Paying Attention: ADHD and our Children, Inside and Out
November 10th, 2009 |
By Matthew Carter, MFT
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The American Psychiatric Association defines attention-deficit/hyperactivity disorder (ADHD) as a “persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequently displayed and more severe than is typically observed in individuals at a comparable level of development” (1). ADHD is further indicated by three subtypes; predominately hyperactive-impulsive type, predominantly inattentive type, and combined type. According to the APA, ADHD primarily affects school-age children, approximately 3%-7% of all children in the U.S, (1), with approximately 30-50% retaining the disorder as adults (2). Not only are these numbers cause for concern, they are increasing: there has been a three or four-fold increase in diagnosis of ADHD since the late 1980s (3).
Undoubtedly ADHD is a serious problem, though ADHD is largely, and suspiciously, an American problem. For every two hundred and fifty U.S. children diagnosed and treated with ADHD, only one child would similarly have been diagnosed and treated in all of Germany, England, France, and Italy combined (4). In England alone, the rate of clinical diagnosis is estimated as only about 1 in 3000 children, or 0.3% (5). ADHD as a diagnosis is virtually unknown in Japan (6), and many other countries. Clearly ADHD has been woven into the cultural fabric of our nation, and our nation in particular. Or is it the other way around. In this paper I will explore how Attention-Deficit/Hyperactivity Disorder relates to, and in many seemingly conspicuous ways parallels, socio-historical developments within the country that gave it birth. I will propose that U.S. cultural values and expectations not only exposed the so-called problem of ADHD, but first helped create it. I will further argue that the label ADHD is not so much a road sign to a mental disorder, but more a road sign to a social one. Lastly, I will suggest that if we are to have any hope of reversing this growing problem, we as helping professionals need to turn our attention outward, to the social matrix that sustains and reinforces it. Read the rest of this entry








