Attention-Deficit/Hyperactivity Disorder, networks and introjection

Abstract

Group analysts have not much turned their attention to Attention-Deficit/Hyperactivity Disorder. There is only one paragraph on it in this journal—and in fact it was in the newsletter accompanying it (Leal, 2013)—alongside a few incidental references. In part, this may reflect a general distrust of diagnostic labels, particularly those relating to disturbed development, defined medically. It may also reflect the recent lack of attention towards group-analytic formulations of specific psychopathological constructs. Instead, group-analytic writers have recently been particularly interested in the social unconscious and a more detailed analysis of issues of power and positionality. While this is necessary, and no analysis of people social to their core is competent without it, there is also space for a detailed consideration of psychopathology. To advance this, I attempt a group-analytic understanding of the concept of ADHD. I do this because I shall argue it is a clear example of the balance between projection and introjection, and that an adequate analysis of disturbance in a network must account for both sets of processes. I shall also do it to illustrate that such a group-analytic formulation should be possible, and to encourage further group-analytic formulations of other specific psychopathological constructs. Initially, I shall describe the development and utility of the concept, tying it to neurobiological findings, particularly those related to the Default Mode Network. Next, I shall suggest a group-analytic formulation. I shall then go on to describe the clinical implications of taking this approach, and shall describe how ADHD is too important to keep out of the analytic field, and suggest that group analysis has much to offer in the emerging discourse on social interactional neuroscience.