1. Hallmarks of the teen years, ages 13-19: Growth spurt Rising hormonal levels (estrogen, progesterone, testosterone, androgen) Menstruation and ejaculation begin Girls develop breasts; boys develop hair on face, chest, voice deepens. Pubic hair appears Reproduction becomes possible Interest in dating and sex increase Abstract and scientific thinking appear Teens question “Who am I?” “What will I do with my life?” Initiation rites include confirmation, bar mitzvah, and graduation. Hallmarks of the teen years, ages 13-19: Growth spurt Rising hormonal levels (estrogen, progesterone, testosterone, androgen) Menstruation and ejaculation begin Girls develop breasts; boys develop hair on face, chest, voice deepens. Pubic hair appears Reproduction becomes possible Interest in dating and sex increase Abstract and scientific thinking appear Teens question “Who am I?” “What will I do with my life?” Initiation rites include confirmation, bar mitzvah, and graduation. What is Adolescence?

2. Height increase in centimeters 89101112131415161718 89101112131415161718 4 3 2 1 10 8 6 4 2 Age Height increase in inches Breast bud Pubic hair appearing Underarm hair appearing First menstruation Mature pubic hair Mature breast Testes enlargingPubic hair appearing; penis enlarging First ejaculationUnderarm, facial hair appearing; voice deepening Penis adult size; mature pubic hair Growth spurt peak GIRLS BOYS

3. Adolescents' Reactions to the Onset of Puberty Time of Onset Early Late Reaction Initial Later Initial Later Male Positive Mixed Negative Positive Female Negative Positive Mixed

4. 1978 5 0 10 15 20 25 30 35 40 12 - 17 Years 1980198219841986 Percent of Teenagers Using Illegal Drugs 19881990199219941996 18 - 25 Years26 - 34 Years 35 Years and olderAll Americans 12 Years and over

5. Growth spurt proceeds in distal-to-proximal direction Hormones increase and puberty occurs Girls mature earlier, on average, than boys High risk for injury and death Growth spurt proceeds in distal-to-proximal direction Hormones increase and puberty occurs Girls mature earlier, on average, than boys High risk for injury and death Summary of Adolescent Physical Development