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Archives of Disease in Childhood 2005;90:222-223
© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health

PERSPECTIVE
Psychiatry

A deficit that needs attention

M Mather

Correspondence to:
Correspondence to:
Dr M Mather
Consultant Community Paediatrician, Bexley Care Trust, UK; mary.mather@bexley.nhs.uk

Commentary on the paper by Foreman et al (see page 245)

Keywords: ADHD; hyperkinesis; family breakdown; reception into care

The first 150 words of the full text of this article appear below.

The conclusions of the paper by Foreman and colleagues1 will not come as a surprise to any parent or paediatrician. Children who behave badly stress their parents. The normal methods of discipline work less well in the face of pervasive hyperactivity, impulsivity, and inattention. After some years of failure, combined with feelings of inadequacy, most parents give up and take the line of least resistance. Paediatricians can do the same. Faced with the chaos of a wrecked surgery and conscious of a very full waiting room, the line of least resistance can suddenly become very attractive. Seeing what appears to be a textbook presentation of a lack of parental discipline, it is all too easy to blame the parents and refer the child on quickly to someone who "does behaviour".

Hyperkinesis is a major risk factor for parenting breakdown, increasing the risk that a child will be excluded from . . . [Full text of this article]


Relevant Article

The association between hyperkinesis and breakdown of parenting in clinic populations
D M Foreman, D Foreman, and E B Minty
Arch. Dis. Child. 2005 90: 245-248. [Abstract] [Full Text] [PDF]





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