Beyond polemics: science and ethics of ADHD
Abstract
What is attention-deficit hyperactivity disorder (ADHD)? Why are so many children being diagnosed with ADHD and prescribed medication? Are stimulant drugs an effective and safe treatment strategy? This article explores the current state of scientific research into ADHD and the key social and ethical concerns that are emerging from the sharp rise in the number of diagnoses and the use of stimulant drug treatments in children. Collaborations among scientists, social scientists and ethicists are likely to be the most promising route to understanding what ADHD is and what stimulant drugs do.
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Neither bioethics nor sociology has yet fully taken on the complexity of ADHD as a complex heterogeneous disorder characterized by different gene-environment-gene pathways.
“neither bioethics nor sociology has yet managed to fully take on the complexity of ADHD that is now widely accepted in the world of developmental and clinical child psychiatry (Singh, 2008). Here, ADHD is a ‘complex heterogeneous disorder’ characterized by different gene-environment-gene pathways (eg Sonuga-Barke, 2005).”
From A disorder of anger and aggression: Children’s perspectives on attention deficit/hyperactivity disorder in the UK (2011) · cites this paper as Singh, 2008
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“…be beneficial, there has been a persistent concern that treatment with stimulant medication could lead to long-term development of substance abuse (Singh, 2008; Winhusen et al., 2011), and our previous study did not explore long-term associations with drug abuse and only addressed drug-related…”
InfluentialFunctional family therapy for adolescent behavior problems.
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“…biological dimensions of complex human behaviors in sociology (eg Hacking, 1999; Horwitz, 2002; Rose, 2007), neither bioethics nor sociology has yet managed to fully take on the complexity of ADHD that is now widely accepted in the world of developmental and clinical child psychiatry (Singh, 2008).”
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- Authors
- Singh, I.
- Affiliations
- London School of Economics and Political Science (GB)
- Corresponding author
- Singh, Ilina
- ORCID
- Singh, Ilina
- Venue
- Nature reviews. Neuroscience
- Published
- 2008-12
- Volume
- 9
- Issue
- 12
- Pages
- 957-964
- ISSN
- 1471-003X (ISSN-L)
- 1471-0048
- OpenAlex
- W2033016865
- Cited by
- 233
- References
- 110
- Citations by year
- 2026: 19 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 11 · 2020: 9 · 2019: 18 · 2018: 14 · 2017: 14 · 2016: 16 · 2015: 17 · 2014: 22 · 2013: 22 · 2012: 20
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Update notices
- erratum (2008-11-26)
- Open access
- closed
- Locations
- Nature reviews. Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- London School of Economics and Political Science Research Online (London School of Economics and Political Science) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Wellcome Trust
- Royal Society
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroethics, Human Enhancement, Biomedical Innovations
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Keywords
- attention deficit hyperactivity disorder, stimulant medication, children, social ethics, treatment effectiveness and safety, interdisciplinary collaboration, science and ethics
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Ethics, Medical, Humans, Science
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