2011年9月5日星期一
Over the course of my 20 plus years of experience
That’s the job of parents, and all too often, schools are placed in difficult situations where they Rosetta Stone Spanish V3 are expected to regularly discipline problem kids or deal with serious parenting problems that intrude into educational settings. This is a complicated political and social problem, but the more a school can clearly define what its good at, what it should and effectively can do, and what it shouldnt do, the better for all. 6) What about students that are truly hyperactive, or who have attention-deficit disorder- is this a male female issue or one requiring medication? Certainly, there are real cases of ADHD. But the statistics on how we diagnose and treat ADHD are very troubling. A careful analysis of trends beginning around 1990 paint a very disturbing picture that has lead many in the field of child health to question the veracity of the diagnosis and treatment methods. The rate of diagnosing ADHD in American children nearly quadrupled in a ten-year period beginning in 1987, with boys being diagnosed at least three times more often than girls (some studies show as high as 5 or 6 times more often). Currently, ADHD has become the most common pediatric problem in the US, again mostly among boys. Psycho-stimulant use is common. Pediatric visits lasting 15 minutes have also become common, and diagnoses and prescriptions can be written without much more than a checklist or list of complaints from a childs parent or teacher. This isn’t smart medicine. We know that misdiagnosis is a concern in regular medicine, where we have objective tests such as blood work, x-rays, MRIs, etc. In psychiatric child problems, like ADHD, were likely misdiagnosing at a 25-30% rate. That’s unacceptable. And the bulk of these misdiagnoses are on boys. Over the course of my 20 plus years of experience, I have seen several cases where an ADHD diagnosis is appropriate, but I am reticent to diagnose very young boys who have many natural developmental ups and downs, and who as a group have language and social-emotional struggles early on. Most will outgrow these challenges and wont need medications. Finding the small number of children who will have long-term problems with attention, impulsivity, and motor Rosetta Stone Italian V3 activity is guess work to some degree (no objective criteria is available to measure these and as Ive said before, its based on reports of behavior from others who know the child). Due to such diagnostic inaccuracy, I always encourage parents and professionals to reassess an existing ADHD diagnosis as children develop and change. Further, I am very conservative in diagnosing this problem. I slow the diagnostic process down to collect more data and history. I wont diagnose the condition unless I speak to more than one observer (parent, teacher, camp counselor, coach, etc.), and often I am surprised how many times there are differences. A boy may behave appropriately, focused, non-impulsively, and not hyperactive in one situation but not another. I wont diagnose ADHD in such cases. It should be a problem that shows up, to some degree, across situations and settings. There are many other probable childhood issues and situational factors that can mask themselves as ADHD. The Rosetta Stone Software diagnosis is poorly constructed. Unless a practitioner takes his or her time, evaluates, and collects reasonable observations across contexts and settings, making a diagnostic error (and medicating unnecessarily) is more likely.
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