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Abstract

Attention-deficit hyperactivity disorder (ADHD) is a prevalent, persistent, and often perplexing behavioral disturbance of childhood. The typical clinical picture is that of a child with normal intelligence—most often a boy—who shows patterns of attentional deployment, impulse control, and behavioral regulation that (1) are severely deficient for his age or general developmental level, (2) have persisted since early childhood, (3) appear in multiple settings (e.g., school and home), and (4) are not explicable on the basis of other severe psychopathology (American Psychiatric Association, 1993). Thus, despite normal appearance and intellectual capacity, such a child has great difficulties negotiating the developmental tasks of childhood. Through overzealousness, disruptive tendencies, and lack of judgment, he exasperates parents and teachers alike. Furthermore, most peers actively reject him, largely because of an immature and aggressive behavioral style (see Erhardt, 1991; Pelham & Bender, 1982). In many cases, difficulties with schoolwork are salient, accumulating over time to precipitate academic failure (Hinshaw, 1992). Low self-esteem and frustration are common, as vicious cycles of negative interaction patterns ensue in home, school, and community settings.

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Hinshaw, S.P., Simmel, C. (1994). Attention-Deficit Hyperactivity Disorder. In: Hersen, M., Ammerman, R.T., Sisson, L.A. (eds) Handbook of Aggressive and Destructive Behavior in Psychiatric Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2403-8_20

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