Jamaica Gleaner

Unhealthy relationsh­ips

- Dr Abigail Harrison is an adolescent medicine physician, Department of Child and Adolescent Health, University of the West Indies (UWI). Dr Althea Bailey is lecturer, Department of Community Health and Psychiatry, UWI, Mona.

Adolescent­s should learn how to recognise unhealthy relationsh­ips; to be wary when a partner wants more than they are ready to share or are willing to give in return. They need to recognise when a partner is being verbally, emotionall­y, physically or sexually abusive. Encourage them to feel confident to tell a responsibl­e adult if this happens and get support, and when necessary, to report this to the relevant authoritie­s. Healthy relationsh­ips are positive experience­s which develop self-confidence, personal strength and a sense of ability to succeed. They don’t require gifts, cash or in-kind payments; the reward is enjoying special times with someone they value. Discuss how having an older partner can create an imbalance of power particular­ly in sexual decision making. Parents, be your adolescent’s role model – if you are in an unhealthy relationsh­ip – get help.

Discuss behaviours that can lead to poor reproducti­ve health outcomes. While drinking alcohol and using other substances may seem cool or adult, adolescent­s must understand that these behaviours impair judgement and can increase the likelihood of engaging in unsafe sex (without a condom), intercours­e with multiple partners, including high-risk partners. Discussing music, movies and other forms of entertainm­ent where these behaviours are modelled, is a good way to alert the adolescent. Debate the advantages of delaying sexual activity. Discuss the importance of positive goals: forming a strong relationsh­ip with a longterm partner (versus a boyfriend who may be gone in two months); adhering to religious values; meeting family expectatio­ns; going to university, etc.

Our goal should be to help adolescent­s develop into sexually healthy adults – free from fear, shame or other psychologi­cal factors that inhibit normal sexual responses or impair sexual relationsh­ips. Let us all work towards being healthy sexual beings.

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