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Dissertation
Attention deficit disorder, residual type: a psychological and neuropsychological model
Doctor of Psychology (Psy.D.), Hahnemann University
Jun 1989
DOI:
https://doi.org/10.17918/00007088
Abstract
Attention Deficit Disorder (A. D. D.) is one of the most thoroughly researched areas in child and educational psychology. Despite the interest in this area very little is understood of the long term sequelae of the syndrome. The results of prospective studies, initially undertaken in the 1960's and 1970's, have provided data suggesting that Attention Deficit Disordered individuals continue to manifest symptoms of the disorder well into adulthood and that there are common symptoms associated with this clinical diagnosis. Through a thorough review of the literature on Attention Deficit Disorder a symptoms constellation has been identified which includes impulsivity, inattention, distractibility, social disinhibition, perseveration, and poor fine motor coordination. These factors suggest that Attention Deficit Disorder, Residual Type (A. D. D.-R. T.) is not simply a residual manifestation of a childhood disorder. The neurological substrate of the disorder has been more clearly identified, through the use of CT scan, and has demonstrated deficits in the striatum and in particular the head of the caudate. This area of injury has particular importance in the diagnosis and understanding of the A. D. D.-R. T., as this area of the brain has extensive frontal lobe connections. Within this context it appears reasonable to view Attention Deficit Disorder, Residual Type as a frontal lobe syndrome in which the frontal lobe is at least partially disconnected from the rest of the cortex. As a frontal lobe syndrome, Attention Deficit Disorder, Residual Type would be best diagnosed through a combination of psychological and neuropsychological evaluations sensitive to frontal lobe functioning. In addition to the diagnostic criteria for A. D. D.-R. T., a psychoanalytic model of intervention has been suggested which combines an ego-psychological and self-psychological perspective.
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Details
- Title
- Attention deficit disorder, residual type
- Creators
- William A. McCollaum Jr.
- Awarding Institution
- Hahnemann University
- Degree Awarded
- Doctor of Psychology (Psy.D.)
- Publisher
- Hahnemann University; Philadelphia, Pennsylvania
- Number of pages
- ii, 107 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Hahnemann University (1982-1993); Mental Health (Technology/Sciences) [Historical]; School of Health Sciences and Humanities (1988-1993); Psychology [Historical]
- Other Identifier
- 991021888807404721