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Case Study: Developmental Pathways A Pathway to Trouble

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Carter was a 13-year-old boy who was referred to the psychologist at his school because of fighting. Although Carter’s most immediate problem was getting into fights with other boys at lunch and after school, the psychologist knew that Carter’s problems began much earlier. As a preschooler, Carter was physically abused by his mother’s live-in boyfriend. Like many children who experience maltreatment, Carter developed problems trusting adults—especially men. He was reluctant to develop close emotional ties with others or to rely on others when he was sad, scared, or in need of comfort and reassurance. Instead, Carter became mistrustful of others and often expected others to be angry or hurtful toward him. These early experiences placed him on a developmental path strewn with many obstacles toward a healthy view of himself and others.

Carter’s early experience of maltreatment also taught him that physical aggression can be an effective, short-term strategy for expressing anger and solving interpersonal problems. Instead of learning to avoid arguments or to regulate his emotions, Carter tended to solve disputes by yelling, pushing, or punching. These aggressive actions interfered with his ability to develop more adaptive, prosocial problem-solving strategies and led him further along a path to long-term problems.

Now in middle school, Carter has few friends and is actively disliked by most of his peers. Because of his social rejection, Carter spends time with other peer-rejected youths who introduce him to more serious, disruptive behavior: truancy, vandalism, and alcohol use. Carter is following a path blazed by many youths who show conduct problems and antisocial behavior in adolescence.


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Luckily, it is not too late for Carter. His school psychologist might help him find ways to reconnect with prosocial peers. Maybe Carter can join a sports team or after-school club? The psychologist might also be able to teach Carter new strategies to regulate his emotions and solve social problems so that he does not have to rely on fighting. Most importantly, perhaps the psychologist’s actions and empathy can convince Carter to trust other adults. Interventions like these can help Carter find a new path to adulthood that is characterized by behavioral, social, and emotional competence.

Another example of heterotypic continuity can be seen in Emma, an extremely shy preschooler. Approximately 15% of infants inherit a temperament that predisposes them to become shy and inhibited when placed in unfamiliar situations (Fox, Snidman, Haas, Degnan, & Kagan, 2015). Emma, who inherited this tendency, developed extreme anxiety when separated from her mother. She would cry, tantrum, and become physically ill when her mother would leave her at preschool. Although Emma’s separation anxiety gradually declined, she began experiencing problems with chronic worrying in middle school. Now, as a young adult, Emma continues to experience problems with both anxiety and depression. Although Emma’s symptoms have changed over time, her pattern of underlying emotional distress has persisted into adulthood.

Introduction to Abnormal Child and Adolescent Psychology

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