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Exploring Clinician Uncertainty in the Diagnosis and Treatment of ADHD

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Abstract:

Based upon analyses of interview data collected from twenty-six clinician respondents, this study explores two facets of clinician uncertainty related to the diagnosis and treatment of attention deficit-hyperactivity disorder (ADHD) in children. First, this study explores clinician reservations about the diagnostic validity of ADHD as it is described by the American Psychiatric Association (1994) in DSM IV. Second, this study explores clinician ambivalence regarding the physical and social-psychological side-effects of stimulant medications, such as Ritalin. In reviewing a sizable cross-section of the popular and research-oriented literature demonstrating the very contentious nature of the ADHD phenomenon, this study illustrates that clinicians do not practice within a vacuum, but are instead largely affected by the marked skepticism that surrounds ADHD. In being affected by this skepticism, it is concluded that clinicians who assess and treat ADHD are autonomous in how they interpret the diagnostic and treatment protocols for this mental disorder.

Most Common Document Word Stems:

adhd (135), clinician (84), medic (83), children (47), may (46), clinic (44), behavior (40), disord (36), social (36), dsm (35), age (32), iv (31), respond (28), treatment (28), diagnosi (27), problem (27), kid (26), child (25), studi (25), ritalin (24), one (23),

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Attention-deficit hyperactivity disorder; Clinician uncertainty; DSM IV; Stimulant medications.
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MLA Citation:

Rafalovich, Adam. "Exploring Clinician Uncertainty in the Diagnosis and Treatment of ADHD" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA,, Aug 14, 2004 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p108491_index.html>

APA Citation:

Rafalovich, A. , 2004-08-14 "Exploring Clinician Uncertainty in the Diagnosis and Treatment of ADHD" Paper presented at the annual meeting of the American Sociological Association, Hilton San Francisco & Renaissance Parc 55 Hotel, San Francisco, CA, Online <.PDF>. 2009-05-26 from http://www.allacademic.com/meta/p108491_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: Based upon analyses of interview data collected from twenty-six clinician respondents, this study explores two facets of clinician uncertainty related to the diagnosis and treatment of attention deficit-hyperactivity disorder (ADHD) in children. First, this study explores clinician reservations about the diagnostic validity of ADHD as it is described by the American Psychiatric Association (1994) in DSM IV. Second, this study explores clinician ambivalence regarding the physical and social-psychological side-effects of stimulant medications, such as Ritalin. In reviewing a sizable cross-section of the popular and research-oriented literature demonstrating the very contentious nature of the ADHD phenomenon, this study illustrates that clinicians do not practice within a vacuum, but are instead largely affected by the marked skepticism that surrounds ADHD. In being affected by this skepticism, it is concluded that clinicians who assess and treat ADHD are autonomous in how they interpret the diagnostic and treatment protocols for this mental disorder.

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Document Type: .PDF
Page count: 31
Word count: 7702
Text sample:
Exploring Clinician Uncertainty in the Diagnosis and Treatment of Attention Deficit-Hyperactivity Disorder Keywords: Attention-deficit hyperactivity disorder; Clinician uncertainty; DSM IV; Stimulant medications. Word Count: 7276 including abstract text and references. Adam Rafalovich Ph.D. Texas Tech University Department of Sociology Box 41012 Holden Hall 158 Lubbock TX 79409-1012 USA Phone: (806) 744-8887 Fax: (806) 742-1088 E-mail: Adam.Rafalovich@ttu.edu Revised and resubmitted to: Allison Pearson School of Sociology and Social Policy For Review in Sociology of Health and Illness University of Nottingham
in this report). 5 As this study is based on intensive interviewing and draws from a relatively small sample in comparison to other methodological procedures that are better suited to the development and analysis of data from larger samples it should be noted that certain social variables would be inadequately addressed if analyzed in this forum. Hence studies cross-tabulating the race class and gender of respondents may be better suited to a quantitative approach and would indeed be a


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