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Beyond Medicalization: Explaining the Increased Prevalence of Attention Deficit-Hyperactivity DisorderMann, Allison Leigh January 2016 (has links)
Attention Deficit-Hyperactivity Disorder diagnoses have been rising steadily since the early 1990s. Today, about 10 percent of the school-aged population has been diagnosed with the disorder, and prevalence is increasing steadily among preschool children and adults. Most of the individuals diagnosed with the disorder use stimulant medications to treat the symptoms. Both the rapidly rising number of diagnoses and the substantial variation in prevalence and treatment utilization -- across states, regions, gender, race, ethnicity, and socioeconomic status -- have attracted attention and raised concerns about under and over recognition and treatment.
The implicit justification for the increasing awareness and recognition of the disorder is that it is a valid clinical object that matches medically-proven treatments with those reliably expected to benefit from them. From this perspective, the uptake in prevalence results from changes in environmental determinants or scientific advances in neurology, psychiatry, diagnostic protocols, or pharmaceutical research. But a widespread argument among teachers, parents, policy makers, the general public, and academic researchers -- including sociologists -- is that the development and success of the disorder results from a medicalization process. Medicalization encompasses a social construction critique that contradicts the environmental/scientific advance claims, but medicalization research also emphasizes macro-level actors that forcibly advance the medical label and treatment. Traditionally, medicalization studies focused on the disproportionate power of the medical profession vis-a-vis patients, but more recently they have begun to emphasize a broader range of actors pursuing a medical label -- pharmaceutical companies and even consumers influenced by new forms of advertising. Those arguments assume that educational institutions act in concert with those pushing the medical label.
The goal of this dissertation is to provide an account of diagnostic prevalence and treatment utilization (and their uneven distribution) that debunks explanations based solely in science but that also demonstrates the insufficiency of the medicalization account. Together, the chapters show that there is no correlation in timing between the surge in diagnoses and the processes implied by either medicalization or scientific progress arguments, there is little support in the micro-level data for a strictly medicalization account, and there is substantial evidence that macro-level educational institutions and the school context play a significant role in reshaping the category. The chapters emphasize that the success of the category lies in the confluence of technoscientific innovation, social control of troublesome behaviors, the increased activism of parents along with direct-to-consumer pharmaceutical advertising, encroachments of the law into student discipline and into the health care industry, the institutional needs of schools, a cultural emphasis on high academic achievement, and the influence of parallel and predecessor classifications, among other factors. The category -- a result of multiple institutions working to recraft expertise – is a school-specific medical disorder that includes a heterogeneous symptom complex, one that is understood differently within school and medical milieu. Although the chapters do not disprove medicalization, they suggest that the medicalization framework overstates the importance of medical professionals and medicine broadly defined for the success of the category.
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Evaluation of the psychometric properties of the Emotion Regulation Scale /Timmins, Bebhinn Martha. January 2009 (has links) (PDF)
Thesis (M.A.)--James Madison University, 2009. / Includes bibliographical references.
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Description and continuity of goal orientation of high school students with ADHD /Davis, Heather Inga. January 2009 (has links) (PDF)
Project (B.S.)--James Madison University, 2009. / Includes bibliographical references.
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Teachers' and counsellors' knowledge and experience related to attention deficit hyperactivity disorderWilde, Jaime, University of Lethbridge. Faculty of Education January 2006 (has links)
This study was designed to assess teachers' and counsellors' knowledge and experiences
related to ADHD and the use of stimulant medication. The sample population was
comprised of elementary, middle school, and high school teachers and counsellors from
two school districts in southwestern Canada. A descriptive, cross-sectional design using a
self-administered questionnaire was used to obtain information. Results revealed that the
teachers and counsellors responding to the questionnaire have limited knowledge about
ADHD and the use of stimulant medication, although a large majority of them have
experience with students with ADHD and are involved in the diagnosing and assessment
process of ADHD. These results suggest that there is a need for in-service training
regarding the diagnosis and characteristics of ADHD, different intervention strategies,
and assessment of the effectiveness of these strategies. Teachers and counsellors need to
become more familiar with empirical research and to base their practice on it, rather than
on popular opinion. Finally, further collaboration is needed between teachers and
counsellors and allied professionals, such as physicians and psychologists. / x, 77 leaves ; 29 cm.
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A survey of the perceptions and management of ADD/ADHD by homoeopathic practitioners in the Johannesburg metropolitan areaNagle, Susan Margaret January 2007 (has links)
Thesis (M.Tech.: Homeopathy)-Dept. of Homeopathy, Durban University of Technology, 2007
xxxii, 285 leaves / The epidemic proportion of ADD/ADHD diagnosis is gaining widespread attention from parents, educators, doctors and other health care providers. Parents are seeking alternatives, as they are concerned about the use and side effects of methylphenidate hydrochloride (e.g. Ritalin®, Adaphen®, Concerta®) and other conventional drugs used to treat the symptoms of ADD/ADHD (Badat, 2004 and Picton, 2004).
The aim of this research was to document the current practices of registered homoeopathic practitioners, with regard to Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD). In addition, their perceptions regarding aeitiology, treatment, management and success rate was investigated. This research took the form of a qualitative-quantitative survey (questionnaire) targeting homoeopaths practicing in the Johannesburg Metropolitan Area
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School psychologists and attention-deficit/hyperactivity disorder : a survey of training, knowledge, practice, and attitudeSmith, Anastasia L. January 1999 (has links)
The purpose of this study was to determine school psychologists' current level of knowledge about Attention-deficit/hyperactivity disorder (ADHD), their training and comfort level with that training, their roles and practices in assessing, diagnosing, and treating children and adolescents with ADHD, and their attitudes toward the disorder and those with it. An original survey (see Appendix B) developed for this purpose was distributed to 700 systematically selected members of the National Association of School Psychology (NASP) who were currently practicing in the public schools. A total of 406 usable surveys were returned for a final response rate of 58%.Overall school psychologists are confident in their abilities to deliver services (consultation, assessment, and intervention) to students with ADHD. Respondents underestimated the rate of comorbidity of ADHD with other psychiatric disorders but overestimated the percentage of students with ADHD who also have a learning disability. Respondents most often mentioned diagnosis or identification of the disorder as their goal for assessment of possible ADHD. However, in their rankings of specific goals, respondents ranked the development of appropriate interventions as more important than the diagnosis of the disorder. The most often used standardized tests for ADHD referrals are questionnaires (for parents, teachers, and students) and drawings. Most (57%) school psychologists agreed that they do not determine the diagnosis of ADHD, but rather refer to a medical doctor. A Specific Learning Disability is the most often used special education category for students with ADHD who qualify, followed somewhat closely by Other Health Impaired, then by Emotionally Handicapped. Only 14 percent of the school psychologists surveyed stated that every student with ADHD who did not qualify for special education was considered for accommodations under Section 504. More respondents (83%) agreed that teachers often press to have their problem students diagnosed with ADHD than agreed that parents often press (55%). The majority of respondents (74%) agreed that ADHD is overdiagnosed. However, there was disagreement as to whether stimulant medications were used more often than necessary to treat ADHD. Implications of these findings for school psychologists and for future research are discussed. / Department of Educational Psychology
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Students diagnosed with AD/HD and their first year at university : a theory of developing empowermentToner, Michele Eva January 2009 (has links)
The past decade has witnessed students with disabilities attending university in everincreasing numbers. In particular, many countries, including Australia, now report that students with so-called 'invisible disabilities' comprise the vast majority of those seeking support from Student Disability Services at university. Despite this increase, relatively few researchers have investigated the processes involved in the university education of students with disabilities, particularly during their crucial first year, when the highest rate of student attrition occurs across the board. The substantial body of research which has investigated the 'first year experience' for university students in Australia and the United States of America has ignored the issues unique to students with disabilities during this critical period. At the same time, some researchers, predominantly in the United States of America and the United Kingdom, have studied the tertiary education of students with disabilities. However, the subject has received less attention in Australia. Also, certain categories of university students with disabilities have been overlooked. In particular, university students diagnosed with Attention Deficit/Hyperactivity Disorder (AD/HD) appear to be one of the groups that have attracted little attention worldwide, despite the vast body of research that exists on children and, increasingly, on adults with the diagnosis. These students constituted the focus of the study reported in this thesis. The aim of this study was to develop substantive theory about how university students who are diagnosed with Attention-Deficit/Hyperactivity Disorder (AD/HD) deal with their first year. The study is conceptualised within the social theory of symbolic interactionism. A central research question and a series of related guiding questions were used as the starting point for data collection. Data collection was conducted largely through in-depth, individual, face-to-face semistructured interviews, and participant observation consistent with the interpretivist qualitative research tradition. In addition, informal interviews, telephone interviews and documents provided supplementary data for the study. Data analysis, which occurred concurrently with data collection, employed the open coding method consistent with the grounded theory model and the development and testing of propositions. The central proposition of the substantive theory generated from this study is that students diagnosed with AD/HD experience a sense of developing empowerment as they progress through three stages in their first year at university. The first stage in the theory of developing empowerment is entitled the development of empowerment through realising a dream. The second stage is entitled the development of empowerment through becoming proactive. The final stage is entitled the development of empowerment through the feeling of belonging. The theory of developing empowerment provides a new perspective on how university students with a diagnosis of AD/HD deal with their first year of study. A number of implications for further theory development, policy and practice are drawn from it. There are also several recommendations for further research.
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Sensory integration strategies for the child with Attention Deficit/Hyperactivity DisorderRaath, Jana 30 November 2007 (has links)
In this qualitative research study the focus is on the use of sensory integration strategies with children who have Attention Deficit/Hyperactivity Disorder. Three respondents specialising in sensory integration in the Durbanville area were involved. Individual semi-structured interviews were conducted with each of the respondents in order to gain knowledge on the use of sensory integration strategies with children who have Attention Deficit/Hyperactivity Disorder by a professional other than an occupational therapist. After permission had been obtained, the interviews were captured on video tape and transcribed for use in the empirical study. Seven themes were identified from the interviews and a literature control was done with each of the themes. The researcher did not attempt to generalise the results of the research, but tried to reflect on the information that the respondents provided. The researcher summarised the findings of the empirical study and made recommendations. / Social Work / M. Diac (Play Therapy)
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Emotional intelligence in learners with attention deficit disorderWootton, Carol Anne 11 1900 (has links)
This study was undertaken to analyse and evaluate the nature and quality of emotional intelligence in learners with Attention Deficit Disorder, and to investigate whether their emotional intelligence was enhanced, and whether the symptoms and behaviour of these learners improved, after exposure to a program on emotional intelligence. At the beginning of the study, the learners displayed an inaccurate appraisal of their emotional intelligence as being at a higher level than that of their peer group. After exposure to a program on emotional intelligence, these learners were able to accurately appraise their emotional intelligence. The results of this study indicate that the symptoms and behaviour of learners with Attention Deficit Disorder appear to be improved after exposure to a program on emotional intelligence. The enhancement of emotional intelligence therefore appears to be related to the symptoms and behaviour of learners with Attention Deficit Disorder. The researcher recognized the limitations of the research and made recommendations for future research on emotional intelligence in learners with AD/HD. / Educational Studies / D. Ed. (Psychology of Education)
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Využití EEG biofeedbacku při práci s dětmi s poruchami pozornosti / Utilization of EEG biofeetback in work with childern who suffers attention deficit disorderDvořáková, Anna January 2016 (has links)
Subject of the thesis was focused on the utilization of EEG biofeedback for children with an Attention deficit disorder. The objective was to draw attention to one of the possible therapy methods for Attention deficit disorder and describe the EEG biofeedback in relation with it. The theoretical part addresses the attention disorders, their diagnostics, methods of treatment and the EEG biofeedback. The practical part describes use of the EEG biofeedback in work with children with the Attention deficit disorder through a qualitative research by means of in-depth semi-structured interviews. The interviews were handled from the viewpoint of a parent with a child having the attention disorder and from the view of a professional from a specialized institution. The results of the research on the examined cases show that this method of therapy may be effective not only in relation with the attention disorders, but it could also be used for other diagnosis.
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