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Are We Paying Attention or is Ritalin Mothers Little Helper Attention Deficit Hyperactivity Disorder (ADHD) and Attention Deficit Disorder (ADD) are increasingly being discussed interchangeably. It has captured the attention of researchers everywhere. With this disorder there exist prevailing evaluations, and positive reinforcements, behavior modifications which impact children with special needs. Often times, behavior is associated with learning, for example, out of seat behavior and hyperactivity.
The various learning problems, theories, diagnosis, and conventional views of the disorder will be addressed. Testing is being done using psychological in conjunction with and without medication for the treatment of ADD. The widespread use of a controversial drug, Ritalin, and the possible side effects on children are being researched. According to the Diagnostic and Statistical Manual of Mental Disorders of the American psychiatric Association, Attention Deficit Hyperactivity Disorder (ADHD), also known as Attention Deficit Disorder (ADD) has been diagnosed in epidemic proportions. (Hallowell, Rate, 1994 Pref).
Over the past fifteen years there has been an increase in the diagnosis of ADD. In a report written by Louise Palmer (Star Tribune, Jan 30, 1994 1 E+), she writes that doctors, psychologist and social workers say that a media blitz has turned ADD into the buzzword for the 90 s, the catchall for overly anxious kids. Members of the community now suspect that a disturbing trend is emerging. One Doctor, Eugene Arnold, a researcher at the National Institute of Health says ADD is rising, and there are many others who join in his sentiments. (Star Tribune, Jan 30, 1994 1 E+).
The media has created a controversy by questioning the reality and extent of ADD, medication for, and over diagnosis of this inherited neurological syndrome. It is estimated that there are over two million children in the United States diagnosed as having this disorder (Newsweek, Mar 18, 1996 pp. 50 - 56, Psychology Annual edition 1998. 191). This disorder is characterized by behavior that is disruptive and disturbing to others in the childs environment. Children with ADD have a difficult time paying attention, and staying focused. They are least interested in routine tasks and quickly tire of them.
In addition, they are impulsive, fidgety restless, and overly active, when it calls for quiet and subdued behavior. While it is generally difficult for the child to remain on task the child he is chastised for his lack of motivation (Ingersoll, Goldstein, 1993). Children growing up with ADD have problems in school and that is where it is first noticed, because the environment requires the student to sit still and concentrate on material the child usually finds boring. Because of their lack of self-restraint they are often looked upon as a negative force in the classroom.
Most ADD kids are generally smart, not to say that some could be below average, but only 10 to 15 % of children have a learning disability along with ADD (Phelan, 1993 pg. 25). As a result of the problems, as well as not being properly diagnosed, most children are destined to be underachievers, and learn at an early age not to like school. Children with attention problems face a challenge in todays schools. Not only are the children coping with teachers and even parents who do not understand ADD. Parents frequently receive calls from the teacher about the childs behaviors (they cause problems in the classroom when it takes for the child to stay focused. ) They need more attention than average children do which bewilders the teacher. They complain to parents about unsuccessful attempts to discipline the child, and often feel at a loss to provide a meaningful educational experience.
These teachers end up labeling these children as lazy, unmotivated, or underachievers. This means the child is penalized for his attention deficits. Just as they may be the constant disruption in the classroom, homelife unfortunately produces other general discipline problems, being noisy, sibling rivalry, while most times the child with ADD is the instigator. There have been a variety of terms used to describe this condition.
These terms include minimal brain damage or dysfunction (Hallowell, Rate, 1994 pg. 10). This disorder could affect adults as well as children, although children are the biggest concern. ADD can be grouped into three categories: Attention problems, impulsivity, and overactive motor activity. Sometimes all three are not always present, but the majority of the time children diagnosed with ADD have all three symptoms. ADD may be caused from brain injury or abnormal brain development resulting from trauma, disease, fetal exposure to alcohol and tobacco (Barkley, 1992). Research shows heredity is a factor.
Twenty-five percent of parents of ADD children also have been diagnosed with ADD (Barkley, 1995). Other scientist suggest that certain neurotransmitters, chemical in the brain that permit nerve cells to transmit information to others cell are deficient in these with ADD (Barkley, 1995, pg. 58). ADD is diagnosed in a multifaceted approach through a variety of test and evaluations. The American Psychiatric Association has guidelines about how psychologist can make a diagnosis (Annual Review of Psychology, 1987, pg. 497), and serve as a step towards identifying the assessment and treatment of ADHD.
The guidelines are as follows: 1. Evaluate and treat the whole person. 2. ADHD should be suspected not presumed. 3. Comprehensive assessment is necessary for accurate diagnosis. 4. A qualified professional evaluates and treats. 5. Diagnosis should be standardized according to DSM-IV ADHD criteria.
One doctor who runs the University of Chicago Hospitals attention disorder clinic rest the blame on parents, saying that they are incapable of giving the attention and time the children need. He states that a parent would much rather hear that their child has ADD than social-emotional problems. If the blame lays with the schools, doctors or pediatricians, it is often because they do not have the knowledge or resources to diagnose, and with every passing year we come closer to learning more about this phenomena. ADD has been referred to as over-diagnosed misdiagnosed, an excuse for poor parenting. In the February 1997 issue of ADHD Report, Dr.
Russell Barkley reports on a research article published in the December 6, 1996 edition of Pediatrics entitled Increased Methylphenidate Usage for Attention Deficit Disorder in the 1990 s. Dr. Barkley's research indicates a rise in medication due to longer treatment, and an increase in adolescents being diagnosed he further states that results of this study help to correct misleading information from the media that medication use is rising. The findings indicate or rather suggest that only 50 - 60 % of children diagnosed are receiving medication, seriously questioning the perception that the United States is over medicating. If the latter were the case, prevalence rate for use of stimulants would exceed the base rate for the disorder. In addition, Dr.
Barkley states (1992, pg. 13), although inattention, over activity, and poor impulse control are the most common symptoms, he suggests that non-compliance is a primary problem. However, some health care professionals, researchers, and experts in the filed have not been able to separate the behavioral from the cognitive. As Russell Barkley states he believes there is something wrong with these children, and is a strong supporter of medicating them, blaming them for the conflicts they have with parents, and school. Mr.
Barkley acknowledges these symptoms in the children; he does not question the authorities in the childs life, such as parents and teachers. Equally important because they have much more control over the conditions that govern the childs life and consequently their mental condition. In regards to treating the core...
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Research essay sample on Deficit Hyperactivity Disorder Adhd Attention Deficit Hyperactivity Disorder
