Discussion for medical students' consideration The Internet and its context -- For teens -- For adults Erikson’s Stages of Development Social Media -- Benefits -- Risks Recommendations

1. Teen Text/Tech Talk:
Adolescent Social Media and Beyond
Clinton Pong, M.D.
PGY-2 Family Medicine
Tufts/Cambridge Health Alliance
http://smthree.wordpress.com/2011/11/15/why-do-we-use-social-media/

3. Objectives
• The Internet and its context
– For teens
http://www.luborp.com/2011/03/
who-will-own-enterprise-social-media.html
– For adults
• Erikson’s Stages of Development
– Board relevant!
• Social Media
– Benefits
– Risks
• Recommendations

4. Where were you
when you first heard about…
• Smart Phones • Pagers
• Google • Cell Phones
• Friendster • Gopher
• MySpace
• Yahoo!
• Facebook
• America Online
• LinkedIn
• Club Penguin

5. Internet Timeline
!
19 year
olds are
born!
www.siliconvalleyhistorical.org/home/internet_timeline

6. Internet Timeline
!
13 year
olds are
born!
www.siliconvalleyhistorical.org/home/internet_timeline

7. Internet Timeline
www.siliconvalleyhistorical.org/home/internet_timeline

8. Teens are Children of the Internet
• Hook: The Internet was a growing phenomenon
– Now it IS a lifestyle
• Line: Put yourself in the shoes of a child
– With UNRESTRICTED ACCESS to the world
– Where You and Your friends can go unsupervised
• Sinker: What are the consequences of this?
– Cyberbullying
– Sexting
– Facebook Depression
– Internet addiction
– Sleep deprivation

9. Benefits to Social Media
• Socializing and • Enhanced learning
Communication – Group projects
– Charity, Community, – Collaborations
Volunteer work • Accessing Health info
– Artist/Musical
– ? Re: STI, stress and
community
depression
– Blogs, podcasts, videos
– Support groups for teens
& gaming
with chronic medical
– Worldly meetings illnesses
– Fostering self-identity – Compliance: med & appt
and unique social skills reminders

10. Eric Erikson’s Stages of Development
• School-Age • Industry vs Inferiority
• Adolescent • Identity vs Role
• Young Adult Confusion
• Intimacy vs Isolation
The internet affords an
independence to teenagers
that I don’t think we’ve I think it's old teenage culture in a new wrapper. When
seen since the invention of you looked at kids in the '70s ,'80s, '90s, their lockers
the car. [were] covered in pictures.
… it's all part of that identity work, where they're
reflecting back to themselves who they think they are.
… about what high school was supposed to look like.
-- C.J. Pascoe, sociologist
http://www.pbs.org/wgbh/pages/frontline/kidsonline/interviews/pascoe.html?
utm_campaign=videoplayer&utm_medium=fullplayer&utm_source=relatedlink#1

11. Texting
Older teen girls
Older teen girls
Half of teens send average
average
1500 texts/month 3000/month
3000/month
1 in 3 send more than Youngest teen boys
Youngest teen boys
3,000 texts/month average 600/month
average 600/month
http://pewinternet.org/Reports/2011/Teens-and-social-media.aspx
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;127/4/800

12. • Text messaging is the • FOMO
primary way teens – Fear of Missing Out
reach their friends, far • FODO
above: – Fear of Dragging On
– Face-to-face contact
– Email
– IM
– Voice calling

13. 93% use Facebook
24% use MySpace
12% use Twitter
0% use LinkedIn Mashable Infographics
Research by @stephmbuck
Infographic Design by
@nick_sigler
http://pewinternet.org/Reports/2011/Teens-and-social-media.aspx
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;127/4/800

14. Who is “too young?”
• 13 years is the minimum
age for most social media
sites
– Age set by Congress in the
Children’s Online Privacy
Protection Act (COPPA)
– Prohibits websites from
collecting info on kids <13
• 95% of parents of 10 y/o
were aware
• 78% helped their children
create the account
http://www.dreamsystemsmedia.com/blog/index.php/social-media-statistics-of-the-day/?
http://adage.com/article/adagestat/stats-day-50-social-media-stats-kickstart-slide-deck/231093/
http://www.cnn.com/2011/11/01/tech/social-media/underage-facebook-parents-study/index.html

15. Sexts
• Ages 12-17
– Only 2% have sent
– 18% have received
• 21% of 16-17 y/o
• 6% of 12-13 y/o
• Ages 18-29 “There’s a zeitgeist in
America socially that
– 17% suggests that sexting is
something that’s really
• Ages 30-49 prevalent… it happens, but
the likelihood of it
– 5% happening to any given
person is pretty low.”
http://farm4.static.flickr.com/3588/3512680235_4382cb78ff.jpg http://pewinternet.org/Media-Mentions/2011/Sending-of-Sexual-Images-by-Minors-Isnt-a
http://pewinternet.org/Presentations/2011/Dec/COSN.aspx

16. Cyberbullying aka “dramas”
http://pewinternet.org/Presentations/2011/Dec/COSN.aspx

17. Who is the Expert
on Social Media?
Who will best address issues like cyberbullying,
sexting, and facebook depression?

18. Parents and their Kids
http://pewinternet.org/Presentations/2011/Dec/COSN.aspx

19. References
• Madden, M. Teens, Social Network Sites & Mobile Phones: What the research is
telling us. 12/5/2011.
– http://pewinternet.org/Presentations/2011/Dec/COSN.aspx
• O’Connor. Sending of Sexual Images by Minors Isn’t as Prevalent as Expected. New
York Times.
– http://pewinternet.org/Media-Mentions/2011/Sending-of-Sexual-Images-by-Minors-Isnt-as-
Prevalent-as-Expected.aspx
• Lenhart, A., et al. Teens, Kindness and Cruelty on Social Network Sites. 11/9/2011.
– http://pewinternet.org/Reports/2011/Teens-and-social-media.aspx
• O'Keeffe, G et al. The Impact of Social Media on Children, Adolescents, and
Families. PEDIATRICS Vol. 127 No. 4 April 2011, pp. 800-804
– http://aappolicy.aappublications.org/cgi/content/full/pediatrics;127/4/800
• Boyd, D. Why parents help their children lie to Facebook about age: Unintended
consequences of the ‘COPPA’.
– http://www.uic.edu/htbin/cgiwrap/bin/ojs/index.php/fm/article/view/3850/3075
• www.siliconvalleyhistorical.org/home/internet_timeline