We review evidence on a group recently identified as “at risk,” that is, youth in upwardly mobile, upper-middle class community contexts. These youngsters are statistically more likely than normative samples to show serious disturbance across several domains including drug and alcohol use, as well as internalizing and externalizing problems. Extant data on these problems are reviewed with attention to gender-specific patterns, presenting quantitative developmental research findings along with relevant evidence across other disciplines. In considering possible reasons for elevated maladjustment, we appraise multiple pathways, including aspects of family dynamics, peer norms, pressures at schools, and policies in higher education. All of these pathways are considered within the context of broad, exosystemic mores: the pervasive emphasis, in contemporary American culture, on maximizing personal status, and how this can threaten the well-being of individuals and of communities. We then discuss issues that warrant attention in future research. The paper concludes with suggestions for interventions at multiple levels, targeting youth, parents, educators, as well as policymakers, toward reducing pressures and maximizing positive adaptation among “privileged but pressured” youth and their families.

Building upon prior findings of elevated problems among East Coast suburban youth through the 11th grade, this study establishes disproportionately high incidence of maladjustment across three disparate samples: East Coast Suburban youth at the end of their senior year in high school, and 11th and 12th graders in (a) a Northwest suburb and (b) an East Coast city. Both East Coast samples showed pronounced elevations in substance use, whereas the Northwest suburban sample showed marked vulnerability in serious internalizing and externalizing symptoms. Across all samples, parents’ low perceived containment for substance use (lax repercussions on discovering use) was a major vulnerability factor, followed by parents’ knowledge of their teens’ activities. Overall, adolescents’ symptom levels were more strongly related to their relationships with mothers than with fathers. An exception was boys’ apparent vulnerability to fathers’, but not mothers’, perceived depressive symptoms. As with affluent eighth graders, we found that “overscheduling” in extracurriculars is not a critical vulnerability factor among these high school students. Finally, youth reports suggested that most affluent parents do not indiscriminately bail their children out of all problem situations (although a small subset, apparently, do). Results are discussed along with the implications for practice and for future research.

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Building on both the spiritual development and affluent youth literature, the current study explores spiritual development and health outcomes in a sample of upper-middle-class youth. Exploratory analyses indicate long-term stability in religiosity and spirituality from late adolescence (mean age 18) well into emerging adulthood (mean age 24); specifically, a strong personal relationship with a Higher Power, that carries into the broader arena of life, appears to be the primary source of spiritual life in adolescence that transitions into young adulthood. Moreover, cross-sectional associations at age 24 suggest spiritual development may have important implications for increased mental health and life satisfaction, as well as decreased antisocial behaviors.

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