Comprehensive treatment of children and adolescents with attention deficit disorders: the state of the art

Parent reports of sleep disturbances in stimulant-medicated children with attention-deficit hyperactivity disorder

“…In treating children with ADHD, obtaining baseline parental observations, as well as observations during initial drug trials and holidays, may enable the therapist to determine whether the sleep disturbances are associated with the behavioral disorder or are a side effect of the pharmacotherapy or a rebound from it (Dulcan, 1986). There is a strong possibility that, at least in some children, sleep disturbances and daytime ADHD symptomatology may reciprocally interact (Ball & Koloian, 1995;Dahl Puig-Antich, 1990).…”

Constructivist interpretation of attention-deficit hyperactivity disorder

“…However, it is enlightening to consider the effects that pharmacological interventions can have on the explanatory constructs used by teachers, parents, and children to explain the effects of this type of intervention. Borden and Brown (1989), along with Dulcan (1986), have indicated that medicationbased interventions serve to validate constructs that promulgate the conception of ADHD as physiologically based and outside the behavioral control of either the child or the adults involved in the situation.…”

Developments in Clinical and Experimental Neuropsychology

“…Hutt & Hutt, 1964) may be unnecessary; but where hyperkinesis is absent, the symptoms indicative of attentional defect may present themselves in an altogether more subtle manner. The comment by Dulcan (1986) that psychological testing is superfluous in diagnosing attentional deficit disorder is a curious one given the essentially cognitive -and covert -nature of the processes involved. Arguably, in formulating the diagnosis, a sensible precaution would be to confront the child with a task that makes specific demands on the ability to sustain attention as there is no guarantee of impairment being revealed in more informal situations such as the playroom or consulting room interview.…”