Term Paper on "Misdiagnosis of ADD ADHD"

Term Paper 5 pages (1440 words) Sources: 1+

[EXCERPT] . . . .

misdiagnosis of Attention Deficit Hyperactivity Disorder. The writer explores the question of medical vs. social cause and the legitimacy of diagnosis. In addition the writer discusses treatments and what harm they may pose to the misdiagnosed as well as what pressure parents often face to diagnose their children with a learning disability.

Attention Deficit Hyperactivity Disorder (ADHD) and Attention Deficit Disorder (ADD) have been the focus of media attention for more than five decades. One of the problems with the disorder is that there is no definitive medical test to prove or disprove its existence. With the inability to diagnose with concrete medical fact parents often find themselves pressured to accept a subjective diagnosis and place their child on medications that are as controversial as the disorder is. There has always been a question as to whether or not the disease is actually medically legitimate or if it is caused by social attitudes. Because of the limited legitimacy in the diagnosis there is concern about treatments and potential harm to the misdiagnosed. It is important to determine when the diagnosis is legitimate and when it is simply school or physician pressure so that parents can make the best decisions about their child.

The Problem

Congressional hearings recently uncovered a nationwide problem when it comes to ADHD, schools and parents. According to the members of congress that testified parents nationwide are being pressured by the schools to place their child on medications for ADHD and ADD. "In some cases they were told their child would not be allowed to attend school if he did not begin taking psychotropic drugs. One pare
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nt who was given the option of placing her son on a stimulant drug or removing him from school elected to home school her son. She told me that it just didn't make sense that a straight a student would be labeled "learning disabled." A Douglas County parent I spoke with said she was told her son had ADHD. What she was being told about the behavior her son supposedly exhibited and what she observed were not consistent. She investigated the matter and the school's special education director eventually admitted that she had coaxed the teacher to answer the questions of the checklist used to determine if the child had ADHD in a certain manner so her son "Would get the help he needed." This infuriated her so badly she removed her son from the school (Congressional, 2000)."

These stories are not uncommon and resonate throughout the nation according to those involved in public office, schools and the field of medicine.

Detractors from the large number of ADHD diagnosis's each year point to finances as a reason for the increase in diagnosis. School systems are given a set amount of extra funds for each child diagnosed with a learning disability. ADHD is not definable by concrete medical standards therefore a diagnosis can be manipulated and achieved through correct answers on subjective questionnaires.

There is a constant question about the legitimacy of medical diagnosis vs. social diagnosis and schools pressuring parents to put their children on medication creates a valid argument for at least part of the children on meds being on them because of social diagnosis vs. medical diagnosis.

The problem has become so prevalent that congress recently appointed a subcommittee to determine whether schools are receiving financial incentives for the number of children being diagnosed with ADHD which would lend strength to the argument that there is a social diagnostic movement underway to diagnose children and place them on meds (Practical, 2000).

One child was reportedly threatened to be removed from school if his mother refused to place him on ADHD medication. She reluctantly agreed and he displayed problems. He had negative affects from the medication that included psychosis, and she removed him from the medication. Further investigation determined that he was not ADHD and was being medicated for a disorder he did not have (Hearn, 2004).

When she stopped the medicine, the school reported her to state child protective services for child abuse. Though charges were dropped, the Weathers case has become a symbol of the simmering controversy surrounding attention deficit disorder/ADHD, treatment for it, and the subjective diagnostic tests some critics say has led to an overuse of stimulants in schools (Hearn, 2004).

Though there is… READ MORE

Quoted Instructions for "Misdiagnosis of ADD ADHD" Assignment:

ADD/ADHD Misdiagnosis

Argument:

There is limited legitimacy to the modern diagnosis of ADD/ADHD. I investigate the fact and fiction regarding diagnosis of these learning disabilities to uncover whether it is wholly social or if there is medical legitimacy to the diagnosis. I will explore what factors are used for determination, as well as what pressures may exist on parents to diagnose their children as having learning disabilities. Additionally, I will examine the treatment of said disorders and what harm these may pose to the misdiagnosed.

The following sources may be helpful:

Barkley, Russell A. Attention deficit Hyperactivity Disorder and the Nature of Self Control. New York: The Guilford Press, 1997.

Fisher, Barbara C. Attention Deficit Disorder Misdiagnosis : approaching ADD from a brain behavior/neuropsychological perspective for assessment and treatment. Boca Raton: CRC Press, 1998.

Ingersoll, Barbara D. Attention Deficit Disorder and Learning Disabilities: Realities, Myths, and Controversial Treatments. New York: Bantam Doubleday Dell Publishing Group, Inc., 1993.

Olsen, Douglas P, and Susan Olsen. “QUICK FIX SOLUTIONS AREN’T IN STUDENTS’ BEST INTERESTS.” Richmond Times Dispatch 1 Apr. 2005, City ed.: A 13. LexisNexis Academic. LexisNexis. 21 Apr. 2005 .

Websites

Attention Deficit Disorder Association

http://www.add.org/

Copyright © 1996-2004

Children and Adults with Attention-Deficit/Hyperactivity Disorder

http://www.chadd.org/

Copyright © 1996-2005

WebMd – ADD/ADHD Health Center

http://my.webmd.com/medical_information/condition_centers/add_adhd/default.htm?z=3074_00000_1053_00_02

Articles

Gender differences in ADHD: a meta-analysis and critical review.

J Am Acad Child Adolesc Psychiatry. 1997 Aug;36(8):1036-45.

Gaub M, Carlson CL.

Are stimulants overprescribed? Treatment of ADHD in four U.S. communities.

J Am Acad Child Adolesc Psychiatry. 1999 Jul;38(7):797-804.

Jensen PS, Kettle L, Roper MT, Sloan MT, Dulcan MK, Hoven C, Bird HR, Bauermeister JJ, Payne JD.

Effects of ADHD, Conduct Disorder, and Gender on Substance Use and Abuse in Adolescence

Am J Psychiatry 156:1515-1521, October 1999

Elizabeth R. Disney, B.A., Irene J. Elkins, Ph.D., Matt McGue, Ph.D., and

William G. Iacono, Ph.D.

© 1999 American Psychiatric Association

http://ajp.psychiatryonline.org/cgi/content/full/156/10/1515

Pediatricians' knowledge and attitudes concerning diagnosis and treatment of attention deficit and hyperactivity disorders. A national survey approach.

Arch Pediatr Adolesc Med. 1995 Nov;149(11):1211-6.

Kwasman A, Tinsley BJ, Lepper HS.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Retrieve&list_uids=7581751&dopt=Citation

Twin Concordance for Attention Deficit Hyperactivity Disorder: A Comparison of Teachers’ and Mothers’ Reports

Am J Psychoiatry 154:4, April 1997

http://ajp.psychiatryonline.org/cgi/reprint/154/4/532.pdf

Depression in mothers of children with attention deficit hyperactivity disorder.

Fam Med. 1995 Mar;27(3):176-9.

McCormick LH.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7774776&dopt=Citation

Diagnosis and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents

JAMA. 1998;279:1100-1107

Larry S. Goldman, MD; Myron Genel, MD; Rebecca J. Bezman, MD; Priscilla J. Slanetz, MD, MPH; for the Council on Scientific Affairs, American Medical Association

http://jama.ama-assn.org/cgi/content/abstract/279/14/1100

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