Medical and nonmedical studies of teenage pregnancy and its outcomes are reviewed, and the state of our current knowledge is assessed. It is suggested that, while the typical teenage girl is biologically ready for motherhood, a complex set of social and psychological variables leads those least well-suited for the role into becoming teenage parents. The effectiveness of special programs for pregnant adolescents and their offspring is examined, and implications for policy and prevention are offered.

This article presents results from a survey of ethical beliefs about practice dilemmas unique to clinical work with children and adolescents. Survey data suggest that identical practices are not always ethically equivalent, particularly when the developmental status of the client is varied. The survey also reveals widespread ambiguity about what constitutes ethical practice, as manifested both in individual uncertainty and in the absence of group consensus. Ethically guided clinical practice is presented as a far more complex undertaking than adherence to a single set of professional standards.

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