In a book as provocative and newsworthy as Listening to Prozac and Driven to Distraction, a physician speaks out on America's epidemic level of diagnoses for attention deficit disorder, and on the drug that has become almost a symbol of our times: Ritalin.
In 1997 alone, nearly five million people in the United States were prescribed Ritalin--most of them young children diagnosed with attention deficit disorder. Use of this drug, which is a stimulant related to amphetamine, has increased by 700 percent since 1990. And this phenomenon appears to be uniquely American: 90 percent of the world's Ritalin is used here. Is this a cause for alarm--or simply the case of an effective treatment meeting a newly discovered need? Important medical advance--or drug of abuse, as some critics claim?
Lawrence Diller has written the definitive book about this crucial debate--evenhanded, wide-ranging, and intimate in its knowledge of families, schools, and the pressures of our speeded-up society. As a pediatrician and family therapist, he has evaluated hundreds of children, adolescents, and adults for ADD, and he offers crucial information and treatment options for anyone struggling with this problem.
Running on Ritalin also throws a spotlight on some of our most fundamental values and goals. What does Ritalin say about the old conundrums of nature vs. nurture, free will vs. responsibility? Is ADD a disability that entitles us to special treatment? If our best is not good enough, can we find motivation and success in a pill? Is there still a place for childhood in the performance-driven America of the late nineties?
From the Hardcover edition.Diagnoses for Attention Deficit Disorder (ADD) have escalated dramatically over the past few years, and right along with these diagnoses have been prescriptions for Ritalin. Considered a family-saving wonder drug by many parents, Ritalin gives children who have trouble in school or difficulty socializing (due to poor impulse control) the ability to slow down, focus, and behave. Success stories abound, but not everyone is convinced.
Pediatrician and family therapist Lawrence H. Diller thinks it's time to reexamine the ADD "epidemic" and our responses to it, particularly our eagerness to use medication as a first strike. In Running on Ritalin, he poses many thoughtful questions: Are behavioral problems in over 15 percent of elementary school-age boys really the result of neurological aberrations? Is performance pressure so great that parents seek out ADD diagnoses (and Ritalin) to give their children an edge? Does it make sense to give so many kids daily doses of a drug with as much potential for abuse as speed? His answers are equally thoughtful. Refusing to polarize the issues (he prescribes Ritalin to some of his own patients), Diller explores the roles played by advocacy groups, drug companies, schools, and the government in creating the ADD mania, and makes a plea for calmer thinking about behavioral problems. He can only hope that adults take the time to sit down and pay close attention. --Rob LightnerIn a book as provocative and newsworthy as Listening to Prozac and Driven to Distraction, a physician speaks out on America's epidemic level of diagnoses for attention deficit disorder, and on the drug that has become almost a symbol of our times: Ritalin.
In 1997 alone, nearly five million people in the United States were prescribed Ritalin--most of them young children diagnosed with attention deficit disorder. Use of this drug, which is a stimulant related to amphetamine, has increased by 700 percent since 1990. And this phenomenon appears to be uniquely American: 90 percent of the world's Ritalin is used here. Is this a cause for alarm--or simply the case of an effective treatment meeting a newly discovered need? Important medical advance--or drug of abuse, as some critics claim?
Lawrence Diller has written the definitive book about this crucial debate--evenhanded, wide-ranging, and intimate in its knowledge of families, schools, and the pressures of our speeded-up society. As a pediatrician and family therapist, he has evaluated hundreds of children, adolescents, and adults for ADD, and he offers crucial information and treatment options for anyone struggling with this problem.
Running on Ritalin also throws a spotlight on some of our most fundamental values and goals. What does Ritalin say about the old conundrums of nature vs. nurture, free will vs. responsibility? Is ADD a disability that entitles us to special treatment? If our best is not good enough, can we find motivation and success in a pill? Is there still a place for childhood in the performance-driven America of the late nineties?
From the Hardcover edition. .
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