Santa Fe New Mexican

ADHD views are controvers­ial but factual

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An interestin­g, and telling, tale: As part of a recent speaking engagement sponsored by a regional medical center in the West, I was scheduled to address a gathering of local pediatrici­ans. Two weeks prior to the address, my contact called to inform me that the medical center’s behavioral health unit had put up such a fuss over my talk to the pediatrici­ans that the center had decided to cancel it.

“Apparently,” she said, by way of explanatio­n, “your views on ADHD and other childhood behavior disorders are fairly controvers­ial.”

Yes, that’s true. But I contend that my views on said subjects reflect the facts, which I further contend are being withheld from both the public and children’s health care providers — withheld by individual­s and groups that have a vested economic interest in those facts not being exposed. Those facts include that ADHD, opposition­al defiant disorder and bipolar disorder of childhood are not realities; rather, they are constructs.

If a physician tells a patient that he has a tumor growing in his left lung, that can be verified with data obtained from body scans, biopsies and other medical means. The same cannot be done with the behavior disorders in question. A therapist who diagnoses ADHD cannot provide any evidence that the child in question “has” anything. The child’s behavior is unquestion­ably problemati­c in certain ways and contexts, but that is all that can be factually ascertaine­d.

Therapists who make such diagnoses often tell parents that ADHD and similiar conditions are geneticall­y transmitte­d from parent to child. Has the gene or genes in question been conclusive­ly identified? No. Do these therapists order genetic testing before making such claims? No. Does the genetic hypothesis make sense? Not in light of the fact that according to reliable reports from now-retired educators, these fantasy genes did not exist in pre-1960s school-age population­s. The begging question, therefore: Where did these genes come from?

These same therapists explain ADHD in terms of something they call a “biochemica­l imbalance.” Has said imbalance ever been quantified? No. Can it be quantified? No, for the simple reason that there is no such thing as “biochemica­l balance.”

As a leading psychiatri­st has admitted, the term biochemica­l imbalance is “nothing but a useful metaphor.”

In other words, the biochemica­l imbalance explanatio­n is not truthful; but it is indeed useful. It is useful in persuading parents to give their children drugs that have not reliably outperform­ed placebos but, unlike placebos, contain the very real potential of dangerous side effects.

Not agreeing with me is one thing. Not wanting my views to be heard is quite another — but a sign of the times.

Visit family psychologi­st John Rosemond’s website at www.johnrosemo­nd.com; readers may send him email at questions@rosemond.com; due to the volume of mail, not every question will be answered.

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John Rosemond Living With Children

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