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In this situation, the therapist has to keep Anna on her side. There is obviously tension between Anna and her mother, and she obviously loves her boyfriend. However, there is some concern that this boyfriend, who is older, is putting a lot of pressure on her to have sex…
Therapists know that during this period of life or life stage change, there are also increased pressures on the adolescent in terms of fitting in with a peer or social group, which is replacing the family group in terms of the ways that the individual feels compelled to spend their time. This is why the therapist should not be seen as siding with Anna's mother. The development of a greater cognitive and social sophistication is one side of the adolescent experience, in which thoughts, feelings, and behaviors become more part of an individual's self-awareness and growth. There are also changes going on in the adolescent individual from a neuro-chemical point of view. "Recent imaging studies in humans show that brain development and connectivity are not complete until the late teens or early twenties" (Adolescence, 2006). However, this is also a high risk case situation, so the therapist may also want to make Anna more aware and educated about making mature and responsible sexual decisions, including the role of contraception, and effective planning regarding sexual behavior.
Tom and Susan are an elderly couple, but they have different bio-mechanical activities going on that the therapist needs to realize. Sexually, Tom is waning, while Susan may even be waxing in terms of her appetites. Males generally peak sexually in adolescence; females reach sexual peak much later. ...
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