| How should one look upon Attention
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| | group in the study of untreated children
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| Deficit Hyperactivity Disorder (ADHD) and
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| | and that 32% of the children involved in
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| what is the effective way to aid those
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| | the study were already receiving one or
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| who are given this diagnosis? There has
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| | more medications prior to the onset of
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| been considerable debate as to whether or
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| | the study. Of those in the study who were
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| not ADHD is a genuine disorder.
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| | the medication management group, they
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| Psychiatrist and professor Robert Hedaya
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| | numbered only 144 of which Breggin finds
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| (1996, pg. 140) mentions that an
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| | to be enormously small.Breggin states
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| examination by Hartmann in 1993 felt that
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| | that in the ratings of the children
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| ADHD is actually normal variant of human
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| | themselves that they noted increased
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| behavior that doesn't fit into cultural
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| | anxiety and depression however this was
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| norms.In addition, there is no objective
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| | not found to be a significant factor by
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| test for this disorder. Hedaya (1996, pg.
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| | the investigators. Breggin also believes
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| 140) mentions that a commonly used test
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| | that the study was flawed in that drug
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| is the TOVA (test of variables of
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| | treatment continued for 14 months whereas
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| attention), a test where the client must
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| | behavioral management was utilized for a
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| use a computer and hit a target at
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| | much shorter duration. Breggin argues
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| various points. This test is designed to
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| | that the behavioral management
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| measure the person's response time and
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| | strategies, which involved mainly a token
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| distractibility. However, Hedaya (1996,
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| | economy system, were ineffective as well
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| pg. 140) notes, this tool cannot be
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| | and did not take into consideration
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| relied upon to make or exclude the
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| | family dynamics but regardless, the study
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| diagnosis in and of itself. Hedaya (1996,
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| | still showed that there was no difference
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| pg. 268) notes that there has been
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| | between the populations treated with
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| controversy in the use of stimulants for
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| | drugs versus those undergoing behavioral
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| the treatment of ADHD, he states,
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| | management solely. Breggin notes that
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| medications alone do not provide adequate
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| | many of the children receiving
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| or full treatment in this disorder.Hedaya
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| | medications had adverse drug reactions,
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| (1996, pg. 269) notes that the most
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| | which consisted of depression,
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| serious risk in the use of
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| | irritability, and anxiety. 11.4% reported
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| methylphenidate (Ritalin) for ADHD is
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| | moderate reactions and 2.9% had severe
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| that about 1% of these children will
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| | reactions. However, Breggin also states
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| develop tics and or Tourette's Syndrome.
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| | that those reporting the adverse drug
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| Hedaya asks the question,"One might
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| | reactions were not properly trained, but
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| wonder-, why use methylphenidate at all?"
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| | were rather only teachers and/or
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| Hedaya argues that the side effects
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| | parents.The study, as Breggin concludes,
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| involved in the use of methylphenidate
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| | showed no improvement in the children
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| are mild. However, he notes that side
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| | treated with medications in the areas of
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| effects include nervousness, increased
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| | academic performance or social skill
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| vulnerability to seizures, insomnia, loss
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| | development. Breggin feels that the study
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| of appetite, headache, stomachache, and
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| | was improper in that all of the
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| irritability. Hedaya (1996, pg. 271)
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| | investigators were known to be
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| argues that the causation of ADHD lies in
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| | pro-medication advocates prior to and
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| problems in dopamine regulation in the
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| | after the study. Breggin states that
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| brain and states that stimulants work by
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| | Ritalin and other amphetamines have
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| stimulating dopamine in the brain and
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| | almost identical adverse reactions and
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| thus the symptoms of ADHD are
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| | have the potential for creating
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| lessened.However, previously Hedaya
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| | behavioral issues as well as psychosis
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| states that Zametkin (1995) noted that
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| | and mania in some individuals. Breggin
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| stimulants have the same effect in both
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| | argues that these medications often cause
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| those diagnosed as ADHD and those who are
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| | the very behaviors they are intended to
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| not (Hedaya, 1996, pg. 139). Dr. William
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| | treat. He notes that children treated
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| Carey of the Children's Hospital of
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| | with these medications often become
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| Philadelphia commented at the National
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| | robotic and lethargic and that permanent
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| Institutes of Mental Health Consensus
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| | neurological tics can result.In his
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| Conference in 1998 that the behaviors
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| | textbook, Attention Deficit Hyperactivity
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| exhibited by those considered ADHD were
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| | Disorder, Russell Barkley, an advocate
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| normal behavioral variations. A
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| | for the use of methylphenidate in the
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| Multimodal Treatment Study was conducted
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| | treatment of ADHD, notes that there is
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| by the National Institutes of Mental
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| | little improvement in academic
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| Health in 1999 in regards to ADHD.
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| | performance with the short-term use of
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| Psychiatrist Peter Breggin and the
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| | psychostimulant medication. Barkley also
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| members of the International Center for
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| | acknowledges that the stimulant
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| the Study of Psychiatry and Psychology
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| | medications can affect growth hormone but
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| challenged the outcomes of this study
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| | at present there is not any knowledge of
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| because it was not a placebo controlled
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| | the long-term effects on the
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| double blind study. Breggin also argues
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| | hypothalamic-pituitary growth hormones.
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| that that the analysis conducted of
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| | Barkley (1995, pg. 122) also states, at
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| behaviors in the classroom of those
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| | present there are no lab tests or
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| children studied showed no significant
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| | measures that are of value in making a
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| differences between those children
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| | diagnosis of ADHD.Dr. Sidney Walker, III,
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| receiving stimulant medications versus
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| | (1998, pg. 25) a late board-certified
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| those who only were utilizing a
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| | neuropsychiatrist comments that a large
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| behavioral management program (MTA
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| | number of children do not respond to
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| Cooperative Group, 1999a, pg. 1074).
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| | Ritalin treatment, or they respond by
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| Breggin notes that there was no control
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| | becoming sick, depressed, or worse.
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