolescents’ lived experience of depression. J Adv Nurs. 2006;56(3):261–269.[PubMed]

15. Wisdom JP, Agnor C. Family heritage and depression guides: family and peer views influence adolescent attitudes about depression. J Adolesc. 2007;30(2):333–346.[PubMed]

16. Meadows SO, Brown JS, Elder Jr GH. Depressive symptoms, stress, and support: gendered trajectories from adolescence to young adulthood. J Youth Adolesc. 2006;35(1):93–103.

17. Branje SJ, Hale WW, Frijns T, Meeus WH. Longitudinal associations between perceived parent-child relationship quality and depressive symptoms in adolescence. J Abnorm Child Psychol. 2010;38(6):751–763.[PMC free article][PubMed]

18. Marttunen M, Karlsson L. Marttunen M, Huurre T, Sandström T, Viialainen R, editors. Masennusoireilu ja masennustilat [Depressive symptoms and depression] Nuorten mielenterveyshäiriöt. Opas nuorten parissa työskenteleville aikuisille [Adolescents’ Mental Disorders. Guide for Adults Work with Adolescents] 2013. [Accessed February 10, 2017]. pp. 41–58. [cited February 3, 2016]. Available from: https://www.julkari.fi/bitstream/handle/10024/110484/THL_OPA025_2013.pdf?sequence=1. Finnish.

19. Rainio J, Räty T. Psychiatric specialist medical care 2013. Statistical report. National Institute for Health and Welfare; [Accessed February 10, 2017]. issn: 1798-0887. [cited March 5, 2016]. Available from: http://www.julkari.fi/bitstream/handle/10024/125570/Tr02_15_fi_sv_en.pdf?sequence=8.

20. Pylkkänen K. Nuorisopsykiatrisen avohoidon laatusuositus [Quality of psychiatric outpatient services for adolescents in Finland] [cited February 3, 2016]. Quality indicators, measures, standards and outcomes. Report of the NALLE-project. Helsinki, Finland: Finnish Association of adolescent psychiatry; 2013. [Accessed February 10, 2017]. Available from: http://www.nuorisopsykiatrinen-yhdistys.org/wp-content/uploads/2013/09/SNPY_laatusuositus_1013.pdf. Finnish.

21. Horgan A, Sweeney J. Young students’ use of the internet for mental health information and support. J Psychiatr Ment Health. 2010;17(2):117–123.[PubMed]

22. Mitchell KJ, Ybarra ML, Korchmaros JD, Kosciw JG. Accessing sexual health information online: use, motivations and consequences for youth with different sexual orientations. Health Educ Res. 2014;29(1):147–157.[PMC free article][PubMed]

23. Slone NC, Reese RJ, McClellan MJ. Telepsychology outcome research with children and adolescents: a review of the literature. Psychol Serv. 2012;9(3):271–292.[PubMed]

24. Andersen AJW, Svensson T. Internet-based mental health services in Norway and Sweden: characteristics and consequences. Adm Policy Ment Health. 2013;40(2):145–153.[PubMed]

25. Barak A, Grohol JM. Current and future trends in internet-supported mental health interventions. J Technol Hum Serv. 2011;29(3):155–196.

26. Kurki M, Koivunen M, Anttila M, Hätönen H, Välimäki M. Usefulness of internet in adolescent mental health outpatient care. J Psychiatr Ment Health Nurs. 2011;18(3):265–273.[PubMed]

27. Ellis LA, Collin P, Hurley PJ, Davenport TA, Burns JM, Hickie IB. Young men’s attitudes and behaviour in relation to mental health and technology: implications for the development of online mental health services. BMC Psychiatry. 2013;13:119.[PMC free article][PubMed]

28. Henker B, Whalen CK, Jammer LD, Delfino RJ. Anxiety, affect, and activity in teenagers: monitoring daily life with electronic diaries. J Am Acad Child Adolesc Psychiatry. 2002;41(6):660–670.[PubMed]

29. Hoek W, Schuurmans J, Koot H, Cuijpers P. Effects of Internet-based guided self-help problem-solving therapy for adolescents with depression and anxiety: a randomized controlled trial. PLoS One. 2012;7(8):e43485.[PMC free article][PubMed]

30. Björling EA. The momentary relationship between stress and headaches in adolescent girls. Headache. 2009;49(8):1186–1197.[PubMed]

31. Ellis-Davies K, Sakkalou E, Fowler NC, Hilbrink EE, Gattis M. CUE: the continuous unified electronic diary method. Behav Res Methods. 2012;44(4):1063–1078.[PubMed]

32. Lam J, Barr RG, Catherine N, et al. Electronic and paper diary recording of infant and caregiver behaviors. J Dev Behav Pediatr. 2010;31(9):685–693.[PubMed]

33. World Health Organization Making Health Services Adolescent Friendly: Developing National Quality Standards for Adolescent Friendly Health Services. [Accessed February 10, 2017]. [cited February 3, 2016]. Available from: http://www.who.int/maternal_child_adolescent/documents/adolescent_friendly_services/en/

34. Välimäki M, Kurki M, Hätönen H, et al. Developing an internet-based support system for adolescents with depression. JMIR Res Protoc. 2012;1(2):e22.[PMC free article][PubMed]

35. Kettles AM, Creswell JW, Zhang W. Mixed methods research in mental health nursing. J Psychiatr Ment Health Nurs. 2011;18(6):535–542.[PubMed]

36. Thomas E, Magilvy JK. Qualitative rigor or research validity in qualitative research. J Spec Pediatr Nurs. 2011;16(2):151–155.[PubMed]

37. Clark VLP, Huddleston-Casas CA, Churchill SL, Green DO, Garrett AL. Mixed methods approaches in family science research. J Fam Issues. 2008;29(11):1543–1566.

38. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.

39. Municipaties.netSairaanhoitopiirien ja erityisvastuualueiden (erva) asukasluvut [Population in hospital districts and catchment areas for highly specialized medical care] [Accessed February 10, 2017]. [Updated August 12, 2016; cited October 25, 2016]. Available from: http://www.kunnat.net/fi/kunnat/sairaanhoitopiirit/asukasluvut/Sivut/default.aspx. Finnish.

40. Hintermair M. The social network map as an instrument for identifying social relations in deaf research and practice. Am Ann Deaf. 2009;154(3):300–310.[PubMed]

41. IBM Software SPSS Statistics. [Accessed February 10, 2017]. [cited October 28, 2015]. Available from: https://www-01.ibm.com/software/fi/analytics/spss/products/statistics/products.html. Finnish.

42. Hsieh H, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–1288.[PubMed]

43. National Advisory Board on Health Care Ethic . Sosiaali ja terveysalan eettinen perusta [Ethical bases of social and health care] National Advisory Board on Health Care Ethics, Ministery of Social and Health; [Accessed February 10, 2017]. [cited February 3, 2016] Available from: http://etene.fi/documents/1429646/1559058/ETENE-julkaisuja+32+Sosiaali-+ja+terveysalan+eettinen+perusta.pdf/13c517e8-6644-4fa5-8c5f-193cfdce9841. Finnish.

44. Finnish Advisory Board on Research Integrity, TENK Hyvä tieteellinen käytäntö ja sen loukkausepäilyjen käsitteleminen Suomessa [Good scientific practice and proceeding with violations in Finland] [Accessed February 10, 2017]. Available from: http://www.tenk.fi/sites/tenk.fi/files/HTK_ohje_2012.pdf. Finnish.

45. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–2194.[PubMed]

46. Teo AR, Choi H, Valenstein M. Social relationships and depression: ten-year follow-up from a nationally representative study. PLoS One. 2013;8(4):e62396.[PMC free article][PubMed]

47. Irealand AM, Wiklund I, Hsieh R, Dale P, O’Rourke E. An electronic diary is shown to be more reliable than a paper diary: results from a randomized crossover study in patients with persistent asthma. J Asthma. 2012;49(9):952–960.[PubMed]

48. Krogh AB, Larsson B, Salvesen Ø, Linde M. A comparison between prospective Internet-based and paper diary recordings of headache among adolescents in the general population. Cephalalgia. 2016;36(4):335–345.[PubMed]

49. Palermo T, Valenzuela D, Stork PP. A randomized trial of electronic versus paper pain diaries in children: impact on compliance, accuracy, and acceptability. Pain. 2004;25(4):299–306.[PubMed]

50. Melville KM, Casey LM, Kavanagh DJ. Dropout from internet-based treatment for psychological disorders. Br J Clin Psychol. 2010;49(Pt 4):455–471.[PubMed]

"There's no point in talking to you: you don't understand me. You don't even know me."

A teen spits these words at a parent, who is hurt and outraged. How can her own child say these things? She's worked hard to know her own child, learning to read his feelings from voice and gesture, learning to place his words in the context of his day-to-day life. How can her own child now say to her, "You don't know who I really am."

Nothing shakes a parent's confidence as much as the onset of a son's or daughter's adolescence. The communication that flowed easily, with words, glances and touch, becomes a minefield. Judith says that her once affectionate daughter is now, at 14, surly and guarded, with "porcupine-like spines that bristle whenever I get near her". Pat says that his 15-year-old son Greg "gives off hate rays the minute I step into the room. His response to everything I say is a groan. Sometimes I get furious, but mostly he manages to make me as unhappy as he seems to be."

Recent discoveries that the human brain undergoes specific and dramatic development during adolescence (with the frontal lobes - which allow us to organize sequences of actions, think ahead and control impulses - bulking up in early adolescence before gradually shrinking back) offer new physiological "explanations" of teen behavior, particularly of their impulsiveness. At the bulking stage, there may be too many synapses for the brain to work efficiently; the mental capacity for decision-making, judgement and control is not mature until the age of twenty-four. But no underlying physiology explains the teens' experience of parents.

Nor do raging hormones - an older style "explanation" - account for the apparently irrational moodiness of teens. Though hormones play a role in human feelings, the real task of adolescence, and the real cause of turbulence, is the teen's own uncertainty about who he is, alongside his eager need to establish a sense of identity.

This involves self-questioning and self-discovery and self-development across a range of issues, including gender, faith, intellect and relationship. A sense of who we are is not a mere luxury; we need it to feel alive. Without it, we feel worthlessness. A teen often looks upon peers as models: "I don't know who I am, but I know who he is, so I'll be like him," is the underlying thought. Parents become mirrors: teens want that mirror to reflect back to them the vividness and clarity they themselves do not feel.

Arguments with parents can often be understood in this context. While those common teenager/parent quarrels, which explode every few days, are, at a superficial level, about curfews, homework, housework, and respect, a teenager's real focus is on a parent's acknowledgement of his maturity and capability and human value. "No, you can't go out tonight," cuases more than a glitch in a teen's social diary; it implies that a parent doesn't trust him to make his own decisions. And, in a teen's eyes, that's not only unfair; it's humiliating. Even apparently minor exchanges can trigger major reactions, making a parent feel that "everything I say is wrong!" A parent asks a checking-up question, and the teen feels like a little child again. "Have you got your keys?" and, "Do you have enough money for the bus?" are loaded with the implication, "You're not able to look after yourself." These questions would be easily tolerated if uttered by a concerned friend, but from a parent they pinch on a teen's own doubts. Feeling threatened by the kid who can't remember to take his lunch, his keys or his money, he blames the parent for reminding him of the child-self still residing within him.

It is no wonder, then, that teens can be quick to reject the embraces and endearments that were once daily currency in his life with a parent. "Oh, come on," a teen protests as a parent gives him a good-morning hug: a parent may interpret this as a stinging rejection of their entire relationship, but the teen is simply acting out his ambivalence: he feels trapped both by the comfort he is inclined to experience from a parent's hug and by his wish to expel the previous child-self who welcomes the comfort.

Teens get so heated in arguments with parents because so much is at stake: they are fighting to change their relationship with a parent, to make a parent see that they are not the child the parent thinks she knows. They want to shake a parent into an awareness of the new and exciting person they hope to become. Quiet conversations, as opposed to quarrels, do not do justice to the drama of the teens' feelings. In argument, you push yourself and the person you are arguing with, into what Annie Rogers calls "a rawness of feeling, where you say more than you otherwise would."

Perversely, teens expect the parent to appreciate who they have become, even before they know. Therefore, in the emotional exposure of quarrels with parents, teens clarify and demand recognition for the new person they see themselves to be - or on the way to being. The arguments can put the entire family into a spin as each parent has a different interpretation of "the problem", and siblings complain that their parents are "dense" as they fail to understand the teen's outbursts.

What my research, reassuringly, shows, is that quarrelling with your teen doesn't necessarily mean you have a bad relationship. The quality of a parent/teen bond has several measures: there is the comfort of simply being together, the willingness to share a range of daily experiences and to express a range of feelings - happiness as well as their unhappiness. Some parents and teens who engage in frequent arguments have, by these measures, a good relationship: what matters is that a quarrel doesn't end with two people simply brooding over their own anger. What a teen is aiming for, after all, is to gain recognition and new respect for the parents he still loves.

a version of this piece appeared in Psycholgies magazine

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