Rethinking ADHD: Integrated Approaches to Helping Children by Vicki Anderson, Tim Godber PDF

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Additional info for Rethinking ADHD: Integrated Approaches to Helping Children at Home and at School

Example text

The reliability of many of these measures has been questioned in the literature, although it must be remembered that whatever scale is used, the nature of the condition means that ratings of children’s behaviour should be obtained from as many different informants as possible. The reliability of all measures increases in direct proportion to the number and variety of observations that are taken and often the contrast between the parent and teacher ratings of the same child can be valuable diagnostic information in itself.

Specific problems with the reliability and validity of information collected from a single source are outlined below. Rating scales Standardised rating scales attempt to remedy many of these deficiencies in the collection of behavioural data and they have become the fastest growing assessment tool in developmental psychology (Kamphaus, Petoskey & Rowe, 2000). While both the ICD and the DSM diagnostic systems are by definition categorical in their approach to ADHD (that is, the child either has the condition or doesn’t, depending on whether the criteria are met), many neuropsychologists prefer to conceptualise the disorder as existing on a continuum.

The passivity engendered by a medical label might be counterproductive for the resumption of appropriate levels of self-management in the individual and any improvements are assumed to result from the ‘treatment’ that is offered rather than from individual effort. It is interesting to note that the traditional arguments against the ‘labelling’ of behavioural disorders have tended to focus on the use of medically imposed diagnoses as a form of social control. Some writers continue to talk about the ‘myth’ of ADHD and the invention 44 Rethinking ADHD - TEXT PAGES 12/6/02 1:57 PM Page 45 A critique of the medical model of the label and its stigma ‘to help preserve social order’ (Armstrong, 1995 p.

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