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A Disease Called Childhood

Why ADHD Became an American Epidemic

ebook
1 of 1 copy available
1 of 1 copy available
A surprising new look at the rise of ADHD in America, arguing for a better paradigm for diagnosing and treating our children
 
In 1987, only 3 percent of American children were diagnosed with attention-deficit/hyperactivity disorder, also known as ADHD. By 2000, that number jumped to 7 percent, and in 2014 the number rose to an alarming 11 percent. To combat the disorder, two thirds of these children, some as young as three years old, are prescribed powerful stimulant drugs like Ritalin and Adderall to help them cope with symptoms. Meanwhile, ADHD rates have remained relatively low in other countries such as France, Finland, and the United Kingdom, and Japan, where the number of children diagnosed with and medicated for ADHD is a measly 1 percent or less. 


Alarmed by this trend, family therapist Marilyn Wedge set out to understand how ADHD became an American epidemic. If ADHD were a true biological disorder of the brain, why was the rate of diagnosis so much higher in America than it was abroad? Was a child's inattention or hyperactivity indicative of a genetic defect, or was it merely the expression of normal behavior or a reaction to stress? Most important, were there alternative treatments that could help children thrive without resorting to powerful prescription drugs? In an effort to answer these questions, Wedge published an article in Psychology Today entitled "Why French Kids Don't Have ADHD" in which she argued that different approaches to therapy, parenting, diet, and education may explain why rates of ADHD are so much lower in other countries.


In A Disease Called Childhood, Wedge examines how myriad factors have come together, resulting in a generation addictied to stimulant drugs, and a medical system that encourages diagnosis instead of seeking other solutions. Writing with empathy and dogged determination to help parents and children struggling with an ADHD diagnosis, Wedge draws on her decades of experience, as well as up-to-date research, to offer a new perspective on ADHD. Instead of focusing only on treating symptoms, she looks at the various potential causes of hyperactivity and inattention in children and examines behavioral and environmental, as opposed to strictly biological, treatments that have been proven to help. In the process, Wedge offers parents, teachers, doctors, and therapists a new paradigm for child mental health—and a better, happier, and less medicated future for American children

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    • Publisher's Weekly

      January 19, 2015
      Part exposé, part advice manual, this accessible text rails against the proliferation of Attention Deficient Hyperactivity Disorder diagnoses in American children. A family therapist and author of Pills Are Not for Preschoolers, Wedge argues that “ADHD is neither an unnatural condition of childhood, nor illness that requires medication” but a “normal childhood response to stressful situations.” However, due to shifts in the last 50 years—including the reconceptualization of ADHD as a biological disorder, a pharmaceutical industry with the “dream of medicating large numbers of healthy children with amphetamines,” and parents and educators eager for a quick fix for troublesome tots—typical childhood behaviors have been pathologized and deemed worthy of heavy-duty medication. Wedge notes tartly that “society today would label ‘mentally disabled’ and give them drugs to make them behave like normal children.” She offers parents a range of environmental solutions for modifying behavior, which include trading in “fast-paced cartoons” for PBS, maintaining a positive home environment, and carrying out dietary changes such as avoiding food dyes. Buttressing her arguments with patient case studies and descriptions of positive outcomes from social interventions in European countries (particularly France and its envy-inducing bébés), Wedge has produced an eye-opening and compelling manifesto.

    • Kirkus

      January 15, 2015
      An astute examination of the ADHD epidemic, what's causing it, and how a radical, nonmedicinal treatment approach may help. Author and longtime family therapist Wedge's industry-shaking 2012 Psychology Today article "Why French Kids Don't Have ADHD" challenged the American psychiatric industry to reframe the way classic ADHD-associative behaviors are understood. The article also questioned whether medication should be the first approach to treating it and asked why diagnosis rates in America so greatly differed from those in European cultures. To Wedge, ADHD is not biological but psychosocial; in the U.S., it has become substantially "overdiagnosed and overmedicated" with powerful pharmaceutical stimulants prescribed to children. With direct aim at parents open to alternative therapies, the author discusses dietary (food dyes, processed sugar), situational and stressful familial causes for behavioral disruptions and offers nonmedical interventional treatment plans-e.g., stricter parenting, educational reform and even exercise-to counter behaviors traditionally deemed as ADHD markers. She makes impressive use of referential cases from her own practice, yet instead of the more typical rapid-fire diagnosis, Wedge, while agreeing that stimulant drugs like Adderall and Ritalin do work, insists on exploring the drug-free avenues available to children instead. She is concerned about the changing landscapes and parameters of what "normal childhood" behaviors are and that those falling outside of them are rashly diagnosed and swiftly buffered with psychiatric medication. Chapters detailing how modern medicine came to the conclusions it has about ADHD, the pharmaceutical industry's influential omnipresence in medicine, rickety research studies and why diagnosis rates continue to mushroom are consistently startling and distressing. While Wedge offers options not every medical professional or concerned parent will swallow willingly, her affable approach and compassionate universal concern for the wellness of children are evident throughout. In an important read for open-minded parents, Wedge offers fresh perspectives and practical approaches to the continuing ADHD conundrum.

      COPYRIGHT(2015) Kirkus Reviews, ALL RIGHTS RESERVED.

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