In 1980, the American Psychiatric Association invented attention deficit disorder--ADD for their DSM III [4]. It was not discovered as are real diseases in the plant and animal kingdom, including humankind. In 1987 the APA launched it's first ADHD conceptualization for DSM-III-R [5]. Any eight of fourteen target behaviors were said to be diagnostic! In 1994, they launched their second ADHD conceptualization, this one for the DSM-IV [6]. Six of the nine behaviors were said to diagnose 3 subtypes. [figure. DSM-IV diagnostic criteria for ADHD] In December, 1994, Pearlman [7], wrote: "I take issue with the APA assertion that elimination of the term "organic" in the DSM-IV has served a useful purpose for psychiatry. elimination of the term "organic" conveys the impression that psychiatry wishes to conceal the nonorganic character of many behavioral problems . Here we encounter the deception-their implication that things non-organic, are organic; are biological; are diseases. In 1996, leaving no doubt that they represent ADHD to be a disease, the children abnormal, Schiller, of the Department of Education, and Jensen and Swanson of the National Institute of Health (NIMH) and of CHADD [8], wrote: "Once parents and teachers.recognize that children with ADD are not lazy or 'bad', but have a biological disorder, they can stop blaming themselves." In 1996, Congressman Christopher Shays [9] observed: "In ADHD, we are trying to draw the line between personality and pathology, and we are placing millions of children and adults on either side of the social, medical and legal boundary that divides the healthy from the sick. We should do so only with the greatest care, and with particular reticence to make our children medical patients..." In 1996, Diller [10], wrote: "The reason you have been unable to obtain any articles presenting clear . evidence of a physical or chemical abnormality. is.. there are none. the search for a biological marker is doomed from the outset because of the contradictions and ambiguities of the diagnostic construct of ADHD. In May, 1998, Castellanos [11] of the NIMH confessed to me: ". we have not yet met the burden of demonstrating the specific pathophysiology that we believe underlies this condition." Opening the November, 1998, NIH, Consensus Conference on ADHD, Hyman [12], Director of the NIMH, posited: "ADHD affects from 0-3% in some school districts up to 40% in others. this cannot be right." Carey [13], addressing the Conference on "Is ADHD a Valid Disorder?" concluded: "What is.described as ADHD in the United States appears to be a set of normal behavioral variations..." |