tolman wrote:kyrani99 wrote:At the time I answered that post I ONLY HAD the words of Dr Frances I did not have the paper.
Well, when all
I had was what
you wrote,
my general understanding of reality led me to believe what turned out actually to be the case.
Which is why I say you didn't seem to understand what you were talking about.
How do you figure that. I answered "
They is who ever did the survey I guess". I didn't say who did the survey because at the time I didn't know.
kyrani99 wrote:HOWEVER I don't understand how you are quabbling about who they are when the only people that can prescdribe medication are the fucking psychiatrists.
tolman wrote:Yet the obvious question would seem to be
how diagnoses were made.
Clearly, when the relevant issue behind misdiagnosis appears to be how mature a child is relative to their classmates, information about that relative maturity would logically have to have some way of significantly influencing a diagnosis.
Did psychiatrists or their medical proxies actually sit in on each class over a period of time and rank children according to their relative maturity?
Did they interview children individually while assessing their apparent maturity relative not to expectations based on their age, but to expectations based on their school year?
Did they take assessments from teachers or other school staff as to the most inattentive or disruptive pupils as a factor in their diagnoses, and if so, how much?
Are there reasons other than simple age as to why a younger child in a class might
become more disruptive or inattentive than they would have been at the same age if they were one of the older children in a class - could being 'behind' classmates purely in the sense of having lower competence actually result in meaningfully worsened behaviour and attention?
As can be seen in the paper none of these question were answered. And how surprising the lead author is only a master of arts!
But it is revealing what others had to say.
Firstly there is:
http://www.medscape.com/viewarticle/759900#vp_2"From a scientific standpoint, this a reasonable study," Mark L. Wolraich, MD, CMRI/Shaun Walters professor of pediatrics and chief of the Section of Developmental and Behavioral Pediatrics at the University of Oklahoma Health Sciences Center in Oklahoma City, told Medscape Medical News.
Dr. Mark Wolraich goes on to say:
"I'm not surprised by the results because behaviors found in children are going to come from a combination of their environment and their biologic makeup. So the school environment has an impact," said Dr. Wolraich. "However, I disagree with the extent that age is emphasized in a child's diagnosis."
In some article on my travels I found this guy seems to be saying under-diagnosis not over-diagnosis and when we consider that he is consultant to Shire, Lilly, Shinogi, and Nextwave then it seems there is conflict of interests!
It seems it doesn't matter what is published in one paper when you are a drug company you can simply get someone with more credentials to slam the results.
But then there is this:http://www.cmaj.ca/content/184/7/755.fi ... _el_714996second item from the bottom of the page is this:
Influence of relative age on diagnosis and treatment of attention-deficit/hyperactivity disorder in children
Lionel D Traverse, paediatrician Clinical Associate Professor UBC
says:
"Thank you! Thank you! Thank you! Finally a proper study that shows that this pseudo disorder has nothing to do with the child but everything to do with the environment in which the child has to live.
I have practiced paediatrics in BC for more than 25 years and fought this ADHD nonsense for as long."
And further down he writes:
"A child who is too young to be put in a cohort of other children and learn material he/she can't, will misbehave. Similarly, the familial environment is more than too often "in-adapted" to the child's needs and the child, of course misbehaves. I have seen so many children put on one of these poisonous drugs because they lived in an environment no adult could survive intact!
A child who misbehaves always has a good reason to do so. Sometimes it is a trivial reason that is easy to remedy, a reason the child perceived as traumatic but is not an abnormal situation; other times it is a genuine and really traumatic problem that must be addressed. Medicating these children and telling them they have a "brain disorder", is wrong in both cases. Neuro-stimulant medication should be the exception instead of the rule."
He restores one's faith that there are some good, i.e., humane doctors, doctors who are
not greed driven.
kyrani99 wrote:How is it that you can quabble about some insignificant detail and not feel
outrage ?
tolman wrote:Personally, I'd put understanding
why something went wrong ahead of being outraged about it, as it seems to provide a path to fixing things as opposed to just whining about them.
Evidently, you put outrage ahead of comprehension.
But maybe you're just playing to your strengths.
Outrage comes first and it is the impetus to make one investigate and look at the issue more closely.. then comes comprehension. Children are being medicated for bad parenting or bad teacher ability to teach and for just being children.
The drugs that are given are chemical sledgehammers and they are given to toddlers. This is criminal and after comprehension even more outrage.. if you have some humanity.
I understand alright. The question is do you understand?
For a patient to heal the shaman uses any device, which will alter the patient's belief about reality.