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There are an exceptional number of publications on the transition from elementary (primary) school to middle school, also known as secondary school, junior high school or lower-middle school. The major reason is that the transition to middle school is an event that has multiple and harmful implications. Several reasons contribute to the difficulty of secondary school adjustment, including misleading advertisement of the schools, a significant change in the teachers’ behavior and academic demands, and, especially, the developmental transitions to adolescence and the associated difficulties in managing parent-adolescent relationships. Relying on the P–E Fit Model, it is commonly agreed that the characteristics and demands that secondary schools impose on newcomers do not fit the needs of adolescents. In line with their developmental needs, secondary school are more oriented to their peers’ expectations than to those of their teachers and parents, and are more engaged in matters related to their self-esteem and social life, rather than learning “boring materials” or staying at school while their out-of-school life seems to be more exciting. Interventions to foster adjustment to secondary school are presented and discussed.
This article critically examines the relationship between self-esteem and criminal social identity in violent offenders, offering a novel rehabilitative framework within the Indian penal system. Despite global recognition of identity reformation as integral to offender rehabilitation, India has yet to integrate these psychological dimensions into correctional strategies. This research, conducted at Sabarmati Central Prison, Ahmedabad, applies structured therapeutic interventions to assess shifts in self-esteem and criminal social identity among 70 violent offenders, measured pre- and post-intervention. Criminal social identity reflects the internalization of criminality as a defining role, while self-esteem denotes an individual’s perceived legitimacy within social norms. The findings underscore the formative influence of environmental, familial and sociocultural factors, revealing a significant interplay between self-concept and criminal behaviour. Statistically significant improvements post-intervention demonstrate the potential for identity reconstruction as a rehabilitative tool. This analysis challenges punitive correctional models, advocating for evidence-based, human-centred interventions that prioritize psychological rehabilitation. By offering a culturally contextualized approach, this article contributes to contemporary debates on criminal justice reform, providing a blueprint for integrating psychological insights into correctional policy in India and beyond.
I scrutinize the common idea that Narcissistic Personality Disorder (NPD) involves empathy deficits. I argue that empathy is foremost an epistemic mechanism, leading to different forms and levels of interpersonal understanding. Interactive difficulties can result in profound interpersonal misunderstanding, which leaves some people in persistent doubt about other people’s perspectives and about their own social standing. Such status blindness, as I will call it, can explain some specific symptoms of NPD. I introduce relevant conceptual distinctions, devise a complex map of empathy that describes four types and four features, and apply the map to NPD. Finally, I specifically discuss empathy deficits in being the target of the empathy of others.
This paper introduces the concept of self-fulfilling testimonial injustice: a distinctive form of epistemic injustice whereby credibility deficits become true by shaping the very conditions that sustain them. Much of the literature on testimonial injustice has rightly emphasized cases in which credibility deficits are rooted in false beliefs, themselves underwritten by ethically bad affective investments. Yet such a focus risks obscuring a structurally significant variant: namely, those credibility deficits that are rendered true through self-fulfilling mechanisms. Drawing on insights from economics and psychology, I distinguish between motivated cognition-based and cognitive bias-based testimonial injustice, which together furnish the background conditions under which self-fulfilling testimonial injustice can take hold. I develop this account by drawing on both theoretical and experimental work on labor market discrimination, which illuminates the ways in which credibility deficits may become self-fulfillingly entrenched. Finally, I explore the distinctive harms of this form of injustice, focusing on its corrosive effects on epistemic self-confidence or self-trust and epistemic self-esteem, and suggest that its insidiousness and relative invisibility render it both difficult to detect and potentially more pervasive than has hitherto been acknowledged.
We conducted a systematic review and meta-analysis to quantify associations between overall and subtypes of CM, global/trait resilience, and five resilience domains (coping, self-esteem, emotion regulation, self-efficacy, and well-being) in adults, and to examine moderators and mediators of these associations. A systematic search was undertaken on 12 June 2024 to identify published peer-reviewed articles in five databases (PROSPERO-CRD42023394120). Of 15,262 records, 203 studies were included, comprising 145,317 adults (Mage = 29.62 years; 34.96% males); 183 studies and 557 effect sizes were pooled in random-effect meta-analyses. Overall CM and its subtypes were negatively associated with global/trait resilience and its domains (r = −0.081 to −0.330). Emotional abuse/neglect showed the largest magnitude of effect (r = −0.213 to −0.321). There was no meta-analytic evidence for an association between sexual abuse and coping, and physical abuse/neglect and self-esteem. Meta-regressions identified age, sample size, and study quality as moderators. Subgroup analyses found that associations between emotional abuse and emotion regulation were stronger, while associations between emotional abuse and self-esteem were weaker, in western versus non-western countries. No differences were found in associations between CM and resilience in clinical versus non-clinical samples. Narrative synthesis identified several mediators. Associations were of small magnitude and there were a limited number of studies, especially studies assessing CM subtypes, such as physical neglect, bullying, or domestic violence, and resilience domains, such as coping or self-efficacy, in males, and clinical samples. CM exposure negatively impacts resilience in adults, an effect observed across multiple maltreatment types and resilience domains. Interventions focused on resilience in adults with CM histories are needed to improve health and psychosocial outcomes.
Narcissism is a personality trait characterized by a sense of being more important and entitled than others. Narcissism is high in adolescence and puts adolescents at risk of psychopathology and problematic social relationships. Why is narcissism persistent in adolescence? Bridging insights from developmental, clinical, social, and personality psychology, we examined whether adolescents (ages 11–15) high in narcissism maintain narcissism through downward social comparisons (e.g., “I am better than my classmates”), not downward temporal comparisons (e.g., “I am better now than when I was younger”). A cross-sectional study (N = 382, 97% Dutch) showed that adolescents higher in narcissism made more downward social and temporal comparisons. In a longitudinal study (N = 389, 99% Dutch), we assessed adolescents’ narcissism levels at the beginning of the school year and at 3-month follow-up. In-between, we captured adolescents’ comparisons through daily diary assessments. Adolescents higher in narcissism made more downward social and temporal comparisons. Downward social – but not temporal – comparisons partially mediated the 3-month stability of narcissism. In both studies, self-esteem was unrelated to downward comparisons. Thus, downward social – but not temporal – comparisons contribute to the maintenance of adolescent narcissism, and these comparisons constitute a potentially malleable developmental mechanism to curtail narcissism.
Pubertal development variations have consequences for adolescent internalizing problems, which likely continue into adulthood. Key questions concern the extent of these links between pubertal timing and adult symptoms, as well as the underlying mechanisms.
Methods
Longitudinal data were available for 475 female and 404 male participants. Pubertal timing was indicated by age at mid-puberty for both groups and age at menarche for female participants (both assessed continuously). Adult self-reported outcomes of recent and lifetime depression and anxiety were predicted from pubertal timing, also controlling for adolescent (then childhood) internalizing problems. Emerging adulthood self-esteem, body dissatisfaction, education level, and age at sexual initiation were examined as mediators of the pubertal timing-adult internalizing link. Multilevel models tested hypotheses.
Results
Pubertal timing had persisting and sex-dependent psychological associations. Specifically, in female, but not male, adults, early puberty was associated with all adult internalizing outcomes, and for past year and lifetime depression symptoms, even after controlling for adolescent internalizing problems. Pubertal timing links with past-year depression symptoms were mediated by age at sexual initiation, while all other persisting pubertal timing links with adult symptoms were mediated by body dissatisfaction. Most findings concerning depression held when childhood internalizing problems were also a covariate.
Conclusions
Leveraging data spanning four developmental periods, findings highlight the associations between pubertal variations and adult internalizing symptoms by revealing underlying sex-dependent behavioral pathways. Only for female participants did pubertal timing affect depression and anxiety in established adulthood, with body dissatisfaction and age at sexual initiation as unique developmental mechanisms.
This study investigated associations between childhood neighborhood deprivation and adolescent mental health difficulties, and potential protective factors. Data were utilized from the Millennium Cohort Study (MCS) (born in 2000–2002; N = 5,422; 52% female) and the Environmental Risk (E-Risk) Longitudinal Twin Study (born in 1994–1995; N = 1,920; 53% female). Childhood neighborhood deprivation was measured using the Index of Multiple Deprivation between age 9 months and 14 years (MCS) and at age 12 (E-Risk). Adolescent mental health was assessed using the Strengths and Difficulties Questionnaire at age 17 (MCS) and the Diagnostic Interview Schedule conducted at age 18 with symptoms loading onto general psychopathology, internalizing and externalizing factors (E-Risk). Cross-classified models showed high levels of neighborhood deprivation in childhood were associated with more total problems (estimate = 0.46, 95% CI = 0.04–0.88) and internalizing difficulties (estimate = 0.32, 95% CI = 0.06–0.59) in adolescence within MCS. Being male, having higher self-esteem, greater social support, and a more positive parent-child relationship were associated with fewer total problems (estimates = −0.09–−1.87) and internalizing difficulties (estimates = −0.03–−1.88) at age 17 in the full sample regardless of neighborhood deprivation exposure. However, interactions revealed that higher self-esteem was especially beneficial for children exposed to high neighborhood deprivation (estimate = −0.35, 95% CI = −0.43–−0.27). No significant associations between childhood neighborhood deprivation and adolescent mental health symptoms were found in E-Risk. Interventions focused on improving self-esteem, social support, and parenting may help promote better adolescent mental health in the general population. Those living in the most deprived areas may benefit most from increased self-esteem.
Mental health problems in adolescence are increasingly prevalent and have tremendous impacts on life-long health and mortality. Although household poverty is a known risk factor for adolescent mental health, evidence of the timing hypothesis is scarce. We aimed to examine the longitudinal associations of poverty across childhood with mental health in adolescence, focusing on the timing of exposure.
Methods
We used the data of 5,671 children from a Japanese population-based longitudinal cohort, which recruited the first graders (aged 6–7 years) and followed biannually until eighth grade (aged 13–14 years) in Adachi, Tokyo. Household poverty was defined as households having any of the following experiences: annual income less than Japanese yen 3 million, payment difficulties and material deprivations, measured in first, second, fourth, sixth and eighth grades. Adolescent mental health included parent-report internalizing and externalizing problems (the Strengths and Difficulties Questionnaire), self-report depression (the Patient Health Questionnaire-9) and self-esteem (the Japanese version Children’s Perceived Competence Scale) in eighth grade. We applied g-estimation of structural nested mean modelling to account for time-varying confounders.
Results
If adolescents were exposed to household poverty at any grade across childhood, on average, they would report more severe depressive symptoms (ψ = 0.32 [95% CI 0.13; 0.51]) and lower self-esteem (ψ = −0.41 [−0.62; −0.21]) in eighth grade. There were also average associations of household poverty at any grade with more internalizing (ψ = 0.19 [0.10; 0.29]) and externalizing problems (ψ = 0.10 [0.002; 0.19]). Although the associations between household poverty and mental health were stronger in younger ages (e.g., poverty in the second grade → depression: ψ = 0.54 [−0.12; 1.19] vs. poverty in the eighth grade → depression: ψ = −0.01 [−0.66; 0.64]), overlapping 95% CIs indicated no statistically significantly different associations by the timing of exposure.
Conclusion
We found the average effect of exposure to household poverty at any grade on mental health outcomes in eighth grade, failing to support the timing hypothesis. The findings indicate that the effects of household poverty accumulate over time in childhood and impact adolescent mental health (cumulative hypothesis) rather than the effects differ by the timing of exposure. While cumulative effects suggest a persistent intervention in poor households across childhood, we highlight intervention at any timing in childhood may be effective in alleviating adolescent mental health problems.
This chapter explores the experience of receiving a diagnosis (or reaching a point of self-diagnosis) and how this diagnosis impacted the participants and their self-identity. It examines the extent to which they have developed (or are developing) a positive autistic identity, and the terminology they use to describe themselves and their diagnosis.
There is a lack of longitudinal data on the relationship between upward social comparison on social network sites (SNSs) and depression and its underlying mechanisms. Therefore, this study aimed to examine the relationship between upward social comparison on social network sites and depression and analyze the mediating effects of self-concept clarity and self-esteem in this relationship. We employed a two-wave longitudinal design among 1179 Chinese middle school students. The results indicated that : upward social comparison on SNSs predicted middle school students’ depression; Self-concept clarity and self-esteem sequentially mediated the relationship between upward social comparison on SNSs and middle school students’ subsequent depression. These results suggested that three types of interventions could be effectively used to decrease the risk of depression among middle school students.
The present research evaluates the stability of self-esteem as assessed by a daily version of the Rosenberg (Society and the adolescent self-image, Princeton University Press, Princeton, 1965) general self-esteem scale (RGSE). The scale was administered to 391 undergraduates for five consecutive days. The longitudinal data were analyzed using the integrated LC-LSTM framework that allowed us to evaluate: (1) the measurement invariance of the RGSE, (2) its stability and change across the 5-day assessment period, (3) the amount of variance attributable to stable and transitory latent factors, and (4) the criterion-related validity of these factors. Results provided evidence for measurement invariance, mean-level stability, and rank-order stability of daily self-esteem. Latent state-trait analyses revealed that variances in scores of the RGSE can be decomposed into six components: stable self-esteem (40 %), ephemeral (or temporal-state) variance (36 %), stable negative method variance (9 %), stable positive method variance (4 %), specific variance (1 %) and random error variance (10 %). Moreover, latent factors associated with daily self-esteem were associated with measures of depression, implicit self-esteem, and grade point average.
Part IV emphasises the significance of psychological and nutritional characteristics of orthorexia nervosa to gain better insight into the construct of orthorexia nervosa. It focuses on the relationship of orthorexia nervosa with self-esteem, personality traits, eating behaviours (disordered eating behaviours, food addiction, mindful eating), health-related beliefs and behaviours (physical activity), body image, emotion regulation and dietary patterns. It also presents a potential social risk factor of orthorexia nervosa - social media use. A summation of the highlights is included at the end of this chapter. The commentary of the invited international expert (Professor Marle Alvarenga, University of Sao Paulo) provides valuable insights on orthorexia nervosa.
Families have the potential for causing harm and can play a part in the onset of mental health problems. Women’s behaviour is judged by a different set of standards to that of men. Parents still socialise girls differently from boys. The pressures of family life chip away at our confidence and self-esteem and powerfully influencing our ability to make successful adult relationships. Girls and women may be told that they are ‘hysterical’ or ‘out of their mind’ when their emotional response is quite justified by what is happening to them. However, life pressures can also trigger mental illness, and family stress such as living in poverty and with domestic violence can make this worse. Girls and young women experience much more sexual abuse during childhood than boys – the sheer extent of which was not acknowledged in the past. Improving material and psychological support to families is a mammoth task, but what is within our power, among our own friends, families and communities, is to do something when we suspect that young women are experiencing trauma and abuse – believing, helping and supporting them to find someone to share their stories with who is trustworthy and skilled.
Half of all mental health problems start by the age of 15 and the teenage and young adult years are particularly difficult for girls with high and increasing rates of anxiety, depression and self-harm. Many different factors contribute, including social media, peer pressures, focus on appearance, friends, relationships, schoolwork and, as Everyone’s Invited has recently highlighted, personal safety. There is tremendous pressure to conform with the expectations of others. Attitudes to women and girls seem to have gone into reverse during the author’s lifetime. It is too simplistic to view the problems of young women as a simply a ‘lack of self-esteem’. The difficulties they face in society are consistently underestimated and not taken seriously. Fast access to therapy is crucial. Bullying must be addressed effectively. Sexist and mysogynistic attitudes in school must be challenged and, given the easy access now to pornography, the issues of consent should addressed head on by both parents and schools. Using the example of Everyone’s Invited, women and girls need to reach out and support each other. The personal is still political.
Perfectionism dimensions, including perfectionistic strivings and perfectionistic concerns, have a significant positive association with psychopathology. Clinical perfectionism is defined as when an individual’s self-esteem is excessively reliant on meeting high standards despite negative consequences. Numerous studies have found that higher perfectionistic concerns correlate with lower self-esteem; however, evidence for the association with perfectionistic strivings has been mixed.
Aims:
The focus of this systematic review and meta-analysis was to inform theoretical understanding of the relationships between perfectionism dimensions and self-esteem in adults.
Method:
A systematic literature search was conducted in Medline, PsycINFO, PsychARTICLES, ProQuest Central, and Scopus on 31 May 2023.
Results:
There were 83 articles included, with 32,304 participants (Mage=∼24.66 years). There was a significant negative moderate pooled association between self-esteem and perfectionistic concerns, r=–.42, 95% CI [–0.47 to –0.38]. A significant negligible positive pooled association was found between self-esteem and perfectionistic strivings, r=.06, 95% CI [0.01 to 0.11]. Results indicate higher perfectionistic concerns is associated with lower self-esteem, providing indirect support for the cognitive-behavioural model of clinical perfectionism.
Conclusions:
Future research should compare cognitive behaviour therapy for perfectionism to treatments for low self-esteem on outcomes of perfectionistic concerns and psychopathology.
This chapter reviews the role of evidence-based practice (EBP) when providing clinical services to LGBTQ+ youth and adults. Evidence-based practice integrates three domains: the best available research evidence, clinical judgment, and patient characteristics, values, and contexts. Each of these domains is discussed in detail in the chapter. The chapter proceeds to review the adaptation of EBPs to be LGBTQ+ affirmative and cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness-based cognitive therapy as effective evidence-based interventions for mental and behavioral health concerns with LGBTQ+ individuals. Additionally, the chapter provides evidence-informed considerations for addressing self-acceptance, self-esteem, and career-related concerns in counseling for LGBTQ+ individuals. Evidence for group modalities with LGBTQ+ individuals is also provided. Lastly, the chapter provides a resource table outlining how to best integrate affirmative care and EBP when working with LGBTQ+ individuals, along with a clinical case study.
Low self-esteem is an important factor associated with body dysmorphic concerns. In treatment, self-esteem cannot always be adequately addressed. Internet-based interventions offer a low-threshold and cost-efficient possibility for treating body dysmorphic disorder (BDD).
Aims:
For this reason, we conducted two studies to explore the effectiveness of an internet-based intervention targeting improving self-esteem in adults with BDD symptoms.
Method:
The first study investigated the differential effects of a 1-week self-esteem training compared with a 1-week attention-focus training. Two hundred twenty adults with elevated body dysmorphic symptoms were randomly assigned to one of the two trainings. Our second study (n = 58 adults with body dysmorphic symptoms) evaluated an extended 2-week stand-alone self-esteem training.
Results:
In the first study, self-esteem in different domains (appearance, performance and social), self-focused attention, and BDD symptom severity improved in both groups. Other-focused attention only increased in the attention training group. Participants’ overall adherence was high. In the second study we observed significant improvements in self-esteem, BDD symptom severity, and other secondary outcomes, with additional improvements in most outcomes in the second week. Adherence was again high.
Conclusions:
Together, these findings show that a brief internet-based intervention may be a highly accepted and effective way of improving self-esteem in people suffering from BDD symptoms.
The finding that victims’ psychological problems tend to be exacerbated in lower-victimization classrooms has been referred to as the “healthy context paradox.” The current study has put the healthy context paradox to a strict test by examining whether classroom-level victimization moderates bidirectional within- and between-person associations between victimization and psychological adjustment. Across one school year, 3,470 Finnish 4th to 9th graders (Mage = 13.16, 46.1% boys) reported their victimization, depressive symptoms, anxiety, and self-esteem. Three types of multilevel models (cross-lagged panel, latent change score, and random-intercept cross-lagged panel) were estimated for each indicator of psychological adjustment. Findings indicated that the healthy context paradox emerges because classroom-level victimization moderates the prospective effect of victimization on psychological problems, rather than the effect of psychological problems on victimization. In classrooms with lower victimization, victims not only experience worse psychological maladjustment over time compared to others (between-person changes), but also higher maladjustment than before (absolute within-person changes).