ADHD and Giftedness: A Neurocognitive Consideration of Twice Exceptionality
Abstract
Current models of cognition and behavioral diagnosis emphasize categorical classification over continuous considerations of function and promote the "differential diagnosis" of various conditions according to observational criteria. However, an overemphasis on a purely behavioral, categorical approach to understanding human function fails to address the comorbidity of different disorders and does not include a consideration of overlapping levels of function, from "pathological" through "normal," to "gifted" or exceptional. The frequent co-occurrence of "gifted" and "pathological" function is thus difficult to understand from a corticocentric and purely behavioral and observational point of view. This article reviews "giftedness" in relation to the diagnosis of attention-deficit hyperactivity disorder, coexistence of which is termed "twice exceptional." It additionally considers problems in assessing these functions using current neuropsychological tests and methodologies that are presumably based upon a corticocentric model of cognition.
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Individuals with high intelligence may show typical ADHD-like features, such as high levels of activity, low impulse control, frustration and boredom, and poor attentional span.
“Individuals with high intelligence may show typical ADHD-like features, such as high levels of activity, low impulse control, frustration and boredom, and poor attentional span [11].”
From Behavioral and Socio-Emotional Disorders in Intellectual Giftedness: A Systematic Review (2024) · cites this paper as [11]
Empirical investigations have provided no consistent evidence of the impact of intellectual giftedness on socio-emotional development.
“However, empirical investigations have provided no consistent evidence of this impact.”
From Behavioral and Socio-Emotional Disorders in Intellectual Giftedness: A Systematic Review (2024) · cites this paper as [11]
Some studies have found an association between giftedness and internalizing problems.
“Some studies have found an association between giftedness and internalizing problems, which involve excessive control of emotions and behavior, anxiety, social withdrawal, low self-esteem, or excessive perfectionism [e.g., 11].”
From Behavioral and Socio-Emotional Disorders in Intellectual Giftedness: A Systematic Review (2024) · cites this paper as [11]
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- Authors
- Budding, D., & Chidekel, D.
- Affiliations
- University of California, Los Angeles (US)
- Private Practice
- Corresponding author
- Budding, Deborah
- Venue
- Applied Neuropsychology: Child
- Publisher
- Informa UK Limited
- Published
- 2012-07
- Volume
- 1
- Issue
- 2
- Pages
- 145-151
- ISSN
- 2162-2965 (ISSN-L)
- 2162-2973
- OpenAlex
- W2125462791
- Cited by
- 35
- References
- 61
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 2
- FWCI
- 0.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Neuropsychology Child (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Education, Achievement, and Giftedness
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- twice-exceptional, attention deficit hyperactivity disorder, giftedness, comorbidities, neurocognitive function, categorical diagnosis, differential diagnosis, neuropsychological assessment
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Humans, Intelligence, Neuropsychological Tests
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