Abstract
ADHD’s emotive controversy is revealed. The account of a documented nineteenth-century case, which is used today as definitive confirmation of ADHD’s viability, ignored anobvious variable that influenced the observed children’s inattentiveness, raising serious doubts about the medical model's explanation for the children's restless, distracted behavior. The chapter explains why research fails to support claims that ADHD is biogenetically caused. It reveals that ADHD, without biological markers, cannot be authenticated. Diagnoses are dependent on subjective data provided by teachers and parents who may be biased toward substantiating the disorder to receive sought-after benefits. Where it was once thought that ADHD was diagnosable based on the effects of stimulant medication, it is now known that virtually any child receiving low-dose stimulants will demonstrate improvement in attention to task. ADHD is shown to be a social construct, and not a bona fide, verifiable disorder.
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Willcutt, E. p. 14. (Critique: The first possibility—parental responsibility. Excluding the most appalling of situations, parents do not cause a child’s school (or home) struggles. That parents inadvertently contribute to the child’s behaviors, and thus to the child school-related difficulties, is to add them to the dozen other variables that compose a child’s environmental life space. The probability of a gene that contributes to a child’s non-compliance, is about the same as catching a falling star. Dr. Thapar’s purported findings must stand or fall on their own merit. In the present case, her conclusion that she’s discovered a genetic link to ADHD is not correct. Genes are measurable, and observable. Genes are link to physiology and chemistry and their behavior manifestations. ADHD has no physiology or chemistry. It’s a name.The second possibility, perinatal screening, rings more of science fiction than fact. One assumes that an evaluation of a child’s genotype during the first month of life will reveal the child’s genetic code. To suggest that the code will reveal what shortcomings a child will experience in learning, attention, impulse control is neither plausible nor necessary. Parents who watch their child develop during the early months and years will come to know their child’s social, cognitive, and behavioral predilections. Alert, informed parents will perceive discrepancies. They will know what questions to ask, and what data to gather (See Strategies.) There’s much they can do to assist their child without invading the youngster’s genes.The third possibility is on one hand appalling, and on the other hand difficult to understand. Psychosocial interventions alter a person’s behavior, thoughts, emotions, perceptions, relationships, etc. They don’t alter compromised neurophysiological mechanisms, that assertion holds even if we assume the presence of such ADHD-related physiological irregularities could be documented, which is highly doubtful. Claiming that genetic verification would provide more and better drugs is expected of individuals who possess the narrowest of perspectives when it comes to children’s everyday home and school behavior. So fixed on authenticating the construct ADHD, they overlook that children live in their environment, not in their genes. While genes can and do presuppose, most of what they do in everyday life (with important exceptions, of course) is not irreversible. Genetic researchers without agendas readily share that thinking.
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Macht, J. (2017). ADHD. In: The Medicalization of America's Schools. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-62974-2_4
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