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Article: Why French Kids Don't Have ADHD

Posted on 7/9/15 at 8:35 am
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
423649 posts
Posted on 7/9/15 at 8:35 am
Psychology Today

quote:

In the United States, at least 9 percent of school-aged children have been diagnosed with ADHD, and are taking pharmaceutical medications. In France, the percentage of kids diagnosed and medicated for ADHD is less than .5 percent. How has the epidemic of ADHD—firmly established in the U.S.—almost completely passed over children in France?


In the United States, child psychiatrists consider ADHD
quote:

to be a biological disorder with biological causes. The preferred treatment is also biological—psycho stimulant medications such as Ritalin and Adderall.

French child psychiatrists, on the other hand, view ADHD as a medical condition that has psycho-social and situational causes. Instead of treating children's focusing and behavioral problems with drugs, French doctors prefer to look for the underlying issue that is causing the child distress—not in the child's brain but in the child's social context. They then choose to treat the underlying social context problem with psychotherapy or family counseling. This is a very different way of seeing things from the American tendency to attribute all symptoms to a biological dysfunction such as a chemical imbalance in the child's brain.


quote:

From the time their children are born, French parents provide them with a firm cadre—the word means "frame" or "structure." Children are not allowed, for example, to snack whenever they want. Mealtimes are at four specific times of the day. French children learn to wait patiently for meals, rather than eating snack foods whenever they feel like it. French babies, too, are expected to conform to limits set by parents and not by their crying selves. French parents let their babies "cry it out" (for no more than a few minutes of course) if they are not sleeping through the night at the age of four months.


yesterday on the poli board we were having a discussion about drug policies, specifically the banning of drugs in the US. the basis was centered around an article about the rise in heroin use. the primary discussion on that specific point was based around the fact that opioid addiction is often created via legal means (prescribing opiate-based medications).

one point that those who want to ban drugs (instead of looking at addiction as the issue) couldn't really respond to was how we love to hand out amphetamine-based stimulants like candy (primarily to treat ADD/ADHD) while banning methamphetamine. seeing this article made me welcome hearing defenses of this drug abuse in another sphere.

ETA: i know this was posted a few years ago today but it was re-posted today on psychology today's facebook and it's a new era for drug policy compared to 2013
This post was edited on 7/9/15 at 8:41 am
Posted by MSTiger33
Member since Oct 2007
20403 posts
Posted on 7/9/15 at 8:36 am to
Link? I would like to read the whole article.
Posted by el Gaucho
He/They
Member since Dec 2010
53129 posts
Posted on 7/9/15 at 8:39 am to
the French probably have GAYDHD instead
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 7/9/15 at 8:42 am to
I lived with a middle class French family in Paris in 10th grade as a part of an exchange program. I went to their high school and did everything the kids in the family did. This article is spot on.

They had VERY structured meal times and even meals. The portions were small, but it was enough. We ate an appetizer and no one got their next plate until everyone finished. And so on. Not just for dinner, but every meal. Even casual meals where the desserts were a single pudding cup per person, the spoon was laid on the table and everyone began eating at the same time, sitting straightforward at the dining room table.

Very, very structured lifestyle as children. We had 1 hour for homework, 1 hour for dinner, 1 hour for reading after dinner, etc.

School was very similar as well. It was set up kind of like Harry Potter, in that we didn’t play other schools in sports, but the school itself was split into teams (not 4, it was like 6 I believe). The teachers gave no fricks that I could barely understand them when they talked fast and held me to the same academic standards. It was brutal .

Oh, and the two kids (15 year old male and 12 year old female) shared bath water in the morning before school. I, of course, pulled the plug and refilled for myself. I’m sure they thought I was a wasteful American, but I draw the line somewhere
This post was edited on 7/9/15 at 8:46 am
Posted by chickman1313
Mandeville
Member since Dec 2007
4922 posts
Posted on 7/9/15 at 8:42 am to
pharmaceutical companies run the country. if we made all drugs legal, they wouldn't get their money. they pay the lobbyists hundreds of millions of dollars to ensure things remain the way they are.

completely agree with the article too, but I think the main reason Adderall and drugs in general are so over prescribed here is the doctors getting kick backs from drug companies for prescribing their drugs.

Money controls everything
Posted by sneakytiger
Member since Oct 2007
2474 posts
Posted on 7/9/15 at 8:46 am to
The tendency to diagnose a mental illness is directly tied to the ability to "treat" said illness
Posted by CoachChappy
Member since May 2013
32600 posts
Posted on 7/9/15 at 8:50 am to
It's a fairly easy process. Provide your kids with structure and they will thrive. It's so damn frustrating to see kids running their parents lives. The biggest excuse I get is, well it's easier this way or wait until your kids are older and you'll understand. frick that. I teach 14 special needs children all day except for when they go to PE. The more out of control they are behavior wise when they get to me; the more structure I provide for them. The trick is teaching the parents to do the same at home. More often than not, I help get my kids OFF their ADHD meds before going to high school. It's all about conditioning the mind to be in control of impulse.
This post was edited on 7/9/15 at 8:51 am
Posted by PaulMcFartney
Fartford Cunketitcut
Member since Jul 2015
80 posts
Posted on 7/9/15 at 8:51 am to
I have heard this comparison between European handling of ADD/ADHD symptoms in children vs. how we handle in the States. I am in agreement with the European style.

I think (just my opinion from having nieces and nephews) one reason so many kids get ADD/ADHD is too much TV at a young age. Parents of 1-3 year olds don't have time to or want to give their babies all the attention they require, so they throw them in front of the tv. This entertains them and keeps them quiet. So from a very young age children are given constant stimulus. They never learn to cope with not being entertained. As these kids get older they get bored very easily from lack of stimulus.
Im not saying tv is bad as a whole, but the amount of tv watched by young children needs to significantly decrease. let them find other forms of entertainment even if it is as simple as a coloring book or puzzle. At least those will develop skills than can be used in the future.

As for the prescription argument, I also agree that this needs to stop. I took Adderall in college to help study, like the majority of students, and the ease in which I got it was disturbing. I walked into a doctors office where I had never been, told them I was in engineering that was having trouble focusing due to the large amount of work required in my major. Lady prescribed me Adderall immediately. As time progressed my dosages got larger. Yes, I did benefit from the prescription, but it was out of sheer laziness that it was required, not a true medical need.

My father has also taken Xanax and other forms of anti-anxiety medication as far back as I can remember. Now he is basically fried from all the pills. Though my parents and older generation of family will never admit it, he is completely addicted and dependent on the medication. Long term use has ruined any natural ability he had to fight the anxiety and just deal with it internally. I always tell them he should stop taking the pills and start using TCH, but that's illegal. This close minded approach is a problem that most of America refuses to acknowledge. Of course, the huge pill corporations are paying everyone to keep this trend going.

TL;DR - your mom is a slut



Posted by Salmon
On the trails
Member since Feb 2008
83638 posts
Posted on 7/9/15 at 8:51 am to
TIL I learned that I raise my daughter like the French

Our daughter is on a very tightly kept schedule, which is great at times because she does so well with it, but it can also feel like we are a prisoner to her schedule sometimes
This post was edited on 7/9/15 at 8:52 am
Posted by Thib-a-doe Tiger
Member since Nov 2012
35460 posts
Posted on 7/9/15 at 8:52 am to
So French children are taught to be submissive?


Explains a lot
Posted by AUCE05
Member since Dec 2009
42578 posts
Posted on 7/9/15 at 8:54 am to
Keep in mind France has 65 million people. We have 350 million with illegal Mexicans. So it stands to reason our problems would be 5 times as worse. Scale is very important and you need to compare apples to apples.
Posted by ShoeBang
Member since May 2012
19367 posts
Posted on 7/9/15 at 8:56 am to
quote:

Why French Kids Don't Have ADHD


Because ADHD is rare and over diagnosed in the USA from doctors getting kickbacks for putting kids on drugs.

It has now spread to adults who still think it is ok to be on drugs all the time.
Posted by TheDrunkenTigah
Baton Rouge
Member since Aug 2011
17341 posts
Posted on 7/9/15 at 9:00 am to
You should read this book if you haven't already. It's probably required reading for French psychiatrists and the reason they've been very successful at treating this.

Posted by tke857
Member since Jan 2012
12195 posts
Posted on 7/9/15 at 9:09 am to
so they furburize (sp?) Ill tell you this i know kids/adults that are post medicine and pre medicine and the medicated form is much more productive
Posted by Winkface
Member since Jul 2010
34377 posts
Posted on 7/9/15 at 9:23 am to
I've only read the first chapter but seems to fit right in line with this book that I got:

Posted by tiggerthetooth
Big Momma's House
Member since Oct 2010
61378 posts
Posted on 7/9/15 at 9:32 am to
quote:

how we love to hand out amphetamine-based stimulants like candy (primarily to treat ADD/ADHD)



The drug I take is not handed out like candy. Its very very restricted, almost to the point of frustration.
Posted by cubsfan5150
Member since Nov 2007
15794 posts
Posted on 7/9/15 at 9:47 am to
Mental health is a farce.
Posted by Hammertime
Will trade dowsing rod for titties
Member since Jan 2012
43030 posts
Posted on 7/9/15 at 9:48 am to
I think it all stems from the "easy way out" attitude, scapegoating, and general laziness in the US. Some people do have legitimate biological reasons for needing meds (me for ADD, damn near every bipolar person, schizos, etc), but a lot of it is just solving a problem the easy way.

I mean, someone who gets depressed because they lost their job (i.e. temporary reasons) doesn't need to be medicated. That can be taken care of by counseling.

Once a doctor tells someone they need medicine, they will believe that they do for the rest of their lives, and blame everything bad that happens on the fact that a doctor prescribed them meds because they have a disease
This post was edited on 7/9/15 at 9:50 am
Posted by ell_13
Member since Apr 2013
85168 posts
Posted on 7/9/15 at 10:31 am to
Basically... Big Pharm $$$$$$$$$$$$$$
Posted by buckeye_vol
Member since Jul 2014
35242 posts
Posted on 7/9/15 at 10:49 am to
I've seen this article multiple times, and I despise it. This isn't because I think there are some good points made about the societal expectations of parenting, behavior, and structure and the tolerance the behaviors--or lack thereof.

My problem is that the author notes the different classification system, but then completly ignores that when discussing the differences in prevalence rates. It's a dishonest attempt to exaggerate the differences by comparing apples to oranges.
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