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ATTENTION DEFICIT HYPERACTIVITY DISORDER.
  Term Paper ID:19646
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Definition, causes & symptoms, research, victim's methods of coping with educational system, treatment.... More...
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Paper Abstract:
Definition, causes & symptoms, research, victim's methods of coping with educational system, treatment.

Paper Introduction:
Introduction The purpose of this paper is to examine the current literature on Attention Deficit Hyperactivity Disorder (ADHD) toward the objective of answering the question: How do children suffering from ADHD cope and deal with our educational system? To this end, the paper defines the disorder and then examines research on contributors to the disorder (e.g. heredity, family, biological). Also examined is literature related to educational goals for ADHD children, and the research related to teacher and peer interaction with these children. Treatment and coping strategy research is also reviewed. The review ends with the personal observations of this researcher in his work with ADHD children. Conclusions are then formulated on the basis of both these

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Journal of Learning Disabilities, 24(2), 11 -12 .Leicht, D.J. Adolescent temperament: Childhood problem precursors and problem behavior correlates. Commonly, he states that most schools utilize a multimodal treatmentstrategy involving educational, counseling, medical and parent trainingcomponents. In a similar study, Hinshaw (1984) assessed the effects of severalinterventions on the social behaviors of a sample of 24 hyperactivechildren. & Koch, J. 8 5.3 1.57 3.98 . . Conclusions The review of research presented in this paper and the findings of myown preliminary observations of ADHD students can be used to justify thefollowing conclusions about children with this disorder: (1) ADHD children tend to come from stressful, non-supportive andaversive family backgrounds and home environments. King and Young (1981) stated that because of the demandingnature of interaction with hyperactive students, teachers have to be extracareful not to develop a negative opinion of the child. (1982). Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria. The rutter scale for completion by teachers: Factor structure and relationships with cognitive abilities and family adversity for a sample of New Zealand children. heredity,family, biological). Definition of the Disorder In DSM III (198 ), the American Psychiatric Association, definesAttention Deficit Disorder as characterized by the essential features ofdevelopmentally inappropriate inattention and impulsivity which can butdoes not have to include hyperactivity. Medication effects in the classroom: Three naturalistic indicators. (6) Behavior modification and/or educational intervention can oftenobviate the need for drugs or considerably reduce disruptive behavior.Existing research frequently fails to consider the effects of drugs withinthe context of reinforcement and other environmental manipulations; thisdespite the fact that there is no established evidence that drugs are inany way superior to behavior modification techniques. (1985). San Francisco: Freeman.Sigelman, C.K. The study showed that hyperactive boys did not receive the samedegree of affection and protectiveness shown toward hyperactive girls. Brophy and Rohrkemper (1988) examined the teacher-child interactionof 98 elementary school teachers and their typical ways of dealing withchildren who present them with behavior problems, including hyperactivechildren. Social perspective-taking and teacher ratings of peer interaction in hyperactive boys. Both teachers and peers were found tohave higher expectancies for the medicated children than for thenonmedicated children. It was alsoobserved that the teachers and the parents of these boys felt intimidatedand desired to control or contain the boys with discipline or drugs ratherthan work with them to any extent. Exceptional Children, 57(1), 64-69.Gelfand, D.M., Jenson, W.R. (p.64) An interesting comparison study of treatments for ADHD was conductedby Miltenberger (1989). Child and Family Behavior Therapy, 11(1), 35-44.Morriss, R. (1987). (5) There are inadequacies in the research comparing the effects ofmedication to the effects of placebos. Academic Therapy, 19(3), 373-377.Hayim-Sagon, N. In an extensive review of theliterature on medication as a treatment for ADHD, Kauffman (1982) reportedthe following findings: (1) Most studies of the effects of medication for ADHD children arerelatively short-term examinations; therefore, very little is known aboutthe long-term effects or side-effects (e.g. The most frequently utilized of thesebehavioral strategies are said to include: (1) positive reinforcement for attending, for remaining seated, andfor completing assignments. In an effort to assess peer perception ofmedication treatment, Sigelman and Shorokey (1986) provided a sample of 98elementary school students (Grades K-1 through K-5) with descriptions of ahyperactive boy under one of two solution conditions (medication vs.effort) and one of two outcome conditions (success or failure). Treatment and coping strategy research is also reviewed.The review ends with the personal observations of this researcher in hiswork with ADHD children. Journal of Abnormal Child Psychology, 14(3), 397-41 .Texas State Department of Mental Health. Table 1 Means, Standard Deviations, F and p Values Observed For Teacher and Parent Ratings of ADHD Children's Levels of Self-esteem at two levels of Grade----------------------------------------------------------------RATINGS Second Grade Sixth Grade---------------------------------------------------------------- M SD M SD F p----------------------------------------------------------------Parents 6.8 1.48 5.8 1. Problems Associated with ADHD Children with ADHD experience a variety of problems in socialsettings such as school. Academic cognitive training and stimulants in hyperactivity: A pilot study. Some teachers are moresuccessful than others in working with ADHD children. 187. 5 level. ReferencesAbikoff, H. Journal of Abnormal Child Psychology, 9(4), 465-482.Kirchner, G.L. Hyperactive and normal girls and boys: Mother-child interaction, parent, psychiatric status and child psychopathology. Journal of Consulting and Clinical Psychology, 57(4), 545-549.Windle, M. They found thatchildhood hyperactivity correlated with adolescent general activity level.Whether there was negative peer interaction and rejection was found todepend on adolescent's general mood quality and degree of flexibility.However, in general, Windle found that the difficult temperament associatedwith childhood ADHD and peer rejection tended to continue on throughadolescence. Not all of the developed programs using behavior modificationprinciples are strictly stimulus-response programs. Journal of Consulting and Clinical Psychology, 52(5), 739-749.Kauffman, J.M. Peer perceptions of the behavior of hyperactive children. Children with attention disorders in school: A descriptive guide for parents and teachers. Indeed, it hasbeen suggested that the degree of academic and social problems faced byboth ADHD children and adolescents is proportional to their degree ofattention span (Knopf, 1984). Teachers had been classified by their principles as eitheroutstanding or average in dealing with problem students. (7) There is a need for more research into early childhood medicationand adolescent drug abuse. (1981). (8) Drug treatment may offer the "easy" solution to behavior problemsthereby overlooking the contribution made to the disorder by the child'shome or school environment. (p.155) Kauffman goes on to state that hyperactivity is viewed unfavorablynot only because of their immediate annoyances caused by these children butalso because of long-term negative consequences associated with thedisorder. Personal Observations My position at Meadow Park Elementary School in Irvine, California isthat of working with ADHD students. . As a result, they begin to lose motivation and theirperformance deteriorates. Several authors (e.g. (3) The goals of the educational system in their work with ADHDchildren are to identify the children and to provide them with remediativeservices and programs. (9) The most successful treatments for ADHD include chemotherapy andbehavior therapy; however, there is good deal of controversy surroundingthe use of chemotherapy. Does stimulant medication improve the peer status of hyperactive children? With hyperactivity, children behave in aggressive,anti-social, controlling and often domineering ways, characteristics whichlead to strong peer rejection. ADHD Children and Coping Strategies This review of the literature on ADHD clear shows that the conditionbecomes most noticeable and troublesome when children enter elementaryschool and there display the impulsivity and poor attention spancharacteristic of the disorder. Thesefoods and additives, in descending order of frequency, are: sugar, colorand flavor additives, milk, corn, chocolate, egg, wheat potato, soy,citrus, and pork. Interestingly, neither aggressive norhyperactive behaviors were significantly correlated with peer popularityand rejection. On the other hand, children with Attention Deficit Disorder but notwith hyperactivity experience less peer rejection but tend to be moresocially withdrawn due to feelings of depression and/or anxiety. (1988). The PPVT-R: Is it perceptually biased? Research series No. There is reason to believe that teacher and student expectancies forthe medicated child are reasonable based on the findings of a studyconducted by Whalen (1981). Accordingto this author, hyperactive children have evidenced improvement in bothacademic and social areas by avoiding certain foods and additives. (2) response cost procedures (loss of reinforcement for inappropriatebehaviors such as noncompliance, refusal to sit down, and failure to attendschool) (3) cognitive strategies emphasizing self-control and self-reinforcement. & Carlson, C.L. 8 . Journal of Abnormal Child Psychology, 16(6), 627- 639.Waddell, K.J. To this end, the paper defines the disorderand then examines research on contributors to the disorder (e.g. Most of these programs use behavior modificationprinciples; and of them, Kauffman (1982) has stated: It would be dishonest to tout behavior modification as a "cure all" or "foolproof" method of controlling hyperactivity. For example, Abikoff (1983) discusses acognitive academic training program designed for hyperactive children.Program components include self-monitoring and self-reinforcement ofproblem-solving behaviors, the exclusive use of academic tasks andmaterials, as well as correspondence training. Childhood psychopathology: A developmental approach (2nd ed.) Englewood Cliffs, NJ: Prentice-Hall.Lahey, B.B. Helping the hyperactive child. In their discussion of the hyperactive child, Murphy and Della Corte(1987) note that their interaction with teachers often includes moodiness,extreme impulsivity, domineering qualities, lack of judgement and constantmovement. NY: Holt, Rinehart and Winston.Hardman, P.K. Some authors have suggested that ADHD children experience so manyproblems and failures as a result of their disorder that they are at riskfor what Seligman (1975) has termed "learned helplessness". These consequences include juvenile delinquency, anti-socialconduct disorder, criminality and incarceration. Many use cognitive andsocial learning principles. & Drew, C.J. Differential characteristics for hyperactive children high and low on aggression. (1979). Paper presented at the Annual Meeting of the American Psychological Association (Los Angeles, CA, August 24-28).Miltenberger, R.G. Origins The most well established findings in the literature on the originsof ADHD include a history of ADHD in the background of family members(Reid, 1987), family adversity such as marital conflict and parentalsubstance abuse (Barkley, 199 ), poor quality mother-child interaction(Befera & Barkley, 1985), genetic problems and neurological immaturity(Prinz, 1981). Paper presented at the Annual Meeting of the Midwest Psychological Association (Chicago, IL, May 3-5).Margalit, M. effects on linear growth orweight gain) of the drugs. (8) There are a variety of coping strategies ADHD children can use tohandle their condition and its interpersonal/social consequences. However, research has demonstrated that hyperactive children's' noisy, destructive, disruptive, and inattentive behavior can be changed for the better by controlling the contingencies of reinforcement. 3 3. Journal of Consulting and Clinical Psychology, 58(6), 775- 789.Befera, M.C. Journal of Abnormal Child Psychology, 15(3), 457-466.Ross, D.M. 615----------------------------------------------------------------------------------------------------------------------------- As can be seen from inspection of the table, findings were notsignificant at the . Goals of the Educational System to Help ADHD Children The educational system has multiple objectives with respect to ADHDstudents. & Rohrkemper, M. Prediction of childhood behavior problems over a four year period. Had I been able to use larger samples,findings may have turned out as expected. Also, Leicht (1984) report that many timesADHD children and adolescents will have lower IQs not because of thedisorder but rather because of the fact that the child suffers formadditional disorders such as fetal alcohol syndrome. It is likely thatthe most successful teachers are those who become personally involved withstudents and who have strong confidence in their ability to improve thesituation. Many hyperactive children are given medication (Ritalin) to quelltheir disruptive behavior. Unpublished doctoral dissertation. (2nd ed.) Columbus, OH: Charles E. (1983). The author used a differential reinforcementof incompatible behavior strategy to reshape the out-of-seat and highlydisruptive behavior of a four-year old hyperactive boy, reporting that: The boy's in-seat behavior expanded from less than a minute to 2 minutes. As a result of the medicationand treatment and special concern that follows this labeling, the childrencan develop a sort of patient mentality and go through life feeling morelike a patient than a regular person. Effects of treatments and their outcomes on peer perceptions of a hyperactive child. (1982). The authorscited a comparison study of hyperactive girls and boys in preschool andschool. Knopf (1984) has pointed out that sometimes ADHD children can likeother special children, suffer from stigmatization in that teachers andrelevant others label them as "hyperactive". NY: Wiley.Brancaleone, L. The first of these is to identify the ADHD child which isusually done through teacher referral to the counseling offices which, inturn, conducts testing and related procedures (Hill, 1983). Also of interest was whether children's perceptionswere associated with peer-rated popularity and rejection. The providers' use of physical restraint decreased to near-zero levels, and the boy's appropriate toy play increased. & Smith, D.D. The study collected both parents and grandparents'ratings of the success rates of a wide variety of treatments. Hardman and Smith (1984) have pointed out that sometimes ADHDchildren's IQ is underestimated when testing procedures include severalperceptually loaded plates. The educational system has also developed a number of programsspecifically designed to facilitate the academic and social adjustment ofADHD children. & Della Corte, S. Paper presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry (New York, NY, October 11-15). The author found that treatment was maximally affective whencognitive behavioral self-evaluation of behavior was combined withmedication. Merrill.King, C.A. Characteristics of children's behavior disorders. Moreover, because of themany academic and social problems associated with the disorder, in adultlife many of these children are considered to be "burdens" on societybecause they have to periodically be institutionalized for depression andsuicidal feelings. She reports that interaction can vary widely from outrightaggression to general disruptiveness to shyness and withdrawal. (1982). ADHD Children and Teacher Interaction Blanton (1983) has discussed teacher-child interaction with studentswho have ADHD. Treatment for ADHD Children Although controversial, one of the most frequently used treatmentapproaches to ADHD is chemotherapy with usually consists of giving childreneither stimulants or tranquilizers. Whalen assessed two groups of ADHD youngsters,a group given methylphenidate and a group given a placebo. ADHD Children and Peer Interaction Lahey and Carlson (1991) have suggested that ADHD children's peerinteraction will differ depending upon whether their condition is with orwithout hyperactivity. Attention deficit hyperactivity disorder: A step toward individualized treatment planning. Emory University.Knopf, I.J. Conclusions are then formulated on the basis ofboth these observations and the existing literature. A coping strategy discussed by Kauffman (1982) relates to languageregulation. In a pilot study, Abikoff (1983) stated that the program improvedstudents' Wide Range Achievement Test scores as well as their StanfordAchievement Tests scores sufficiently high enough to recommendimplementation of the program on a national level. Clarke-Stewart, Freedman and Koch (1985) state that there is adefinite cultural prejudice and fear of hyperactive boys. Helplessness: On depression development and death. (1983). Paper presented at the Annual Convention of the Association for Children and Adults with Learning Disabilities (Washington, DC, February 16-19).Clarke-Stewart, A., Friedman, S. Introduction The purpose of this paper is to examine the current literature onAttention Deficit Hyperactivity Disorder (ADHD) toward the objective ofanswering the question: How do children suffering from ADHD cope and dealwith our educational system? An example of behavioral intervention is provided in a studyconducted by Friman (199 ). However,there are indications that problems associated with ADHD are increased notby divorce or living in single-parent families, but rather by living inintact nuclear homes that are stressful, non-supportive and characterizedby acerbic marital conflict and strife. ----------------------- 25 Nonaversive treatment of high-rate disruption: Child and provider effects. Observed values of F andp, along with means and standard deviations observed for each grade levelare presented in Table 1. Paper presented at the Annual Meeting of the American Psychological Association (Los Angeles, CA, August 24-28).Whalen, C.K. Differences in vigilance performance of highly active and normal second-grade males under four experimental conditions. Journal of Learning Disabilities, 22(9), 581-587.Friman, P.C. These strategies are: simple directions; modification of the taskstructure; structuring the child's space; communicating closely withparents; placing the child in a highly structured classroom; personalizinggoals; establishing a secret signal to remind the child to return to thetask; implementing individual coaching; and having the child eat a highprotein breakfast. In this regard, Knopf (1984) has stated that ADHDchildren: . Unpublished doctoral dissertation. In time, depression develops which, if leftunchecked, can lead to suicide. & Barkley, R.A. Emory University.Hill, B.M. Further, in a report issued by the Texas State Department of MentalHealth (1982), it was reported that ADHD children suffer from a number oflearning failures and difficulties and that their underachievement inschool debilitates their sometimes already dangerously low self-esteem. According to Gelfand, Jenson and Drew (1982), both traditionalpsychotherapy and educative treatment is relatively ineffective for ADHDchildren. Also, she states that low self-esteem makes it difficult forADHD children and adolescents to experience strong levels of lifesatisfaction. Instead, the boys acts of disobedience tended to be severely punishedand their intelligence levels were frequently under-estimated. At least three of the following: (1) often acts before thinking (2) shifts excessively from one activity to another (3) has difficulty organizing work (this not being due to cognitive impairment) (4) needs a lot of supervision (5) frequently calls out in class (6) has difficulty awaiting turn in games or group situations C: Hyperactivity: At least two of the following: (1) runs about or climbs on things excessively (2) has difficulty sitting still or fidgets excessively (3) has difficulty staying seated (4) moves about excessively during sleep (5) is always "on the go" or acts as if "driven by a motor"Proper diagnosis of the disorder places its onset before the age of sevenwith a duration of at least six months and provides evidence that thecondition is not the result of childhood schizophrenia, affective disorderor severe or profound mental retardation. As he puts it: Hyperactive children affront and disappoint adults by their seemingly ceaseless and irritating movement. This finding was in direct contrast to the majority ofresearch which indicates strong rejection of ADHD children by peers. (6) Teacher-child interaction with ADHD students is characterized bymoodiness, impulsivity, domineering qualities such as non-compliance andaggression, as well as general disruptive behavior. Paulauskas and Campbell (1979) assessed teacher perceptions of peerinteraction for a sample of ADHD children. (5) ADHD children can experience a variety of interpersonal andpsychosocial problems as a result of their condition. & Pacini, J.N. Margalit,1985; Texas State Department of Mental Health, 1982; Ross & Ross, 1976).Indeed, because this finding has been observed in previous research, itstrengthens this study's contention that the methodological problem ofsmall sample size resulted in failure to find significance. (1984). Journal of Child Psychology and Psychiatry and Allied Disciplines, 266(5), 727-739.Milich, R. & Shorokey, J.J. Hyperactivity as a personality disorder. (4) There is only very limited accuracy for predicting how particulartypes of children will respond to specific medications. (19766). Margalit (1985) has noted that one result of the ongoing difficultiesin interpersonal and social interaction experienced by ADHD children is lowself-esteem. Typically, hyperactive children do not get along well with their peers either. (1982). As aconsequence, they experience high levels of peer rejection. Windle (1989) examined whether the peer rejection ADHD childrenexperience in childhood continues on through adolescence. (1986). & Campbell, S.B.G. Perceived family functioning, marital status, and depression in parents of boys with attention deficit disorder. Journal of Abnormal Child Psychology, 9(4), 419-433.Whalen, C.K. In order to see whether ratings significantlydiffered from second to sixth grade, two one-way analyses of variance wereconducted, one for parents and one for teachers. Effective child guidance: An educator's guidebook. Among the uncontrolled factors insuch studies are the expectations set for the child receiving the drug andthe environment in which the child lives during drug treatment. (2) The short-term effects of drugs (e.g. (1988). ERIC DOCUMENT ED 258 7 2.Hinshaw, S.P. ERIC DOCUMENT ED 28 218.van der Meere, J. Specifically, he reportsthat rewards can be used as inducements to get the child to form the habitof getting himself to stop and think before giving a response. The authors found that error differences were not associated withhyperactivity but only with differences in children's IQ level. & Sergeant, J. Hyperactivity: Research, theory, action. (3) There has been almost no research on the effects of drugs onthinking and conceptual abilities. In an effort to test the validity of this observation (ina preliminary way), a random sample of second grade students (N=1 ) andsixth grade students (N=1 ) was selected by placing students names on twonumbered rosters and using a random numbers table to select 1 studentsfrom each list. (199 ). (1982). Waddell (1981) suggests that problems associated with ADHD inchildren often lead to adolescent personality disorder. Subjects in Milich's (1991) study were 154 preschool boys and girls,who were interviewed through the use of a peer-nominating procedure.Behavioral data was also collected from teachers. Special Parent/Special Child, 3(5), 323-326.Paulauskas, S.L. In another study of peer perceptions of hyperactive students andmedication, Amirkhan (1982) assessed 8 students and 15 teachers regardingtheir expectancies for the academic performance of medicated andnonmedicated hyperactive children. Paper presented at the Annual Meeting of the American Psychological Association (Los Angeles, CA, August 24- 28).Reid, J.B. Peer popularity and peer communication patterns: Hyperactive versus active but normal boys. Societal Views and Contributions For ADHD Children According to Kauffman (1982), society in general does not lookfavorably upon hyperactive children, mostly because people find thesechildren's behavior so annoying and frustrating. (1981). These qualities, in turn, lead to pooracademic performance and social functioning. (1975). loss of appetite, insomnia)have been inadequately researched. (p.26 ) Gelfand et al (1982) do, however, note that there have been goodsuccess rates for behavior therapy consisting of techniques specificallydesigned for teachers and parents. Child development: A topical approach. fetal alcohol syndrome), they can cause lowered IQ in ADHDchildren. (1984). The authors found thatteachers' ratings of peer interaction discriminated between hyperactivechildren and their age-matched controls. .stand out in a crowd because their activity level and their disruptive behaviors demand attention and usually elicit negative responses from others. If other conditions arepresent (e.g. (1989). (Knopf, 1984, p.28 ). (1989). (1991). NY: Wiley.Seligman, M.E.P. For the ADHD child withhyperactivity, diagnostic criteria include: A: Inattention. Theseincluded: differential reinforcement of other behaviors (DRO); time-out,response cost, spanking, and medication. (1987). .and they require constant supervision because they never seem to respond favorably to corrective measures. An interesting study of peer perception and ADHD children wasconducted by Milich (1991) who was interested in whether preschool childrencould successfully differ between aggressive and hyperactive behaviors intheir male classmates. (1985). (1983). However, if the values of p are closelyexamined, one can see that they may indicate a trend toward lowered self-esteem from Grade 2 to Grade 6. ERIC DOCUMENT ED 295 759.Brown, R.T. The authors found that the higher-rated teachers, when compared tothe average-rated teachers, expressed more willingness to become personallyinvolved in working with problem students. The classroom strategy study: Summary report of general findings. (4) Most educational strategies used with ADHD children applybehavioral and cognitive-behavioral principles. Journal of Child Psychology and Psychiatry and Allied Disciplines, 266(3), 439-452.Blanton, G.H. Also, there was a significantinteraction effect which indicated that teachers rated the olderhyperactive children as more deviant with peers than they did their youngerhyperactive counterparts. ADHD does not appear to be contributive to a decrease in IQ but IQlevel does appear to be a contributor to problems associated with ADHD.For example, van der Meere and Sergeant (1988) compared a sample ofhyperactive children with age-matched controls on a focused attention task. (1985). Understanding child behavior disorders. Expectancies and attributions for hyperactive and medicated hyperactive students. (199 ). Theseinclude diet, and use of self-monitoring strategies. The lowest success rates were observed for placebo plusreinforcement. Focused attention in pervasively hyperactive children. Of these, Morriss reports that 13 strategies are associated with goodsuccess. Regarding educational strategies, the authors report: Educational approaches which have stressed quiet and non- distracting classrooms and cubicles have not significantly increased the attention or the academic achievement of hyperactive children. Validity of the diagnostic category of attention deficit disorder without hyperactivity: A review of the literature. Cognitive-behavioral and pharmacological interventions for hyperactive boys: Comparative and combined effects. Kirchner, 1975; Hayim-Sagon, 1982) havesuggested that one of the best means of providing the youngster with copingmechanisms for the problems (academic and social) attendant to ADHD isintensive training aimed at increasing the attention span. (p.1) Waddell states that at puberty, the symptoms of ADHD shift fromgeneral disruptiveness, inattention and impulsivity to social and self-concept problems. (199 ). At least three of the following: (1) often fails to finish things he or she starts (2) often doesn't seem to listen (3) easily distracted (4) has difficulty concentrating on schoolwork and other tasks that require sustained attention (5) has difficulty sticking to play activity B: Impulsivity. It isrecommended that when dealing with the ADHD child, teachers attempt torestructure his or her approach so that the child may interact in ways thatare successful. An investigation of the effects of rewards and feedback on sustained attention and activity levels of first-grade children. Journal of Abnormal Child Psychology, 7(4), 483-493.Prinz, R.J. This picturehighlights both the need for and importance of effective coping strategies. As Waddell putsit: Male traits (such as high activity level, daring, impulsivity, low impulse control, aggression, anti-social behavior, difficulties in delaying gratification, over-reaction to frustration, dominance, defensiveness, and deception) in an exaggerated and maladjusted form combine with attention deficit to constitute a personality disorder. Journal of Abnormal Child Psychology, 1 (2), 265-276.Barkley, R.A. 962---------------------------------------------------------------Teachers 6.5 1. (1985). ERIC DOCUMENT EJ 424 184.Brophy, J. Lack of achievement, in turn, debilitates motivationwhich sets the stage for frequent high rates of socially inappropriatebehavior thereby creating a self-perpetuating negative interaction betweenthe hyperactive behavior and school failure. Miltenberger found better success ratesfor DRO response cost, and time-out than for spanking or medication. Once students were selected, their teachers and their mothers werecontacted and asked to rate their perceptions of children's self-esteemalong the following ten-point scale: 1 2 3 4 5 6 7 8 9 1 Extremely Extremely HighLow Self- Self-EsteemEsteem The means and standard deviations were then computed for both parentand teacher ratings. (7) ADHD children exhibit the same characteristics in theirinteraction with their peers as they do with their teachers. ERIC DOCUMENT ERIC ED 329 61.Murphy, L. One of the phenomena which struck mestrongly was that from the second to the sixth grade, these children seemedto evidence a noticeable shift (in the negative direction) in their levelsof self-esteem. Whalen found that the hyperactive boys who were taking placebos wereinvolved in more negative incidents, had poorer handwriting, and had theirnames called more frequently than were the boys taking medication. Because of the plethora of literature documenting psychoemotional andacademic difficulties of children from divorced and single-parent homes, afew studies have examined these factors in relation to ADHD. (1989). In addition, higher-ratedteachers had more confidence in their ability to elicit improvement in theproblem behaviors; also, they seemed more knowledgeable about long-termsolution strategies. Thisphenomenon, Seligman states, occurs when people feel a lack of control overtheir environment. These include lowself-esteem, peer rejection, stigmatization, development of a patientmentality, and learned helplessness orientation leading to depression.Also, there can be many learning difficulties and failures. (Brown & Pacini, 1989; Brancaleone,1988; McGee, 1985). (1988). In other words, in adolescence, the ADHD child emergesas a person with a strong sense of inadequacy facing life-long problems ofadaptation. (1989). (1984). They are management problems wherever they are. Another coping strategy suggested by Knopf (1984) is diet. & Ross, S.A. Assessing treatment acceptability with consumers of outpatient child behavior management services. (1984). Perceptions of parents' behavior, familial satisfaction, and sense of coherence in hyperactive children. Social and emotional development of learning disabled children. (2) ADHD itself does not cause low IQ although the IQ levels of thesechildren can be underestimated when testing procedures do not take thelimitations caused by the disorder into account. (1975). Moreover, this speculation is further justified by the factthat such a decrease has been found in previous research (e.g. (1981). (1981). Findings of the studyindicated that: (1) peer nominations of externalizing behavior correlatedsignificantly with teacher ratings of the same behaviors; in other words,both teachers and peers perceived the same distinctions between aggressiveand hyperactive behaviors of boys; and (2) peer perceptions of rejected children were significantlycorrelated with teacher perceptions. Mostchildren, but particularly older children, were found to value the childwhose own efforts succeed. Byadolescence, these problems and the condition can combine to lead topersonality disorder. Therefore, this smallpreliminary analysis is judged to provide at least some foundation forsuspecting a decrease in ADHD children's self-esteem from the second to thesixth grade. Also examined is literature related to educational goals for ADHDchildren, and the research related to teacher and peer interaction withthese children. Kauffman states that hyperactive children have been found toperform better in both academic and social situations when they are taughtto slow down and be careful in their responses. Abusive parents' perceptions of child problem behaviors: An example of parental bias. Moreover, the current literature suggests that even in adolescence,ADHD children continue to manifest academic failure, emotional immaturity,impairments in attention and concentration, dysfunction in peerinteraction, and antisocial and rebellious behavior. (p.16 ) Morriss (199 ) conducted an extensive review of the various programsdeveloped and implemented by the educational system on a nation-wide basis. The hyperactive child. Diagnostic and Statistical Manual of Mental Disorders (Third Edition) Washington, D.C.: American Psychiatric Association.Amirkhan, J. One of the best descriptions of the problems faced by ADHD childrenat school has been supplied by Ross and Ross (1976) who describes a"downward spiral in the academic facets of the hyperactive child's schoolperformance." The authors suggest that the condition interferes withschool achievement. Paper presented at the Annual Meeting of the American Psychological Association (Anaheim, CA., August).American Psychiatry Association (198 ). Methods were used on a variety ofproblematic behaviors including non-compliance, aggression, tantrums andother symptoms of hyperactivity. (1981). Journal of School Psychology, 23(4), 355-364.McGee, R. Not only are counseling services to be used to identify thesechildren but also to provide out-of-class resources and assistance.Specifically, Hill (1983) reports that counseling offices can assist thesechildren cope with school-related stress and conflict. & Young, R.D.

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