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The Hyperactive Child

  • Marvin I. Gottlieb

Abstract

During the past quarter-century, there has been an unprecedented public/professional/legislative advocacy for children with learning disabilities. The generic designation of learning disabled generally encompasses a broad spectrum of problems that result in varying degrees of academic underachievement. The heterogeneous population of underachieves includes children with hyperactivity, dyslexia, perceptual motor disorders, attention-deficit disorders, and other nonspecific learning disorders—problems that may occur singly or in combinations. Not infrequently, hyperactivity and learning disabilities are used as interchangeable terms. Regardless of the etiology of the child’s impaired learning skills, the bottom-line effects are generally similar: (1) a progressive disparity between intelligence and educational accomplishments (failure to perform at the expected achievement level); (2) a significant risk for developing poor self-concept and lack of self- confidence (often manifested in acting-out behaviors); (3) disruptions in family dynamics, engendered by the associated psychological/social/financial tensions and stresses; and (4) a need for improved communications and coordinated efforts among parents, school professionals, and physicians. The severity of complications frequently associated with learning disabilities has mandated increased professional responsibilities in providing early identification, prompt initiation of remedial strategies, and psychosocial supports for child and family.

Keywords

Antisocial Behavior Stimulant Medication Deviant Behavior Attention Deficit Disorder Stimulant Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Gottlieb, M. I., and Zinkus, P. W.: Education, health and development: The learning-disabled child, in Hughes, J. G., and Griffiths, J. G. (eds.): Synopsis of Pediatrics. 6th ed. Mosby, St. Louis, 1984, pp. 33–60.Google Scholar
  2. 2.
    Whalen, C. K.: Hyperactivity, learning problems, and the attention deficit disorders, in Ollendick, T. H., and Hersen, M. (eds.): Handbook of Child Psychopathology. Plenum, New York, 1983, pp. 151–199.Google Scholar
  3. 3.
    Safer, D. J., and Allen, R. P. (eds.): Hyperactive Child, Diagnosis and Management. University Park Press, Baltimore, 1976.Google Scholar
  4. 4.
    Cantwell, D. P.: The hyperactive child. Hosp. Pract. 14: 65–73, 1979.PubMedGoogle Scholar
  5. 5.
    Weiss, G., and Hechtman, L.: The hyperactive child syndrome. Science 25: 1348–1353, 1979.CrossRefGoogle Scholar
  6. 6.
    Rutter, M. (ed.): Introduction: Concepts of brain dysfunction syndromes and Behavioral studies: Questions and findings on the concept of a distinctive syndrome, in Developmental Neuropsychiatry. Guilford Press, New York, 1983, pp. 259–279.Google Scholar
  7. 7.
    DSM III: Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association, Washington, D.C., 1980.Google Scholar
  8. 8.
    Levine, M. D.: Developmental dysfunctions, in Levine, M. D., Carey, W. B., Crocker, A. C., and Gross, R. T. (eds.): Developmental-Behavioral Pediatrics. Saunders, Philadelphia, 1983, pp. 709–755.Google Scholar
  9. 9.
    Varga, J.: The hyperactive child. Am. J. Dis. Child. 133: 413–418, 1975.Google Scholar
  10. 10.
    Schuckit, M. A., Petrich, J., and Chiles, J.: Hyperactivity: Diagnostic confusion. J. Nerv. Ment. Dis. 166: 79–87, 1978.PubMedCrossRefGoogle Scholar
  11. 11.
    White, J. H.: The hyperactive child syndrome. Am. Fam. Physician 15: 100–104, 1977.PubMedGoogle Scholar
  12. 12.
    Committee on School Health: School Underachievement in School Health: A Guide for Health Professionals, 1981. American Academy of Pediatrics, Evanston, Illinois, 1981.Google Scholar
  13. 13.
    Herskowitz, J., and Rosman, N. P. (eds.): Hyperactivity and attentional disorders, in Pediatrics, Neurology and Psychiatry—Common Ground. Macmillan, New York, 1982, pp. 403–434.Google Scholar
  14. 14.
    Zinkus, P. W.: Behavioral and emotional sequelae of learning disorders, in Gottlieb, M. I., Zinkus, P. W., and Bradford, L. J. (eds.): Current Issues in Developmental Pediatrics: The Learning-Disabled Child. Grune & Stratton, New York, 1979, pp. 183–218.Google Scholar
  15. 15.
    Kenny, T. J., Clemmens, R. L., Hudson, B. W., et al.: Characteristics of children referred because of hyperactivity, J. Pediatr. 79: 618–622, 1971.PubMedCrossRefGoogle Scholar
  16. 16.
    Levine, M. D., Busch, D., and Aufseeser, C.: The dimensions of inattention among children with school problems. Pediatrics 70: 387–395, 1982.PubMedGoogle Scholar
  17. 17.
    Gottlieb, M. I., Zinkus, P. W., and Bradford, L. G. (eds.): Current Issues in Developmental Pediatrics: The Learning-Disabled Child. Grune & Stratton, New York, 1979.Google Scholar
  18. 18.
    Delcau, C. M.: Management of attention deficit disorder. South. Med. J. 77: 1273–1276, 1984.PubMedCrossRefGoogle Scholar
  19. 19.
    McKinlay, N. G., and Rosenbloom, L.: Medical contributions to the management of dyslexia. Arch. Dis. Child. 59: 588–590, 1984.PubMedCrossRefGoogle Scholar
  20. 20.
    Marshall, R. M., and Wojari, D. F.: Medical and educational literature on physician/teacher collaboration. J. School Health 55: 62–65, 1985.PubMedCrossRefGoogle Scholar
  21. 21.
    Levine, M. D.: The child with school problems: Analysis of physician participation. Except. Child. 48: 296–304, 1982.PubMedGoogle Scholar
  22. 22.
    Golden, G. S.: Evaluation of the child with school failure: Determining learning disabilities, in Frankenburg, W. K. (ed.): Children are Different, Behavioral Development. Monograph 3. Ross Laboratories Publications, Columbus, Ohio, 1982.Google Scholar
  23. 23.
    McDonald, A., Carlson, K., and Palmer, D., et al.: Special education and medicine: A survey of physicians. J. Learn. Disab. 16: 93–94, 1983.CrossRefGoogle Scholar
  24. 24.
    Bradley, C.: The behavior of children receiving benzedrine, Am. J. Psychiatry 94: 577–585, 1937.Google Scholar
  25. 25.
    Gottlieb, M. I.: Pills: Pros and cons or medications for school problems. Acta Symbol. 6: 35–64, 1975.Google Scholar
  26. 26.
    Solanto, M. V., and Conners, K. C.: A dose-response and time-action analysis of automatic behavioral effects of methylphenidate in attention deficit disorder with hyperactivity. Psychphysiology 19: 658–667, 1982.CrossRefGoogle Scholar
  27. 27.
    Jabbour, J. T., Dueñas, D. A., Gilmartin, R. C., et al. (eds.): Disorders of cerebral function, in Pediatric Neurology Handbook, 2nd ed. Medical Examination Publishers, New York, 1976, pp. 154–169.Google Scholar
  28. 27a.
    White, J. H. (ed.): Pediatric Psychopharmacology: A Practical Guide to Clinical Application. Williams & Wilkins, Baltimore, 1977.Google Scholar
  29. 28.
    Gottlieb, M. I.: The learning-disabled child: Controversial issues revisited, in Gottlieb, M. I., Zinkus, P. W., and Bradford, L. J. (eds.): Current Issues in Developmental Pediatrics: The Learning-Disabled Child. Grune & Stratton, New York, 1979, pp. 219–259.Google Scholar
  30. 29.
    Satterfield, J. H., Schell, A. M., and Barb, S. D.: Potential risk of prolonged administration of stimulant medications for hyperactive children. J. Dev. Behav. Pediatr. 1: 102–107, 1980.PubMedCrossRefGoogle Scholar
  31. 30.
    Kinsbourne, M., and Swanson, J. W.: Anticipatory guidance for classroom conduct and learning problems, J. Dev. Behav. Ped 1: 112–117, 1980.Google Scholar
  32. 31.
    Sprague, R. L.: Behavior modification and educational techniques, in Rutter, M. (ed.): Developmental Psychiatry. Guilford Press, New York, 1983, pp. 404–421.Google Scholar
  33. 32.
    Todd, ML, and Gottlieb, M. I.: Interdisciplinary counseling in a medical setting, in Webster, E. D. (ed.): Professional Approaches with Parents of Handicapped Children. Thomas, Springfield, Illinois, 1976, pp. 191–216.Google Scholar
  34. 33.
    Brown, G. W.: Learning disabilities: Fads, fallacies and fictions, Learning Disabilities: An Audio Journal 3: 1–24, 1979. Audiotape.Google Scholar
  35. 34.
    Burnett, F. C., and Sherman, R.: Management of childhood “hyperactivity” by primary care physicians. J. Dev. Behav. Pediatr. 4: 88–93, 1983.CrossRefGoogle Scholar
  36. 35.
    Weiss, G., Kruger. E., and Danielson, U., et al.: Effect of long-term treatment of hyperactive children with methylphendiate. CMA Journal 112: 159–165, 1975.Google Scholar
  37. 36.
    Hechtman, L., Weiss, G., and Perlman, T.: Young adult outcome of hyperchildren who received long-term stimulant treatment. J. Am. Acad. Child Psychiatry 23: 261–269, 1984.PubMedCrossRefGoogle Scholar
  38. 37.
    Weiss, G., Hechtman, L., and Perlman, T.: Hyperactives as young adults: School, employer and self-rating scales obtained during ten-year follow-up evaluation. Am. J. Orthopsychiatry 48: 438–445, 1978.PubMedCrossRefGoogle Scholar
  39. 38.
    Weiss, G., Hechtman, L., Perlman, T., et al.: Hyperactives as young adults: A controlled prospective ten-year follow-up of 75 children. Arch. Gen. Psychiatry 36: 675–681, 1979.PubMedGoogle Scholar
  40. 39.
    Hechtman, L., and Weiss, G.: Long-term outcome of hyperactive children. Am. J. Orthopsychiatry 53: 532–541, 1983.PubMedCrossRefGoogle Scholar
  41. 40.
    Weiss, G., Hechman, L., Milroy, T., et al.: Psychiatric status of hyperactives as adults: A controlled prospective 15-year follow-up of 63 hyperactive children. J. Am. Acad. Child Psychiatry 24: 211–220, 1985.PubMedCrossRefGoogle Scholar
  42. 41.
    Hechtman, L., Weiss, G., Perlman, T., et al.: Hyperactives as young adults: Initial predictors of adult outcome. J. Am. Acad. Child Psychiatry 23: 250–260, 1984.PubMedCrossRefGoogle Scholar
  43. 42.
    Amado, H., and Lustman, P. J.: Attention deficit disorder persisting in adulthood: A review. Compr. Psychiatry 23: 300–314, 1982.PubMedCrossRefGoogle Scholar
  44. 43.
    Campbell, S. B., Endman, M. W., and Bern Ibid, G.: A three-year follow-up of hyperactive preschoolers into elementary school. J. Child Psychol. Psychiatry 18: 239–249, 1977.PubMedCrossRefGoogle Scholar
  45. 44.
    Campbell, S. B., Schleifer, ML, Weiss, G., et al.: A two-year follow-up of hyperactive preschoolers. Am. J. Orthopsychiatry 47: 149–162, 1977.PubMedCrossRefGoogle Scholar
  46. 45.
    August, G. L., Stewart, M. A., and Holmes, C. S.: A four-year follow-up of hyperactive boys with and without conduct disorder. Br. J. Psychiatry 143: 192–198, 1983.PubMedCrossRefGoogle Scholar
  47. 46.
    Gottlieb, M. I., and Williams, J. E.: Self-concept in the latency period and adolescence. Feelings Med. Signif. 24: 23–26, 1982.Google Scholar
  48. 47.
    Huessy, H. R., and Cohen, A. H.: Hyperkinetic behaviors and learning disabilities followed over seven years. Pediatrics 57: 4–10, 1976.PubMedGoogle Scholar
  49. 48.
    Hechtman, L., Weiss, G., and Perlman, T.: Hyperactives as young adults: Self-esteem and social skills. Can. J. Psychiatry 25: 478–483, 1980.PubMedGoogle Scholar
  50. 49.
    Hechtman, L., Weiss, G., Perlman, T., et al.: Hyperactives as young adults: Various clinical outcomes. Adolesc. Psychiatry 9: 295–306, 1981.PubMedGoogle Scholar
  51. 50.
    Cantwell, D. P.: Pharmacotherapy of ADD in adolescents: What do we know, where should we go, how should we do it? Psychopharmacol. Bull. 21: 251–257, 1985.PubMedGoogle Scholar
  52. 51.
    Varley, C. K.: A review of studies of drug treatment efficacy for attention deficit disorder with hyperactivity in adolescents. Psychopharmocol. Bull. 21: 216–221, 1985.Google Scholar
  53. 52.
    Brown, R. T., Borden, K. A., and Clingerman, S. R.: Pharmacotherapy in ADD adolescents with special attention to multimodality treatments. Psychopharmacol. Bull. 21: 192–211, 1985.PubMedGoogle Scholar
  54. 53.
    Hechtman, L., Weiss, G., and Perlman, T.: Young adult outcome of hyperactive children who received long-term stimulant-treatment. J. Am. Acad. Child Psychiatry 23: 261–269, 1984.PubMedCrossRefGoogle Scholar
  55. 54.
    Menkes, M. M., Ross, J. S., and Menkes, J. H.: A twenty-five year follow-up study on the hyperkinetic child with minimal brain dysfunction. Pediatrics 39: 393–399, 1967.PubMedGoogle Scholar
  56. 55.
    Morris, H. H., Escoll, P. J., and Wexler, R.: Aggressive behavior disorders of childhood. A follow-up study. Am. J. Psychiatry 112: 991–997, 1956.PubMedGoogle Scholar
  57. 56.
    Borland, B. L., and Hackman, H. K.: Hyperactive boys and their brothers. A 25-year follow-up study. Arch. Gen. Psychiatry 33: 669–675, 1976.PubMedGoogle Scholar
  58. 57.
    Morrison, J. R.: Diagnosis of adult psychiatric patients with childhood hyperactivity. Am. J. Psychiatry 136: 955–958, 1979.PubMedGoogle Scholar
  59. 58.
    Morrison, J. R.: Childhood hyperactivity in an adult psychiatric population: Social factors. J. Clin. Psychiatry 41: 40–43, 1980.PubMedGoogle Scholar
  60. 59.
    Hechtman, L., Weiss, G., and Perlman, T.: Hyperactives as young adults. Past and current substance abuse and antisocial behavior. Am. J. Orthopsychiatry 54: 415–425, 1984.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1987

Authors and Affiliations

  • Marvin I. Gottlieb
    • 1
    • 2
  1. 1.Institute for Child DevelopmentHackensack Medical CenterHackensackUSA
  2. 2.Department of PediatricsUniversity of Medicine and Dentistry of New Jersey-New Jersey Medical SchoolHackensackUSA

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