Article Review - NY Times - Have We Been Thinking About ADHD All Wrong?
May 11, 2025
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31:54Now PlayingArticle Review - NY Times - Have We Been Thinking About ADHD All Wrong?
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An April 2025 NYTimes Magazine article by Paul Tough questioned how we've been thinking about ADHD. He suggested that what researchers have discovered about ADHD isn't always represented in what clinicians do to explain and treat ADHD, and that patients and the general public have many misconceptions about ADHD. I think these are valid points. However, Tough then spent much of his article attacking the ADHD research(ers), often misstating the significance and relevance of many of the studies he cited. So his thesis is that research isn't well translated into practice, but then he focused on challenging the research.
Two of his big points that do deserve greater attention include:
- ADHD exists on a spectrum of severity.
- Genetic and environmental factors both contribute to the development of ADHD symptoms.
As Dr. Russell Barkley has pointed out in his own thorough evisceration of Mr. Tough's article, the ADHD research community has been well aware of both of these points for half a century. But neither has been fully incorporated into the public's, or many patients' awareness of ADHD.
Tough's article also displayed numerous conceptual flaws, particularly regarding the significance of the brain's involvement in ADHD, the role of medications, and the nature of the diagnostic process.
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References:
Have We Been Thinking About ADHD All Wrong? (Paywall Article) - NY Times (2025)
Overdiagnosis of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents 2021
What's Wrong with The NY Times Article on ADHD - Russell Barkley (2025)
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