注意缺陷多动障碍儿童社会交往问题教育干预研究述评

注意缺陷多动障碍儿童在社交方面存在显著困难,教育干预对其提高人际交往技能和社会适应性具有显著作用.该领域的研究主要集中在注意缺陷多动障碍儿童社交问题的家庭干预、群体干预、综合干预方面.后继研究应扩大研究对象的类型,进一步提高干预的可迁移性.     

A Breakthrough for Josh: How Use of an iPad Facilitated Reading Improvement

As part of a diagnosis and tutoring project in an elementary education reading course, a pre-service teacher was encouraged to use an iPad as the vehicle for intervention strategies with a fifth grade struggling reader with Attention Deficit Hyperactivity Disorder. The device not only helped the student focus attention, it facilitated his becoming much more metacognitive in his reading. Comparisons of pre- and post-assessments showed that the student had gained one year’s growth in reading within a sixweeks time period. The student also gained in confidence and sense of being in control of his learning. While generalizations to other struggling readers with Attention Deficit Hyperactivity Disorder cannot be made, the success this student experienced suggests that the use of this device is worth serious consideration and research in similar contexts.     

Validity of the diagnostic category of attention deficit disorder without hyperactivity: a review of the literature

The validity of the diagnostic category of Attention Deficit Disorder Without Hyperactivity (ADD/WO) has been the subject of debate since it was first introduced in DSM-III. The differentiation of two syndromes of ADD is supported by factor analytic studies that indicate two dimensions of maladjustment: (1) inattention and disorganization, and (2) motor hyperactivity and impulsive responding. Cluster analyses of these two dimensions have yielded two profiles of deviance that correspond to the DSM-III subtypes. Furthermore, clinic-referred children who meet DSM-III criteria for ADD/WO have been shown to exhibit less serious conduct problems, are less impulsive, are more likely to be characterized as sluggish and drowsy, are less rejected by peers but more socially withdrawn, and are more likely to exhibit depressed mood and symptoms of anxiety disorder than children with Attention Deficit Disorder with Hyperactivity (ADD/H).     

Critique of the article by Visser and Jehan (2009): ‘ADHD: a scientific fact or a factual opinion? A critique of the veracity of Attention Deficit Hyperactivity Disorder’

This article seeks to evaluate and take further the discussion put forward by Visser and Jehan (Emotional and Behavioural Difficulties 14, no. 2: 127–40). It begins by focusing on the biomedical discourse, its dominance in the academic and professional literature and why the existence of Attention Deficit Hyperactivity Disorder (ADHD) as a medical category is questionable. This is followed by a discussion of other discourses including the sociological discourse and the bio-psychosocial discourse. The importance of multi-professional approaches in the identification, assessment and management of ADHD is highlighted, followed by an examination of what part the educational environment might play with regard to behaviours associated with ADHD. Attention is drawn to the need for continuing research and debate on this evolving concept.     

儿童注意缺陷多动障碍研究现状与动向

儿童注意缺陷多动障碍是一种发展性的异常,是儿童期最为常见的最复杂的情绪与行为障碍之一。本文对儿童ADHD研究的热点即成因研究和干预研究的已有成果进行了归纳和总结,并分析了目前研究的趋势,以期为今后的研究提供一些科学的参考。     

儿童注意缺陷多动障碍的学校干预研究回顾

回顾了国内外关于学校开展儿童注意缺陷多动障碍(简称ADHD)干预的研究,对ADHD的治疗和干预研究现状以及学校开展干预的措施进行了总结,其中包括单项干预措施和综合干预措施。最后作出结论,相对其他ADHD干预,学校干预对于改善ADHD学生的人际交往以及提高其学业成绩更具有优势。     

Parents,professionals and ADHD: what the papers say

Attention Deficit Hyperactivity Disorder (ADHD) has risen rapidly to public and professional prominence in the UK in recent years. In this paper, we explore some issues that emerge from an analysis of newspaper articles on ADHD and look at the discourses that are constructed discourses which contribute to defining what ADHD is, through argument and counter-argument. We contextualize these arguments in a developing consumerism and the changing relationships between the public and experts.     

A three-factor model of educational practice considerations for teaching neurodiverse learners from a strengths-based perspective

The purpose of this practice paper is to promote the teaching of learners with neurodevelopmental conditions from a neurodiverse perspective. The challenge teachers face in having to draw on up-to-date research evidence and theoretical perspectives, and align these with practical considerations to generate contextualised teaching strategies, are addressed with the introduction of a three-factor model. The utility of considering pupil assessment data gathered from a strengths-based perspective is positioned as a central component to bridging the gap between the incipient neurodiversity literature and the realities of applied teaching practice. Two case examples have presented that draw on the proposed three-factor model to demonstrate how teachers can assess and teach learners from a neurodevelopmental perspective. These case studies focus on supporting learners with Autism and Attention Deficit Hyperactivity Disorder in a secondary setting.     

Drugs,labels and (p)ill-fitting boxes: ADHD and children who are hard to teach

In offering a critical review of the problem we call ‘ADHD’ (Attention Deficit Hyperactivity Disorder), this paper progresses in three stages. The first two parts feature the dominant voices emanating from the literature in medicine and psychology which, when juxtaposed, highlight an interdependency between these otherwise competing interest groups. In Part 3, the nature of the relationship between these groups and the institution of the school is considered, as is the role that the school may play in the psycho-pathologisation of fidgety, distractible, active children who prove hard to teach. In so doing, the author provides an insight as to why the problem we call ‘ADHD’ has achieved celebrity status in Australia and what the effects of that may be for children who come to be described in these ways.     

Conduct disorder and comorbidity

Conduct Disorder (CD) research is focusing on complex issues introduced by comorbidity because of its widespread existence, thoeretical importance and practical significance. This review provides critical examination of research published during the past ten years addressing CD and its comorbid conditions, specifically Attention‐Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and internalizing disorders. It is concluded that comorbidity varies with age, gender, informant, diagnostic criteria, and nature of the sample (clinical vs. epidemiological). Implications of comorbidity for etiology, diagnosis, treatment, law, and policy and preventive efforts in work with children and adolescents with CD are offered for school psychologists. © 1999 John Wiley & Sons, Inc.     

In search of a middle ground: the dangers and affordances of diagnosis in relation to Attention Deficit Hyperactivity Disorder and Developmental Language Disorder

ABSTRACT

In this paper, we draw on the ‘dilemma of difference’ to discuss the dangers and affordances of diagnosis within two of the most prevalent, yet under-supported, disabilities affecting school-age children: Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Language Disorder (DLD). The dilemma that exists between denying and thereby ignoring difference on the one hand, versus recognising and potentially stigmatising difference on the other, will be explored and the consequences outlined. Our aim is to achieve a middle ground that conceives of diagnosis as a helpful starting point to enable educators to address barriers to access and participation through appropriate adjustments to curriculum, pedagogy and assessment.     

Knowledge and Misperceptions about Attention Deficit Hyperactivity Disorder (ADHD) Among School Teachers in Mumbai,India

Teachers play an important role in the diagnosis and management of Attention Deficit Hyperactivity Disorder (ADHD). There are no published studies on Indian teachers’ knowledge of ADHD. In the present study, the aim was to assess knowledge and misperceptions about ADHD among schoolteachers in Mumbai. A total of 106 teachers from 12 English-medium schools completed the Knowledge of Attention Deficit Disorders Scale and a demographic questionnaire. Overall, the teachers lacked adequate knowledge of ADHD, with only 49% of the responses being correct. Repeated measures ANOVA results indicated that the teachers’ scores on the three subscales of the measure were significantly different (F = 7.96, p < .01), with the score being highest on the symptoms subscale. In conclusion, teachers in Mumbai need training on general information and treatment of ADHD, with a focus on correcting common misperceptions that they have with regards to ADHD.     

Attention Deficit Hyperactivity Disorder,behavioural and emotional problems in children excluded from mainstream education: a preliminary study of teachers' ratings

The aim of this study was to measure the rates of Attention Deficit Hyperactivity Disorder (ADHD), and behavioural and emotional problems in children attending Behavioural Support Units (BSUs), as rated by teachers. Children (N=45) were selected from two Behavioural Support Units (primary and secondary education). Teachers completed the Strengths and Difficulties Questionnaire (SDQ) and the ADHD Rating Scale. The levels of hyperactivity and emotional problems were high among primary school age children. Children attending primary school age BSUs had significantly higher hyperactivity and emotional scores than their older counterparts. The findings are discussed in relation to the literature on ADHD and other mental health problems in children. The implications for the provision of services for children excluded from mainstream education are also discussed.     

Mindfulness Interventions for College Students with ADHD: A Multiple Single Case Research Design

A multiple single case research design (SCRD) was used to examine two mindfulness interventions (MBSR and Vipassana meditation). Impacted symptoms of Attention Deficit Hyperactivity Disorder (ADHD), psychological distress, mindfulness, and treatment satisfaction in college students were examined via single subject and group analyses. Results indicated that 57% of the seven-person sample evidenced decreases in ADHD symptoms, 72% decreased in distress, 72% increased on the trait measure of mindfulness, and treatment satisfaction was high. Clinical implications and future directions are discussed.     

Making the Case for a Comprehensive ADHD Assessment Model on a College Campus

Despite increased demands on university counseling center resources, some centers are offering comprehensive assessments for Attention Deficit Hyperactivity Disorder (ADHD). The rationale for one counseling center's decision to provide comprehensive ADHD assessments is presented, including the clinical, legal, social, medical, financial, and philosophical factors influencing such a decision. The general characteristics of the students presenting for assessment and the specific ADHD assessment process are described. In addition, the benefits of and drawbacks to such a program, as well as its applicability to other university counseling centers, are discussed.     

REVIEWS

Learning Through Touch – Supporting children with visual impairment and additional difficulties Mike McLinden and Stephen McCall Wild Child: How you can help your child with Attention Deficit Disorder (ADD) and other behavioral disorders Don Mordasini Special Needs Assessment Profile Charles Weedon and Gavin Reid All Change. Transition into adult life – a resource for young people with learning difficulties, family carers and professionals Robina Mallett, Margaret Power and Pauline Heslop Activities for Children with Mathematical Learning Difficulties Mel Lever Manual for Testing and Teaching English Spelling Claire Jamieson and Juliet Jamieson     

Preservice teachers’ self‐efficacy in managing students with symptoms of attention deficit/hyperactivity disorder: The roles of diagnostic label and students’ gender

The present study investigated preservice teachers’ self‐efficacy in classroom management involving students with symptoms of Attention Deficit/Hyperactivity Disorder (ADHD). A total of 137 Chinese preservice teachers were randomly presented with one of four vignettes involving a student character with ADHD symptoms, with manipulations including the character’s gender and diagnostic label of ADHD. Upon reading the vignette, participants responded to questions concerning their self‐efficacy in inclusive classroom management involving the character. Findings based on analysis of covariance indicated an interaction effect of the vignette character’s gender and label on teachers’ self‐efficacy. Specifically, teachers perceived greater self‐efficacy in a classroom involving a girl with an ADHD label than in a classroom involving a girl with no label or a boy with a label. Findings enriched the literature concerning the roles of gender and label in preservice teachers’ self‐efficacy toward inclusive classroom management.     

The history of attention‐ deficit/hyperactivity disorder

Abstract

As the number of children diagnosed with, and medicated for, Attention‐Deficit/Hyperactivity Disorder (ADHD) increases at an alarming rate there have been questions raised as to whether ADHD is really a disorder or merely a fabricated and socially constructed problems However, there is much evidence which shows that ADHD related difficulties have been observed in children for at least the past century. This paper will provide a detailed account of this evidence and will show that ADHD is a disorder which has affected our children form at least the past 100 years     

Self‐Management and Peer‐Monitoring within a group contingency to decrease uncontrolled verbalizations of children with Attention‐Deficit/hyperactivity disorder

This study examines the efficacy of an intervention designed to improve the classroom behavior of children identified with Attention‐Deficit/Hyperactivity Disorder (ADHD). The intervention entailed training a class of third‐grade students, including four students diagnosed with ADHD, to use self‐management and peer‐monitoring strategies embedded within a group contingency to decrease inappropriate verbalizations during class time. Findings indicated that the self‐monitoring/group contingency intervention substantially decreased inappropriate talking‐out behavior in all four subjects along with their matched controls. Implications as well as limitations within the study are discussed. © 2000 John Wiley & Sons, Inc.     

Developing social strategies to overcome peer rejection of children with attention deficit hyperactivity disorder

Abstract

Investigation of 265 children's attitudes towards vignettes of Year 5 peers with Attention Deficit Hyperactivity Disorder (ADHD) revealed strong rejection of Hyperactive and Combined subtypes, relative to Inattentive subtypes and non‐ADHD controls. The social difficulties of children with ADHD may be understood within Barkley's theoretical model of ADHD (Barkley, 1997) that links deficits in response inhibition with four executive neuropsychological functions contributing to social cognition. The theory is also helpful in predicting strategies that may be facilitated by teacher intervention to construct improved social relationships among children with and without ADHD.