Adhd - retell of Literature - Effects on amelioration Within Family, Education, and communal Systems

Attention Deficit Hyper performance Disorder according to Singh (2002) is a developmental disorder that is brain based and most often affects children. This developmental disorder can be characterized as a disorder in which affects ones self control; traditional aspects include strangeness with attention, impulse control, and performance levels normally diagnosed prior to the age of 7yrs. Of age (Willoughby, 2003).

There are primarily three sub-types of Adhd. Inattentive sub-type 1 is Adhd which those who manifest inattention without the nearnessy of hyperactivity and impulsivity (Barkley, 2005). There is also Adhd sub-type 2 with symptomolgy linked to hyperactivity and impulsivity (Barkley, 2005). Finally there is Adhd combined sub-type (Visser & Lesesne, 2005). For the purpose of my paper, I will apply information that represents all subtypes in varied degrees and the affects of these difficulties upon the individual, educational, family, and group improvement as well as issues of group justice and cultural issues for those children who suffer from this disorder.

Historically the modern symptoms of Adhd were first identified (Barkley 1996, Rafalovich 2001, & Stubbe 2001), by English doctor George Still in 1902 (Neufeld & Foy, 2006). Rafalovich (2001), explains that in a series of historical events from 1917-1918 in North America that led to an encephalitis outbreak there was a dramatic increase in explore of characteristics that are similar to modern day Adhd symptomology. Straight through out the early years of explore there was even explore and investigations into healing conditions which promoted swelling in inevitable aspects of the brain, which many believe led to impulsivity and hyperactivity (Stubbe, 2000). As explore evolved so did the diagnostic criteria for the disorder; shaping identifiable factors believed to contribute to the causation of Adhd (Barkley, 2005). Physiologically, there seems to be less dopamine and nor-epinephrine within the brains of those with Adhd and four genes that regulate dopamine have been identified as Adhd causal agents; however a specific causal agent has not been confirmed (Barkley, 2005). Brain performance is considerably lower in the pre-frontal lobe regions in those with Adhd and there is also decrease in blood flow (Hans, Henricksen & Bruhn, 1984), (Barkley, 2005). according to Barkley (2005), psychological characteristics of Adhd are that it is about the "behavioral inhibition." These children do not benefit from what may happen later based upon what they do now; which can be compared to a "time near sightedness", (Barkley, 2005). They have strangeness identifying their past, preparing for the future, organizing, scheduling, and working independently, with group and occupational issues (Barkley, 2005). It is these difficulties when intermingled with the improvement of the personel that could clearly cause great difficulties especially when enrolled in formalized instruction and onward into the demands of school and adulthood.

The prevalence rates concerning the analysis of Adhd has been from ranges of 4 % to 18 % depending upon the community, types of populations, and areas of analysis (Visser & Lesesne, 2005). Adhd is one of the most common childhood disorders with 2.5 million children with this disorder (Barkley, 2005). Estimates show (Biederman, 1996), that nearly 6 % of boys and 1.5 % of girls have Adhd (Singh, 2002). It cost nearly 3.3 billion dollars to medically treat Adhd every year in the United States (Visser & Lesesne, 2005). Currently causation factors under consistent result up according to Barkley (2005) include;

1. Genetics

2. Premature Birth

3. Traumatic Brain Injury

4. Spine and Brain Infections

5. Early exposure to substances during pregnancy

6. Early exposure to lead

7. Less blood flow and lower brain activity

Because Adhd is a representation of bodily imperfections within the brain and literally manifests a decrease of performance in the pre-frontal lobe regions; inevitable treatment options with amphetamines, stimulants and non-amphetamines have been utilized to increase brain performance (Barkley, 2005). The size and anomalies within the brain have been verified and examined Straight through many technological processes such as Positron Emission Tomography and Mri scanning (Vance & Luk, 2000). Other bodily abnormalities of improvement according to Barkley (2005), include appearances of little deformities including; longer than mean index finger, third toe that is longer than second toe, ears that are slightly lower upon the head, no earlobes or a furrowed tongue. Up to 80% of children suffering with Adhd will continue to struggle with this disorder into adolescents and as many as 50 to 60 percent will continue to struggle into adulthood (Barkley, 2005). With the affects upon a child's school, family, and group environments a large emotional toll can be identified. Emotionally, children can feel isolated, angry, guilty, frustrated and many other emotions due to the disruption of relationships, opportunities and lack of clear decision making skills (Barkley, 2005). Many of these children can become depressed and exhibit anxiety (Barkley, 2005). Many affective behaviors include stubbornness, defiance and at times can be verbally or physically violent to others (Barkley, 2005).

According to Barkley (2005) nearly 57% of preschool children are likely to be rated as inattentive and over-reactive by their parents up to the age of four. As many as 40% according to Barkley (2005), may have these problems for up to three to six months, concerning parents and teachers. according to Lavigne, Gibbons, Christoffel, Rosenbaum and Binns (1996), however, it is estimated that 2% of preschool children truly meet the criteria for Adhd, and (Biederman, 1996), clarified that maybe 10 % of all children meet diagnostic criteria for Adhd (Singh, 2002). Barkley clearly indicates that the earlier the symptoms of Adhd appear and the distance of time they last in childhood will conclude the severity of its procedure and analysis (Barkley, 2005). Individually there are many distressing problems for children suffering from this disorder. Some features that Barkley (2005) indicate are prominent to recognize as the personel child develops into school age include;

1. An emergence of high demanding ness of preschool age

2. Critical directive behavior by parents to operate circumstances

3. Problems reported by preschool / formal school staff concerning child's behavior

4. Problems with studying and reading

5. Decisions to sustain a child an educational grade

6. Excessive temper tantrums / strangeness in getting child to do chores

7. Social exclusion from activities

According to Spira & Fischel (2005), within the pre-school environment at the age of 3 yrs. Old, children's attention controls, and self operate mechanisms begin developing. Increased self operate and speech improvement continues from age 3yrs. Old (Spira & Fischel, 2005). Self operate processes continue to well build Straight through the age of 4yrs. Old (Spira & Fischel, 2005). These processes work together allowing the child to verbalize self-control and Straight through 4 yrs. Of age the child develops the potential to direct attention to relavent environmental stimuli (Spira & Fischel, 2005). Together, the maintaining of attention and operate over responses emerges and of procedure is very prominent in identifying task's and working functionally within the educational environment, however; these processes indicated do not emerge for those with Adhd due to the manifestation of hyper-activity and impulsivity colse to the age of 3 to 4 yrs. Of age, and inattention manifesting near 5 to 6 yrs. Of age (Spira & Fischel, 2005). As children build into school age and adolescents, Barkley (2005) indicated that 30 to 50 percent of children will be retained one grade during their school years. according to Vance & Luk (2000), 20 to 30 percent of children with Adhd will manifest comorbidity with studying disorders; reading, arithmetic, writing or spelling. If a child is diagnosed with Adhd and guide Disorder the percentages increase for a co morbid studying disorder (Vance & Luk, 2000). One theoretical position (Velting & Whitehurst, 1997), is that according to Spira and Fischel, (2005) those children with Adhd do not procure the literacy skills essential for early reading and learning. Furthermore, it is hypothesized that the dissatisfaction due to lack of potential perpetuates acting out behaviors consistently witnessed by school staff of children with Adhd (Spira & Fischel, 2005).

As children move Straight through adolescents it is abundantly clear that with vast developmental changes; looking ones role identity as clarified by Eric Erickson (Berger, 2006), relational dating, peer pressure, and other demands of adolescents become extraordinarily difficult with personel difficulties of impulsiveness, hyperactivity and inattentiveness (D. Moilanen Cmsw, Personal Communication, January 25, 2007). according to Gordon (2006), adolescents continue to have many difficulties especially;

1. Disorganization

2. Planning long term assignments

3. Completing homework

4. Complying with parental rules.

5. Sustaining attention and focus

Because adolescents are seeking to find a competent and healthy identity, conflicts with parental and scholastic systems can leave an immature to feel diminished, angry and frustrated before the entry into adulthood (D. Moilanen Cmsw, Personal Communication, January 25, 2007).

Adulthood brings new challenges and according to Jaffe, Benedictis, Segal & Segal, (2006), the following are just a few of the challenges for adults living with Adhd;

1. Managing money

2. "Zoning out in conversations"

3. Speaking without thinking

4. Procrastination

5. Becoming literally frustrated

Eric Erickson in Berger (2006) clarifies his ideas of Psycho-Social improvement and indicates that as early adults we want to find intimacy or we will face isolation. It seems clear that these adults due to their disability will continue to confront difficulties with their families, group relationships, and negative personel perceptions onward into adulthood. These difficulties could place them at risk to become isolated.

The personel within their house is greatly impacted by this developmental disorder. according to Barkley (2005) Adhd is 25 to 30% acquired by heredity, and if a parent has Adhd the child is 8 to 10 times more likely at acquiring the disorder. Barkley (2005) also indicated that parents at the starting of preschool attend and manage their child fairly well, however; parents tend to lose what they feel as operate over their child the added the child develops Straight through school. Parents can feel drained, overwhelmed and exhausted; even feeling depressed, and begin blaming themselves for their child's behavior (Barkley, 2005). Over time these difficulties can lead to perceptions by parents that may be less than inevitable (Maniadaki, Sonuga, Kakouros, & Karaba, 2006).

Research shows that parental perceptions within the house can clearly have implications concerning how a child is treated and the negative affects and perceptions that affect the child's developmental stages (Maniadaki et al., 2006). according to Maniadaki et al., (2006), parental perceptions do have essential impact upon children suffering from Adhd due to the likelihood of the parents not obtaining reasoning condition services for their children; the strangeness parents had identifying the impact the child's behavior would have on the child's development; and the parents inability to recognize the severity of the child's symptoms, all have dramatic affects on the child's developmental processes. Siblings can also have negative perceptions of the child's behavior, affecting the degree of sustain siblings bring to each other within a family. according to Gordon (2006), siblings can feel sorry for their sibling with Adhd or they can get angry and resentful. These reactions generate dynamic challenges for any house and or personel dealing with Adhd. Other inherent hindering perceptions by parents within the house ideas can be identified by comparing Erickson's, Psycho group Developmental Perspectives (Berger, 2000). according to Erickson, children from the age of 3 yrs. Old to 6 yrs. Of age will build Straight through a series of challenges to parents, taking the "initiative" or "failing," bringing feelings of "guilt" (Berger, 2000). When the child's engaging behavior takes place however, as Camparo, Christensen, Buhrmester & Hinshaw, (1994) states, that parents may not allow these children to have the benefit of the doubt, due to past excessive behavior under normal circumstances, and the parents may see their child as an "easy target." according to the evidence, miscalculating the child's natural engaging behavior could take place and disallow the child to build in a healthy, "guilt free" way, having essential affects on their psycho-social development. excessive amounts of guilt can yield essential amounts of anxiety and depression (Burns, 1990). These negative processes in changeable degrees can clearly lead to negative affects on group and emotional processes (Burns, 1990).

Other house processes affecting Adhd and improvement according to Peris & Hinshaw (2003), is that core symptoms of impulse operate and inattention are primarily heritable, and parental practices do not certify essential (Barkley, 1998; Hinshaw 1994; Johnston & Mash, 2001), causation for Adhd. However, the house interaction patterns and external influences may have a essential impact on severity and the developmental procedure of Adhd (Peris & Hinshaw, 2003). Furthermore, evidence suggests (Barkley, 1985; Battle & Lacey, 1972; Buhrmester, Camparo, Christensen, Gonsalez, & Hinshaw, 1992; Campbell, 1973; Cunningham & Barkley, 1979; MacDonald, 1988; Mash & Johnston, 1982; Tallmadge & Barkley, 1983) that mothers of Adhd children are less affectionate. Other disturbing findings indicate that parents can be more critically demanding and parents independently article a greater tendency to blame their Adhd child for problems they literally had with their spouses; thus proving added that house systemic patterns can play a major role in the perpetuation and affects of Adhd upon child improvement (Camparo et al., 1994). Of procedure these processes clearly affect a school-age child within their families and external systems in ways which reduce a child's self worth, confidence, and abilities to properly interact and function within their environment; proving this, Dumas & Pelletier (1999) indicated that pre-adolescents were found to have lower levels of self esteem in areas of scholastic competence, behavioral conduct, and group acceptance.

According to Barkley (2005), those with Adhd, at times do not give themselves time to value their emotions objectively before a reaction, fail to cut off their feelings from fact. Being able to internalize our emotions, value them, and analyze them before displaying them publicly help in self operate and is difficult for those suffering from Adhd (Barkley, 2005). Those who suffer from Adhd build a pattern of group rejection due to inappropriate interactions starting during formalized instruction according to Barkley (2005). according to Nixon (2001), those children suffering from Adhd lack essential group skills that affect the potential of their interactions, such as; verbal & bodily aggression, disruptive attempts to enter new groups, negative classroom behaviors, being quick tempered and violating the rules. Nixon (2001) presents more evidence that group cognition is clearly affected and children with Adhd can have great strangeness in making clear interpretations of their environmental interactions with others. These variables clearly lead to inhibited group contact, and a dysfunction in psycho-social development. according to Eric Erickson in Berger (2000), he clearly indicates that formalized school age children from 7 to 11 years old need to build confidence that allow them to feel as if they have mastered "Industry" (Berger, 2000). If this stage is not mastered, they may feel inferior (Berger, 2000). How can these children who are excluded due to their Adhd manifestations of behavior, be given the occasion to partake and prove themselves to resist negative aspects of "Inferiority?" As these children build into adolescents and adults, one can conjecture when comparing Adhd behavior and group reactions with the Erickson Psycho-Social Framework (Berger, 2000). Erickson states that adolescents endeavor to find their roles in the world and if they fail, role obscuring develops (Berger, 2000). obscuring for those suffering from Adhd would come literally due to their exclusion from group groups and activities (Barkley, 2005). In order for adolescents to find their role and their identity; they must interact with others and feel approved in their participation (Berger, 2000). added into adulthood Erickson in Berger (2000), indicates that as adult's, individuals will seek intimacy with others or become isolated. The factor of isolation relates to the extent in which those developing fear rejection and dissatisfaction (Berger, 2000). Unfortunately, prior group experiences of those suffering from Adhd can be littered with group rejection, feelings of dissatisfaction and unacceptance due to impulsiveness and hyperactive behaviors (Barkley, 2005). Furthermore, (Pope, Bierman, & Mumma, 1999), these authors according to Nixon (2001), also claim that hyperactivity and the inattentive / immature nature of a child's behavior with Adhd contributes greatly to interpersonal problems.

In regards to group justice and cultural issues; according to Bender (2006), African American children may be under represented and under diagnosed in regards to Adhd. Experts such as (Dr. Rahn Bailey, 2006) according to Bender (2006), claim that as science is pursuing new technological processes to diagnose and treat Adhd, cultures like the African American community are subjected to propaganda, suspicion due to past and current discrimination, and negative stereotyping concerning reasoning illness; thus forming cultural decisions to avoid analysis and treatment of Adhd. This cultural-lens, based upon discriminatory and fear based experiences with the dominant culture dis-allows ethical decisions to help and help African American children (Bender, 2006). These decisions according to experts (Bailey, 2006), is contributing to high rates of African American children disproportionately over represented in medicinal programs and disproportionate amounts of African American children over represented in the criminal justice ideas (Bender, 2006). The issues of classism and impoverishment can also be a topic of concern concerning those who suffer from Adhd. according to Visser & Lesesne, (2005), Adhd analysis among males was reported significantly more often in families with incomes below the poverty threshold than in families with incomes at or above the poverty threshold. Here again, poverty makes a clear and consistent statement of risk for our developing children.

In conclusion, I believe that Adhd seems to be an elusive, devastating, developmental disorder. This disorder for my self is so destructive because of its manifesting elements of hyperactivity, impulsivity and inattentiveness. These variables are processes that if represented to inevitable degrees are exquisite for destroying social, educational, emotional and personel improvement across the life span. Because our lives are so dependent upon not just our biological construction but also our group and environmental interaction; this disorder can be serious and detrimentally disruptive. I do however believe that new technologies are hopeful in insight this disability in greater measures. I also have gained ideas concerning the new information concerning neuro-plastisity and the changing mind based upon therapeutic thought. I feel this may be a inherent frontier of explore that should be a priority in great insight how the brain can change forms; especially the pre-frontal cortex regions.

L.J. Riley Jr. Bsw, Llmsw

Reference

Barkley, R. A., (2005). Taking fee of Adhd: The perfect Authoritative Guide for

Parents. New York: The Guilford Press.

Bender, E., (May 19, 2006). Scare tactics may deter blacks from Adhd help. Psychiatric News, 41 (10) 16. Retrieved January 20, 2007 from [http://pn.psychiatry]

online.org/cgi/content/full/41/10/16.

Berger, K. S., (2001). The Developing Person: Straight through the Life Span. New York:

Worth Publishing.

Burns, D. D., (1999). The Feeling Good Hand Book. New York: Plume Books.

Camparo, L., Christensen, A., Buhrmester, D., & Hinshaw, S., (1994). ideas functioning in families with Adhd and non-Adhd sons. Personal Relationships, 1, 301-308.

Dumas, D., & Pelletier, L. (1999). Perception in hyperactive children. Maternal Child

Nursing, 24, 12-19.

Gordon, J., (2006) Ohio facts sheet; adolescents with Adhd. Retrieved January 20, 2007 from [http://ohioline.osu.edu/hyg-fact/5000/5270.html].

Jaelline J., Benedictis, T., Segal, R., & Segal, J., (March 7, 2006). Adult Add & Adhd: recognizing the symptoms and managing the effects. Retrieved on January 20, 2007 from http://www.helpguide.org/mental/adhd_add_adult_symptoms.htm.

Laigne, J.V., Gibbons, R.D., Christoffel, K.K., Arend, R., Rosenbaum, D., Binns, H., et al. (1996). Prevalence rates and correlates of psychiatric disorders among preschool children. Journal of the American Academy of Child and immature Psychiatry, 35, 204-214.

Maniadaki, K., Sonuga-Barke, E., Kakouros, E., & Karaba, R., (February, 21, 2006). Parental beliefs about the nature of Adhd behaviors and their relationship to referral intentions in preschool children. Journal Compilation of Blackwell Publishing. Retrieved on January 20, 2007 from http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2214.2005.00512.x.

Neufeld, P., & Foy, M., (2006). Historical reflections on the ascendancy of Adhd
in North America. British Journal of instruction Studies, 54, (4), 449-470.

Nixon, E., (2001). The group competence of children with attention Deficit Hyper-
activity Disorder: a tell of the literature. Child psychology & tell of the
Literature, 6, (4), 172-177.

Peris, T. S., Hinshaw, S. P., (2003). house dynamics and preadolescent girls with Adhd: the relationship between expressed emotion, Adhd symptomatology, and comorbid disruptive behavior. Journal of Child psychology and Psychiatry, 44 (8) 1177 - 1190.

Rafalovich, A. (2001). The conceptual history of attention Deficit Hyperactivity
Disorder: idiocy, imbecility, encephalitis and the child deviant, 1877-1929.
Deviant Behavior: an Interdisciplinary Journal, 22, 93-115.

Singh, I., (2002). Children and society. Center for house explore University
of Cambridge, 16, 360-367.

Spira, E. G., Fischel, J. E., (2005). The impact of preschool inattention, hyperactivity, and impulsivity on group and scholastic development: a review. Journal of Child psychology and Psychiatry, 46 (7), 755-773.

Stubbe, D. E. (2000). Attention-deficit/hyperactivity disorder overview: historical
perspectives, current controversies, and hereafter directions. Child and Psychiatric
Clinics of North America, 9 (3), 469-479.

Vance, A. L. A., Luk, E. S. L., (2000). attention deficit hyperactivity disorder: current
progress and controversies. Australian and New Zealand Journal of Psychiatry, 34,
719-730.

Visser, S. N., Lesesne, C. A., (August 31, 2005). reasoning condition in the United States: prevalence of analysis and medication treatment for attention-deficit/hyperactivity disorder --- United States, 2003. Retrieved January 20, 2007 from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5434a2.htm

Willoughby, M. T., (2003). Developmental procedure of Adhd symptomatology during
During the transition from childhood to adolescence: a tell with recommendations.
Journal of Child psychology and Psychiatry, 44 (1), 88-106.