Attention Deficit Disorder: Are There Subtypes? A Review of the Literature from 1980 to 1989

Authors

  • Mark S. Driscoll
  • Steven G. Zecker

Abstract

Attention Deficit Disorder(ADD) is oneofthe mostcommonchildhood disorders. Withthe advent of Diagnostic and Statistical Manual ofMental Disorders - Third Edition (DSM-III) in 1980, two forms of ADD were proposed: ADD with hyperactivity (ADD/H) and ADD without hyperactivity (ADDj WO). These two forms were combined into a unitary disorder, Attention Deficit Hyperactivity Disorder (ADHD) with the introduction of DSM-III-R (DSM-Ill-Revised) in 1987. This paper reviews the similarities and differences between ADD/WO and ADDIH and evaluates the American Psychiatric Association's (APA) decision to eliminate the ADD/WO classification. Sufficient differences between ADD/WO and ADD/H exist to support our assertion that the single diagnostic category ofADHD obscures important distinctions between individuals with problems in the areas of inattention, impulsivity, and hyperactivity. We propose that a careful consideration of each of these core features through an evaluation ofeach individual's attentional profile will allow practitioners to better understand the nature of the problem and plan appropriate treatment.

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Issue

Vol. 2 No. 2 (1991)

Section

Articles

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