Adolescent pregnancies in America have dropped by 50 percent since 1991, thanks to increased use of birth control, reduced sexual activity among young women, and the , which serves low-income teens. But in some communities and demographics, teen pregnancy rates remain much higher. Teens ��� like adults ��� may intend to use contraception, but don���t.
PROGRAM PARTNERS Athan (left) and Edlow have combined to create a new conversation around reproductive health.
That conundrum is a key focus of the 51勛圖厙 Sex Education Initiative, headed by Aur矇lie Athan, Lecturer in Clinical Psychology, and funded by New York City psychoanalyst and TC alumna Mary Edlow (M.A. ���67). The initiative, which prepares educators to teach sex education in schools, focuses on ���reproductive identity formation��� ��� the question of if, when and how someone wants to become a parent. That question parallels personal exploration of sexuality and gender and is increasingly a part of a comprehensive and inclusive sexual health education.
TC Sex Education Initiative faculty: Raddhi Sandil (first right), Aur矇lie M. Athan (second right), and lab members: KerriAnne Sejour, Tanya Malik, and Meredith John (left to right)
���Everyone has a psychological relationship to their reproductive health, and it���s heavily influenced by the families they grew up in, their environmental contexts, the beliefs they hold,��� says Athan, who also co-founded TC���s Sexuality, Women & Gender Project. ���In TC���s program, we talk with educators about, first, taking stock of these influences in order to ensure that teens are conscious of them in their decision-making, so that there���s no intent-behavior gap.���
Everyone has a psychological relationship to their reproductive health, and it���s heavily influenced by the families they grew up in, their environmental contexts, the beliefs they hold.
��� Aur矇lie Athan
Working with sex educators in New York City ��� a somewhat ���hidden community��� of nurses, history teachers, or anyone ���who feels there would be a huge loss without sex education, and that it should be implemented K-12, just like we learn mathematics��� ��� Athan developed a curriculum that also incorporates foundational sex education approaches offered by Answer, based at Rutgers University.
���We talk a lot about the issue of timing ��� that is, if someone wants to have a family, getting them to think about, ���Is the timing going to work well with other future orientations that I have? With other goals that I have in mind? And do I have the support to make that a reality in a way that the benefits outweigh the costs?��� Because teens may have intentions about parenting, but often they don���t have literacy on these issues.���
We talk a lot about the issue of timing ��� that is, if someone wants to have a family, getting them to think about, ���Is the timing going to work well with other future orientations that I have? With other goals that I have in mind? And do I have the support to make that a reality in a way that the benefits outweigh the costs?
���Aur矇lie Athan
Athan brought 50 educators ��� the first Edlow Fellows ��� to campus for a semester of pilot training and ���the chance to be in the same room, have a community and talk with each other about their experiences and needs.��� She���s since refined the curriculum through focus groups and input from an advisory board of educators and professionals in the field.
While the Sex Education Initiative is a logical extension of Athan���s previous research on ���matrescence��� ��� motherhood viewed as a developmental phase, much like adolescence and other times of major physical change ��� she credits Edlow for influencing her direction. ���I���m a theorist by nature,��� Athan says. ���Mary���s interest in ���Every child a wanted child��� allowed me to move into the real-world space of sex education and ask, what would it look like, to have individuals engage these questions earlier in their lifespan?���
But better late than never. ���With so many options now, many of us are confused about if we want to have children,��� Athan says, ���and then the next question is, when do we do it? Just like we might not want to do it too soon, there���s a little bit of Goldilocks phenomenon here. We may not want to do it too late, either.���
[Related Reading: Read a paper by Aur矇lie M. Athan, ���Reproductive Identity: An Emerging Concept���, in the journal American Psychologist.]