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ADHD DOES NOT EXIST

A provocative, valuable guide for parents, school personnel and medical practitioners who deal with individuals showing...

Respected American Academy of Pediatrics and American Academy of Neurology fellow Saul makes the controversial claim that attention deficit hyperactivity disorder is routinely misdiagnosed.

The author challenges the definition of ADHD as a fundamentally flawed catchall based solely on “symptoms of distractibility and impulsivity [that] are all too real” but may be attributable to “more than twenty medical diagnoses.” Using the analogy of common ailments—e.g., abdominal pain, which may be the result of a variety of problems ranging from indigestion to appendicitis or cancer—Saul makes the point that many different factors can explain a child's disruptive behavior. He makes a convincing case that a diagnosis of ADHD followed by a prescription for a stimulant, such as Ritalin, has become a routine option for pediatricians at the urging of school authorities and parents. Too often, an overlooked, underlying condition is left untreated while the hapless patient suffers from side effects such as insomnia, weight loss and anxiety. The author illustrates his contention with anecdotal material, using case histories accumulated from his more than 50 years of medical practice. He explains that he routinely administers a series of tests before making any recommendations, beginning with a blood work-up in order to eliminate problems such as hyperthyroidism, iron deficiency or hormone imbalance. He describes instances in which a routine eye examination revealed that a child was unable to see the chalkboard and a similar instance of how a hearing problem was the root of a student's inability to follow instructions properly. If none of these are at issue, Saul looks for stress-related psychological problems. Other possibilities range from dyslexia, substance abuse, 20-second epileptic seizures and major psychiatric disorders such as depression. None of these benefit from amphetamine-based medications such as Ritalin.

A provocative, valuable guide for parents, school personnel and medical practitioners who deal with individuals showing symptoms routinely attributed to ADHD.

Pub Date: March 1, 2014

ISBN: 978-0-06-226673-6

Page Count: 336

Publisher: Harper Wave

Review Posted Online: Jan. 3, 2014

Kirkus Reviews Issue: Jan. 15, 2014

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MASTERY

Readers unfamiliar with the anecdotal material Greene presents may find interesting avenues to pursue, but they should...

Greene (The 33 Strategies of War, 2007, etc.) believes that genius can be learned if we pay attention and reject social conformity.

The author suggests that our emergence as a species with stereoscopic, frontal vision and sophisticated hand-eye coordination gave us an advantage over earlier humans and primates because it allowed us to contemplate a situation and ponder alternatives for action. This, along with the advantages conferred by mirror neurons, which allow us to intuit what others may be thinking, contributed to our ability to learn, pass on inventions to future generations and improve our problem-solving ability. Throughout most of human history, we were hunter-gatherers, and our brains are engineered accordingly. The author has a jaundiced view of our modern technological society, which, he writes, encourages quick, rash judgments. We fail to spend the time needed to develop thorough mastery of a subject. Greene writes that every human is “born unique,” with specific potential that we can develop if we listen to our inner voice. He offers many interesting but tendentious examples to illustrate his theory, including Einstein, Darwin, Mozart and Temple Grandin. In the case of Darwin, Greene ignores the formative intellectual influences that shaped his thought, including the discovery of geological evolution with which he was familiar before his famous voyage. The author uses Grandin's struggle to overcome autistic social handicaps as a model for the necessity for everyone to create a deceptive social mask.

Readers unfamiliar with the anecdotal material Greene presents may find interesting avenues to pursue, but they should beware of the author's quirky, sometimes misleading brush-stroke characterizations.

Pub Date: Nov. 13, 2012

ISBN: 978-0-670-02496-4

Page Count: 320

Publisher: Viking

Review Posted Online: Sept. 12, 2012

Kirkus Reviews Issue: Oct. 1, 2012

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THINKING, FAST AND SLOW

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...

A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.

The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.

Pub Date: Nov. 1, 2011

ISBN: 978-0-374-27563-1

Page Count: 512

Publisher: Farrar, Straus and Giroux

Review Posted Online: Sept. 3, 2011

Kirkus Reviews Issue: Sept. 15, 2011

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