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Prepared by Katherine E. L. Norris, Ed.D.
West Chester University of Pennsylvania
This multimedia product and the content are protected under copyright law. The following are prohibited by law:
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any public performance or display, including transmission of any image over a network,
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preparation of any derivative work, including the extraction, in whole or in part of any images;
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any rental, lease, or lending of the program.
Copyright © 2010, Pearson Education Inc., All rights reserved.
Chapter 13
Physical Development in Adolescence
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Growth of the Body and Brain During Adolescence
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Sexual Activity During Adolescence
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Special Concerns About Teenage Sexual Activity
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Adolescent Health Issues
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Puberty
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Early and Late Maturation
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Brain Development
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Puberty
◦ The process of physical maturation that leads to the
physical capability to reproduce.
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Androgens
◦ One type of sex hormone, released in greater
concentration by males.
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Estrogens
◦ One type of sex hormone, released in greater
concentration by females.
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Menarche
◦ The first menstrual period for females, usually occurring
around 12 to 13 years of age.
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Adolescent Growth Spurt
◦ The increase in growth associated with the onset of
puberty.
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Copyright © 2010, Pearson Education Inc., All rights reserved.
Copyright © 2010, Pearson Education Inc., All rights reserved.
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Body Image
◦ The way a person thinks about his or her body and how it
looks to others.
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Early Maturation
◦ When the physical changes of puberty occur earlier than
they do in the majority of one’s peers.
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Late Maturation
◦ When the physical changes of puberty occur later than
they do in the majority of one’s peers.
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Did you begin puberty earlier or later than other
adolescents your age?
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How did your rate of maturation affect your feelings
about yourself and how you compared with your
classmates?
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Prefrontal Cortex
◦ A large part of the frontal lobe of the brain that is
important for planning, judgment, decision making, and
inhibiting impulsive responding.
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Patterns of Sexual Activity
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Contraceptive Use in Adolescence
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Sexual Knowledge and Sex Education
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Sexually Transmitted Diseases
◦ A disease transmitted primarily through sexual contact.
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Contraception
◦ Methods such as condoms and birth control pills used to
prevent pregnancy.
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Copyright © 2010, Pearson Education Inc., All rights reserved.
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Almost all public school systems provide sex
education programs.
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Churches and community organizations such as
Planned Parenthood, the YMCA, Boy Scouts, and
Girl Scouts also offer these programs.
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Even with all the educational training, teens know
very little about sex.
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
Was the sex education program in your school
system adequate and effective?
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How do you think it could be improved?
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Sexually Transmitted Diseases and Adolescents
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Teenage Pregnancy
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Forced Sexual Behavior
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Chlamydia
◦ A common STD caused by a bacteria that often produces
no symptoms, but that can lead to infertility if untreated.
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Gonorrhea
◦ A common STD caused by a bacteria with often mild
symptoms, but that can lead to infertility, blood, or joint
problems if untreated.
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Human Papillomarvirus (HPV)
◦ A common STD caused by a group of viruses. Persistent
infection is the main risk for cervical cancer.
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Copyright © 2010, Pearson Education Inc., All rights reserved.
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Most experts agree that living in poverty is the
biggest risk factor for teenage pregnancy.
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Earlier age of first intercourse increases the risk of
pregnancy.
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Lack of parental supervision increases the risk of
teen pregnancy.
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Copyright © 2010, Pearson Education Inc., All rights reserved.
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Rape
◦ Sexual intercourse as a result of physical force or
psychological coercion.
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Sexual Assault
◦ Sexual contact due to physical force or psychological
coercion that may or may not involve penetration.
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Sexual Harassment
◦ Any unwanted behavior of a sexual nature that creates a
hostile or offensive environment.
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Nutrition and Exercise
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Substance Use and Abuse
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Other Health Issues During the Adolescent Years
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Eating Disorders
◦ Anorexia Nervosa
 A serious eating disorder involving distorted body image,
intense fear of gaining weight, and refusal to maintain a
healthy weight.
◦ Bulimia Nervosa
 A serious eating disorder with binge eating, followed by
purging, fasting, or excessive exercise.
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Substance Use
◦ Ingesting on more than a few occasions any substance
that alters psychological functioning.
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Substance Abuse
◦ The use of a substance that alters psychological
functioning to the extent that it creates difficulties in dayto-day life.
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Binge Drinking
◦ Consuming five or more alcoholic drinks on a single
occasion.
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Adolescents Need More Sleep
◦ Most teens do not get enough sleep.
◦ Delayed phase preference
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Depression
◦ Clinical Depression
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Causes of Death
◦ The leading cause of death among adolescents in
unintentional injury, led by motor vehicle accidents.
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Adolescent Drivers
◦ For every mile they drive, 16-year-old drivers are seven
times more likely to have an accident than 25 – 29 year
olds.
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Suicide
◦ Adolescents are more likely to attempt suicide when they
were born to teenage mothers, suffered from depression,
or other psychological disorders, had suicidal thoughts
had a friend who attempted suicide, or had low self
esteem.
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