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Attention Deficit Hyperactivity Disorder: Neurobiology of a Disorder or a Difference?

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Attention Deficit Hyperactivity Disorder: Neurobiology of a Disorder or a Difference?

Attention Deficit Hyperactivity Disorder (ADHD) is a phrase that has moved out of the realm of pure science or psychology and into common parlance. Like depression, the public has a general and vague sense of the "type" of person who may have ADHD, and has heard the name Ritalin, the main drug used in treatment, bandied about. As the name of the disorder implies, its symptoms present generally as "inattention and a combination of hyperactive and impulsive behaviors" (2). ADHD has only recently been able to be tangibly identified in the nervous system, and its' diagnostic criteria has continued to be revised. The discovery of specific physiological …show more content…

Specifically, the following functions are thought to be impaired: nonverbal working memory, internalization of self-directed speech, self-regulation of mood, motivation and level of arousal, and reconstitution (the ability to break down observed behaviors...that can be recombined...in pursuit of a goal" (11). Despite the newfound specificity of the symptoms, many still believe that ADHD is difficult to accurately diagnose. These "symptoms" can also be the sign of a person whose personality is creative, quick and high-energy. One of the many controversies surrounding ADHD is the inaccurate labeling of a child who may not have a disorder but merely a distinctive personality. Put more concisely, where do we draw the line between "personality and pathology?" (9)

Recent research aiming to define the physiological parameters of ADHD has succeeded in indicating ways in which aspects of brain activity, size and functioning differ from people without symptoms of the disorder. ADHD is now seen primarily as "A developmental failure of the brain circuitry that underlies inhibition and self-control" (2). The areas thought to be affected are the prefrontal cortex and at least two deeply embedded clusters of nerve cells called the basal ganglia. A 1996 study at the National Institute of Mental Health found that the two basal ganglia called the globus pallidus and the caudate nucleus, as well as the anterior frontal part of the brain, are smaller in size in ADHD children

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