by erosoplier » Mon Oct 16, 2006 12:02 pm
This is a difficult topic to say anything about without stepping on somebody's toes, so I'll start by apologising for the inevitable. Sorry if anybody finds anything I say offensive.<br><br>About medicating kids for ADD? I'm sorry but on the whole, I don't buy it. My sister had a kid a few years ago. She took him to a day-care centre at 12 months with hopes of starting to work again once he became adjusted to it. After 2 days, alarmed at the result she took home each day, she came to the conclusion that she couldn't let other people take care of her kid, not when this involved lumping him together with 5 or 6 other kids for hours on end, week in week out. When I look at my sister interacting with her child, I know in my bones that he'll never score an ADD diagnosis. When I hear the way she reprimands him, or bosses him (don't do that/please do this etc) I nearly always half expect a tantrum to result, and while the mini tantrums do come regularly throughout a day (he's a 2 year old after all), they come rarely given the amount of monitoring and guiding of behaviour that's going on. He may turn out neurotic as all hell, but ADD he wont be!<br><br>In short, I'd say that "ADD" cases are least 70% enviromentally/behaviourally determined. And I wouldn't call the other 30 or less percent "genetic," for fear of causing a misunderstanding - I'd call them "organic," like they did in the old days before the invention of genes.<br><br>Other kids can't teach kids how to behave properly, yet this is pretty much what we expect to happen when we lump kids together in child care centres. And I'm not saying "down with child-care centres," I'm saying "up with caring, committed and concerned parenting." The more mature the person interacting with the child is, the better the learning will be. <br><br>And do you see what psychiatry does here? We base our assessment of normal and abnormal behaviour on knowing how a "healthy" child/person behaves. But what does the psychaitrist do? They take the abnormal child out of his/her environment, sit them down, point accusingly at their head, and say "There is something going wrong in there. Lets fix it with drugs!" I mean, HUH? Questions: Is ADD largely the result of carelessness (poor guidance/bad diet/day-care/TV-care/computer-game-care), and are drugs an unsuitable substitute for care?<br><br> <br><br>And depression? I think any intelligent human living in the modern world can be forgiven for being in a battle with depression. Ditto for anxiety. And in the adult world (especially in the post-911 world), having the quote marks around the word "healthy" becomes essential. We know that the world outside is in an unhealthy state, yet masochistically, and inevitably to a certain extent, we seek to change ourselves from within in order to make things right again. If we ever get together and make the world healthy in all its big and small details, <!--EZCODE ITALIC START--><em>then</em><!--EZCODE ITALIC END--> we might be somewhat justified in blaming the brain chemistry or genes of the person who is depressed/anxious for their depression/anxiety - but not until then.<br><br>But however much the cause of any problem may ultimately be found outside, and not inside a person, it's the individual involved who in most cases does most of the suffering. (That's why I'm uncomfortable at appearing to be standing on the same side of the fence as Tom Cruise, with Brooke Shields on the other. Brooke Shields is a bad example anyway - he picked an inappropriate example - her depression could be directly attributed to "organic" causes). I'm just saying, the deck is loaded - there's more easy money to be made in prescribing drugs than there is nutting out difficult problems (or changing the world). And this fact can be seen reflected in every relevant social institution.<br><br><br>Thomas Szasz appears to be the American equivalent of R D Laing (Cue Dreams End - Szasz appears to have a "long history" with Scientology). I don't know much about him, but one thing that caught my eye a while ago was that he appears to bemoan the phasing out of the old-fashioned sedative drugs, and the bringing in of new wizz-bang smart drugs "that don't simply mask the problem, but deal with the actual brain chemistry issue." My father had an "attack of the nerves" when he was younger, and he's spent the last 30 years with the same untouched bottle of valium in the cupboard, knowing that they are there if it ever happens again. I had my own "attack of the nerves" a few years ago - so out of the blue that I thought it was conjestive heart failure or something for a while there (!) - but the doctor didn't end up buying my father's tale. He was happy to send me away with a script for an "anti-anxiety/anti-depressant" (a drug somehow so "brain chemistry specific" that it could actually deal with both these conditions, or one, or the other, depending on your specific symptoms - now that's smart!), but valium was too "risky" given its addictive potential. But doesn't that say more about how doctors have unwisely administered this drug in the past than it does about the drug itself? Choose: give someone access to a powerful drug, but make sure they know that the goal is to get by without the drug; or prescribe a drug that by some measure appears to be effective, and that the patient can take regularly and indefinitely. Which drug and drug regime do you think the pharmaceautical companies like best? One path involves trusting people and making people take extra responsibility for their own health. The other involves treating people like a malfunctioning biochemical machine.<br><br>I know I haven't said anything about more serious conditions, but part of the anti-psychiatric view involves acknowledging that between "health" and "mental illness" is a continuum, and that mental illness is best understood as badly modified health, rather than as something that has its own independent existence. So exploring the middle ground can be useful. <p></p><i></i>