Chapter 50 5. "Children with ADHD" is a lie
In recent years, "child ADHD" seems to have become an epidemic.Just around me, there are many children suffering from this disease inexplicably, and some of them have started to take medicine for treatment.
However, I can clearly see the source of these children's "symptoms"-their parents are either strict or doting, and there are obvious mistakes in the education methods.It is these mistakes that put tremendous psychological pressure on children.The "symptoms" in children are almost all distorted manifestations of resistance to improper education.At the same time, I haven't seen any child who has cured "ADHD" by taking medicine alone. On the contrary, there are quite a few children who become more and more sick after taking medicine, and their "condition" becomes more and more serious.
The term "child ADHD" is more and more like a thorn stinging me from time to time, prompting me to pay attention to this matter.
I met a boy in an elementary school a few years ago.At that time, the boy was in the second grade of elementary school and was considered to be suffering from severe "hyperactivity disorder".
The boy had previously attended another primary school and had been restless since the first grade.He ran around all over the classroom during class, and no one could control him. The class was often disrupted, making the teacher unable to attend class.He always attacked his classmates for no reason, so bad that he pushed his classmates' heads into the urinal and burned them with mosquito coils.As for scratching classmates, it's even more.This was protested by many parents. The original primary school had no choice but to ask him to transfer to another school.He was transferred to the current elementary school when he was in the second grade.
But the situation didn't change at all after the transfer, and the new school had no choice but to let his family accompany him to school.His grandma followed like a shadow every day, never leaving.Sit at the same table with him during get out of class, and hold him down to prevent him from making trouble; after class, hold his hands in the corridor, and prevent him from playing with other students, for fear that he will hurt other students.This kid is very famous in school, and even the principal is worried about what to do with him.
The first time I saw this child was in the corridor of the classroom. After class, the classmates were all alive and kicking, playing in twos and threes.Only him, his hands were tightly clamped by grandma, unable to do anything.It seemed that he wanted to break free all the time, but he couldn't; he looked at other students with longing, helplessness and hostility, like a little prisoner.
His homeroom teacher definitely believed that the child had ADHD, and told me that his family took him to the psychiatric department of the hospital, which was diagnosed by the doctor.The doctor asked him to take medicine and said he would take it for at least three years.He took it for three months, but it didn't work at all, and the medicine was very expensive. His grandparents stopped taking the medicine for financial considerations.Only one of the old couple has a pension.
After a brief chat with the boy and his grandmother, for some reason, I felt that the boy should be a normal boy.After learning about his family, it is basically certain that the "cause" lies in his family education.
The boy's parents were living together as unmarried, but they separated after he was born.The boy's mother was a migrant worker girl from the south. She returned to the south and never heard from her again. His father didn't know where he lived, and he never told his family his whereabouts.The boy's grandfather was a grumpy man. Back then he beat and scolded his son, but now he "educates" his grandson the same way he treats his son. In particular, he often vents his dissatisfaction with his son on his grandson.His grandma took care of everything for the child all day long, and was eager to succeed. She wished to cultivate her grandson into a talent to make up for the shame her son had brought to the family, so she asked the boy to do this and that all day long, and scolded him from time to time.
How could a child who grew up in such a "savage environment" not be a little savage.Seeing that the boy is living like a villain and a prisoner at such a young age, I feel very sorry for this child, and feel that if he does not find a way to improve, he can only go to two places in the future, prison or mental hospital.So he underwent a period of nearly a year of psychological correction work.
But I am not directly doing "ideological work" for the child, but starting from eliminating the "root of the disease" and focusing on improving his living environment.
The boy's real guardians and supporters are his grandfather and grandmother, so my main work targets are these two old people.In the early days, he talked frequently with his grandparents, and later he also had regular contact with them.The purpose of my work is actually very simple, which is to ask them not to beat and scold their children, to respect them, and not to put pressure on them.This requirement seems simple, but in fact it is very difficult for the two elderly people, who are used to the previous education methods.I will tell them repeatedly, let them understand the causal relationship between rough education methods and children's behavior, and determine some basic behavioral principles in the form of rules.At the same time, coach them in detail how to get along with their children and how to talk to them.
It is much more difficult to change adults than to change children, but it is impossible for children to change without changing adults.During the whole process, I paid special attention to grasping their emotions, first let them accept me, have no emotional resistance to me, and then accept my point of view.The two old people gradually began to trust me, coupled with my continuous work, they finally convinced them that there was an inevitable causal relationship between their education methods and their children's problems, gradually changed their education concepts, and gave up the original rough methods. If you beat and scold the child again, the child will change a lot.
At the same time, I often look for the child's head teacher to try to change the head teacher's view of the child, so that the head teacher believes that he is not sick and is a normal child.I worked with the class teacher to find a way to create a sense of accomplishment for the child by letting the child do something for the class, and to affirm and motivate him.When the head teacher no longer looked at the children with strange eyes, the students in the class also changed their attitudes.
I also had a few conversations with this kid, and my conversations with him were mainly about cartoons and drawing, because he likes both; we also told stories and jokes to each other.I also invited him and his grandma to play at my house, and pasted the pictures he drew for me on the wall of my house.As long as he came to me, I made him feel like a perfectly normal kid, emotionally happy and relaxed.In this way, after the child gets along with me a few times, not only is there no hostility, but even emotional dependence.When I was sure that a friendly and trusting relationship had been established between me and my child, I asked him in a timely manner not to hit people and not to leave the seat in class.He accepted my advice without any reluctance, and there was a gleam of pleasure and happiness in his eyes.
My work has had very visible results.After four months, the boy didn't need anyone to follow him to school, he began to have self-discipline, and he no longer took the initiative to attack others.After a year, the boys stopped fighting.In terms of fighting ability, he should still be very strong, but he seems to have a stronger sense of avoiding conflict than other children.Twice other students beat him, but he was able to bear it while crouching on the ground with his head in his arms.
I analyzed that his endurance may come from the fact that he cherishes the change that he is "a normal child, not a sick child"; even if he is beaten occasionally, it is better than others looking at him with strange eyes.Now this child is about to enter the fifth grade of elementary school, his academic performance is average, and he is completely normal in terms of discipline and other aspects.His little hands no longer need to be pinched by adults, he is free and has classmates and friends.
This child with severe "ADHD" recovered in this way, which made me have more doubts about "ADHD".
In the summer of 2007, Beijing Youth Daily, one of the domestic authoritative newspapers, published the article "Children with ADHD, Summer Visits Increase by 30%" by signed reporter Zhao Xinpei.The article quoted Professor Zheng Yi, director of the Child Psychiatry Department of Beijing Anding Hospital, as saying that "the incidence of attention deficit hyperactivity disorder (ADHD) among children in Beijing has reached as high as 4% to 5%." On October 7, 2007, the same newspaper published "Children with ADHD, Say Goodbye to Red Prescriptions" written by Zhu Zhu, stating that "According to authoritative survey results, the prevalence rate of ADHD among school-age children in my country is 4.31%. ~5.83%".Calculated according to this ratio, it is estimated that there are nearly 20 million children nationwide!I checked the relevant information on the Internet, and the data show that in recent years, there have been statistics on the incidence of ADHD in children all over the world, generally ranging from 4 to 14%. ——What kind of disease can have such a high incidence rate, and infectious diseases are not so high.What kind of disease is such a global public disease that has erupted in such a large area?
At this time, I saw two books, one was "The Inventor of Disease" by the German natural scientist and the best medical reporter Jerge Blech; the other was the famous American journalist Randall Fitzgerald. "Hundred Years of Lies", these two books use detailed information and thorough analysis to expose various "traps" and "shady scenes" in the development of modern medicine.They unanimously questioned "children's ADHD", thinking that it is a "disease" that has been manufactured and expanded for no reason.
After reading these two books, I looked up some relevant information on the Internet, and at the same time re-read the educational treatises of Montessori, a famous American educator and doctor of neurology. Combining all the information, I can basically get a clear It may not be absolutely said that the disease "children's ADHD" does not exist, because it is still an unresolved matter; but as far as the current diagnostic concept is concerned, it is not true.The current diagnosis of the disease is as unreasonable as the conclusion that everyone who coughs a few times has lung cancer—in this sense, "childhood ADHD" is a lie.
The development of modern medicine makes people try to use medicine to explain all the phenomena that need to be improved and corrected.The "bad behavior" of children has caused headaches for many people since ancient times, so this problem has entered the field of vision of doctors.
As early as 160 years ago, in 1845, the French psychiatrist Hoffman wrote a book "Peter with the Shaggy Head", describing a hyperactive child, which reminded people to pay attention to the phenomenon of restlessness in children.A century later, in 1947, some experts speculated that the excessive activity of a small number of children was caused by brain injury, so the phenomenon was named "brain injury syndrome".
Since this definition is not enough to explain the restless performance of children whose brains have never been injured, the theory of brain damage does not work, and some people propose that it is the result of "minor brain damage".However, the theory of "minor brain damage" cannot be found in the physical examination of many children, and there is no trace to be found in the growth process, so the name is not feasible.So, I left my brain and proposed "behavioral dysfunction"-this name avoids the embarrassment of unclear etiology, and is only named after "performance".But this name was banned by the US Food and Drug Administration because the concept was too vague.
But child misbehavior has been recognized by the medical profession as a disease requiring treatment.
In 1962, an international children's neuroscience working conference decided to temporarily name the disease "Minimal Brain Dysfunction" (Minimal Brain Dysfunction, referred to as MBD) before the etiology of the disease was clarified. In 1980, the "Diagnostic and Statistical Manual of Mental Disorders" published by the United States named it "Attention Deficit Disorder" (ADD).Finally, in 1987, American psychiatrists invented what appears to be the broadest term, Attention Deficit-Hyperactivity Disorder (ADHD).
From the evolution of the name, we can see that the name of the disease is produced by speculation, and then adjusted as people doubt the guess.Gradually transition from rigid features to fuzzy features, from observable to unobservable.It is not because of in-depth research and exploration to bring things closer to the truth, but to keep the guesswork reasonable and make the name more room for interpretation.
The evolution of this name has achieved two purposes, the first to get rid of the embarrassment of diagnosis; the second to become a generally applicable disease.
Since the disease itself is still speculation, how to diagnose it becomes a problem.But the reality is that many children are diagnosed with "Attention Deficit Hyperactivity Disorder" (ADHD) with certainty.So, let's see how this disease is diagnosed.
Judging from the data, "ADHD" inspections are basically subjective judgments, with little objective basis.Some doctors also do cranial nerve examinations and biological marker tests, but these are meaningless to most children without obvious physical defects, and the relationship between various biochemical markers and diseases is also guesswork, and has no practical clinical diagnostic significance.
I asked several parents of children diagnosed with ADHD, some in China and some abroad.The diagnostic methods accepted are similar. The main thing is that the doctor asks the parents about the situation, talks with the child, and observes the child's behavior. In addition, the "diagnostic scale" is used to judge whether the child has ADHD according to the score of the scale.
The scale seems to be an objective diagnostic tool that gives the most confidence in the accuracy of the doctor's diagnosis.Is that true?
The following three scales are adopted by many domestic hospitals and relevant medical websites such as China Children's Health Network, Children's Blog Network and China Parenting Network.Forgive me for taking the trouble to list them here for the sake of illustration.
[American Simplified Cornell Child Behavior Scale]
⑴Excessive activity, non-stop ( )
⑵ excited activities, impulsive ( )
(3) Annoy other children ( )
⑷ Can't do things from beginning to end ( )
⑸ fidgeting ( )
⑹ Inattention, easily distracted ( )
⑺ Must meet requirements immediately, easily discouraged ( )
⑻ Often cry easily ( )
⑼ rapid and severe mood changes ( )
⑽ Flame out or behave unexpectedly. ( )
Diagnosis: Score calculation: None - 0 points; Slightly - 1 point; Much - 2 points: A lot - 3 points; a total score of more than 10 points is positive, which is ADHD.
〔Children ADHD Behavior Scale developed by Shanghai ADHD Collaborative Group〕
(1) Fidgeting in class. ( )
⑵Speak frequently in class ( )
⑶ There are many small movements in class ( )
⑷ speak without raising hands ( )
⑸Inattentive, looking around, easily distracted by external interference ( )
⑹Mood changes quickly and easily quarrels with others ( )
⑺Often disturbing activities ( )
⑻ Can't play calmly ( )
⑼ Do things on a whim, do whatever you want, often without beginning and end ( )
⑽Do things regardless of the consequences ( )
⑾Taking parents’ banknotes casually, or stealing outside ( )
⑿ Forgetful, poor memory ( )
⒀ Poor academic performance ( )
⒁ Lying, swearing and fighting ( )
Diagnosis: Score calculation: None - 0 points; Slightly - 1 point; Much - 2 points: A lot - 3 points; a total score of more than 10 points is positive, which is ADHD.
[Diagnostic criteria established by the American Psychiatric Association]
⑴Frequently moving hands and feet or twisting in seat (juveniles may only feel restless subjectively) ( )
(2) Difficulty sitting still when required ( )
(3) Easily distracted by external stimuli ( )
⑷ Cannot wait patiently in line to play in games or group activities ( )
⑸Often people rush to answer before they finish asking ( )
⑹ Difficulty in following other people's instructions, not due to disobedience or failure to understand, such as not doing housework, etc. ( )
(7) Difficulty maintaining concentration during homework or games ( )
⑻ Often one thing is not finished and another thing is changed ( )
⑼ Difficulty playing quietly ( )
⑽ often talk a lot ( )
⑾ Often interrupts or interferes with other people's activities, such as interfering with other children's games ( )
⑿When others talk to him, they often seem to listen instead of listening ( )
⒀Often missing items needed for study or activities, such as toys, books, homework, etc. ( )
⒁ often participate in dangerous activities without considering the consequences, such as running into the street regardless of the surroundings, etc. ( )
Diagnosis: Onset before the age of 7, the medical history has been more than half a year, and more than 8 of the above indicators are positive, which is ADHD.
Almost all normal behaviors of children have become "clinical manifestations"!
Judging by these scales, "children with ADHD" is not only the prevalence rate mentioned above, almost all children have to become "children with ADHD", including my own daughter of course-no doubt , If she used these scales to test in her childhood, and everything was not serious, but a little bit, and the average score of each item was "1", then she must be diagnosed as "positive".
So, which child is not a "patient"?
The author of "Disease Inventor" exposes and criticizes the phenomenon of overdiagnosis and drug abuse in the current medical field, calling this phenomenon "inventing diseases".Among them, "ADHD" is a typical "invented disease".
"Doctors often don't get it themselves and misuse controversial diagnostic aids," he says. "Even ADHD proponents estimate that one-third of children diagnosed with ADHD are victims of diagnostic models. Comparing countries, You can see how casual it is to put the ADHD label on a child. According to research, 5.8% of children in Brazil have ADHD, 7.1% in Finland, and 14.9% in the UAE. How can there be such a difference ?Who knew! A child's daily medications are formed blindly, and the symptoms to fight are very vague. The heavy label of 'adult hyperactivity children' is often based on the doctor's subjective impression; I have found this in myself, such as frequent inability to listen attentively to others, difficulty doing homework and organizing activities, often answering questions without thinking. Are these symptoms? Or are they just behaviors that bother (some) adults?"
The "ADHD Diagnostic Scale", which is related to the fate and health of millions of children, how did it come into being, who formulated it, and what kind of tests and demonstrations have it undergone?Such a poorly made and stupidly contrived thing should be used by children as the main examination tool.Where is it just a tensor table, it is simply a diagnostic trap!
Behind the rash diagnosis is actually a helpless embarrassment. What is the formation mechanism of such a "common" public disease, and what causes children to get sick?After more than a hundred years of "research", there are more and more explanations, but no one can explain it until now.
From the available data, there are several causes:
First, mild brain tissue damage—this is largely speculation around how the child was born.Before caesarean section was widely used, it was believed to be caused by the compression of the brain at birth; after caesarean section was widely used, it was said to be caused by caesarean section.Others say that the mother suffered from infection during pregnancy, high blood pressure, or brain damage caused by breastfeeding and other activities during infancy.In short, every situation during pregnancy, childbirth, and growing up is guessed as possible. It seems that as long as a person has been "born" and experienced fetus and infancy, his brain will be damaged.The clever thing is that these "damages" are basically unmeasurable.
Second, lead poisoning caused by urban environmental pollution causes disease-this reason sounds reasonable.But here are a few questions: the first question is that when the question was raised more than 160 years ago, the problem of urban environmental pollution should not have existed; the second question is that children in every city breathe The same air, why only some people get sick?The third question is, do children living in remote mountain villages suffer from this disease?
Third, genetic and physiological factors - there are seemingly professional expressions in this area, but after analysis, it can be seen that, without sufficient evidence, using a small difference in biochemical indicators in the brain to explain a cause of disease, this It's just a self-talking guess.There are some differences in physiological indicators between people, which is normal; many physiological indicators of the same person will change under different climates, environments, moods, ages, and diets.I couldn't come up with anything more convincing, so I had to use chicken feathers as an arrow.
Fourth, vitamin deficiency, food allergy, lack of trace elements, environmental pollution, food additives, etc. cause disease-there are many such speculations, which make people dizzy.Almost any problem in the current social life, any problem becomes the cause.If all of these factors can lead to ADHD in children, the only question that remains is: will there be healthy children in the future?
Fifth, family or school education factors have damaged children's psychology-this is the only one that can be obtained through direct observation and on the basis of a large number of cases, rather than through guesswork.This reason is the most convincing, but it is always placed in the least important position.All the materials about ADHD first try to explain that the cause of ADHD is a brain problem, which is a physical problem, while educational problems and psychological causes are only occasionally mentioned in some materials.
But under this lightly mentioned reason, no one can explain, a problem based on education, why children need to take their own medicine for treatment.In recent years, the rising number of divorces has led to a high incidence of "children's ADHD" seems to have become a kind of evidence. It has been found that children from single-parent families are more likely to "get sick" than children from complete families-but the psychological trauma brought about by parents' divorce, Can taking medicine solve it?Isn't it worse when a child is scarred by a parent's quarrel and then told he is sick?
The German "Pediatric Medical Practice" magazine, funded by the famous Novartis pharmaceutical company, published a special issue "Attention Deficit and Hyperactivity", which even infers that ADHD is a legacy of the Stone Age.And tell everyone that "ADHD may be a beneficial (genetically determined) behavioral tool in early human beings, but it has become a shortcoming in modern society, which will endanger children's development and social adaptability."——even the genetics that have been preserved by humans for thousands of years Features also become sick.
Although the cause is unclear, the consequences of the disease are always described clearly, which sounds worrying.Different sources say that if children with ADHD are not treated in time, most of them will develop crimes in adolescence, poor self-control, impulsiveness, lazy work, greed for enjoyment, etc., forming antisocial personality, and becoming a high-risk group for alcohol and narcotic abuse in adulthood , the crime rate is high.In short, their future is dark, even sinful.
A disease finally developed into a moral problem!
No one can explain how the causal relationship between ADHD and antisocial personality is formed, how the logical relationship between "illness" and "crime" is deduced, and what is the transformation mechanism between them.However, the relevant medical information is saying so.
A person's emotion may affect some physiological indicators, and some physiological changes may also bring about some emotional changes in people.But can physical diseases and personality and morality form a direct causal relationship? Can we say that most people with high blood pressure or emphysema turn into villains in the end?The fact is that people who have suffered from meningitis, brain tumors, brain atrophy and other brain diseases have nothing to do with their moral development. Why does ADHD alone cause moral variation?
Taking a step back, if it's true that a childhood disorder based on genetics or the environment actually translates into a moral outlook in adulthood, then is the patient not responsible for his antisocial behavior in adulthood, because He himself was a victim of disease.Aren't people with mental illnesses free from murder? ——In this way, as long as a criminal is proven to have "ADHD" in childhood, can he be exempted from criminal responsibility?
Since the cause of ADHD has never been reliably stated, what is the reason that more and more ADHD diagnoses are made?Is it just a misdiagnosis?
In fact, "ADHD" has not attracted people's special attention for more than a century since Hoffman first "discovered", this situation until the appearance of Ritalin (Methylphenidate, also known as: Ritalin Ritalin).After sorting out the development history of Ritalin, we can basically understand the truth about more and more "patients".
Methylphenidate was synthesized in 1944 by the chemist Pannisone of the Ciba Corporation (the manufacturer of Ritalin today).The drug was originally prescribed only to adults to treat fatigue, depression, and physiological disorders in old age.For more than 20 years, this drug has not been well-known, and its sales are not good, because its specific indications are still unclear. In 1961, the U.S. Food and Drug Administration allowed the use of Ritalin to treat children with behavioral problems.It was distributed to two schools for black children in Maryland, and the crowding and rowdy scenes decreased after students took it.This inspired a group of American doctors to use the drug on a large scale in children to find out who needed it.At the beginning, the drug itself was used to detect whether the child had the disease.Those who change their behavior after taking it are sick. On the contrary, those who do not respond to the medicine are healthy children.Later, it was widely used in children as a therapeutic drug. About 200,000 to 300,000 children in the United States took Ritalin in 1970; by the mid-1980s, 1 million children were taking Ritalin; and by the beginning of this century, the number of American children taking this drug had increased to 6 million, of which nearly Half of children use it to treat ADHD.
It must have been inconceivable to give medicine to a child because of misbehavior many years ago. Ritalin turned misbehavior into a disease that needs to be treated with medicine.
There are many kinds of drugs for the treatment of ADHD, which can be divided into central nervous system stimulants, antidepressants, antipsychotics and antiepileptics, but methylphenidate (Ritalin) is still the most commonly used.It should be noted that these drugs are expensive.
According to data, the market for children with ADHD treatment and medicines in the United States is as high as 3 billion US dollars per year.By 2012, the UK market for ADHD treatment and medicines will also reach £101 million.And major related pharmaceutical companies are still investing a lot of money in lobby groups every year, asking the government to relax the restrictions and management of children's ADHD drugs.
Drugs to treat children with ADHD are now sold to various countries in the world, and the disease ADHD is also popular in China.A domestic medical website has such a passage, "Ritalin is very effective in treating ADHD in children. The only disadvantage of Ritalin is that it cannot eradicate this disease and can only be taken for a long time." The online price ranges from 370 to 3400 yuan per bottle .In foreign countries, if there are children in the family who take medicine, this is not a small expense.
Delicious pie anyone would want a slice of.Xi'an Janssen, a well-known foreign-funded pharmaceutical company in China, claims that they have developed a long-acting drug for treating ADHD - "Focus", and its publicity is also very popular.
In the summer of 2007, the two most influential newspapers in Beijing, "Beijing Evening News" and "Beijing Youth Daily", both published news that the central nervous system stimulant "Zesta" (atomoxetine hydrochloride) developed and produced by Eli Lilly and Company was officially launched. Landed in the Chinese market.Newspapers that cooperate with the listing of drugs declare that "drug treatment is the first choice" for ADHD in children.The same propaganda reappeared in winter. On November 30th, Beijing Youth Daily published "Children's ADHD will be Tired for Life if Not Treated in Time" in the "Health Care" section, reminding parents that this disease should not be taken lightly and must be treated, " Drug treatment is the first choice”, and then told everyone that there is a drug called Zesta, “once a day, it can control symptoms continuously throughout the day, and it is suitable for long-term use without causing drug dependence.”
On July 5, 2008, the newspaper published "Children's "Attention", Are Parents Paying Attention?" ", to remind parents that children's inattention is ADHD (adult activity disorder in children). If it is not treated, in addition to current learning difficulties, 50-65% of people will have these problems in the future: poor performance at work, poor time concept, interpersonal skills Bad, irritable, short-tempered, addicted to alcohol or drugs, high crime rate, etc.Then it is strongly recommended that "Recently, the Chinese Pediatric Nervous Association, the Chinese Pediatric Health Association and the Chinese Pediatric Psychiatric Association will jointly introduce a treatment plan for ADHD in China. In this plan, methylphenidate (ie methylphenidate) is listed as the first First-line treatment drugs, especially long-acting methylphenidate controlled-release tablets, have the advantages of good effect, long-lasting time, and small adverse reactions. They are gradually recommended by domestic and foreign treatment guidelines as the first-choice drug for the treatment of ADHD. catalog." Similar propaganda appeared in newspapers such as "Yangcheng Evening News" and Beijing "Morning News" in June and July, all mentioning these three "associations" and this drug.But apart from seeing the names of these three associations in these articles, the websites and other relevant information of these three "associations" were not found on the Internet.I asked a few friends in the medical field, and they had never heard of these "associations".
Now there is a kind of advertisement called "soft advertisement", which is well known in the advertising industry, that is, business advertisements appear in the form of news.Of course, as long as it is an advertisement, no matter what appearance it appears in, the media must be paid.
An American doctor said a very classic saying: "The best way to sell a drug is to expand the impact of the disease", which is actually a secret of the pharmaceutical industry.Since only a handful of new drugs with new ingredients enter the market each year, the pharmaceutical industry must create disease in order for older or poorly marketed drugs to be sold.
It is difficult for a disease with a lot of "money" not to become popular.
Do these medicines really have no side effects as advertised?
Common side effects of methylphenidate (Ritalin) and other CNS stimulants given to children are: loss of appetite, insomnia, dizziness, weight loss, and possibly hypersensitivity, psychomotor arousal, fear, and being followed delusions, and occasionally abdominal pain.These side effects are generally written on the drug instructions, and they are not the most serious. The serious ones are the following that are not written on the instructions:
The central nervous system stimulants inhibit the growth of weight and height, and the average height of the children taking the central nervous system drugs for two years is 1.5 cm lower than that of the control group.Long-term use may cause short stature.
A neurological study released by the National Institute of Mental Health in the United States showed that the right brain cortex of children who did not take ADHD drugs reached its maximum thickness at the age of 7 and a half, while children who took drugs reached the maximum thickness of the right brain cortex. 3 years later than non-medicated children.In other words, taking methylphenidate drugs has affected children's intellectual development.
Children are light in weight, are in the development stage, and their body organs are not yet fully mature. Their resistance to the toxicity of synthetic chemicals is very fragile. Long-term use of such drugs will have adverse effects on the development of various organs, and even leave hidden dangers.
On February 22, 2007, Sohu News quoted "Legal Evening News" as saying that the U.S. Food and Drug Administration (FDA) issued a notice that 25 deaths were found among patients who used ADHD drugs between 1999 and 2003, including 19 At the same time, an FDA report showed that the risk of psychotic symptoms in ADHD drug users increased by one-thousandth, such as auditory hallucinations, groundless suspicion, mania and other psychotic problems in drug patients. The FDA recommends that Ritalin should include a black box warning in the drug label to remind people that this type of drug may increase the risk of death and physical and mental harm to the user.
In addition to the shocking side effects above, I think the biggest harm to children is psychological.A pill every day is a reminder every day: You are sick and you need to take medicine.
Childhood will not be repeated, and the medicines taken will leave traces in the body; being labeled as "ADHD" will also leave traces in the mind.I have seen some children who are unwilling to stop taking the medicine after taking the first stage of medicine, worrying that they will become even more unsatisfactory after stopping the medicine.Drugs not only damage the child's physical health, but also destroy his self-confidence-isn't this side effect the most terrible?
There is more and more information about "Children's ADHD", which makes many people believe that there is indeed such a disease that is threatening the health of children, and it is spreading and rising. Even kindergarten children who "do not observe discipline and do not take a nap" are also called Said to be a precursor to ADHD.I've seen many parents worry that their child may have ADHD when they talk about their child's disobedience.Because the "symptoms" of ADHD are very easy for parents to put the child and the disease in the same place.
The vast majority of parents who are convinced of "ADHD" actually don't know much about this disorder, and they haven't even checked the information. Their information mainly comes from doctors, the media or hearsay.Many parents take their children to see ADHD at the suggestion or suggestion of teachers.Get teachers in trouble because your child is behaving substandardly at school or kindergarten.Teachers do not want to be disturbed too much by some children, unwilling or unable to find the crux of the problem in education, so they look for the simplest solution and ask parents to take their children to see a doctor.As long as they take their children to the doctor for examination, many children become "patients" and need to take medicine every day.In this way, the teacher is easily freed from being disturbed by some children.
Many parents are also willing to attribute some of their children's "problems" to objective reasons. This way of thinking does not require parents to blame themselves, and it saves the most effort.I even met a parent of a high school student. Her child refused to study hard and always wanted to go out to play ball or watch TV. She thought her child had ADHD and took her child to see a psychiatrist. The doctor asked the child to take medicine every day.而她自己作为家长，根本懒得去反思自己多年来在教育上的失误，更不愿意去改变自己的教育方式。
遇到“多动症”儿童的家长和教师，如果能多去关心和理解孩子，用心去倾听孩子的“行为语言”，孩子的一切都会变得正常。他上课不注意听讲，是因为不喜欢老师的讲课方式或对内容没有兴趣；考试成绩低，是因为他压根就没去学习考试内容；攻击同学，是因为他想保护自己或感到这里面的乐趣；做危险动作，是因为他们想表现自己或不知道危险是什么——千差万别的儿童有着千差万别的自我意识，他们的行为表现各不相同。他们还不具有成人的道德观、价值观、忍耐力，以及对后果的预见，所以他们很难用这些东西来约束自己。
成人在多大程度上接纳一个孩子，取决于他在多大程度上听懂了孩子的“倾诉”。
家长和教师都是爱孩子的，但仅有爱还不够。爱的质量因为教育理念的不同，细节处理的不同而有巨大差异。只有懂孩子，才能很好地教育孩子，才能有质量地爱孩子。
如果说儿童确实表现出一些行为或品格方面的问题，这些问题基本上都可以用教育学来解释。
一部分原因是，家长或教师把孩子正常的活泼好动看成是问题，无风三尺浪，没事找事。大多数原因是，孩子在家庭生活中承受了巨大的心理压力，他们在反抗压力中，发生和发展了许多畸形行为。这些畸形行为当然让人不舒服，追究它的成因，必须要回归到家庭成长环境中。
“多动症患儿”越来越多，只说明我们家庭教育中存在的问题越来越多。
现代社会对标准化的追求，使社会生活方方面面都产生着趋同心理。家长总是希望孩子向着“楷模”发展，而不是向孩子自己愿意的那个样子发展。成人为孩子设立了太多的标准，认为在标准模式下培养的孩子将来才能成功。比如“爱学习”、“有礼貌”、“守纪律”、“多才多艺”等。儿童在这些方面“听话”，按家长要求去做，就是好的，如果他们不听话，在哪一方面达不到成人的要求，就要遭到训斥，严重的会遭到打骂。还有的家长自身境遇不理想，或有人格缺陷，常常会把自己的不如意迁怒到孩子身上，把自己的“理想”交给孩子完成。
这些成人对儿童的态度，反映的是成人自身的焦虑和不安全感。它势必会引发成人和儿童间或明或暗、连续不断的冲突。“多动症患儿”的家长往往有偏执人格，他们一方面以自己的思维模式对儿童自然特性进行长期而不良的干扰，凭借强权以“爱”的名义不停地打乱儿童固有的成长节奏，使他们陷入愁苦和恐惧中；另一方面自我保护意识很强，成人意愿一受到挑战，就要做出应激反应，经常态度严厉地对待孩子。这种家庭教养方式有利于成人渲泻情绪，但不利于儿童生长，给儿童带来的是持续不断的心理伤害。
分析诊断量表中所有“症状”，反映的都是儿童对自身与世界关系的调整。他们用各不相同的“症状”倾诉他们不断地遭受心理创伤后的自卑、不安、厌恶、失望、淡漠、憎恨、怀疑等种种情绪体验。连续不断的心理创伤，会让孩子精神上产生很大的压力，行为发生变态，要么成为桀骜不驯的小混混；要么成为完全丧失自我的小傀儡；要么成为无法和他人相处的孤僻者或偏执狂——这一切背后都是儿童安全感、自信心的缺失。
人是何等细腻的生物，儿童从很小就对爱与尊重有了强烈的感知。生活中任何一种境遇都可能引起他体内各项生化指标的改变，即使所谓“多动症儿童”大脑中真的缺少让他安静的“多巴胺”，谁能说清楚这是因还是果？所以“多动症”的真正“致病原因”是成人犯了两个错误：错误的儿童观，错误的教育方法。
这样说令很多家长和教师感到不快，甚至反感。他们习惯把问题归结到的一个客观原因，并去寻找客观的解决方案。医生的诊断，减轻了家长和教师对自己教育失败的负罪感，给了他们面子。同时，较之耐心细致的体察，痛下决心的自我改变和呕心沥血的体力与精神双重付出，吃药是最简单的，是最不需要家长和教师花费心思的方法——它恰好契合了那些缺少对儿童体谅的自以为是的家长的一贯行为，所以它也最容易被这些家长接受。自以为是的家长和教师宁可相信药片，不相信教育。大人自己犯了错误，却全部推给孩子来扛着。被诊断为“有病”，开脱了父母和老师们，但它永远地伤害了孩子。
当下儿童流行病还有所谓的“抽动症”和“感觉统合失调症”，其症状和多动症大同小异。有人把这两个病算到多动症里，有的把它们和多动症并列。使用药物也都属中枢神经控制类药物。
其实，患“多动症”、“抽动症”或“感觉统合失调”儿童的真正不幸，都是他们出生后，正常天性被屡屡剥夺。有一位家长在孩子学爬学走路时，怕孩子弄脏衣服，怕他碰伤，就整天抱着，不许他下地。其它类似的限制也很多，不许孩子干这个，不许干那个。她的孩子和同龄孩子相比动作十分不协调，十多岁时不得不进入“感觉统合训练班”。同样，许多资料及经验可以证明，经常遭到打骂训斥的孩子，由于压力太大，会出现肢体或五官抽动现象，即所谓“抽动症”。
这些孩子是“病”了，但吃药能解决吗？“训练班”能训练好吗？我见过几个参加“感觉统合训练班”的孩子，他们的家长花了很多钱，但孩子的情况并未得到好转。
再从医生方面看。医疗界一直对这一病症存在争议，有很多医生认为这是发明出来的病，是假病。但更多的精神科医生并不反对给孩子开药。
一方面医生不会从教育学方面去思考，另一方面医生一般不愿意告诉前来就诊的人说你没病，不开药就打发走。病人有病，没有被诊断出来，医生是要承担责任的；但病人没病，被怀疑有病而进行治疗，即使最后明确诊断为没病，医生也不会惹上麻烦。能捕捉蛛丝马迹的症状对病症做出诊断的医生，才更受大家的尊重。这是第一个原因。
第二个原因是，从医学研究上，医生需要不断形成自己的学术研究成果。但并非所有的成果都自研究而来。《疾病发明者》中有一段话非常精彩，摘录如下：
“一种病症的诞生，常起源于某个医生宣布观察到异常状况。起初只有少数医生相信新病征，接着这些少数认同者出席某场会议，会中任命一组委员会负责出版文集，借由文集扩大新病征的知名度并引起各方兴趣。至此，其他医生也注意到新现象，然后刻意寻找症状相符的病人。在这样选择性看病之下，已可能出现一场小流行病。接着许多文章和研究报告开始让大众产生一种印象：医生真的发现新病了。这群医生自创专业期刊发表自己的研究结果——其中保证没有批评性报告。”
第三个重要原因是医生与药品厂家向来关系微妙。
包括美、英、德在内的许多国家，制药厂商赞助有关青少年医学期刊、赞助医疗学术研讨会，已成为普遍现象。药厂赞助医学研讨会，会后邀请医生们享受盛宴和豪华旅游。德国的法定医生进修，现在大部分公开由制药业安排。医学教授和私人医生拿药品厂商一大笔钱后，在记者会上发言。厂商最厉害最有效的手段是赞助医学期刊，在医学期刊上发表研究报告，这些报告有理有据，无懈可击，不但经常对新药核准与否发挥关键作用，还影响以后医生们是否使用该药以及使用范围。
近年来，不少国际著名制药厂大举进军中国市场，国内制药业也发展迅速。国际流行的医药营销模式随之在我国不仅落地生根，而且发扬光大。新兴的庞大的医药代表队伍，像密密的纽带，把制药企业和医生紧紧地联在一起。一些有实力的药品生产厂家请医生通过开处方或做宣传来推销它的产品，这是件并不困难的事。
一直以来，谁的话都可以怀疑，但是我们不怀疑医生的话。因为他们一直代表科学，是关照生命的权威。但利益的驱使如同洪流，可以改变和摧毁很多东西。
澳大利亚医学界总结出五种在临床上贩卖病症的方式：
把生命正常过程当作医疗问题；
把个人问题和社交问题当作医疗问题；
把致病风险当作病症；
把罕见症状当作四处蔓延的流行病；
把轻微症状当作重病前兆。
美国著名儿童教育家蒙台梭利，是一名医学博士，她曾是儿童神经病科医生。在和不同的患儿打交道的过程中，她越来越感到药物解决不了问题，问题在教育上，教育才是解决儿童精神及行为问题的最有效办法。
她经过多年实践研究得出的结论是：“儿童心理缺陷和精神病患主要是教育问题，而不是医学问题，教育训练比医疗更为有效”。这个结论改变了无数儿童的命运。
她创办了治疗儿童心理创伤的“儿童之家”，主要收治那些精神和智力方面有问题的儿童以及流浪儿。她发明了许多用于改善儿童智力及情绪的教具和教学方法，对学生进行有效的训练。她把这些孩子当正常孩子一样相处，给他们以符合人类自然天性的教育与关爱。蒙台梭利成功地使进入到“儿童之家”的孩子们走出阴影和困境，在语言发展、动作协调、人际交往、学习方面都和正常儿童一样，在政府监督下通过了与公立学校同龄儿童同等水平的读、写、算考试。她的教育成果在全球教育界引起巨大轰动。
蒙台梭利教育理论和方法的基本原则是“尽量减少干预儿童主动性”，即给孩子最大的自由，给他们以尊重，发展孩子潜能，让他们学会独立做事，独立判断。哈佛大学教授、教育学家霍姆斯（EGHolmes）说：“蒙台梭利理论体系的精华是她对下面这个真理的有力论断：除非在自由的气氛中，儿童既不可能发展自己，也不可能受到有益的研究！”
“减少干预”，给儿童“自由的气氛”才能培养出身心健康和谐的儿童，这和前面提到的绝大多数“多动症”儿童来自管教严格的家庭，恰形成逻辑上的吻合。如果说真有一种药能治孩子的毛病，那么“减少干预”和“自由的气氛”应该是最好的两片药。
蒙台梭利在《吸收性心灵》一书中说：人是一种有智慧的动物，因而对心理食粮的需求几乎大于对物质食粮的需求。无需恐吓或哄骗，只需使儿童的生活条件“正常化”，他的疾病将消失，他的噩梦将绝迹，他的消化功能将趋于正常，他的贪婪也将减弱。他的身体健康会得到恢复，因为他的心理趋于正常了。
社会生活变得如此细腻，会生孩子不等于会当父母，当代家长需要虔诚地学习如何做父母。如果你家里有个“多动症”孩子，要改变孩子，首先和最重要的是改变家长自己。第一步是果断地把药片扔进垃圾桶，勇敢地向孩子承认，是我错了。这一天是家长的新生，也是孩子的新生。
●童年不会重复，吃过的药会在体内留下痕迹；被贴上“多动症”标签，也会在心灵留下痕迹。
●儿童心理缺陷和精神病患主要是教育问题，而不是医学问题，教育训练比医疗更为有效。
●连续不断的心理创伤，会让孩子精神上产生很大的压力，行为发生变态，要么成为莱鸯不驯的小混混；要么成为完全丧失自我的小傀儡；要么成为无法和他人相处的孤僻者或偏执狂——这一切的背后都是儿童安全感、自信心的缺失。
●如果说真有一种药能治孩子的毛病，那么“减少干预”和“自由的气氛”应该是最好的两片药。
Notes:
Notes: