Cited by 89Neural and Behavioral Psychology StudiesHypothalamic control of reproductive hormonesAdolescent Sexual and Reproductive Health

Becoming a sexual being: The “elephant in the room” of adolescent brain development

Open access
Suleiman, Ahna Ballonoff, Galván, Adriana, Harden, K. Paige, Dahl, Ronald E.·2017·Developmental Cognitive Neuroscience

Abstract

The onset of adolescence is a time of profound changes in motivation, cognition, behavior, and social relationships. Existing neurodevelopmental models have integrated our current understanding of adolescent brain development; however, there has been surprisingly little focus on the importance of adolescence as a sensitive period for romantic and sexual development. As young people enter adolescence, one of their primary tasks is to gain knowledge and experience that will allow them to take on the social roles of adults, including engaging in romantic and sexual relationships. By reviewing the relevant human and animal neurodevelopmental literature, this paper highlights how we should move beyond thinking of puberty as simply a set of somatic changes that are critical for physical reproductive maturation. Rather, puberty also involves a set of neurobiological changes that are critical for the social, emotional, and cognitive maturation necessary for reproductive success. The primary goal of this paper is to broaden the research base and dialogue about adolescent romantic and sexual development, in hopes of advancing understanding of sex and romance as important developmental dimensions of health and well-being in adolescence.

AI snapshot

Written from the paper’s full text.

TL;DR

This review argues that adolescent brain development research has largely omitted normative romantic and sexual development, often treating sexuality mainly as risk behavior. It proposes that puberty opens a sensitive window for learning about love, attachment, and sexual relationships, shaped by hormones, social context, and translational opportunities.

Key findings

  • The paper contends that neurodevelopmental models give limited attention to adolescence as a sensitive period for romantic and sexual development; when romance and sexuality appear, they tend to be framed as negative risk behavior rather than normative healthy development.
  • It proposes that pubertal hormonal and neural changes prime young people to learn about romantic love, attachment, and sexual arousal, with testosterone, estradiol, progesterone, oxytocin, dopamine, and social context (parents, peers, media) all implicated.
  • Human testosterone findings are mixed: higher testosterone modestly correlates with increased sexual fantasies in pubertal boys, but the effect disappears in models including spontaneous nocturnal ejaculations and age; cross-sectionally, higher testosterone is associated with sexual intercourse, while longitudinally individual testosterone changes are associated with sexual debut for girls but not boys, and for boys pubertal stage is more strongly associated with sexual debut than testosterone.
  • Translational examples include extended adolescence, contraception, and childbearing/parenting; the paper notes global average age of sexual debut ranges from 16.5 to 24.5 years for males and 15.5 to 21.5 years for females, mean age at first birth ranges from 20.9 years in sub-Saharan Africa to 25 years in the US, and combined oral contraceptives have been found to suppress free and total testosterone by up to 50% in adult women.

Methods

  • Design: conceptual/review paper that synthesizes animal and human literature and proposes a developmental framework; no primary empirical study is conducted.
  • Data or sample: Not stated in the paper; no new sample, dataset, or participants are reported.
  • Main analysis: narrative synthesis and hypothesis generation across developmental neuroscience, endocrinology, and behavioral research; no systematic review or meta-analysis is described.

Limitations

  • The paper states that disentangling hormonal, motivational, and social change during puberty is highly challenging methodologically, and that research on early adolescents’ romantic and sexual relationships faces parent and human-subject review board concerns, requiring developmentally sensitive validated measures.
  • The paper states that adolescents are less likely than adults to conform to firm categories of sexual orientation or gender identity, that establishing whether a relationship is “romantic” can be challenging, and that there is likely wide neural variability both between and within sexes.
  • The paper states that no published data were found exploring effects of hormonal contraceptives on adolescent neural development, no imaging research was found specifically on sexual media, and neuroimaging has not successfully distinguished sexual desire from sexual arousal due to task limitations.
  • Evident from the text: as a conceptual review, it does not provide new empirical data or a systematic search strategy, so its conclusions are proposals and hypotheses rather than tested findings.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.dcn.2016.09.004

Cites

138 of 138 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

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  • Premisecitation

    Puberty leads to the development of novel social behaviors and responses to newly emerging social contexts.

    “More specifically, puberty leads to the development of novel social behaviors and responses to newly emerging social contexts (Brown et al., 2015).”
    Quote in the paperSubstantial claim0 of 1 sources checked
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  • Interpretationreasoning

    Hormonal changes associated with puberty contribute to neural transitions that prime the brain to learn about romantic love, in order to facilitate mating, childbearing, and childcare.

    “We propose that the hormonal changes associated with puberty contribute to neural transitions that prime the brain to learn about this new type of love, in order to facilitate mating, childbearing, and childcare.”
    Quote in the paperNot a substantial claim
  • Interpretationreasoning

    Pubertal maturation, including the natural increase in social motivations such as interest in sexual and romantic behavior, is likely to represent a normative window of learning about the complex emotional and social cognitive processes involved in developing an identity as a sexual being.

    “Therefore, pubertal maturation (and the natural increase in social motivations including interest in sexual and romantic behavior) is likely to represent a normative window of learning—not simply about the mechanical aspects of sexual behavior, but also about the complex emotional and social cognitive processes that are part of navigating the charged, high-intensity emotions involved in developing”
    Quote in the paperSubstantial claim
  • Interpretationreasoning

    Because of the neural development occurring with puberty, a partner-specific response in early romantic relationships, when both the emotional and physical intimacies are novel, makes them particularly exciting, rewarding, and satisfying.

    “Because of the neural development occurring with puberty, a partner-specific response in early romantic relationships, when both the emotional and physical intimacies are novel, makes them particularly exciting, rewarding, and satisfying.”
    Quote in the paperSubstantial claim
  • Premisenone given

    Hormonal increases are a cornerstone of the pubertal transition.

    “Hormonal increases are a cornerstone of the pubertal transition.”
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    Premisenone given

    Despite progress in developmental neuroscience of adolescence, there has been little focus on sexual and romantic development.

    “Despite progress in developmental neuroscience of adolescence, there has been little focus on sexual and romantic development.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    A number of other hormones and neurotransmitters are activated or enhanced during puberty, and are involved in how people experience romantic love, including oxytocin, vasopressin, dopamine, serotonin, and cortisol.

    “Beyond gonadal hormones, a number of other hormones and neurotransmitters are activated or enhanced during puberty, and are involved in how people experience romantic love, including oxytocin, vasopressin, dopamine, serotonin, and cortisol (De Boer et al., 2012).”
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    Interpretationnone given

    Puberty offers a unique developmental inflection point when romantic love emerges.

    “Puberty offers a unique developmental inflection point when romantic love emerges.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Young people's romantic relationships serve important developmental purposes and are the primary context for young people to explore their sexual identity and gain sexual experience.

    “In fact, these relationships serve important developmental purposes, and are the primary context for young people to explore their sexual identity and gain sexual experience (Furman and Shaffer, 2003, Furman et al., 2007).”
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    • cites Furman and Shaffer, 2003

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    • cites Furman et al., 2007

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    Premisecitation

    Both romantic love and sex are goal-oriented motivations accompanied by strong emotional responses, by activating dopamine-rich, reward processing and motivational systems.

    “By activating dopamine-rich, reward processing and motivational systems, both romantic love and sex are goal-oriented motivations accompanied by strong emotional responses (Aron et al., 2005, Fisher et al., 2010).”
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    Premisecitation

    Romantic love, both while someone is actively in love and after they have experienced rejection from a break-up, but not sexual arousal, involves ventral tegmental activation, whereas sexual arousal, but not love, involves ventral striatal activation.

    “For example, romantic love, both while someone is actively in love and after they have experienced rejection from a break-up, but not sexual arousal, involves ventral tegmental activation (generally associated with pleasure, focused attention, and motivation to pursue rewards), whereas sexual arousal, but not love, involves ventral striatal activation (associated with motivation and predictive”
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    • cites Diamond and Dickenson, 2012

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    Premisecitation

    Romantic love involves increased activation in dopamine-rich subcortical regions associated with processing emotion, rewards, and motivation; in higher-order cortical brain regions associated with social cognition and self-representation; and decreased activation in the amygdala.

    “Romantic love involves increased activation in dopamine-rich subcortical regions associated with processing emotion, rewards, and motivation; in the higher-order cortical brain regions associated with social cognition and self-representation; and decreased activation in the amygdala (Ortigue et al., 2010).”
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    Premisecitation

    Adolescent brain development, beginning with the onset of puberty, may represent a unique combination of stability and plasticity, creating an important window of opportunity for learning and experience to shape developing neural networks in enduring ways.

    “Recent research into the molecular processes and mechanisms of neuroplasticity has progressed rapidly and highlighted that adolescent brain development, beginning with the onset of puberty, may represent a unique combination of stability and plasticity. This combination creates an important window of opportunity for learning and experience to shape developing neural networks in enduring ways (H”
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    Premisecitation

    Adolescence is an opportune time to explore the cognitions and emotions associated with romantic relationships.

    “Given the developmental transitions that occur during adolescence related to emotional processing and cognitive control, it has been proposed that adolescence is an opportune time to explore the cognitions and emotions associated with romantic relationships (Collins, 2003).”
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  • Probably not a substantial claim: may not pass S1 (asserted), S4 (based). May combine two claims.

    Interpretationnone given

    These learning processes begin with the pubertal physical and neurobiological transitions that influence motivation, yet are highly dependent on context and interpersonal relationships during this time.

    “We further hypothesize that these learning processes begin with the pubertal physical and neurobiological transitions that influence motivation, yet are highly dependent on context and interpersonal relationships during this time.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    As a result of hormonal changes, adolescents experience greater motivation to seek out rewards, enhanced experience of rewards, and increased motivation to engage in social relationships-including romantic and sexual behavior.

    “As a result, adolescents experience greater motivation to seek out rewards, enhanced experience of rewards, and increased motivation to engage in social relationships—including romantic and sexual behavior (Crone and Dahl, 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Crone and Dahl, 2012 source

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    Interpretationnone given

    The wide range of early romantic and sexual experiences likely shapes developing neural networks in enduring ways to support lifelong romantic and sexual trajectories.

    “The wide range of early romantic and sexual experiences likely shapes developing neural networks in enduring ways to support lifelong romantic and sexual trajectories.”
    Quote in the paperNot a substantial claim
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    Interpretationcitation

    Physical maturation is accompanied by increased neural plasticity and a heightened motivation to seek out a range of highly arousing, slightly scary, highly rewarding, novel experiences, and increases in sensation seeking make adolescents more likely to find these high-intensity experiences, such as having a first crush or engaging in a first kiss, enjoyable.

    “It therefore makes sense that physical maturation is accompanied by increased neural plasticity and a heightened motivation to seek out a range of highly arousing, slightly scary, highly rewarding, novel experiences, and that increases in sensation seeking make adolescents more likely to find these high-intensity experiences, such as having a first crush or engaging in a first kiss, enjoyable (Sp”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Spielberg et al., 2014 source

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    Interpretationnone given

    Changes in underlying neural circuitry associated with social and emotional processing may open a second developmental window, following the one in early childhood, for learning about love and attachment relationships.

    “We propose that changes in underlying neural circuitry associated with social and emotional processing may open a second developmental window (following the one in early childhood) for learning about love and attachment relationships.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Both love and sexual desire are dopamenergically-mediated motivation states that can globally affect cognition.

    “Both love and sexual desire are dopamenergically-mediated motivation states that can globally affect cognition (Diamond and Dickenson, 2012).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Diamond and Dickenson, 2012

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    Premisecitation

    Primate studies suggest that estrogen and progesterone, rather than testosterone, are associated with changes in female sexual behavior, and that the relationship between hormones and behavior is dependent on social context.

    “Primate studies, on the other hand, suggest that estrogen and progesterone, rather than testosterone, are associated with changes in female sexual behavior, and that the relationship between hormones and behavior is dependent on social context”
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    • cites Wallen, 2001 source

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    Premisenone given

    For boys, the physical capacity to produce gametes and reproduce occurs relatively early in the pubertal transition, although few boys engage in sexual behavior during that time.

    “For boys, the physical capacity to produce gametes and reproduce occurs relatively early in the pubertal transition, although few boys engage in sexual behavior during that time.”
    Quote in the paperNot a substantial claim
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    Premisecitation

    Tests of this model in humans suggest that estradiol is associated with increases in sexual desire and progesterone is associated with declines.

    “Tests of this model in humans, also suggest that estradiol is associated with increases in sexual desire and progesterone is associated with declines”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Wallen, 2001 source

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    Premisecitation

    Studies with young adult men have found that being in a committed romantic relationship is associated with more frequent sexual intercourse and simultaneous declines in testosterone.

    “For example, studies with young adult men have found that being in a committed romantic relationship is associated with more frequent sexual intercourse and simultaneous declines in testosterone (Burnham et al., 2003, Gray and Campbell, 2009).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Burnham et al., 2003 source

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    • cites Gray and Campbell, 2009

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    Premisecitation

    Among adult women, endogenous testosterone does not show significant correlations with sexual behavior, but exogenous testosterone treatment in women has been found to increase sexual desire, sexual activity, and sexual self-image.

    “Among adult women, endogenous testosterone does not show significant correlations with sexual behavior (Roney and Simmons, 2013), but exogenous testosterone treatment in women has been found to increase sexual desire, sexual activity, and sexual self-image (Buster et al., 2005, Davis et al., 2006, Shifren et al., 2006).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Roney and Simmons, 2013

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    • cites Buster et al., 2005 source

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    • cites Davis et al., 2006 source

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    Premisecitation

    Higher testosterone modestly correlates with increased sexual fantasies in pubertal boys, but the effect disappears in models that include onset of spontaneous nocturnal ejaculations and age.

    “Higher testosterone modestly correlates with increased sexual fantasies in pubertal boys, but the effect disappears in models that include onset of spontaneous nocturnal ejaculations and age (Campbell et al., 2005).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Campbell et al., 2005 source

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    Premisecitation

    In male Syrian hamsters, pubertal hormones influence the structure and function of neural circuits that integrate steroidal and sensory information, and these changing neural circuits alter the way males respond to social stimuli and engage in mating behaviors.

    “For instance, in male Syrian hamsters, it is well-established how pubertal hormones influence the structure and function of neural circuits that integrate steroidal and sensory information, and how these changing neural circuits alter the way males respond to social stimuli and engage in mating behaviors (Romeo et al., 2002).”
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    Premisecitation

    Among pubertal girls, increased estradiol levels have been associated with increased white matter growth and decreased pubertal grey matter pruning.

    “Among pubertal girls, increased estradiol levels have been associated with increased white matter growth and decreased pubertal grey matter pruning”
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    • cites Herting et al., 2014 source

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    Interpretationreasoning

    Despite the fact that increases in testosterone are associated with increases in socially-motivated, goal-oriented behavior, they do not automatically translate into increased sexual behavior or activity.

    “Thus, despite the fact that increases in testosterone are associated with increases in socially-motivated, goal-oriented behavior, they do not automatically translate into increased sexual behavior or activity.”
    Quote in the paperSubstantial claim
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    Interpretationreasoning

    There may be some threshold effect for testosterone that leads to the possibility of engaging in sexual intercourse, but no linear relationship between testosterone and subsequent sexual experience.

    “What we know about testosterone and sexual behavior collectively suggests that there may be some threshold effect for testosterone that leads to the possibility of engaging in sexual intercourse, but no linear relationship between testosterone and subsequent sexual experience.”
    Quote in the paperSubstantial claim
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    Premisecitation

    In longitudinal studies, individual changes in testosterone are associated with sexual debut for girls, but not for boys.

    “In contrast, in longitudinal studies, individual changes in testosterone are associated with sexual debut (first sexual intercourse) for girls, but not for boys (Halpern et al., 1997).”
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    • cites Halpern et al., 1997 source

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    Interpretationcitation

    Mothers serve to buffer stress for younger children, and as children follow the normal trajectory of development into adolescence, accompanied by declining fear and anxiety about novel people and situations and increased exploration, the physiological effect of parental presence shifts.

    “This suggests that mothers serve to buffer stress for younger children, and as children follow the normal trajectory of development into adolescence, accompanied by declining fear and anxiety about novel people and situations and increased exploration, the physiological effect of parental presence shifts.”
    Quote in the paperSubstantial claim
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    Premisecitation

    The quality of parent-child relationships affects both sexual behavior and neural development and activation, specifically in the amygdala.

    “The quality of parent-child relationships affects both sexual behavior and neural development and activation, specifically in the amygdala”
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    Premisecitation

    Maternal presence can buffer cortisol stress response in children, but it does not have the same buffering effect for adolescents.

    “Research has also highlighted that maternal presence can buffer cortisol stress response in children, but it does not have the same buffering effect for adolescents”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hostinar et al., 2014

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    Premisecitation

    Both platonic and romantic peers influence adolescent sexual behavior and adolescents' decisions to engage in romantic and sexual relationships.

    “Both platonic and romantic peers influence adolescent sexual behavior and adolescents’ decisions to engage in romantic and sexual relationships”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Ali and Dwyer, 2011

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    • cites Crockett et al., 2006 source

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    Premisecitation

    Positive parent-adolescent relationships are associated with decreased intention to have sex and later age at first sexual intercourse.

    “positive parent-adolescent relationships are associated with decreased intention to have sex and later age at first sexual intercourse”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Van de Bongardt et al., 2014 source

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    Interpretationreasoning

    Collectively, this research suggests that the affective and social context of peer presence may lead to differences in neural activation and to differences in behavior.

    “Collectively, this research suggests that the affective and social context of peer presence may lead to differences in neural activation and to differences in behavior.”
    Quote in the paperSubstantial claim
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    Interpretationcitation

    This study points to the potential power of environment-behavior-development feedback loops and the importance of social institutions as adolescents are experiencing neurohormonal changes.

    “This study points to the potential power of environment-behavior-development feedback loops and the importance of social institutions as adolescents are experiencing neurohormonal changes”
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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Sensation seeking personality traits have been linked in other work with differences in testosterone and estrogen levels.

    “which have been linked in other work with differences in testosterone and estrogen levels”
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    • cites Campbell, 2010 source

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    Interpretationcitation

    While positive maternal response remains constant, fear of, and anxiety towards strangers declines across development, facilitating more social exploration.

    “These results suggest that, while positive maternal response remains constant, fear of, and anxiety towards strangers declines across development, facilitating more social exploration”
    Quote in the paperSubstantial claim
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    Premisecitation

    Both children and adolescents have high amygdala reactivity to their mothers' faces, but amygdala reactivity to the faces of strangers declines from childhood to adolescence.

    “Both children and adolescents have high amygdala reactivity to their mothers’ faces, but amygdala reactivity to the faces of strangers declines from childhood to adolescence.”
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    Premisecitation

    The amygdala has been associated with reward processing, emotional processing, and fear response.

    “which has been associated with reward processing (Ernst et al., 2005), emotional processing (Whalen et al., 2013), and fear response (LeDoux, 2003)”
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    Interpretationreasoning

    Understanding the relationship between increased VS activation and risk taking behavior is far from straight forward.

    “understanding the relationship between increased VS activation and risk taking behavior is far from straight forward”
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    Interpretationnone given

    We are not aware of any imaging research that has been conducted specifically on sexual media.

    “Although we are not aware of any imaging research that has been conducted specifically on sexual media”
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    Premisecitation

    Over 70% of television programing contains some type of sexual content or dialogue.

    “Over 70% of television programing contains some type of sexual content or dialogue”
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    • cites Kunkel et al., 2005

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    Premisecitation

    At the same time that the age of reproductive capacity has declined, the age at which it is socially desirable for young people to bear children has continued to increase.

    “At the same time that the age of reproductive capacity has declined, the age at which it is socially desirable for young people to bear children has continued to increase.”
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    Interpretationnone given

    The period defined as adolescence continues to elongate across the globe.

    “The period defined as adolescence continues to elongate across the globe”
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    Interpretationcitation

    Traditional media and social media may also shape sexual behavior.

    “In addition to social relationships “in real life,” traditional media and social media may also shape sexual behavior.”
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    Premisecitation

    Particularly in higher resourced countries, there has been a trend towards uncoupling marriage and childbearing, with more births occurring outside of legal marriages, fewer marriages as a result of premarital conception, and married couples waiting longer after marriage for childbearing.

    “particularly in higher resourced countries, there has been a trend towards uncoupling marriage and childbearing, with more births occurring outside of legal marriages, fewer marriages as a result of premarital conception, and married couples waiting longer after marriage for childbearing”
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    • cites England et al., 2013 source

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    Premisecitation

    Mass media has been identified as a "sexual super peer" having significant social influence, particularly for girls who experience puberty earlier than their peers.

    “Mass media has been identified as a “sexual super peer” having significant social influence, particularly for girls who experience puberty earlier than their peers”
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    • cites Brown et al., 2005 source

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    Premisecitation

    The average age of the most common early physical sign of puberty among girls, breast budding, has declined more rapidly than age at menarche, and as a result, girls are spending longer amounts of time in the pubertal transition.

    “The average age of the most common early physical sign of puberty among girls, breast budding, has declined more rapidly than age at menarche, and as a result, girls are spending longer amounts of time in the pubertal transition”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Mendle, 2014 source

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    Premisecitation

    Globally, the average age of sexual debut ranges from 16.5 to 24.5 years old for males and from 15.5 to 21.5 years old for females.

    “Globally, the average age of sexual debut ranges from 16.5 to 24.5 years old for males and from 15.5 to 21.5 years old for females”
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    • cites Wellings et al., 2006

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    Premisecitation

    Depending on the context and population, between 23 and 95% of 10-19-year-olds report having ever viewed online pornography, and between 28 and 84% reported that the exposure was unwanted or unintentional.

    “Depending on the context and population, between 23 and 95% of 10–19-year-olds report having ever viewed online pornography, and between 28 and 84% reported that the exposure was unwanted or unintentional”
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    • cites Peter and Valkenburg, 2016

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    Premisecitation

    Limited exposure to violent media among adolescents has been found to affect the developmental trajectories of frontal inhibitory systems and subcortical limbic structures, as well as the connectivity between them, and may have some effect on violent behavior.

    “limited exposure to violent media among adolescents has been found to affect the developmental trajectories of frontal inhibitory systems and subcortical limbic structures, as well as the connectivity between them, and may have some effect on violent behavior”
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    • cites Hummer, 2015 source

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    Premisecitation

    The recent global policy push to increase the use of long-acting reversible contraceptives (LARCs) among adolescents has promoted the use of some very effective non-hormonal methods, like hormone free IUDs, and has promoted increased use of IUDs, implants, and injectables containing progestin.

    “The recent global policy push to increase the use of long-acting reversible contraceptives (LARCs) among adolescents has promoted the use of some very effective non-hormonal methods, like hormone free IUDs, and has promoted increased use of IUDs, implants, and injectables containing progestin”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Ott et al., 2014 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The age at which young women in higher resourced countries first bear children has significantly increased over the past 40 years, and this trend is now beginning in many lower and mid-resourced countries as well.

    “The age at which young women in higher resourced countries first bear children has significantly increased over the past 40 years, and this trend is now beginning in many lower and mid-resourced countries as well”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Bearinger et al., 2007 source

      Not checked in the free run.

    • cites Bongaarts and Blanc, 2015

      Not checked in the free run.

    • cites Mathews and Hamilton, 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    The secular trends of early puberty and later childbearing provide great opportunities for young people to have a longer period for increased maturation, educational attainment, and stabilization prior to assuming the full scope of adult roles and responsibilities.

    “The secular trends of early puberty and later childbearing provide great opportunities for young people to have a longer period for increased maturation, educational attainment, and stabilization prior to assuming the full scope of adult roles and responsibilities.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    COCs, which are highly effective for preventing pregnancy when used correctly, have been found to significantly suppress both free and total testosterone levels by up to 50% in adult women.

    “COCs, which are highly effective for preventing pregnancy when used correctly, have been found to significantly suppress both free and total testosterone levels by up to 50% in adult women”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Zimmerman et al., 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).

    Interpretationreasoning

    Animal neurodevelopmental models may offer important insights that can be later tested in humans.

    “This is a place where animal neurodevelopmental models may offer important insights that can be later tested in humans.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.

    Interpretationreasoning

    The lack of replicability points to the importance of developing ecologically valid paradigms to test hypothesis about the impact of pregnancy on brain development trajectories, as financial reward is distinctly different from the social and emotional reward associated with nurturing an infant.

    “The lack of replicability points to the importance of developing ecologically valid paradigms to test hypothesis about the impact of pregnancy on brain development trajectories, as financial reward is distinctly different from the social and emotional reward associated with nurturing an infant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Lactation involves a rapid and severe drop-off in gonadal hormones and increase in prolactin.

    “In contrast, lactation involves a rapid and severe drop-off in gonadal hormones and increase in prolactin”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Russell et al., 2001 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    The increasing separation between the onset of reproductive maturity and first childbearing minimizes the need for early pair-bonding and instead fosters an opportunity for young people to explore romantic and sexual relationships with a number of different people.

    “It also minimizes the need for early pair-bonding and instead fosters an opportunity for young people to explore romantic and sexual relationships with a number of different people.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Although women on COCs have overall lower testosterone levels, additional research has suggested that the change in testosterone when women are engaged in a competitive tasks remains constant despite COC use.

    “Although women on COCs have overall lower testosterone levels, additional research has suggested that the change in testosterone when women are engaged in a competitive tasks remains constant despite COC use”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Edwards and O'Neal, 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    Given that testosterone has been shown to motivate increased interest in arousing experiences, inhibiting testosterone levels during the peripubertal or adolescent period may diminish motivation to engage in a range of prosocial risk-taking behaviors that support positive developmental trajectories.

    “Given that testosterone has been shown to motivate increased interest in arousing experiences, inhibiting testosterone levels during the peripubertal or adolescent period may diminish motivation to engage in a range of prosocial risk-taking behaviors that support positive developmental trajectories.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.

    Interpretationreasoning

    Integrated developmental science, including developmental neuroscience, offers a pathway to expand our understanding of early romantic and sexual relationships and enhance our understanding of the types of mastery experiences that support positive trajectories.

    “Integrated developmental science, including developmental neuroscience, offers a pathway to expand our understanding of early romantic and sexual relationships and enhance our understanding of the types of mastery experiences that support positive trajectories.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing).

    Premisecitation

    This suppression of testosterone has been thought to be the underlying source of complaints associated with COCs, including diminished well-being and quality of life, reduced libido, cognitive disruptions, and decreased bone mass.

    “This suppression of testosterone has been thought to be the underlying source of complaints associated with COCs, including diminished well-being and quality of life, reduced libido, cognitive disruptions, and decreased bone mass”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Zimmerman et al., 2013

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationreasoning

    In addition to the adverse effects reported by adult women, there are additional potential adverse effects of testosterone reduction during adolescence.

    “In addition to the adverse effects reported by adult women, there are additional potential adverse effects of testosterone reduction during adolescence.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    This relationship trend holds in some countries, but not in others.

    “Interestingly, this relationship trend holds in some countries, but not in others”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gray and Campbell, 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    To date, we are not aware of any published data exploring the effects of disrupting normal hormonal trajectories on neural development during critical developmental windows.

    “To date, we are not aware of any published data exploring these effects.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Interpretationreasoning

    It is also equally possible that inhibiting testosterone will not limit positive or negative risk taking, for although overall testosterone levels may be suppressed in young women taking COCs, their testosterone responses to stimuli may remain constant.

    “It is also equally possible that inhibiting testosterone will not limit positive or negative risk taking, for although overall testosterone levels may be suppressed in young women taking COCs, their testosterone responses to stimuli may remain constant.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    In the US, single adult men who are seeking romantic partners and paired men who are seeking relationships outside of their primary partners have higher testosterone levels compared to men in committed relationship and furthermore, men who are fathers, regardless of relationship status, have the lowest testosterone levels.

    “In the US, single adult men who are seeking romantic partners and paired men who are seeking relationships outside of their primary partners have higher testosterone levels compared to men in committed relationship and furthermore, men who are fathers, regardless of relationship status, have the lowest testosterone levels”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Gray and Campbell, 2009

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S2 (checkable).

    Premisecitation

    Adolescents need appropriate support to navigate early romantic and sexual experiences successfully.

    “Adolescents have the cognitive capacity to navigate early romantic and sexual experiences safely, and yet they need appropriate support to do so successfully (Harden et al., 2014a, Harden et al., 2014b).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Harden et al., 2014a

      Not checked in the free run.

    • cites Harden et al., 2014b

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Our failure to better understand adolescents' high intensity romantic and sexual relationships does not prevent them from happening.

    “Our failure to better understand adolescents’ high intensity romantic and sexual relationships does not prevent them from happening.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Early romantic relationships have important implications for identity development, learning about sexual behavior, and future relationship trajectories.

    “In addition, these early romantic relationships have important implications for identity development, learning about sexual behavior, and future relationship trajectories (Furman and Shaffer, 2003).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Furman and Shaffer, 2003

      Not checked in the free run.

69 of 69
  • The paper relies on this without support.

    A person's ability to engage in behaviors that facilitate intimate relationships and that create opportunities for sex and reproduction is the normative developmental outcome of puberty.

    “A person’s ability to engage in behaviors that facilitate intimate relationships and that create opportunities for sex and reproduction is the normative developmental outcome of puberty.”
  • The paper relies on this without support.

    The social elongation of adolescence has increasingly uncoupled sexual maturity from cultural definitions of adulthood.

    “including how development is impacted by the social elongation of adolescence, which has increasingly uncoupled sexual maturity from cultural definitions of adulthood.”
  • The paper relies on this without support.

    Human girls develop secondary sex characteristics well before achieving full reproductive capacity, in contrast to boys and all other primates who begin producing gametes before looking sexually mature.

    “In contrast to boys (and all other primates) who begin producing gametes before looking sexual mature, human girls develop secondary sex characteristics well before achieving full reproductive capacity.”
  • The paper relies on this without support.

    The overwhelming majority of girls choose not to engage in sexual behavior during puberty.

    “Although the overwhelming majority of girls choose not to engage in sexual behavior during puberty”
  • The paper relies on this without support.

    Parents play a key role in providing support and information about romantic and sexual behavior.

    “Parents play a key role in providing support and information about romantic and sexual behavior.”
  • The paper relies on this without support.

    Few resources exist to support parents into caring for adolescents and even fewer resources prepare them for the transition into young adulthood.

    “Unfortunately, few resources exist to support parents into caring for adolescents and even fewer resources prepare them for the transition into young adulthood.”
  • The paper relies on this without support.

    Messages about sexuality and romantic relationships are persistent throughout the media.

    “Messages about sexuality and romantic relationships are persistent throughout the media.”
  • The paper relies on this without support.

    Social acceptance of reproduction has been highly correlated with marriage, and the first child was often born within the first few years of marriage.

    “Until recently, social acceptance of reproduction has been highly correlated with marriage, and the first child was often born within the first few years of marriage.”
  • The paper relies on this without support.

    There is also an increasing number of people who go through the biological transition of puberty but never engage in marriage or parenting, and yet still have fulfilling romantic and sexual lives.

    “There is also an increasing number of people who go through the biological transition of puberty but never engage in marriage or parenting, and yet still have fulfilling romantic and sexual lives.”
  • The paper relies on this without support.

    Many young people engage in sexual intercourse before they want to parent, many young people choose contraception.

    “In light of the fact that many young people engage in sexual intercourse before they want to parent, many young people choose contraception.”
  • The paper relies on this without support.

    Although condoms, cervical caps, diaphragms, and some intrauterine devices (IUDs) offer non-hormonal contraception, the primary methods of contraception used by adolescents include hormones.

    “Although condoms, cervical caps, diaphragms, and some intrauterine devices (IUDs) offer non-hormonal contraception, the primary methods of contraception used by adolescents include hormones.”
  • The paper relies on this without support.

    For over 100 years, we have understood that pregnancy, childbearing, lactation, and parenting involve a precise sequence of hormonal transitions.

    “For over 100 years, we have understood that pregnancy, childbearing, lactation, and parenting involve a precise sequence of hormonal transitions.”
  • The paper relies on this without support.

    Pregnancy involves dramatic increases in human chorionic gonadotropin (HCG), estrogen, and progesterone.

    “Pregnancy involves dramatic increases in human chorionic gonadotropin (HCG), estrogen, and progesterone.”
  • The paper relies on this without support.

    Labor follows a continued increase in placental production of estrogen and progesterone coupled with increases in oxytocin, endorphins, and prolactin.

    “Labor follows a continued increase in placental production of estrogen and progesterone coupled with increases in oxytocin, endorphins, and prolactin.”
  • The paper relies on this without support.

    Up until very recently in human history, it is during this time that the majority of individuals engaged in mating, bonding, and parenting activities.

    “Up until very recently in human history, it is during this time that the majority of individuals engaged in mating, bonding, and parenting activities.”
  • The paper relies on this without support.

    In addition to women, men also experience hormonal transitions associated with mating and parenting.

    “In addition to women, men also experience hormonal transitions associated with mating and parenting.”
  • The paper relies on this without support.

    Research, policy, and practice focused on adolescent sexual and romantic relationships are often driven more by social values and rhetoric than by science.

    “Research, policy, and practice focused on adolescent sexual and romantic relationships are often driven more by social values and rhetoric than by science.”
  • The paper relies on this without support.

    A primary goal for adolescents is to learn how to engage in and navigate romantic and sexual relationships.

    “A primary goal for adolescents is to learn how to engage in and navigate romantic and sexual relationships.”
  • The paper relies on this without support.

    Adolescents are primed to learn about love and sex.

    “Adolescents are primed to learn about love and sex, and it would serve all of us to understand this learning process better.”
  • The paper relies on this without support.

    Puberty marks the onset of romantic love.

    “Similarly, given that puberty marks the onset of romantic love, neuroimaging research during this time could help us better untangle the distinct neural underpinnings of different types of love and expand our neurodevelopmental models.”
  • The paper relies on this without support.

    Young people undergo a transition from relationships completely free of sexual and romantic attraction to a context where it is one of the highest priorities.

    “Young people undergo a transition from relationships completely free of sexual and romantic attraction to a context where it is one of the highest priorities.”
  • The paper relies on this without support.

    The high-intensity love an adolescent feels for a friend may vacillate between being platonic, romantic, and sexual.

    “As such, the high-intensity love an adolescent feels for a friend may vacillate between being platonic, romantic, and sexual, and we need measures that can accurately capture the dynamic nature of their peer relationships.”
  • The paper relies on this without support.

    Even establishing whether a relationship is “romantic” can be challenging, particularly if adolescent partners disagree about how to categorize their relationship.

    “Even establishing whether a relationship is “romantic” can be challenging, particularly if adolescent partners disagree about how to categorize their relationship.”
  • The paper relies on this without support.

    There is likely a wide range of neural variability both between and within sexes relevant to romantic and sexual behavior.

    “We also recognize that given the complex relationship between biological sex, hormones, and neural development, there is likely a wide range of neural variability both between and within sexes relevant to romantic and sexual behavior.”
  • The paper relies on this without support.

    Parents and human subject review boards will likely have concerns about asking young people about their feelings of love, attraction and sexual arousal.

    “Parents and human subject review boards will likely have concerns about asking young people about their feelings of love, attraction and sexual arousal.”
  • The paper relies on this without support.

    We have limited research suggesting that the emotional experience of passionate love changes from adolescence into adulthood.

    “We have limited research suggesting that the emotional experience of passionate love changes from adolescence into adulthood, and knowing more about the underlying neural mechanisms and developmental trajectories of this transition would help inform the timing and types of support and scaffolding needed.”
  • The paper relies on this without support.

    Adult neuroimaging research has illuminated important distinctions in neural activation associated with different types of love.

    “Adult neuroimaging research has illuminated important distinctions in neural activation associated with different types of love, and it would be helpful to understand how that aligns with the developmental trajectory of puberty.”
27 of 27

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In girls, earlier pubertal timing and more rapid pubertal tempo relative to same-age, same-sex peers are associated with higher rates of depressive disorders, as well as substance use disorders, eating disorders, and antisocial behavior.

    “For example, in girls, earlier pubertal timing and more rapid pubertal tempo (relative to same-age, same-sex peers) is associated with higher rates of depressive disorders in particular, as well as substance use disorders, eating disorders, and antisocial behavior.(30–32)”

Cites

Flagged first, then by citations

5 of the 143 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Diamond, 2012, The neuroimaging of love and desire: review and future directions, Clin. Neuropsychiatry, 9, 39

Cited by

Sorted by citations

Authors
Suleiman, A. B., Galván, A., Harden, K. P., & Dahl, R. E.
Affiliations
  • University of California, Berkeley (US)
  • University of California, Los Angeles (US)
  • The University of Texas at Austin (US)
Corresponding author
Suleiman, Ahna Ballonoff
Venue
Developmental Cognitive Neuroscience
Publisher
Elsevier BV
Published
2017-06
Volume
25
Pages
209-220
ISSN
1878-9293 (ISSN-L)
OpenAlex
W2526824878
Cited by
89
References
143
Citations by year
2026: 10 · 2025: 5 · 2024: 9 · 2023: 22 · 2022: 14 · 2021: 9 · 2020: 6 · 2019: 7 · 2018: 4 · 2017: 3
FWCI
0.49
Type
journal article
Language
en
Update notices
erratum (2020-10-01)
Open access
Locations
  • Developmental Cognitive Neuroscience (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD042849)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords
adolescent brain development, sexual development, puberty, neurodevelopmental model, sexual maturation, social roles, reproductive success, youth welfare
MeSH terms
Adolescent, Animals, Brain, Female, Humans, Sexual Behavior, Sexual Maturation, Adolescent Development

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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