Annotation
Attention deficit hyperactivity disorder
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Introduction |
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An enduring pattern of restlessness, poorly focused
attention, and impulsive excitability that is more or less constant
across different situations and impairs a child's functioning has been recognised by paediatricians since Still described it nearly a century
ago.1 Treatment of such a constellation with stimulant medication has been documented for over half a century.2
So why is there currently such a fuss? One answer might be that new labels have given the impression that there is a new understanding of
the fundamental deficit.
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Historically, professionals have focused on different components of the
pattern. Hyperactivity (hyperkinesis) was considered the dominant
feature until the 1970s when a shift in research interest to
inattention led to the adoption in 1980 of the term attention deficit
disorder. This could exist with or without hyperactivity (ADD ± H) in
the American Psychiatric Association's Diagnostic and
statistical manual (DSM-III). When revised in DSM-III-R, this became attention deficit hyperactivity disorder
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Burgess, I.
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ANTHONY, H. M, MABERLY, D J., BIRTWISTLE, S.
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