Social Selves and Social Others in Adolescent Development

The aim of the studies reported in this thesis was to deepen our understanding of how the specific social conditions under which an individual develops influences their psychosocial adjustment. Adolescence is a sensitive window for the development of cognitive and affective functions and schemata, and all but one (Chapter 6) of the presented studies were therefore conducted with 12-15 year-olds. During adolescence, the salience of peer-related social reward undergoes a dramatic increase, and autonomy becomes a high priority in their familial relationships. Adolescents consequently “socially reorient,” from family toward peers. Unlike familial relationships, peer relationships are ‘voluntary’, and therefore conditional. Adolescents must learn to navigate unstated conditions, adjusting their behaviour to differing, and often conflicting, sets of expectations with multiple different individuals across a number of contexts. In turning to peers to replace parents as their primary social supports, adolescents may often find themselves in a parallel struggle to establish autonomy, not (only) from parents but from their friends and peer group. Indeed, the surge in peer-related social reward sensitivity may lead adolescents to perceive risks to their social connections and/or status as far outweighing other considerations. Since identities, like social behaviours, are often shaped by relationships and how we believe our relationship partners perceive us, this supports the developmental task of establishing a flexible, stable and unified identity. Combined with the increased need for context-sensitive social behaviour, this requires adolescents to develop multiple role-related selves. Drawing on Self-Determination Theory (SDT), the Adaptive Calibration Model (ACM), and related scholarship, this thesis will argue that adolescence can be understood as a period in which long-term adaptation to one’s sociocultural context is accomplished in part by canalising a variety of self- consistent, context-sensitive behavioural ‘modes’, which may be represented as facets of the self, and that adolescent-onset internalising disorders can be understood as dysregulation of this system of adaptive identity

Brief Report:Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles

Prior research has shown an elevation in autism traits and diagnoses in individuals seen for gender related consultation and in participants self-identifying as transgender. To investigate this relationship between autism and gender identity from a new angle, we compared the self-reported autism traits and sensory differences between participants with autism who did or did not identify with their assigned sex (i.e. cisgender or trans and non-binary, respectively). We found broad elevation of most cognitive autism traits in the trans and non-binary group (those who identified with a gender other than their assigned gender), and lower visual and auditory hypersensitivity. We contrast these data to existing hypotheses and propose a role for autistic resistance to social conditioning

I am your trans patient

For the first time we are publishing a What Your Patient is Thinking article by a group of people. These transgender authors share their experiences of healthcare and the important messages they would like doctors to know

“My whole life has been a process of finding labels that fit”: A Thematic Analysis of Autistic LGBTQIA+ Identity and Inclusion in the LGBTQIA+ Community

Background: Being nonheterosexual and noncisgender appears to be more common among autistic people. This intersection of identities is often stigmatized in research and society. However, we know that community involvement can protect against negative mental health outcomes associated with being a minority; researchers found this effect in separate studies examining participation in the autistic and Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual plus other gender and sexual orientation-based identity (LGBTQIA+) communities. This study examined how autistic LGBTQIA+ individuals navigate their multiple marginalized identities and the LGBTQIA+ community. Methods: Twelve autistic LGBTQIA+ people from the United Kingdom took part in semistructured interviews. Questions focused on identity and community. We analyzed the interviews using reflexive thematic analysis. Results: We identified four overarching themes—Identity (Re)Development, Navigating Authenticity, Exclusion from Community Spaces, and Creating Change. Participants viewed accessing a community of similar others as a means of increasing understanding, self-knowledge, and self-acceptance. We identified several barriers to inclusion, including accessibility and gatekeeping. Participants discussed strategies to combat these obstacles, such as the creation of intersectional community spaces and activism and representation as a means of increasing autism understanding. Conclusions: This study suggests that similar to other marginalized groups, autistic LGBTQIA+ individuals are motivated to engage in communities relevant to their identities. However, community spaces for autistic LGBTQIA+ are often inaccessible due to social, sensory, and identity-based barriers. Participants highlighted autism understanding as a barrier to coming out both in community and noncommunity settings. This suggests that improving autism acceptance and understanding is crucial to achieve accessible, intersectional, and inclusive community spaces.Output Status: Forthcoming/Available Onlin

Theories on the Link Between Autism Spectrum Conditions and Trans Gender Modality:a Systematic Review

While research on the prevalence of co-occurring autism spectrum conditions (ASC) and trans gender modality (TGM) is available, less is known about the underlying mechanism of this association. Insight is needed to improve treatment of trans autistic people. This review provides an overview of theories on the ASC-TGM link and the available evidence for/against them published between January 2016 and October 2020. A systematic search was performed in PubMed, PsycINFO, Web of Science, and Scopus. This resulted in 36 studies, in which 15 theories were identified. Results indicate all theories lack substantial empirical support. Unlikely and promising theories were identified. The most promising theories were those on resistance to social norms and weakened sex differences. Future directions are provided.</p

Considerations in genetic counseling of transgender patients:Cultural competencies and altered disease risk profiles

Transgender people are a growing population with specific healthcare needs, barriers to care, and disease risk factors. Cultural competencies for working with transgender people in healthcare settings are essential to reduce barriers to care and combat the associated health disparities. Genetic counselors support their patients to understand and manage medically and personally complex life events and decisions. A genetic counselor caring for a transgender patient or a patient with a transgender relative will therefore require specific cultural competencies and medical knowledge that may not have been covered in their training. Transgender health is also a relatively young field in which new insights may quickly become fundamental. The present paper therefore provides an overview of current best practices for culturally sensitive working with transgender patients, and an introduction to the additional considerations for assessment of disease risk in transgender people. Guidance on how to ensure communication with patients and other stakeholders is inclusive and affirming of transgender identities, is offered. Medical interventions used for gender transitions are described, and their (potential) effects on cancer and cardiovascular disease risk are discussed. Furthermore, the effects of sociocultural risk factors such as minority stress are outlined. In sum, we invite the reader to consider the specific biological, psychological, and social context of the consultation. Finally, we explore culturally competent approaches to pedigree charting and physical examinations with transgender people and provide recommendations for practice

Social Contexts, Momentary Mood and Affective Variability in Early Adolescence:An Exploratory Ecological Momentary Assessment Study

The frequency, intensity and variability of emotional experiences increase in early adolescence, which may be partly due to adolescents’ heightened affective sensitivity to social stimuli. While this increased variability is likely intrinsic to adolescent development, greater mood variability is nevertheless associated with the risk of internalising psychopathology. Early adolescents (N = 58, ages 13–14) reported their social context and mood when prompted by a smartphone application. Valence, arousal, and their variability were compared across social contexts using multilevel regression models. Social contexts were defined by the presence of close others, peripheral others, both, or neither. Arousal was lower when alone. Valence was lower and more variable, and arousal was more variable when alone than in either close or peripheral company. This is the first time that level and variability of valence and arousal in adolescent affect have been shown systematically to differ for the same individual in different daily-life social contexts.</p

HEXACO Personality Dimensions Do Not Predict Individual Differences in Adolescent Trust Behavior

Adolescence is an important developmental period for both trust behavior and personality maturation, and individual differences in trust decisions may be related to different personality traits. In the current study, a group of adolescents (n = 483, Mage = 13.5, SDage = 0.4) played two counterbalanced conditions of a multi-round trust game. In one condition, the partner displayed trustworthy behavior (the trustworthy condition), while the partner in the other condition played untrustworthy behavior (the untrustworthy condition). Three types of trust behavior were examined: initial trust behavior, the adaptation of trust behavior (trustworthy condition), and the adaptation of trust behavior (untrustworthy condition). Personality was measured using the Brief HEXACO Inventory. We expected the HEXACO personality dimensions of honesty–humility and agreeableness to be positively associated with initial trust behavior, but conscientiousness to be negatively related to initial trust behavior. The examination of the relationship between these dimensions and the adaptation of trust behavior were conducted on an exploratory basis. The investigation of the relationship between the remaining dimensions (emotionality, extraversion, and openness to experience) and the three types of trust behavior were also carried out on an exploratory basis. For each type of trust behavior, a hierarchical multiple regression analysis was undertaken to examine whether the HEXACO personality dimensions were related to trust behavior. Using frequentist analyses, no evidence was found that supported the HEXACO dimensions as significant predictors of the three types of trust behavior. Moreover, additional Bayesian analyses showed evidence that the hypothesized HEXACO dimensions (honesty–humility, agreeableness, and conscientiousness) did not outperform the non-hypothesized HEXACO dimensions (emotionality, extraversion, and openness to experience). The association between personality traits and trust might be less pronounced during adolescence as personality maturates across an individual’s lifespan. Additionally, due to a heightened sensitivity to the environment, contextual cues may affect adolescent decision-making processes, leaving less room for personality-driven behaviors

Increased interference from conflicting perspectives and gender differences:A longitudinal study during adolescence

Adolescents need to develop adequate perspective-taking skills to successfully navigate their increasingly complex social environments. This study investigated adolescents’ development of the cognitive processes of egocentric and altercentric interference that influence perspective-taking abilities. Using the Dot Perspective Task, participants’ (N = 803; 50.9% female) egocentric and altercentric interference was measured during 3 consecutive years from 12 to 14 years of age. Linear mixed model analyses showed that whereas overall task performance improved over time, egocentric and altercentric interference increased over time. These results suggest that perspective taking develops at slower rates when there are conflicting perspectives than in situations with no conflict. Moreover, we found that girls showed less egocentric interference than boys. This result provides task-based evidence that supports previous findings of higher self-reported perspective taking in adolescent girls than in adolescent boys.</p