Book cover of Under Pressure by Lisa Damour

Under Pressure

by Lisa Damour

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Introduction

In today's fast-paced world, girls face an unprecedented amount of pressure. From academic expectations to social media influences, the challenges of growing up female have intensified, leading to a concerning rise in stress and anxiety among young women. Lisa Damour, a clinical psychologist specializing in adolescent development, tackles this issue head-on in her insightful book "Under Pressure."

Damour's work provides a comprehensive look at the various pressures girls encounter in their daily lives, offering valuable insights for parents, educators, and mentors who want to support the young women in their lives. By examining the root causes of stress and anxiety in girls, Damour equips readers with practical strategies to help girls navigate these challenges and develop resilience.

Understanding Stress and Anxiety

Before delving into the specific pressures girls face, Damour emphasizes the importance of understanding that not all stress and anxiety are inherently harmful. In fact, some level of stress can be beneficial for personal growth and development.

The Upside of Stress

Damour explains that when we push ourselves outside our comfort zones, we experience a type of stress that can lead to personal growth. For example, speaking in front of a large group or taking on a challenging project at school can be stressful, but these experiences help build resilience and prepare us for future challenges.

Anxiety as a Warning System

Similarly, anxiety serves a purpose in our lives. It acts as an internal alarm system, alerting us when something might be wrong. For instance, feeling anxious about an upcoming exam could be a sign that more preparation is needed. In this way, anxiety can motivate us to take action and address potential problems.

The Tipping Point

However, Damour is quick to point out that there is a tipping point where stress and anxiety become unhealthy. This occurs when these feelings begin to negatively impact a person's mental well-being and interfere with daily life. The key factor in determining whether stress and anxiety are helpful or harmful is not necessarily the source of the stress, but rather the individual's ability to cope with it.

For example, a girl with a strong support system might view a broken arm as a challenging but manageable setback. However, for a girl whose future depends on an athletic scholarship, the same injury could be devastating and lead to severe anxiety.

Approaching Problems Head-On

One of the most crucial lessons Damour imparts is the importance of facing challenges rather than avoiding them. She illustrates this point with the story of Jamie, a teenage girl who came to her in tears, desperate to avoid an upcoming chemistry test.

The Pitfall of Avoidance

Damour explains that while helping Jamie avoid the test might have provided temporary relief, it would have ultimately reinforced her anxiety and prevented her from learning valuable coping skills. By avoiding the test, Jamie would have missed the opportunity to learn that failing a test isn't the end of the world and that she could handle challenging situations.

The Power of Approach

Instead of helping Jamie avoid the test, Damour encouraged her to approach the problem head-on. She suggested practical steps, such as asking the teacher for extra help and watching online tutorials to improve her understanding of the subject. This approach not only helped Jamie face her immediate fear but also equipped her with strategies for dealing with similar situations in the future.

Small Steps Toward Growth

Damour advises parents and mentors to help girls take small steps toward facing their fears. Whether they succeed or fail, the act of confronting challenges helps build resilience and reduces anxiety over time. This approach teaches girls that they can handle difficult situations, even if the outcome isn't always perfect.

Understanding Personality Differences

Damour addresses a common concern among parents: the fear that their child might be socially anxious. She emphasizes the importance of recognizing that shyness or cautiousness doesn't necessarily indicate an anxiety problem.

Infant Personality Types

Drawing on research, Damour explains that children exhibit different personality types even as infants:

  1. Easy infants: Adaptable and accepting of change
  2. Difficult infants: Irritable and resistant to change
  3. Slow-to-warm-up infants: Cautious and slow to adapt to new situations

Importantly, all of these personality types have the potential to develop into well-adjusted adults.

Embracing Natural Tendencies

Damour encourages parents to accept and work with their child's natural tendencies rather than trying to force them to be more outgoing. For example, she advises parents of shy children to acknowledge their initial hesitation about new experiences while gently encouraging them to reconsider their stance after some time has passed.

The Power of the Second Reaction

For children who are slow to warm up to new situations, Damour suggests focusing on their second reaction rather than their initial one. A child might initially refuse an invitation to a party but, given time to process the idea, may become more open to attending.

Academic Pressure and Gender Differences

Despite outperforming their male peers in academic settings, girls tend to experience more stress and anxiety related to school. Damour explores this paradox and offers insights into how to alleviate some of the pressure girls feel in the classroom.

The Weight of Grades

Research shows that girls tend to place more emphasis on feedback from teachers and view their grades as a reflection of their abilities. This perspective can lead to feelings of inadequacy when they receive poor grades, as they interpret them as indictments of their intelligence or potential.

Boys' Confidence

In contrast, boys generally exhibit more confidence in their academic abilities. They're more likely to attribute poor grades to a lack of effort rather than a lack of ability, which allows them to maintain a more positive self-image even when facing academic challenges.

Fostering a Growth Mindset

To help girls overcome the tendency to equate grades with innate ability, Damour suggests encouraging a growth mindset. Parents and educators should emphasize that academic performance can be improved through effort and practice. By framing grades as a measure of current understanding rather than fixed ability, girls can develop a more resilient approach to their studies.

Confronting Sexual Harassment

Damour addresses the disturbing prevalence of sexual harassment faced by young women, highlighting the need for open conversations and support.

The Shocking Statistics

Research by the American Association of University Women reveals that nearly half of all American girls in middle or high school have experienced unwanted touching or groping at school. Damour's conversations with teenage girls confirm that harassment is a common experience, even for those attending all-girls schools.

Self-Blame and Shame

One of the most troubling aspects of sexual harassment is the tendency for girls to blame themselves. Damour recounts how some girls wonder if their clothing choices or behavior somehow invite harassment, illustrating the deep-seated cultural problem of victim-blaming.

Breaking the Silence

To combat this issue, Damour emphasizes the importance of open communication between parents and daughters. She advises parents to:

  1. Initiate conversations about sexual harassment
  2. Ask about boys' behavior and whether their daughter feels respected
  3. Reassure their daughter that harassment is never the victim's fault
  4. Express willingness to help address any problems she may face

By creating a safe space for these discussions, parents can help their daughters recognize and confront harassment without shame or self-blame.

The Pressure to be Agreeable

Damour highlights how cultural expectations for girls to be agreeable and accommodating can lead to increased stress and anxiety.

The Cost of Compliance

Through the story of Nicki, a 15-year-old girl overwhelmed by commitments she felt unable to refuse, Damour illustrates the toll that constant acquiescence can take on girls' mental health. Nicki's inability to say no to her gymnastics coach led to sleep problems and increased anxiety.

Gendered Expectations

Damour points out the stark difference in how society treats boys and girls who disagree or set boundaries. Girls who refuse requests are often labeled with negative terms like "diva" or "bitch," while boys' non-compliance is often dismissed with phrases like "boys will be boys."

Teaching Boundary-Setting

To help girls manage these expectations, Damour advises teaching them that it's acceptable to say no and set boundaries. Parents and mentors should support girls in protecting their time and energy, rather than reinforcing the idea that they must always be agreeable.

Navigating Social Media and Body Image

In the digital age, social media has become a significant source of pressure for girls, particularly when it comes to body image and self-esteem.

The Comparison Trap

Damour explains how constant exposure to curated images on social media can lead girls to compare themselves unfavorably to their peers and celebrities. This comparison can fuel feelings of inadequacy and anxiety about their appearance.

The Role of Parents

Parents play a crucial role in helping girls navigate the digital landscape. Damour suggests:

  1. Having open conversations about the realities of photo editing and curated online personas
  2. Encouraging critical thinking about media messages
  3. Modeling healthy social media habits
  4. Promoting activities that boost self-esteem outside of appearance

Promoting Body Positivity

Damour emphasizes the importance of fostering a positive body image in girls. She advises parents to:

  1. Avoid negative comments about their own bodies or others'
  2. Encourage appreciation for what bodies can do rather than how they look
  3. Promote healthy habits without focusing on weight or appearance

Building Resilience Through Relationships

One of the most powerful tools for helping girls manage stress and anxiety is fostering strong, supportive relationships.

The Power of Connection

Damour explains that strong relationships with family, friends, and mentors can provide a buffer against stress and anxiety. These connections offer emotional support, practical help, and a sense of belonging that can help girls navigate challenges.

Encouraging Healthy Friendships

Parents can support their daughters in building positive friendships by:

  1. Modeling healthy relationships in their own lives
  2. Encouraging activities that foster face-to-face connections
  3. Teaching conflict resolution skills
  4. Helping girls recognize and avoid toxic friendships

The Role of Adult Mentors

Damour highlights the importance of adult mentors outside the family. Teachers, coaches, and other trusted adults can provide additional support and perspective, helping girls develop confidence and resilience.

Managing Expectations and Perfectionism

Many girls struggle with the pressure to be perfect in all areas of their lives, from academics to appearance to extracurricular activities.

The Dangers of Perfectionism

Damour explains that while striving for excellence can be positive, perfectionism often leads to increased stress, anxiety, and even depression. Perfectionistic tendencies can prevent girls from taking risks, trying new things, or accepting their own limitations.

Reframing Success

To combat perfectionism, Damour suggests helping girls reframe their understanding of success. This includes:

  1. Emphasizing effort and growth over perfect outcomes
  2. Encouraging girls to set realistic goals
  3. Teaching the value of learning from mistakes
  4. Helping girls develop self-compassion

Balancing Ambition and Well-being

While it's important to support girls' ambitions, Damour stresses the need to balance achievement with well-being. She advises parents to help their daughters prioritize self-care, relaxation, and downtime alongside their pursuits.

Addressing Mental Health Concerns

Damour dedicates a significant portion of the book to discussing how to recognize and address more serious mental health concerns in girls.

Recognizing Warning Signs

She provides guidance on distinguishing between normal teenage moodiness and more serious issues like depression or anxiety disorders. Warning signs might include:

  1. Persistent changes in mood or behavior
  2. Withdrawal from friends and activities
  3. Significant changes in sleep or eating habits
  4. Expressions of hopelessness or suicidal thoughts

Seeking Professional Help

Damour emphasizes the importance of seeking professional help when needed. She guides parents through the process of finding a mental health professional and what to expect from therapy or counseling.

Destigmatizing Mental Health Care

To encourage girls to seek help when needed, Damour stresses the importance of destigmatizing mental health care. She suggests openly discussing mental health in the family and framing therapy as a tool for growth and self-improvement rather than a sign of weakness.

Empowering Girls to Face Challenges

Throughout the book, Damour's overarching message is one of empowerment. She believes that with the right support and tools, girls can learn to navigate the pressures they face and emerge stronger and more resilient.

Teaching Coping Skills

Damour provides a wealth of strategies for helping girls develop coping skills, including:

  1. Mindfulness and relaxation techniques
  2. Time management and organization skills
  3. Assertiveness and communication strategies
  4. Stress-reduction activities like exercise and creative pursuits

Encouraging Self-Advocacy

A crucial aspect of empowerment is teaching girls to advocate for themselves. Damour advises parents to:

  1. Encourage girls to speak up about their needs and concerns
  2. Support them in addressing issues with teachers, coaches, or peers
  3. Teach them to recognize and assert their boundaries

Fostering Independence

While it's natural for parents to want to protect their daughters, Damour stresses the importance of allowing girls to face challenges independently. This might involve:

  1. Letting them solve their own problems when appropriate
  2. Encouraging them to take on new responsibilities
  3. Supporting their efforts to become more self-reliant

Conclusion: A Balanced Approach to Pressure

In concluding "Under Pressure," Damour emphasizes that while the challenges facing girls today are significant, there is reason for hope. She reminds readers that despite alarming headlines, today's teenagers are in many ways safer and making better choices than previous generations.

Damour's approach advocates for a balanced view of the pressures girls face. While it's crucial to acknowledge and address the very real challenges, it's equally important to recognize girls' strength, resilience, and potential. By providing support, teaching coping skills, and fostering independence, parents, educators, and mentors can help girls not just survive but thrive in the face of pressure.

The key takeaway from "Under Pressure" is that with understanding, support, and the right tools, girls can learn to manage stress and anxiety effectively. They can develop the resilience and confidence needed to navigate the complexities of modern life, emerging as strong, capable young women ready to take on the world.

Damour's work serves as an invaluable resource for anyone seeking to support the girls in their lives. By offering practical advice grounded in psychological research and years of clinical experience, she provides a roadmap for helping girls confront and overcome the pressures they face. Ultimately, "Under Pressure" is a message of hope and empowerment, reminding us of the incredible potential within every girl to rise above challenges and create a bright future for herself.

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