[Fred A. Baughman Jr., MD: Fred Baughman's comments on Jon Rappaports comments on the total, 100% fraud of ADHD...thanks Jon.] Monday, February 03, 2003 ADHD AND RITALIN: SCIENCE ON THE RUN FEBRUARY 3. To get an idea of the level of thinking involved in inventing ADHD, you have to go to the book. It's the DSM-IV, the official bible of psychiatric disorders and diseases, published by the American Psychiatric Association. There is no higher authority for the profession than this book, which is written by a consensus process. Yes, science by committee. Let's look at a few criteria by which a diagnosis of ADHD can be made. "Individuals with this disorder ADHD may fail to give close attention to details or may make careless mistakes in schoolwork or other tasks (Criterion A1a)." "Work is often messy and performed carelessly and without considered thought.(Criterion A1b)." "They students often appear as if their mind sic is elsewhere or as if they are not listening or did not hear what has just been said (Criterion A1c)." Now, you may be thinking, "These are just clues to orient the shrink in his assessment. What he REALLY does is run a diagnostic test." So, again, let's go to the DSM-IV: "There are no laboratory tests that have been established as diagnostic in the clinical assessment of Attention-Deficit Hyperactivity Disorder [ADHD]." Comes, then, in the same DSM-IV, a sub-category of ADHD called Conduct Disorder, the invention of which communicates a degree of utter fabrication that is stunning: [Fred A. Baughman Jr., MD:
"The essential feature of Conduct Disorder is a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. These behaviors fall into four main groupings: aggressive conduct that causes or threatens physical harm to other people or animals (Criteria A1-A7), non-aggressive conduct that causes property loss or damage." Again, no test, no biological or chemical cause---but instead the bald assertion that what we would take to be the commission of a crime or bad behavior is actually a "disorder" or "disease." Which of course requires TREATMENT. If you're getting strange glimmerings of 1984 here, you should. Speaking of treatment, let's go to another venerable bible, the Physician's Desk Reference (my copy of the PDR is the 1999 edition), which lists every medical drug under the sun and details its uses and effects and so on. Under Ritalin, the drug of choice for ADHD, we find this: "Specific etiology [cause] of this syndrome [ADHD] is unknown, and there is no single diagnostic test." [Fred A. Baughman Jr., MD:
But on the basis of a bunch of behaviors, such as the ones I've listed above, Ritalin is nevertheless recommended. Further on in the PDR: "Sufficient data on safety and efficacy of long-term use of Ritalin in children are not yet available." That is a staggering remark. Particularly on the safety side. STAGGERING. [Fred A. Baughman Jr., MD:
Finally, let's consult a third medical bible, Goodman and Gilman's The Pharmacological Basis of Therapeutics: "[Ritalin is] structurally related to amphetamines.Its pharmacological properties are essentially the same as the amphetamines." I think that about does it. In their own words. [Fred A. Baughman Jr., MD:
JON RAPPOPORT www.stratiawire.com |
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