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TALKING TO ADOLESCENTS

This course delves into the psychodynamics of adolescence, offering a theoretical background, perspectives on phases of development, adult responses, and practical strategies. Learn to navigate the turbulent emotional landscape of adolescents with authenticity, containment, and effective communication.

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TALKING TO ADOLESCENTS

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  1. TALKING TO ADOLESCENTS Paediatric Refresher Course 2010

  2. Introduction • Context • Re-imagining adolescents –brief theoretical background (psychodynamic) • Questions • Introduce the case for role play • Scenario 1 and discussion • Scenario 2 and discussion

  3. The psychodynamics of adolescence • Discreet developmental period characterized by huge change • Different phases –early and late • Timing of phases dependent on: • Temperament, environment, milestones • Developmental arrest • A “state of mind” – transitional/Mercurial

  4. Psychodynamics II • Dramatic tension of opposites in psyche • Separation/growth vs fusion/safety • Tremendous psychic conflict- painful anxiety, guilt, rage etc • Defences against thinking and feeling • “acting out”(enactment) • Splitting and projection • Defences are necessary to ‘pace’ growth

  5. Adult responses • Holding the tension of the opposites • Function shifts away from parents and family • “Holding” – containing, listening, curiosity/interest, understanding, giving words (2007 neuro study), re-imagining, modeling, carrying the projection, mindfulness, gestures, realness, • “Limiting” – Icarus, prohibition/inhibition, integrity • Controlling our responses, rather than their responses (lecturing, ‘life wisdom’) • Authenticity – Jung, Daniel Stern

  6. Levels of Communication ADULT ADOLESCENT Conscious Conscious Unconscious Unconscious

  7. Adult limitations • Our own adolescence • Our developmental “state of mind” • Need for acceptance/belonging • Disconnection, disinterest or negative affects can create iatrogenic Sx in the adolescent • Projective identification • Boundaries • Manipulation

  8. Practical • Holding the tension of opposites • Creating space for communication • Containing your own anxiety • Maintaining authenticity

  9. Useful references • 1. Frankel R. The Adolescent Psyche: Jungian and Winnicottian Perspectives. London: Routledge, 1998. • 2. Waddell M. Inside Lives: Psychoanalysis and the Growth of Personality. London: Routledge, 1998. • 3. Waddell M. Understanding 12-14-year-olds. London: Jessica Kingsley Publishers, 2005. • 4. Winnicott DW. The Maturational Process and the Facilitating Environment. London: Hogarth, 1965. • 5. Lieberman, M.D., et al. Putting Feelings Into Words. Psychological Science, 18(5), 421-428.

  10. Questions

  11. Role plays • Scenario 1 • Discussion • Scenario 2 • Final discussion

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