Page 50 - Meeting with Children Book
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                   it would be important to  consider the  span  of
                   increasing maturity. Although language is now a
                   primary mode of communication during this
                   developmental stage,  consideration of other
                   expressive activities  will be important based on
                   psychological defense mechanisms and the  need  to
                   take distance from uncomfortable circumstances and
                   feeling states.

                   Twelve to 13 year olds are dealing with emotional and
                   physical changes brought on by puberty. This period is
                   fraught by a lack of certainty, high levels of
                   moodiness, sensitivity and self-consciousness. The
                   young adolescent is often less clearly emotionally and
                   psychologically grounded than middle school aged
                   children because of hormonal changes and a need to
                   transfer primary relationship support from parents to
                   peers This affects self-expression especially when
                   offered no distancing strategies through  which to
                   speak.

                   By 14 years, adolescents have adjusted to the impact
                   of puberty and they generally have fewer mood
                   swings and the focus is on self-capacities and
                   competencies and identifying what is really important
                   to them. The spotlight is further on “self” and less on
                   others. Impulsivity may increase during this age due
                   to the drive to seek more freedom from caregivers.
                   These factors can interfere with the youth’s interest in
                   being involved in providing feedback. They can also
                   impact the kind of information gathered when the
                   youth does want to be involved as they may be driven
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