The Dynamic Picture Areas
Looking at five- or ten-year-old books or clinical journal articles on ADHD (or ADD, as it was called then), you would notice that most of the material was devoted to dealing with the symptoms of ADHD. 1,2 Controlling impulsive and hyperactive behavior, as well as improving attention skills and social behaviors, was a priority at that time. Most of the treatment strategies developed, from medication to behavior modification to dietary changes, were also designed for the management and control of ADHD behavior. An enormous amount of research and parent energy has been applied to this area. The most obvious problems of ADHD are usually manifested in behavior, and those are the problems that cause teachers and parents the most distress. Early research focused on addressing this distress and tried to provide parents, clinicians, and educators with a theory and techniques to make ADHD behavior more manageable.
How successful were those programs that focused on behavior management and control? Follow-up research by Abikoff 3 and Hersher 4 reveals the highly conditional success of behavioral and cognitive management techniques. Certainly, these