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[Disorders of the maturation process and psychosexual development of anorexic patients].

In a therapy outcome-study with 51 female anorectic patients most of them showed a delay in maturation, deviations in sexual behaviour and in attitudes towards sexuality. The interpretation of our data shows that family factors play a major role in the development of sexual disturbances. To interpret anorexia nervosa only as a rejection of the female role means to simplify the complex processes in this multidetermined illness.

Adolescent

Symptomatology, psychosexual development and gender identity in 42 anorexic males.

Forty-two male patients with an anorexic syndrome were assessed. Twenty-nine of them had a primary anorexia nervosa (most of them also had bulimic symptoms). They were compared with a series of 23 female anorexia nervosa patients. The males scored more highly than female patients on a number of symptoms, but generally more similarities than differences in symptomatology were apparent. Male patients with primary anorexia nervosa also showed several signs of a disturbed psychosexual and gender identity development. The data support the hypothesis that males with atypical gender role behaviour have an increased risk for developing anorexia nervosa or bulimia in adolescence.

Adolescent

The effects of a scientifically objectifying (self-) understanding on the psychosexual development.

The question as to whether a spiritualized technical-mechanical world and human image can play a role in the development of sexual perversions was posed. Sexually deviant behaviour could then be understood as being an escape from a mechanical self-experience, poor in sensitivity. The presence of concept contents in psychological tests and anamnestic details which indicate such a self-experience was examined in children and adolescents with disturbances in sexual identity, object choice and sexual behaviour and was analysed for patients with fetishistic or violent tendencies. In fetishistic patients the results came up to our expectations more than in those with tendencies to violence, but not all single results supported our hypothesis.

Adolescent

On the girl's psychosexual development: reconsiderations suggested from direct observation.

Following on two decades of longitudinal direct observation of young children, revisions of two component parts of psychosexual theory seem warranted. First, direct observation does not support the concept of a "phallic" phase as being representative of the girl's first genital phase. Observational findings challenge "phallic" concept-dependent hypotheses Freud proposed in 1925, including how the girl enters her Oedipus complex as well as the nature of her wish to have a baby. In the children observed by the author, phallic aggression was not manifest as much in girls as in boys, between the ages of two and four. Second, it is proposed we put aside the "phallic" phase concept in our considerations of the girl's dynamics and that we heighten our awareness of her early experiences of ambivalence--which lie at the heart of the oedipal conflict--and which leads to a formulation of superego development in the girl more compatible with clinical findings.

Child

The relationship between early development and psychosexual behaviors in adolescent females.

The relationship between early sexual maturation and the psychosexual behaviors of dating and sexual intercourse was investigated using a national sample of adolescent females aged 15 to 19. Among both black and nonblack subjects, early-maturing girls were more likely to have experienced earlier dating and coital onset than were their later-maturing peers. Blacks experienced menarche and first intercourse at earlier ages, yet dating onset at later ages. Early menarche was also associated with marriage at an early age for nonblacks, but not for blacks. These racial differences were explained in terms of diverse socialization patterns or cultural expectations. For both blacks and nonblacks, those with earlier coital experience were found to have had menarche and dating onset at earlier ages.

Adolescent

Development of psychosexual concepts in relation to expressive language performance.

Cognitive-developmental theory suggests that the learning of gender identity concepts is a sequential process, beginning with the learning of one's own gender, and moving to recognition of the invariance of gender as a human characteristic. Neither clinical nor theoretical literature can fully explain the steps involved. In this study, retarded and nonretarded children were asked to respond to tasks requiring knowledge of core gender identity and gender constancy. When both the retarded and nonretarded children were pooled, a significant interaction was found across all ages between expressive language performance and the development of the psychosexual concepts of core gender identity and gender constancy.

Age Factors