Exploring clinician uncertainty in the diagnosis and treatment of attention deficit hyperactivity disorder

Exploring clinician uncertainty in the diagnosis and treatment of attention deficit hyperactivity... 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 applying the sociological discussions that address uncertainty in clinical settings and through reviewing a sizable cross‐section of the popular and research‐oriented literature demonstrating the 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 scepticism that surrounds ADHD. In being affected by this scepticism, 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sociology of Health & Illness Wiley

Exploring clinician uncertainty in the diagnosis and treatment of attention deficit hyperactivity disorder

Sociology of Health & Illness, Volume 27 (3) – Apr 1, 2005

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Publisher
Wiley
Copyright
Copyright © 2005 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0141-9889
eISSN
1467-9566
D.O.I.
10.1111/j.1467-9566.2005.00444.x
Publisher site
See Article on Publisher Site

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 applying the sociological discussions that address uncertainty in clinical settings and through reviewing a sizable cross‐section of the popular and research‐oriented literature demonstrating the 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 scepticism that surrounds ADHD. In being affected by this scepticism, 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.

Journal

Sociology of Health & IllnessWiley

Published: Apr 1, 2005

References

  • Psychosocial challenges facing physicians of today
    Arnetz, Arnetz
  • Guidelines, professionals and the production of objectivity: standardisation and the professionalism of insurance medicine
    Berg, Berg; Hostman, Hostman; Plass, Plass; Van Heudsen, Van Heudsen
  • Protocols, practices, and the reproduction of technique in molecular biology
    Lynch, Lynch
  • Psychodynamic and neurological perspectives on ADHD: exploring strategies for defining a phenomenon
    Rafalovich, Rafalovich
  • Disciplining domesticity: framing the ADHD parent and child
    Rafalovich, Rafalovich

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