1. PUBERTY AND BODY IMAGE Michael P. Goldman, MD Sandhya Brachio, MD
Ryan A Gise MD
Liz Seashore, MD

2. Do Now
Why do you think it is important for doctors to be able to talk about puberty without getting embarrassed?

3. Lang Rules Review

4. Lang Rules Review Excellence Innovation Teamwork
We are not satisfied with mediocrity. We strive for exceptional quality in our academics, professionalism, and service. We are hard workers who aim to go above and beyond what is expected of us.
Innovation
We are creative problem-solvers who think critically and devise out-of-the-box solutions.
Teamwork
We listen, help, share, participate, and communicate. Each of us contributes to a positive peer-support network that strives to help every member to reach common goals and aspirations

5. Objective #1: Changes during puberty

6. Changes during Puberty
Boys
Both
Girls

7. Changes during Puberty
Boys
Both
Girls
Penis and testicles grow
Stronger muscles
Voice changes
Breasts may grow
Make sperm
Grow taller
Body odor
Acne (pimples)
More body hair
Mood swings
More aware of what other people think
Crushes or attraction to others
Breasts grow
More body fat
Menstrual periods
Release eggs

8. Objective #2: Timing of Puberty, Tanner Staging and Growth Charts

9. Timing of Puberty Boys Girls Testicles start to grow 10-13yrs
Body hair starts to grow yrs
Penis starts to grow yrs
Growth spurt yrs
Breasts start to grow yrs
Body hair starts to grow yrs
First menstrual period yrs
Growth spurt yrs

10. Development

11. Puberty in girls:

12. Puberty in boys:

13. Growth There is a growth spurt during puberty.
Red arrows note typical age for growth spurt. Note that the slope of the lines get a bit more steep at this time.

14. Your Turn!
Plotting yourself on a growth curve

15. Objective #3: Body Image, Self-esteem, and the Media

16. What is Body Image? What is Self Esteem?
How someone feels about his or her own physical appearance.
How much someone values themselves for who and what they are.

17. Influences on body image
Culture (music, fashion)
Media (TV, internet, magazines)
Diet businesses
Peers, family, friends, relationships
Activities (sports, dance)

18. Who are these people/what do they do for a living?
Why were these people chosen for the particular ads?
What do they look like/what characteristics do they share?
Who are these ads trying to appeal to?
How do the people in these images fit in with the product they are selling?
Why were they chosen?

19. How have these ads been changed?
Airbrushing and digital enhancement
How have these ads been changed?

20. Airbrushing

21. Can you spot the airbrushing mistakes in these images?

22. Dove commercial

23. Objective #4: Talking about difficult topics…

24. What makes some topics difficult?
Topic may be:
Examples:

25. What makes some topics difficult?
Topic may be:
Personal
Private
Embarrassing
Taboo
Gross
Examples:
Puberty
Sex
Periods
Poop/pee
Gas
Body odor
Weight
Illness
Emotions

26. What Can Help?

27. What Can Help? Convince yourself you are not embarrassed.
Practice in a mirror.
Practice with other students.
Know the topic well.
Explain why you are asking: health reasons vs curiosity.
Use technical or medical terms.
Use visual aids.

28. Let’s practice!

29. What a face!
Find a partner, have 1 person face the powerpoint, and 1 sit with their back to it.
Practice saying the “easy” list and the “hard” list in front of your partner.
Have your partner write down what happens to your face, body language and voice when you say the “easy” list versus the “embarrassing” list.
Switch

30. Easy:
If a person gets a cut on the knee, they can use a bandage for the blood.
During middle school some boys start to play sports.
It is normal for teenagers to have best friends.
After eating a big meal a lot of people get full.
Hard:
When a girl gets her period, she can use a pad or a tampon for the blood.
During puberty some boys may grow breasts.
It is normal for teenagers to have fantasies or sexual dreams about someone.
After eating certain foods a lot of people get gas that may smell bad.

31. You’re the Doctor!
Real world scenarios doctors deal with around puberty and body image…

32. For Your Consideration:
Write an to an advertising company letting them know how you would change the images they portray on TV/in a magazine/on a billboard, etc.