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

Integrated Approaches to Helping Children at Home and at School Rethinking ADHD is an essential book for all of us who are trying to make sense of.
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A range of resources have been included but the list is not exhaustive. Since materials have been selected to represent differing perspectives, inclusion of a particular item on the list should not be taken as endorsement by KidsMatter. Dr Jim Chandler is a Canadian-based psychiatrist and provides detailed information on ADHD in young and older children and its management.

Taking charge of ADHD: The complete, authoritative guide for parents Revised Ed. This book shows how to help children with ADHD develop self-control. Integrated approaches to helping children at home and at school R. Practical recommendations are also included. Response Ability is an initiatve of the Australian federal government to support teachers and early childhood educators in the areas of children's mental health and wellbeing. This is their fact sheet on ADHD. Attention deficit hyperactivity disorder: The complex presentation of ADHD lends itself particularly well to an exploration that can move beyond the linear thinking of symptom and syndrome, allowing us to look for patterns of interrelationship within a broader context.


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It is for this reason that we introduce an attempted integration of neuropsychological and psychodynamic approaches to understanding ADHD, a condition that appears to operate on the boundary between brain function the realm of neuropsychology and neurology and the child's emotional and social relationships within the family and the outside world p The implications of such thinking of course go wider than the application here to ADHD, but of course have an impact on thinking in the wider, broader spectrum of all childhood conditions seen in context.

The dynamic relationship between families and the lesser and greater facets of the units of social structure can, must, and do colour the presentation of any organic substrate, as Neurologist, Bill Blessing of Adelaide has suggested, when he asserts that we cannot dissociate the feeling of thirst from the subsequent search for water. Not only that, the overall effect of strain-inducing stress on the brain is well documented in other conditions, altering the way DNA is expressed, suppressing hypothalamic-pituitary-adrenal axis functions, and rendering the organism even more exquisitely sensitive to stresses in turn, and hence making ongoing stresses even more excitotoxic see the works of Marin Teicher, Danya Glaser, John Ratey, J Douglas Bremner, Michael De Bellis, Bruce Perry and others.

This is not war on the medical model, but a call for intervention from multidisciplinary teams. If one cannot eliminate the complex chain of events ending with the phenotype of impairment represented by ADHD, then one must intervene within society, avoiding a disposal diagnosis, recognising that medication is not cure, avoiding coalitions against the child, containing their anxiety, accepting psychodynamic principals that all, including bad, behaviour is meaningful, the need for appropriate authority and the knowledge of the importance of containing and supporting boundaries, working as partners with parents and teachers, improving child care arrangements, bridging the gap between home and school, dealing with separation and divorce, making positive changes in the school environment, supporting boys in the face of the demands of modern and future societies, an most critical, working with prevention in the wider social and political context.

This is a most important work, and with a wide audience, readable by everyone, even the damned parents. It really is crucial reading, given its evidence base, that psychiatrists, psychologists, teachers, general practitioners, magistrates, judges and politicians become aware of the problems facing those who rear and mind children in the 21 st Century, not just for ADHD, but the whole wide and varied spectrum of mental disorders.

This book is really well done.


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    • The last chapters need a great deal more detail and planning if the advocacy of such an approach is to go ahead. The post-modern view is really overdue, and the deconstruction of the terms we use is now a demand of the biopsychosocial model, and of the consumer.

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