LESSON 4.
1 – SETTING THE STAGE
                                                             support coming from significant others like
INTRODUCTION:                                                families and friends.
   - Adolescence is a stage that prepares you            -   The roots of an initiative are planted
     for adulthood. It is an exciting period since           through       kindness,      empathy,    and
     it allows you to widen your experiences                 compassion.
     and expand your social circle.                      -   When these three have been instilled
   - At the same time, it is also a frightening              since childhood, these children become
     period since it is the beginning of breaking            adolescents who have integrated these
     away from childhood. The transition from                values. They are geared towards taking
     being a child to being an adult can make                initiatives that benefit not only themselves,
     you confused and at a loss as to how you                but their communities or societies, and
     can handle the bumps of growing up.                     employers as well.
   - A person must grow and experience trials
     to attain maturity. This is a key issue         “It’s a jungle out there.”
     during the adolescent stage. Any person
     in this stage experiences varying events        FACTORS THAT GIVE RISE TO ADOLESCENT
     and situations that lead to a deeper            ISSUES
     understanding of how you survive in a              - This statement may be simple, but once it
     world where you do not always get what               is applied into your world, it takes on a
     you want.                                            whole new meaning. This can sum up
   - In many instances, you face the challenge            your perception about the world around
     of proving yourself to society and how you           you. It is a jungle in the sense that there
     can contribute to the betterment of your             are many challenges and issues that you
     communities. The beginning of this stage             experience. Since your world is not limited
     is a mark that you must start letting go of          to your immediate family (but includes
     childhood and start the transition of                school, church, the peer groups to which
     becoming an adult.                                   you belong, and the greater community),
                                                          the scope of these challenges widen as
IMPORTANCE OF FACING CHALLENGES                           well. You are faced with conflicting values,
   - Challenges will either make or break a               inconsistent rules, and expectations that
     person.                                              may prove to be challenging to meet and
   - People live in a world that is changing.             resolve.
     When there is change, there is a
     challenge. The successful resolution of a       NATURE VS. NURTURE
     challenge results in the formation of             - Your development is dictated by the
     initiative. An initiative is instrumental in         combination of your genes and culture.
     pursuing goals.                                      Since people are made up of different
                                                          combinations of genes, it is expected that
INITIATIVE                                                you will have unique characteristics.
    - Marilyn Price-Mitchell defined initiative as     - Aside from your genes, the environment
       the ability to push life in a forward and          where you were brought up adds up to
       purpose-driven direction. It involves both         this uniqueness. These factors include
       the motivation from within the individual          your      family     background;       your
       and the outward means of attaining one’s           socio-economic      status;     educational
       goals.                                             attainment of parents; having an intact or
    - Teenagers seem to be blessed with                   a broken family; language factors; societal
       initiative. It has been associated with            expectations; and other things.
       motivation and achievement, but it is more      - This is the reason why two adolescents
       complicated than these two. It is                  may have different personalities despite
       developed during the adolescent stage.             the fact that they are of the same age.
       There are two components that affect this          Since you are a member of the society,
       development: mastery of experiences and            you abide by the expectations of people
       around you. It is in these expectations that          the manner of achieving physical
       conflicts may arise.                                  perfection may be taken to extreme
   -   In the field of Science, Human                        degrees that result in more problems.
       Development is regarded as a scientific
       study of how you change as you go from         2. EATING DISORDERS
       one life stage to another.                         - While it is expected that teenagers are
   -   This development comes in sequential                  bound to gain weight; negative feelings
       order. It is not shown randomly. Rather, it           are created by the idea that gaining too
       has specific timetables that all human                much weight can make you unattractive.
       beings follow. Moreover, each stage of                These negative feelings can result in
       development has a specific description                eating disorders.
       and has hazards associated with it.                - Eating disorders usually begin in the
   -   Lastly, there are expectations for every              adolescent stage. These are caused by
       period. As discussed in the previous unit,            several     factors    including    genetic,
       these expectations come in the form of                psychological and social factors. Anorexia
       tasks that you must meet to accomplish                Nervosa, Bulimia Nervosa, and Binge
       and gain succeeding skills and behavior               Eating are just some examples of this
       patterns. These expectations are also                 disorder.
       called developmental tasks.                    Anorexia Nervosa
                                                          - is shown by people who think that they are
DEVELOPMENTAL TASKS                                          overweight when in fact, they are already
  - The developmental tasks that are                         underweight. They usually restrict their
     expected during adolescence are:                        food intake; constantly monitor their
  ★ Achieving gender-specific roles                          weight; and eat small quantities of food.
  ★ Creating mature relations with both               Bulimia Nervosa
     genders                                              - is shown by people who eat large
  ★ Accepting one’s physical characteristics                 amounts of food. They feel that they
  ★ Developing a set of values and ethics to                 cannot control this urge. This is followed
     guide future behavior                                   by actions that compensate for this lack of
  ★ Preparing for marriage and family                        control like forced vomiting (done by
  ★ Developing emotional independence                        inserting the fingers or other long objects
  ★ Preparing for a career or profession                     like a toothbrush in the mouth). The
  ★ Achieving      socially  acceptable    and               person may also engage in excessive
     responsible behavior.                                   exercise.
                                                      Binge-eating Disorder
   -   These tasks that you are expected to               - is shown by uncontrollable eating. This
       accomplish can be challenging. The                    differs from Bulimia since there is no effort
       inability to meet these tasks causes                  to do excessive exercise, fasting, and
       problems or issues during the adolescent              forced vomiting.
       stage.                                             ★ People with eating disorders run the risk of
                                                             having health problems. The lack of
ISSUES DURING ADOLESCENT PERIOD                              nutrients can weaken the body.
1. PHYSICAL CONCERNS                                      ★ It can be done by making the people
    - In the society, people emphasize on                    susceptible to malnutrition, anemia, ulcer,
      healthy living. Campaigns are made                     dehydration, kidney failure, brittle bones,
      towards healthy lifestyle by encouraging               heart failure, muscle weakness, gastric
      people to eat a balanced diet and engage               rupture, tooth decay, irregular bowel
      in physical activities. The end goals are: to          movement, rupture of the esophagus
      have a healthy body so one can live                    during vomiting, high blood pressure and
      longer, and to look and feel good. The                 cholesterol     level,    heart     disease,
      latter is where the issue is coming from for           gallbladder disease, and diabetes.
      adolescents. Teenagers like to appear
      attractive for some reasons. Unfortunately,
3.   EATING        DISORDERS         AND     THE            things, feel, and behave. The U.S.
DEVELOPMENTAL TASK OF FORMING AN                            National Institute on Drug Abuse reported
IDENTITY AND GROUP CONFORMITY                               that regular consumption of these drugs
   - Since you are beginning to develop your                could cause mental illness.
      sense of identity, your self-esteem is also
      affected. In trying to meet the standards of   TYPES OF PSYCHOACTIVE DRUGS:
      people regarding the ideal body weight         Stimulants like crystal meth, cocaine, and
      and appearance; you begin to feel that         caffeine.
      you must do something to meet these                ★ Effects: These drugs speed up the brain
      standards. Hence, you engage in                       and body. They can make you feel more
      unhealthy patterns of behavior. Your                  alert, energetic, and confident. However,
      dissatisfaction with your body and low                they can also lead to increased heart rate,
      self-esteem are contributory factors to the           anxiety, and aggression.
      development of eating disorders.                   ★ Risks: Long-term use can cause serious
   - In this stage, the influence of your peers is          health issues, including heart problems
      strong that you begin to dress, act, and              and mental health issues like paranoia or
      talk the way your peers do. It becomes                aggression.
      natural for you to consider losing weight to
      fit into the mold. Adolescents who do not      Depressants like alcohol, benzodiazepines
      comfortably fit into one group may feel        (e.g., Xanax), and barbiturates.
      alienated. This makes them prone to                ★ Effects: It slows down the brain and body.
      emotional difficulties.                                They make you feel relaxed and calm,
   - It is worth considering though, that                    which is why they are sometimes used
      “wanting to belong” and social standards               medically to treat anxiety or sleep
      are not just the reasons for eating                    disorders.
      disorders. Eating disorders can also be            ★ Risks: Overuse can lead to drowsiness,
      influenced by physiological factors like               confusion, and even unconsciousness.
      genetics and brain activity. It is                     Long-term use or high doses can be
      recommended to seek the help of                        dangerous,       affecting   memory      and
      professionals when dealing with this issue.            coordination and increasing the risk of
                                                             addiction.
4. SUBSTANCE ABUSE                                   Narcotics like morphine, codeine, heroin,
    - Carandang et al. discussed drug addiction      oxycodone
      among the youth. Drug addiction is                 ★ Effects: These drugs are powerful
      defined as the condition in which an                   painkillers that can also create feelings of
      individual is unable to control the use of             euphoria (a "high"). They work by blocking
      addictive     substances     known     as              pain signals in the brain.
      psychoactive drugs. Psychoactive drugs             ★ Risks: Narcotics are highly addictive.
      can be legal or illegal.                               Misuse can lead to overdose, respiratory
Examples:                                                    failure, or death. Long-term use can also
    ★ Legal Psychoactive Drugs – nicotine and                affect mood and brain function, leading to
      alcohol                                                issues like depression or anxiety.
    ★ Illegal Psychoactive Drugs – marijuana,        Hallucinogens like LSD, ecstasy (MDMA),
      cocaine, and heroine among others              magic mushrooms
Psychoactive drugs                                       ★ Effects: Hallucinogens cause people to
    - cause psychological effects. This happens              experience things differently, like seeing or
      when there is an interaction between the               hearing      things     that   aren’t    real
      brain chemicals and the chemicals from                 (hallucinations).
      these substances. They affect the balance          ★ Risks: The effects can be unpredictable
      of these brain chemicals that results in               and sometimes frightening, leading to
      unusual behaviors. The change in the                   “bad trips.” Long-term use can cause
      number of neurotransmitters (brain                     lasting changes in mood and perception,
      chemicals) affects how people sense                    and in some cases, trigger psychosis.
   -   Some Mental Illnesses Caused by                 genetically predisposed to drug addiction, social,
       Psychoactive      Drugs: Hallucinations.        and psychological factors.
       Imagine seeing or hearing things that
       aren’t actually there. Some drugs, like         Psychoactive     drugs    include   stimulants,
       LSD or magic mushrooms, can make                depressants, narcotics, and hallucinogens.
       people experience hallucinations. It’s like     They cause psychological effects when combined
       your brain is tricking you into believing       with the chemicals in the brain. These effects
       something is real when it’s not, and that       come in the form of disturbed perception,
       can be really scary.                            emotional imbalance, and behavior changes.
   -   Some Mental Illnesses Caused by
       Psychoactive       Drugs:     Uncontrolled      5. ALCOHOL ABUSE
       Aggression.                                         - Alcohol is a drug that elevates five
   -   Some drugs, especially stimulants (like               neurotransmitters that affect our
       cocaine or meth), can make people feel                thinking, feeling, and behavior. It can
       super energetic or even angry. This                   heighten the level of GABA, serotonin,
       might lead to aggressive behavior that the            and glutamate that produces the
       person can’t control, causing them to act             feeling      of     euphoria       (extreme
       violently or harm others.                             happiness) through its dopamine
   -   Some Mental Illnesses Caused by                       effect. Due to this intense feeling,
       Psychoactive Drugs: Mood Disorders.                   alcohol causes addiction.
   -   Drugs can mess with the chemicals in                - Alcohol is a depressant, which means that
       your brain that control mood. For example,            it slows down important functions that
       if someone uses drugs over a long period,             are manifested through unsteady
       they might start feeling really sad or                movement, slurring, slow reflexes, and
       depressed, even when they’re not using                disturbed perceptions. It reduces the
       the drug. Sometimes, they might                       ability for rational thinking and clouds
       experience extreme mood swings, going                 a person’s judgment.
       from feeling very high and happy to very            - The effect of alcohol depends on the
       low and sad.                                          amount consumed. There are people
   -   Some Mental Illnesses Caused by                       who drink alcohol just to loosen up or
       Psychoactive Drugs: Irrational Fears.                 decrease inhibitions. However, if the
   -   Some       drugs,    like   marijuana     or          consumption is more than what the body
       hallucinogens, can make people feel                   can handle, it can lead to depressant
       extremely paranoid. This means they                   effects. Health problems result from
       might become afraid of things that aren’t             long-term use of alcohol like liver disease,
       real, like thinking someone is out to get             malnutrition, ulcers, cancer and even
       them when they’re not. It’s a type of fear            injuries or death due to accidents and
       that doesn’t make sense but feels very                violent behavior. Other effects include
       real to the person experiencing it.                   marital problems, loss of productivity,
   -   Some Mental Illnesses Caused by                       domestic violence and the like.
       Psychoactive         Drugs:      Psychotic          - The effect of alcohol depends on the
       Disorders.                                            amount consumed. There are people who
   -   With long-term use, certain drugs can                 drink alcohol just to loosen up or decrease
       cause a person to lose touch with                     inhibitions. However, if the consumption is
       reality. They might start believing things            more than what the body can handle, it
       that aren’t true or seeing things that aren’t         can lead to depressant effects. Health
       there. This is called a psychotic episode,            problems result from long-term use of
       and it can be very dangerous because the              alcohol like liver disease, malnutrition,
       person may not realize what’s happening.              ulcers, cancer and even injuries or death
                                                             due to accidents and violent behavior.
REMEMBER: Just like eating disorders,                        Other effects include marital problems,
substance abuse is a complex disorder that is                loss of productivity, domestic violence and
caused by some determinants like being                       the like.
6. TEEN PREGNANCY                                          ★ You believe that others are always
    - During the National Summit on Teen                       watching you.       Engaging in alcohol
      Pregnancy held last 2014, it was stated                  drinking and drugs.
      that the Philippines faces the possibility           ★ Driving recklessly and without a license.
      of having a full-blown, national teenage        It is believed that egocentrism is related to your
      pregnancy crisis. The facts presented           risk-taking behavior. The result is the
      during this gathering stressed the              impression that you can do different activities,
      importance of comprehensive, scientific,        even dangerous ones, and you will not suffer from
      and evidence based knowledge and                disastrous consequences. Research shows that
      healthcare services for young Filipinos         you can identify risks but do not pay attention to
      with regards to their sexual development.       them due to immaturity.
    - The UN Population Fund presented the
      top ASEAN countries with high rates of          7. PEER PRESSURE
      teenage pregnancy in 2011 and the                   - During the adolescent stage, you begin to
      Philippines occupied the top spot. Other              practice autonomy and form your identity.
      countries include Indonesia, Cambodia,                This is manifested when you (at the age of
      Thailand, and Vietnam.                                12-14 years old) begin to practice
                                                            emotional independence from the parents.
What makes you prone to alcohol, substance                  You usually form same-sex groups and a
abuse, and teenage pregnancy?                               decrease in parental guidance and less
   - Piaget, a psychologist who proposed the                participation in family activities are
      cognitive theory of development, defined              noticed. In this stage, the influence of your
      egocentrism as self-centeredness.                     peers is strong that you begin to imitate
   - This refers to a child’s tendency to                   the behavior of your friends. You may feel
      consider their point-of view alone                    alienated if do not comfortably fit into one
      without      taking     other      people’s           group. This makes you prone to emotional
      perspectives. This concept was picked                 difficulties.
      up by David Elkind who formulated the
      Adolescent Egocentrism Theory in                   -   By the age of 15-17, your peer group
      1967.                                                  evolves into a mixed gender group. You
   - Personal fable is regarded by Elkind as                 develop intense emotional attachments to
      the thinking of being special, invincible, or          fellow adolescents and can get attracted
      important, and that others are concerned               to adults. This stage starts the beginning
      or preoccupied with you                                of looking for a potential life partner.
                                                         -   When you reach the late adolescence
Personal fable                                               stage (18-21 years), your identity is
   - is a cognitive distortion where adolescents             already formed. You also begin to handle
      believe they are unique, special, and even             adult responsibilities; hence, your sense of
      invincible. It’s a feeling that they are               responsibility is enhanced. You may veer
      different from others in a way that makes              away from your peers. You start to
      them      somehow      "above"     common              establish permanent relationships, and
      problems or consequences. This belief                  your values change.
      can lead them to think that their thoughts,        -   The lure of experiencing the subcultures in
      feelings, and experiences are so unique                groups makes it hard for you to resist your
      that no one else could possibly                        peers. Emotional independence makes it
      understand them.                                       easy for you to rely more on friends rather
   ★ Personal Fable is shown through:                        than your family members. Hence, conflict
   ★ You often feel that you, alone, can fulfill             with parents is at its height. On a positive
      your ambitions.                                        note, your developing independence
   ★ You feel that other people will get into                makes you examine your experiences,
      trouble but not you.                                   relate you to others, and form the concern
                                                             for other people.
Peer pressure is not always bad. There are
teenagers who band together and provide
emotional support to their friends. At this point, a
teenager must be cautious in choosing friends.
There are some who think about their welfare,
while there are others who do not.