FAMILY CONTEXTS OF ADOLESCENT EGO DEVELOPMENT

我们项目的总体目标是了解相互作用 自我发展和家庭环境之间的关系。在接下来的五年里，我 计划进一步发展目前对两个主要问题的连锁研究 级别：方法(家庭评估、纵向分析)；以及 实质性的(序列分析，新的工作应用到密集 对慢性和急性疾病儿童及其家庭的研究)。这个 工作的最重要的新阶段涉及应用新的 理解家庭内过程的分析技术和 将研究扩展到新的临床样本。三个项目是 在本申请中描述的。这些项目在以下方面是相关的 概念背景和方法。我们所有的研究都使用了多变量 具有横截面部件和纵向部件的设计。样品是 早期青少年，从精神疾病、糖尿病和高中控制 组。除了个别青少年外，我们还研究他们的 家人。主要评估技术包括：发展措施(例如 洛文杰测试)；为自我过程编码的临床研究访谈； 以及生成直接观察交互数据的家庭程序， 然后通过我们新构造的约束和启用编码进行编码 系统(CECS)。第一个项目使用这些技术(超过4个 年)青少年及其家人从两个患者样本和一个 对照组。第二项研究解决了特定的影响 心理社会因素对胰岛素依赖型糖尿病病程的影响 一群新确诊的青少年。第三项研究遵循了一项非常 关于青少年糖尿病患者自我发展的大样本(超过400个) 以及相关的人格变量在多年期间。穿过 临床青少年的系统观察与评估 定义的样本，我们的目的是详细说明重要的心理和 自我发展中偏差的家庭方面。这样的细节有 通过澄清对临床干预的重要意义 慢性病对青少年及其家庭的影响 发展对疾病管理的影响。

The overall objective of our projects is to understand the interplay between ego development and family environments. In the next five years I plan to further develop the current interlocking studies on two major levels: methodological (family assessments, longitudinal analyses); and substantive (sequence analyses, new applications of the work to intensive study of chronically and acutely ill children and their families). The most important new phases of the work involve the application of new analytic techniques to understanding intrafamilial processes and the extension of the studies to new clinical samples. Three projects are described in this application. The projects are related in terms of their conceptual background and methods. All of our studies use a multivariate design which has cross-sectional and longitudinal components. Samples are early adolescents, from psychiatric, diabetic, and high school control groups. In addition to individual adolescents we also study their families. Major assessment techniques include: development measures (e.g. the Loevinger test); a clinical research interview coded for ego processes; and a family procedure which generates direct observation interaction data, then coded through our newly constructed Constraining and Enabling Coding System (CECS). The first project uses these techniques to follow (over 4 years) adolescents and their families from two patient samples and a control group. The second study addresses the influence of specific psychosocial factors upon the course of insulin-dependent diabetes in a cohort of newly-diagnosed adolescents. The third study follows a very large (over 400) sample of adolescent diabetics in terms of ego development and related personality variables over a multi-year period. Through systematic observation and assessment of adolescents from clinically defined samples, our intent is to detail important psychological and familial aspects of deviations in ego development. Such detailing has significant implications for clinical intervention through clarifying the impact of chronic illness upon adolescents and their families, as well as the influence of development upon illness management.