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Stopping the ADD Insanity - JAMA reports an alarming trend towards medicating preschoolers.

Updated: 02/23/00

The ADD/ADHD pharmaceutical juggernaut is out of control in our preschool classrooms - it is time for teachers to take action.  A recent study, underwritten by the NIMH and published by the Journal of the American Medical Association, found that psychotropic drugs (most commonly Ritalin) are being prescribed to young children with little understanding of the consequences.  Adam Pasick of FOX News quotes lead researcher Dr. Julie Magno Zito of the University of Maryland: "If you thought that because a doctor puts a child on these medications then it's safe, that's a false assumption."  22

There is nothing in the science of Early Childhood Education that can in any way endorse the systematic drugging of young children for any reason other than valid medical need to prevent harm. Attention deficit disorder and its variants (hereafter referred to as "ADD")  has a set of symptoms popularly ascribed to it which are in many cases considered to be desirable and common to healthy active children worldwide. Some of these symptoms - inattentiveness, talking out of turn, fidgeting - are also seen frequently in people whose IQ is over 160.1   Only in America, however, has the negativity surrounding common/active/non-conformist childhood behavior reached levels that could be classified as abusive, with the prescription of powerful drugs to control children who do not conform to rigid societal rules.  ADD/ADHD by itself has not been proven to be harmful to the preschool children it purportedly affects, so logic dictates that powerful prescription drugs are far more potentially harmful to preschool children than ADD itself, according to studies regarding the side effects of ritalin.  Look at the facts:

The Forgotten History of ADD
ADD is a relatively new disorder, having come into existence with the infamous "Factory School System" at the turn of the century, which was designed to create "good workers" for urban area industrial factories in Great Britain and the United States.2   At that time, the ideal worker considered to be submissive, diligent, conformist, and productive; therefore, the ideal student was considered to be compliant, quiet, and able to take instruction.3 The Eugenics Movement was a powerful influence in the creation of the Factory School System.  Many proponents of selective sterilization and breeding, looking to declare certain races and individuals as genetically superior, saw the Factory School as a field lab for validating their theories.  Intelligence testing, norms, and deviancy studies were common in Factory Schools, and by these oppressive standards one such group was tested - aggressive, independent children.  These children did not display the preferred characteristics of submission and conformity, and were considered to be inferior; they were pronounced by Dr. George Fredrick Still in 1902 as "defective in moral character".5  Others described it as "Brain Damage", then "Minimal Brain Damage".  It was attributed alternately to varying organic causes, including encephalitis, but researchers agreed that these children did not meet the new "ideal". Following World War II, the ideologies of the Eugenics Movement became unpopular, in large part due to the atrocities committed in the name of eugenics by Nazi Germany.6  But the eugenics philosophy was now status quo in the United States, and authorities were reluctant to relinquish their rigid ideas of normalcy.7  New names were invented for many conditions considered to be disorders within the Eugenics Movement: the "Defective Moral Character" was one of them.  According to "A Brief History of ADD" by Bob Seay, the About.com ADD Guide: "Defective Moral Character" metamorphed to "Minimal Brain Damage" in the 1930's and 40's, became referred to as "Hyperactivity" by the 1960's and in the following two decades became increasingly referred to as "Attention Deficit Disorder" and its variants.5

The Present Definition of ADD
In November of 1998, a distinguished panel of 13 professionals from fields as diverse as psychology, psychiatry, neurology, pediatrics, epidemiology, biostatistics, and education met under the aegis of the National Institute of Health to try to reach a consensus regarding ADD and its treatment.8  The Consensus Development Conference Statement is the most reputable definition of Attention Deficit Order to date.  The panel's  own conclusion in the section, "What Is the Scientific Evidence To Support ADHD as a Disorder?" was this:

"as of yet, there is no independent valid test for ADHD. Although research has suggested a central nervous system basis for ADHD, further research is necessary to firmly establish ADHD as a brain disorder."

Read that again.  The most expert opinion available from the National Institute of Health has stated that there is NO INDEPENDENT VALID TEST FOR ADHD.  No expert opinion is available to clearly define what ADD/ADHD truly is.   Moreover, according to the panel, in the next phrase they confirm that ADHD is not firmly established as a brain disorder.  What is it, then?  The most clear statement by the panel is found in the next section, "What Is the Impact of ADHD on Individuals, Families, and Society?"
 

Next Page > What Is the Impact of ADHD on Individuals, Families, and Society? > Page 1, 2, 3

Or Go To ECE Forum: The JAMA Article, Preschoolers and Meds - what's your opinion?

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