ADHD doesn't exist

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FerryGlide
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Re: ADHD doesn't exist

Post by FerryGlide » Wed May 18, 2016 10:08 am

For anyone who hasn’t been to the BMJ paper that SS posted, I would recommend that you go there and read Eric Taylor’s balanced and compelling response to Sami Timimi. Timimi’s argument is very scrappy and in some places he doesn’t even seem to be making an argument, just offering suggestive nudges, and throwing in a few insults. It’s just about being a boy! Lots of comorbidity, dodgy eh? Just like phrenology, innit? He says that similar behaviour is interpreted differently in different cultures. Well, yes, that’s hardly news. As responsible practitioners we must remain politically and socially aware of the forces within our own society that can provoke behaviour and then label it as problematic. Clearly big pharma has an interest in selling drugs and ADHD is liberally diagnosed and medicated in the US. It’s a dynamic to watch for in the UK. However, the fact that big pharma wants to sell drugs for everything doesn’t mean that some people don’t need drugs for some things. At times, it’s not clear if Timimi is saying that ADHD behaviours exist or not. Sometimes he seems to be saying that we’ve disengaged from responsible parenting, families haven’t got time, no more grannies round the corner, schools are under pressure, and I think he’s suggesting that these issues are implicated in producing children’s problem behaviour? And then at other times, he seems to be suggesting that the problem behaviour doesn’t exist at all and it’s just that we’re intolerant of individual differences because market forces mean we want everyone to be a square peg in a square hole. And, you know, if he would just be a bit less dogmatic, I think we could all accept that there’s some nuanced truth in all of this and it’s a discourse we need to hold in mind in our practice. But it’s not the whole story. What about the discourse of social class? Timimi’s model seems to be very middle class, involving high expectations and parents who want a label for their kid. How do we frame the problems of working class kids for whom a medical model is rarely invoked? Their behaviour is more likely to be explained in terms of social class: they’re rough, parents are useless, come from a no hope council estate etc. There’s no big pharma here, no ADHD label, no referral to specialist services, and when the problem is identified it’s often too late: a prison psychologist, a rehab psychologist who gets involved after a brain injury caused by one risky stunt too many.

Eric Taylor, in a very well evidenced piece, notes this:
“Severe hyperactivity is a strong predictor of poor psychosocial adjustment ( Taylor et al, 1996). The developmental risk is not trivial. Even those who are not diagnosed or medicated are more prone to accidents, conduct disorder, psychiatric problems in adolescence, educational and occupational failure, and a lack of constructive occupations or satisfactory relationships. This is why mental health services get involved.”

This is the cost of denying that people have problems. Families break, children crash out of education, get involved in risky and illegal behaviour, end up in and out of prison, can’t sustain relationships or hold down a job, constantly driven by restless, destructive and addictive sensations that make a wasteland out of a life. What is Sami Timimi’s prescription, either for society (if that’s where he thinks the problem is located) or for the child in whom the problem manifests?

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maven
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Re: ADHD doesn't exist

Post by maven » Thu May 19, 2016 12:48 pm

Importantly, it isn't either or. We can look at social issues and family functioning, and individual neurodevelopmental profiles!
Maven.

Wise men talk because they have something to say, fools because they have to say something - Plato
The fool thinks himself to be wise, but the wise man knows himself to be a fool - Shakespeare

FreudianSlap
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Re: ADHD doesn't exist

Post by FreudianSlap » Sun Jun 05, 2016 9:48 pm

:shock: Does anything exist? :shock:

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Gilly
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Re: ADHD doesn't exist

Post by Gilly » Tue Jun 07, 2016 4:34 pm

I exist.




...i think?
You're not calling for help, are you?! ;)

"The problem with quotes on the Internet is that it is hard to verify their authenticity" - Abraham Lincoln.

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sarahg
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Re: ADHD doesn't exist

Post by sarahg » Tue Jun 07, 2016 4:35 pm

Only the matrix exists.

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Gilly
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Re: ADHD doesn't exist

Post by Gilly » Tue Jun 07, 2016 4:36 pm

you think thats air you're breathing now?
You're not calling for help, are you?! ;)

"The problem with quotes on the Internet is that it is hard to verify their authenticity" - Abraham Lincoln.

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