Yandell W
Calif Med. 1966 Jan;104(1):26-31.
The disturbed adolescent is psychologically isolated from the worlds of childhood and adulthood. His sense of alienation results from both the upsurge of instinctual drives and his uneasy attempts to master changing physical attributes and new freedoms and responsibilities. The former result in conformity and in concerns about "normality." The latter lead to confusion and to alternating rebellion and over-dependence. The general practitioner may be the first person consulted by the troubled adolescent or his parents. The physician's sensitivity can be crucial in helping the family work together toward a solution. Persistent anxiety in either parent or child is in itself a problem. An understanding of those factors inherent in the adolescent experience may provide the physician with a recognition of disturbance denied by the adolescent with a facade of bravado or indifference. The physician must be prepared to help the adolescent accept a protracted period of stress, usually with only partial resolution of distressing problems.
情绪困扰的青少年在心理上与童年世界和成人世界相隔离。他的疏离感源于本能冲动的激增，以及他为掌控不断变化的身体特征、新获得的自由和责任所做的不安尝试。前者导致顺从以及对“正常状态”的担忧。后者则引发困惑，以及交替出现的叛逆和过度依赖。全科医生可能是陷入困境的青少年或其父母首先咨询的人。医生的敏感度对于帮助这个家庭共同找到解决办法可能至关重要。父母或孩子持续的焦虑本身就是一个问题。了解青少年经历中固有的那些因素，可能会让医生识别出青少年用虚张声势或冷漠的外表所否认的困扰。医生必须做好准备，帮助青少年接受一段漫长的压力期，通常情况下，令人苦恼的问题只能得到部分解决。
