Adolescence
Adolescent Tasks
1. Integrate attachment & sexuality; 4. Discriminate other people's strategies:
a. Appearance vs. reality;
2. Construct hierarchical meta-models b. Personal fit.
of multiple relationships;
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A Dynamic-Maturational Model
of Patterns of Attachment in Adolescence
New Patterns Integrated True Information
True Cognition True Affect
(Type B)
1. Compulsive Self-reliance
a. Social
b. Isolated False Affect
a. Social
Denied Affect
b. Sexual
2. Patterning:
3. Intentional deception
a. Likes attract
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Mental Change
3. Self-reflection
1. Abstract reasoning a. Stability of self across people and
context
2. Complexity b. Strategic variation in presentation of
a. Multiple causation traits
b. Reciprocal effects
c. Causation vs. responsibility
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3. Mental health
3. Put control of outcomes in others’ hands;
4. Ethics – prohibit probable behavior
4. Restrict range of adaptability.
Treatment Outcomes
• Common understanding
– Pedophilia is incurable
Sexual Abuse & Violence – CBT reduces recidivism
• Less clarity of self than prior to treatment • Arousal increase (depression reduction)
– Confusion of anger & fear with well-being
• Augmentation of distortion – Confusion of pain with excitement/pleasure
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Adult Functioning
Who are the sexual abusers?
Distorted self-protective strategy
Adolescence: Incest: Delusional idealization of mother, hate for father
Caregiver abuse: Obsession with revenge
Sexual desire permitted in males Stranger abuse/violence: Intense shame & longing
Precocious peer sexual activity Confusion of sexual arousal with other aroused states
Equally vulnerable partner Misinterpretation of children’s signals (coy/flirting,
Rejection by appropriate sexual partners sad/longing)
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Treatment Strategies
1. Opposite strategies …
2. Being explicit & integrating information
regarding the self in relationships is crucial.
3. Implicit functioning requires treatment that
illuminates behavior.
4. If one doesn’t know what they do or why,
observation of oneself becomes crucial.
5. Generalizations cannot be used effectively
until after observational data are available
(to the self!)
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