PUBERTY AND BODY IMAGE
Michael P. Goldman, MD Sandhya Brachio, MD
Ryan A Gise MDLiz Seashore, MD
Do Now
Why do you think it is important for doctors to be able to talk about puberty without getting embarrassed?
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Objective #1:
Changes during puberty
Changes during PubertyBothBoys Girls
Changes during PubertyBoth
Breasts grow
More body fat
Menstrual periods
Release eggs
Boys
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
Girls
Objective #2:
Timing of Puberty, Tanner Staging and
Growth Charts
Timing of PubertyBoys
Testicles start to grow 10-13yrs
Body hair starts to grow 10-15yrs
Penis starts to grow 11-13yrs
Growth spurt 14yrs
Breasts start to grow 8-13yrs
Body hair starts to grow 8-14yrs
First menstrual period 10-16yrs
Growth spurt 12yrs
Girls
Development
Puberty in girls:
Puberty in boys:
GrowthThere is a growth spurt during puberty.
Your Turn!Plotting yourself on a growth curve
Objective #3: Body Image, Self-esteem, and
the Media
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.
Influences on body imageCulture (music, fashion)
Media (TV, internet, magazines)
Diet businesses
Peers, family, friends, relationships
Activities (sports, dance)
Why were they chosen?
How have these ads been changed?
Airbrushing and digital enhancement
Airbrushing
Can you spot the airbrushing mistakes in these images?
Dove commercialhttp://www.youtube.com/watch?v=qhib8XiDc9Y
Objective #4:
Talking about difficult topics…
What makes some topics difficult?
Topic may be: Examples:
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
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.
Let’s practice!
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
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.
You’re the Doctor!Real world scenarios doctors deal with around
puberty and body image…
For Your Consideration:Write an email to an advertising company letting
them know how you would change the images they portray on TV/in a magazine/on a billboard, etc.
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