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Attention-deficit hyperactivity disorder: a critique of the concept

Published online by Cambridge University Press:  20 August 2018

S. Timimi
S. Timimi*
Affiliation:
Lincolnshire Partnership NHS Foundation Trust, Child and Family Services, Horizon Centre, Lincoln, UK
*
*Address for correspondence: S. Timimi, Lincolnshire Partnership NHS Foundation Trust, Child and Family Services, Horizon Centre, Monson Street, Lincoln LN5 7RZ, UK.(Email: stimimi@talk21.com)
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Abstract

Attention-deficit hyperactivity disorder (ADHD) is a fact of culture rather than a fact of nature. For a diagnosis like ADHD to be scientifically useful you need to show that the concept leads to advancement of knowledge around causes. For it to be clinically useful, you need to show that use of the concept leads to improved clinical outcomes. As neither can be convincingly demonstrated, ADHD is unlikely to be either scientifically or clinically useful and the concept is well past its use-by date.

Keywords

ADHDchildrencritical psychiatryoutcomesstimulantstreatmentdiagnosis
Type
Debates
Information
Irish Journal of Psychological Medicine , Volume 35 , Special Issue 3: Attention Deficit Hyperactivity Disorder , September 2018 , pp. 257 - 259
Copyright
© College of Psychiatrists of Ireland 2018 

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References

Campo, N, Fryer, TD, Hong, YT, Smith, R, Brichard, L, Acosta-Cabronero, J, Chamberlain, SR, Tait, R, Izquierdo, D, Regenthal, R, Dowson, J, Suckling, J, Baron, J, Aigbirhio, FI, Robbins, TW, Sahakian, BJ, Muller, U (2013). A positron emission tomography study of nigro-striatal dopaminergic mechanisms underlying attention: implications for ADHD and its treatment. Brain 136, 3252–3270.Google Scholar
Currie, J, Stabile, M, Jones, LE (2013). Do Stimulant Medications Improve Educational and Behavioral Outcomes for Children with ADHD? NBER Working Paper No. 19105. National Bureau of Economic Research: Cambridge, MA.Google Scholar
Government of Western Australia, Department of Health (2010). RAINE ADHD Study: Long-term Outcomes Associated with Stimulant Medication in the Treatment of ADHD in Children. Department of Health: Perth.Google Scholar
Jensen, P, Arnold, L, Swanson, J, Hinshaw, S, Gibbons, R, Marcus, S, Hur, K, Vitiello, B, Abikoff., H, Greenhill, L, Hetchman, L, Pelham, W, Wells, K, Connors, K, March, J, Eliott, G, Epstein, J, Hoagwood, K, Hoza, B, Molina, B, Newcorn, J, Severe, J, Wigal, T (2007). 3-year follow-up of the NIMH MTA study. Journal of the American Academy of Child and Adolescent Psychiatry 46, 989–1002.Google Scholar
Miller, S, Wampold, B, Varhely, K (2008). Direct comparisons of treatment modalities for youth disorders: a meta-analysis. Psychotherapy Research 18, 5–14.Google Scholar
Molina, B, Flory, K, Hinshaw, S, Swanson, J, Arnold, L, Gibbons, R, Marcus, S, Hur, K, Jensen, P, Vitiello, B, Abikoff., H, Greenhill, L, Hetchman, L, Pelham, W, Wells, K, Connors, K, March, J, Eliott, G, Epstein, J, Hoagwood, K, Hoza, B, Newcorn, J, Severe, J, Wigal, T (2007). Delinquent behavior and emerging substance use in the MTA at 36 months: prevalence, course, and treatment effects. Journal of the American Academy of Child and Adolescent Psychiatry 46, 1028–1040.Google Scholar
MTA Cooperative Group (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry 56, 1073–1086.Google Scholar
Storebø, O, Krogh, H, Ramstad, E, Moreira-Maia, C, Holmskov, M, Skoog, M, Nilausen, T, Magnusson, F, Zwi, M, Gillies, D, Rosendal, S, Groth, C, Rasmussen, K, Gauci, D, Kirubakaran, R, Forsbøl, B, Simonsen, E, Gluud, C (2015). Methylphenidate for attention-deficit/hyperactivity disorder in children and adolescents: Cochrane systematic review with meta-analyses and trial sequential analyses of randomised clinical trials. British Medical Journal 351, h5203.Google Scholar
Swanson, J, Hinshaw, S, Arnold, L, Gibbons, R, Marcus, S, Hur, K, Jensen, P, Vitiello, B, Abikoff., H, Greenhill, L, Hetchman, L, Pelham, W, Wells, K, Connors, K, March, J, Eliott, G, Epstein, J, Hoagwood, K, Hoza, B, Molina, B, Newcorn, J, Severe, J, Wigal, T (2007). Secondary evaluations of MTA 36-month outcomes: propensity score and growth mixture model analyses. Journal of the American Academy of Child and Adolescent Psychiatry 46, 1003–1014.Google Scholar
Timimi, S (2017). Critical cultural theory. In Routledge International of Handbook of Critical Mental Health (ed. B. Cohen), pp. 56–63. London: Routledge. (In press).Google Scholar
Timimi, S, Tetley, D, Burgoine, W, Walker, G (2013). Outcome Orientated Child and Adolescent Mental Health Services (OO-CAMHS): A whole service model. Clinical Child Psychology and Psychiatry 18, 169–184.Google Scholar
Timimi, S, Timimi, L (2015). The social construction of Attention Deficit Hyperactivity Disorder (ADHD). In The Palgrave Handbook of Child Mental Health (ed. M O’Reilly), pp. 139–157. Palgrave MacMillan: Basingstoke.Google Scholar
Whitely, M (2015). Attention deficit hyperactive disorder diagnosis continues to fail the reliability and validity tests. Australia and New Zealand Journal of Psychiatry 49, 497–498.Google Scholar