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ADHD: A Dialogue With a Non-Believer, part two
Dear Sir,
It was with some interest that I read the article What You Should Know About Attention Deficit Disorder by Edward W. after having it handed to me by a member of our church. There were elements of the article that were insightful, helpful, and needed to be said in a public forum, especially the discussion of the moral and spiritual dimensions of behavior. For this part of the article I applaud Mr. W.
However, Mr. W's discussion on the physiological/biological aspects of ADD ADHD was lacking to the point of being misleading to the readers. I am sure that Mr. Welch had no intention of misleading any readers, as that would hardly reflect the "biblical guidelines with which to understand ADD" that he seeks to communicate. Therefore, for the sake 7 acrobat adobe download reader of clarifying some details, may I present the following evidence. Perhaps in the near future you would run 2 adobe creative espaol premium suite an article that would present some of this information to your readers, so that they have an accurate understanding of the disorder.
We continue the dialogue here in part two.
"First, ADD is not a precisely circumscribed set of symptoms. The ever-present "often" in the diagnostic criteria betrays the loose boundaries of ADD, and it explains why Americans use the diagnosis so frequently. Almost anyone can squeeze into the parameters - at least on certain days." - p 59
This statement is also potentially misleading to the readers. "The ever-present 'often' in the diagnostic criteria?" is very similar to the "ever present" "nearly every day" in the diagnostic criteria for Depression. The "often" is simply a realistic description of life for individuals with ADD. It is not "always" as with a structural head injury. It is "often" because it is the 7 acrobat adobe download reader result of neurological mechanisms being "often" under-aroused and "often" under-performing.
". . . and it explains why Americans use the diagnosis so frequently." Studies show that 3% to 5% of the population has ADHD. Over-diagnosis, if there is any, is not due to the 2 adobe creative espaol premium suite diagnostic criteria, but rather to a lack of a comprehensive diagnostic work-ups by most physicians.
"Almost anyone can squeeze into the parameters - at least on certain days."
This is misleading to the readers, and simply not true. Remember, the DSM-IV also includes these important, and highly discriminating, criteria:
Six or more symptoms of Inattention, having lasted at least six months, to a degree that is maladaptive;
Six or more symptoms of Impulsivity-Hyperactivity, having lasted at least six months, to a degree that is maladaptive;
Symptoms of the disorder were present before the age of seven;Impairment is 7 acrobat adobe download reader present in a variety of settings; and
There is clear evidence of clinically significant impairment in social, academic, or occupational functioning.
The reality is that barely anyone can "squeeze into 2 adobe creative espaol premium suite these parameters." But about 5% of the population can. It is careless to suggest that "anyone? at least on certain days" can meet the diagnostic criteria. It also conveys a negative picture of those who do actually suffer with the condition.
Would you publish a statement that read, "Almost anyone can squeeze into the parameters of Alzheimer's - at least on certain days?" I would certainly hope 7 acrobat adobe download reader not, and yet it is published in connection with ADHD. This is disappointing.
"Second, ADD is a description of behavior, not an explanation. It tries to describe symptoms rather than explain the causes of those symptoms." - 59
Again misleading, and out of context. The authors of the DSM-IV themselves point out that they make no attempts to describe the etiology of any of the 300 or more diagnostic categories ranging from Alzheimer's to Trichotillomania. It is not the purpose of the diagnostic criteria to explain the cause of a disorder, only to categorize the disorder in a realistic manner so that it can (1) be treated successfully, and (2) be researched effectively.
It is from the research 7 acrobat adobe download reader that we find the explanation of the causes of ADHD, not from the diagnostic criteria. 2 adobe creative espaol premium suite It is also disappointing that no research in the field was noted, as it would have been helpful to your readers. This leads to the next quote from Mr. Welch:
"The reason it is important to distinguish between description and explanation is that the ADD literature typically does not distinguish between them. Most discussions about ADD assume that the list of descriptions is equivalent to establishing a medical diagnosis."
The point is that the purpose of the diagnostic criteria is to establish a medical diagnosis. 7 acrobat adobe download reader And the purpose of the diagnosis is for successful treatment and efficient research.
"The popular assumption is that there is an underlying biological cause for the behaviors, but the assumption is unfounded. Although there are dozens of biological theories to explain ADD, there are presently no physical markers for it; there are no medical tests that detect its presence. Food additives, birth and delivery problems, inner ear problems, and brain differences are only a few of the theories that are? unsupported by evidence."
There are, in fact, biological causes for the behaviors. Now, what are the "behaviors" that we are 2 adobe creative espaol premium suite talking about? The "behaviors" of the diagnostic criteria. We are not talking about behaviors with a moral basis such as hitting your sister. We are talking about the specific behaviors of the DSM-IV diagnostic criteria for ADHD which are described above.
Public-School True Believers with a Mission
7 Easy Ideas for Organizing Kids Artwork
The ADD Child: Challenging Parents, Teachers and 7 acrobat adobe download reader Friends
Watering Your Young Child?s Mind
Boundaries - Why Theyre Needed
Jammin with Your Kids: The Wonderful World of Music
Who Are Your Kids Talking To Online?
10 Steps to School Year Success
Treatment Options for ADHD
A Quiz for Parents: What Are They REALLY Learning?
Single Mother Sanity Savers Pt. 1
Americas Public schools --- Deteriorating Like They Did In Ancient Rome
Back to School Success Tips
Useful Jogger Stroller Accessories
Vision: 20/20 Is Not Enough!
?I?M OVERWHELMED? -- 5 Tips On How Parents Can Take Control Of Their Lives
Childs Play: Treating The Insanity of the Mental Health System
Intermission: Wood Chips
What About Competition? Are Your Kids Ready?
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ADHD: A Dialogue With a Non-Believer, part two
Dear Sir,
It was with some interest that I read the article What You Should Know About Attention Deficit Disorder by Edward W. after having it handed to me by a member of our church. There were elements of the article that were insightful, helpful, and needed to be said in a public forum, especially the discussion of the moral and spiritual dimensions of behavior. For this part of the article I applaud Mr. W.
However, Mr. W's discussion on the physiological/biological aspects of ADD ADHD was lacking to the point of being misleading to the readers. I am sure that Mr. Welch had no intention of misleading any readers, as that would hardly reflect the "biblical guidelines with which to understand ADD" that he seeks to communicate. Therefore, for the sake 7 acrobat adobe download reader of clarifying some details, may I present the following evidence. Perhaps in the near future you would run 2 adobe creative espaol premium suite an article that would present some of this information to your readers, so that they have an accurate understanding of the disorder.
We continue the dialogue here in part two.
"First, ADD is not a precisely circumscribed set of symptoms. The ever-present "often" in the diagnostic criteria betrays the loose boundaries of ADD, and it explains why Americans use the diagnosis so frequently. Almost anyone can squeeze into the parameters - at least on certain days." - p 59
This statement is also potentially misleading to the readers. "The ever-present 'often' in the diagnostic criteria?" is very similar to the "ever present" "nearly every day" in the diagnostic criteria for Depression. The "often" is simply a realistic description of life for individuals with ADD. It is not "always" as with a structural head injury. It is "often" because it is the 7 acrobat adobe download reader result of neurological mechanisms being "often" under-aroused and "often" under-performing.
". . . and it explains why Americans use the diagnosis so frequently." Studies show that 3% to 5% of the population has ADHD. Over-diagnosis, if there is any, is not due to the 2 adobe creative espaol premium suite diagnostic criteria, but rather to a lack of a comprehensive diagnostic work-ups by most physicians.
"Almost anyone can squeeze into the parameters - at least on certain days."
This is misleading to the readers, and simply not true. Remember, the DSM-IV also includes these important, and highly discriminating, criteria:
Six or more symptoms of Inattention, having lasted at least six months, to a degree that is maladaptive;
Six or more symptoms of Impulsivity-Hyperactivity, having lasted at least six months, to a degree that is maladaptive;
Symptoms of the disorder were present before the age of seven;Impairment is 7 acrobat adobe download reader present in a variety of settings; and
There is clear evidence of clinically significant impairment in social, academic, or occupational functioning.
The reality is that barely anyone can "squeeze into 2 adobe creative espaol premium suite these parameters." But about 5% of the population can. It is careless to suggest that "anyone? at least on certain days" can meet the diagnostic criteria. It also conveys a negative picture of those who do actually suffer with the condition.
Would you publish a statement that read, "Almost anyone can squeeze into the parameters of Alzheimer's - at least on certain days?" I would certainly hope 7 acrobat adobe download reader not, and yet it is published in connection with ADHD. This is disappointing.
"Second, ADD is a description of behavior, not an explanation. It tries to describe symptoms rather than explain the causes of those symptoms." - 59
Again misleading, and out of context. The authors of the DSM-IV themselves point out that they make no attempts to describe the etiology of any of the 300 or more diagnostic categories ranging from Alzheimer's to Trichotillomania. It is not the purpose of the diagnostic criteria to explain the cause of a disorder, only to categorize the disorder in a realistic manner so that it can (1) be treated successfully, and (2) be researched effectively.
It is from the research 7 acrobat adobe download reader that we find the explanation of the causes of ADHD, not from the diagnostic criteria. 2 adobe creative espaol premium suite It is also disappointing that no research in the field was noted, as it would have been helpful to your readers. This leads to the next quote from Mr. Welch:
"The reason it is important to distinguish between description and explanation is that the ADD literature typically does not distinguish between them. Most discussions about ADD assume that the list of descriptions is equivalent to establishing a medical diagnosis."
The point is that the purpose of the diagnostic criteria is to establish a medical diagnosis. 7 acrobat adobe download reader And the purpose of the diagnosis is for successful treatment and efficient research.
"The popular assumption is that there is an underlying biological cause for the behaviors, but the assumption is unfounded. Although there are dozens of biological theories to explain ADD, there are presently no physical markers for it; there are no medical tests that detect its presence. Food additives, birth and delivery problems, inner ear problems, and brain differences are only a few of the theories that are? unsupported by evidence."
There are, in fact, biological causes for the behaviors. Now, what are the "behaviors" that we are 2 adobe creative espaol premium suite talking about? The "behaviors" of the diagnostic criteria. We are not talking about behaviors with a moral basis such as hitting your sister. We are talking about the specific behaviors of the DSM-IV diagnostic criteria for ADHD which are described above.
Public-School True Believers with a Mission
7 Easy Ideas for Organizing Kids Artwork
The ADD Child: Challenging Parents, Teachers and 7 acrobat adobe download reader Friends
Watering Your Young Child?s Mind
Boundaries - Why Theyre Needed
Jammin with Your Kids: The Wonderful World of Music
Who Are Your Kids Talking To Online?
10 Steps to School Year Success
Treatment Options for ADHD
A Quiz for Parents: What Are They REALLY Learning?
Single Mother Sanity Savers Pt. 1
Americas Public schools --- Deteriorating Like They Did In Ancient Rome
Back to School Success Tips
Useful Jogger Stroller Accessories
Vision: 20/20 Is Not Enough!
?I?M OVERWHELMED? -- 5 Tips On How Parents Can Take Control Of Their Lives
Childs Play: Treating The Insanity of the Mental Health System
Intermission: Wood Chips
What About Competition? Are Your Kids Ready?
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