| Introduction:
Attention Deficit Hyperactivity Disorder (ADHD)
is a “disorder of response inhibition and
executive function leading to deficits in self-regulation,
impairment in the ability to organize behavior
towards present and future goals and difficulty
adapting socially and behaviorally to the environment”
(Goldstein and Ingersoll, 1993). In order to treat
these behaviors there are several methods suggested,
and one of these that is focused on particularly
included stimulant medication.
To give the reader an idea of what ADHD might
look like, the following is considered. These
are the general characteristics displayed by ADHD
disordered people, and may vary in intensity,
depending on each case:
1. Doesn’t seem to listen
2. Fails to finish assigned tasks
3. Often loses things
4. Can’t concentrate
5. Easily distracted
6. Daydreams
7. Requires frequent redirection
8. Can be very quiet in classroom and missed (Messina,
2002)
Out of all irregular behavior patterns, the three
major behavior patterns are as follows:
1. Inattention
2. Hyperactivity
3. Impulsivity (Barkley 1990)
Treatment: In addition to several other forms
of treatment, the one that is relevant to treating
ADHD in this paper is ‘medical stimulation’.
This is an important treatment to discuss because
of the fact that it is has been debated over at
considerable length. However, it has now been
proved that stimulant medication can overcome
majority of the symptoms mentioned above. Even
so, there are still questions raised regarding
side-effects and ineffectiveness. Some of these
include:
Cons:
Stimulant medications, like methylphenidate, for
a long time have been known as an effective measure
for children and adolescents suffering with ADHD.
However, it is said that around 20-30% of children
diagnosed with this disorder do not respond to
stimulant medication. It must be asserted that
this is in view of the number of individuals being
administered this medication, noting particularly
that up to 80% of ADHD sufferers use stimulant
medication (Spencer et al., 1996).
Amid the range of stimulant medications available,
it must be asserted that there is no way of telling
which stimulant is the best and will actually
benefit an individual. If one is to ascertain
which stimulant is most effective, s/he would
have to experiment with several of them.
In addition to no clear path being drawn up for
which stimulant would suit a particular individual;
there is also proper clinical data to aid in predicting
what stimulant would act appropriately on a particular
child. There is also no way of telling whether
a child will respond to a given stimulant or what
the response could be like In other words, it
is yet early to tell whether stimulants will eventually
be more easily administered or not.
Opposing the above statements that are not in
favor of stimulant medication being administered
to children, are the following:
Pros:
In accordance with the American Academy of Pediatrics,
it is said that “at least 80% of children
will respond to one of the stimulants” (ADHD
Medications, 2004). This means that this is a
considerable gain over the 20-30 % of individuals
that do not respond to stimulant medication. It
also means that there is room for more research
to be conducted in order to encompass the 20-30%
of children that do not respond.
In contrast to views that assert the unpredictability
of stimulant medication, it can be said that with
the progress demonstrated in as many as 805 of
ADHD children, it is encouraging to think that
there is more to be discovered. Insofar, one cannot
deny that an 80% success is successful. This would
obviously mean that one has to go ahead with what
armory is available. With the passage of time,
administering stimulant medication would be better
understood, and this can be reinforced by the
fact that one has witnessed considerable progress
as compared to the past (Jensen et al, 2001, 60-73).
Also regarding predictability, it is quite logical
to think that it is only with mapping out progress
with particular stimulant medications that one
can ascertain the possible reaction of a child
and whether or not a particular case would respond.
In order for this to become possible more research
into the behavior, the disorder and the treatment
for it needs to be conducted. In view of this,
one can hardly prohibit administering stimulants
that are showing significant success with majority
of individuals.
Conclusion: In view of the above arguments, it
must be asserted that stimulant medication should
be administered to children, as there has been
significant progress. In addition to this, it
must also be asserted that since a large majority
have benefited from stimulant medication, there
is scope for further investigation that could
encompass the 20-30% of children that do not respond
to stimulant medication.
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