azurelunatic: Vivid pink Alaskan wild rose. (Default)
Azure Jane Lunatic (Azz) 🌺 ([personal profile] azurelunatic) wrote2002-10-10 11:36 am

Research paper bare-bones draft/outline: ADHD vs. ritalin vs. careless doctors

Ritalin

From the 1980's on, there have been a rising number of increasingly younger children diagnosed with Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADHD). The standard treatment is the prescription of certain strong stimulants, such as Ritalin and Dexedrine, to allow the children to calm and focus themselves. With this information, we have to ask a few questions. Why are so many young children being given these dangerous drugs? Where did these huge numbers of ADHD children come from? What are the side effects of the medication, and how do the benefits outweigh the dangers? ADHD is being overdiagnosed in young children, and, once diagnosed, overmedicated.

ADHD was discovered.

ADHD is:
*symptoms
*proposed causes, true and false
*How it is diagnosed
-How it's supposed to be diagnosed
-How it actually is diagnosed

ADHD is typically treated:

Ritalin is, and does:
*effects on brain and body
-effects on those with ADHD
-effects on those without
*positives
*negatives
*long-term
*who it's recommended for
-that is to say, no one under 6
-who it's prescribed for (small children)
*other drugs in the same chemical family

ADHD should be the last-ditch classification, not knee-jerk answer: Why not to hastily diagnose: possible factors other than disease in childhood attention problems:
*class size
*age
*gender
*parenting

Why not to hastily diagnose: possible other diseases that can pass for ADHD:
-and why Ritalin is a Bad Thing in many of these cases

Ok, so the kid has ADHD, and was properly diagnosed. What then? In light of the problems with drugs, other solutions should be tried first.

Conclusion: While ADHD does exist, proper diagnosis of it is necessary, due to the number of more identifiable conditions that can be misidentified as ADHD by a careless doctor. Although ADHD is a very valid problem and can be combatted with drugs, the dangerous nature of the drugs involved makes it necessary that after ADHD is properly diagnosed, other solutions than drugs should be attempted first to make an attempt at a permanent solution to the problem.

[identity profile] wiredferret.livejournal.com 2002-10-10 11:52 am (UTC)(link)
Don't forget the criminal ignorance/passivity of parents who will take a first opinion without research on their own.

[identity profile] wiredferret.livejournal.com 2002-10-10 11:54 am (UTC)(link)
Other diagnoses that may masquerade:
Bipolar disorder (yes, that young)
Abuse
Learning disabilities

adding to list

[identity profile] boojum.livejournal.com 2002-10-10 11:59 am (UTC)(link)
Physical disabilities, like vision, hearing, listening
Autism-spectrum stuff
Boredness, which can be due to giftedness

[identity profile] ishmael02.livejournal.com 2002-10-10 12:00 pm (UTC)(link)
*nods* And good old fashioned being-a-kid - ADHD is often 'designated' with notations about attention span. As if a 5 year old is expected to concentrate for hours?

*Sigh*

There was also a study done not to long ago by the NEPS (New England Psychaitric Society) on the nature of mental disorder and the perception of professionals in the field - might be worth noticing. They created a nonexistant mental disorder and disseminated it as a research project, and within months professionals were diagnosing patients with it..


Ishmael

[identity profile] ishmael02.livejournal.com 2002-10-10 12:21 pm (UTC)(link)
Not offhand - was in the two-months-ago Journal of Psychiatric Medicine, and while it quoted a website, I'm at work and have no clue what it was. I'll see what I can do to find it for ya. :)

Ishmael

observation aside..

[identity profile] dagny57.livejournal.com 2002-10-10 02:05 pm (UTC)(link)
As an aside in my experience, I have only ever know one child who truly had an attention problem that was medical. He played on my soccer team (12 years old), and while he was not unruly or short-tempered, getting him to focus on anything for more than two minutes was extrememly difficult.
It was the first time I had ever heard the words Attention Deficit.

Now, I see this word being thrown around so much, for so many kids. The parents and kids I have seen (on the job and as a camp counselor)...I mean the kids simply had an attitude problem. Their focus was just fine. But the parents provided them with no structure at home, and the kids were in charge. The only way they could get attention was if they acted out. They were young, inexperienced socially, and their parents did little or nothing except medicate them to guide them through life.
People like diagnosis b/c then it means it's not their fault and it never was. I'm glad you're doing a paper on such a worthy subject.

I'm not a doctor, so I probably don't know what I'm talking about, but I do know what I've seen in parenting structures, and it's a bad trend.

kids

[identity profile] dagny57.livejournal.com 2002-10-11 10:30 am (UTC)(link)
My parents are friends withsome other parents who have also adopted from China, and at one of their get-togethers, everyone was remarking how two-year old Lily wasn't talking much yet compared with the other girls. her parents then proceeded to tell us about how they had her tested, and the doctors said she had ADHD. A two year old!! Even at 17, I was feeling a little pissed off at that, especially when they said the doctors commented on her attention span, and that she was easily distracted form tasks! what two year old isn't??
Luckily, my dad (a psychologist) cautioned them that Lily's behavior was normal and to avoid medicating her. And, when I was observing the girls at play, Lily was using short sentences just fine, and communicating in non-verbal ways.

Some of the problems I've observed in upper-class parents is that the mom's don't/want the kids in daycare, but they also don't have the time/patience to give a lot of communication time with the kids. It's just mom, a nanny, and child at home all day, so the kid doesn't get very well socialized until they start school.

And then you've got the working single parent category, and they are too stressed to be proactive about discipline structure, and the result is it being just easier/cheaper to put the stressed and unruly kids on drugs through Medicaid.

have you seen anything about ADHD along class lines? I'm definitely interested in what you find out in your research.

by the by, I'm so glad you are giving your Nephew a worldly education...:) My son, mimicing me, now says "Oh shoot! Where's my keys?!"

Re: kids

[identity profile] dagny57.livejournal.com 2002-10-12 06:11 am (UTC)(link)
oh, it definitely wasn't funny when my son said "ouch, dammit" (mimicing mommy stepping on a miscellaneous toy). But, it never fails that when he sees me wandering about the apartment with a puzzled expression on my face, he starts scratching his head, looking under furniture, and saying "oh, shoot! where's my keys?". that's comedy.

Well, I'll try not to thread out your entry too much, but I am still chuckling at the thought of "oh my god, they killed kenny!" spelled out in alphabet blocks.