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The "new attention deficit disorder" is creating a storm in the scientific community - Walla! health

2021-07-21T17:29:53.784Z


Experts claim that there is a new type of attention deficit disorder - "lazy cognitive rhythm". What are the symptoms of that disorder and why does it cause great anger in the scientific community? Here are all the details >>>


  • health

  • psychology

The "new attention deficit disorder" is creating a storm in the scientific community

In fact, human psyche experts lost all restraint when they began discussing what some claim is a hitherto unexplored attention deficit disorder - "lazy cognitive rhythm."

What are the symptoms of that disorder and why does it cause researchers to behave like children?

Here are all the details

Tags

  • ADHD

  • Attention Deficit Disorder

  • ADHD

  • ADD

Maor Moiger

Wednesday, 21 July 2021, 09:18 Updated: 09:44

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"Lazy", "disturbed", "chatty", "astronauts", these are just some of the descriptions teachers and parents used a few decades ago when talking about children who today can say they suffer from ADHD.

As the years go by, the understanding sharpens that these children do not "actually do", but suffer from a real neurological disorder, which prevents them from functioning like the other children in the school.

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When you understand this, a lot of compassion goes into the equation.

Thus, even before formulating therapy, the very fact that the child is told that he is okay and that the challenges he is facing have not been created through his own fault - already helps him to improve the way he perceives himself.



But what about all those who have not been diagnosed with this disorder and still have difficulty, but in other ways?

Should experts continue to research additional disorders to understand more about the unique difficulties each of us faces?

If you think the answer to this question is clear or simple, surprisingly this is not the case.

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In fact, this question has ignited a heated debate in the scientific community, which has been going on for many years, and is based on a phenomenon that some experts believe is a new and unfamiliar disorder, while others argue that it is not a disorder and that research could have dangerous consequences.

What is a "lazy cognitive rhythm"?

The potential disorder that has been studied in recent years is called "Sluggish Cognitive Tempo" (SCT). Unlike ADHD, which is characterized by impulsivity and hyperactivity, among others, researchers suggest that those who suffer from this phenomenon are usually quiet people who walk slowly, suffer from low energy levels and tend to daydream a lot. Such children (and even undiagnosed adults) will sometimes find it difficult to think clearly and will suffer from ongoing "brain fog".



According to experts who support the classification of the new disorder, "lazy cognitive rhythm" is fundamentally different from ADD and overdiagnosis will not be common because the diagnosis is based on between 12 and 15 symptoms. There is no single symptom that indicates the disorder, only the number of symptoms, their frequency and their severity - all of these will have to be significantly different from the average in the general population to form a diagnosis. These symptoms include a tendency to stare into space, daydreaming, apathy, confusion, chronic fatigue, depression,Anxiety and more.

Symptoms are easy to identify with.

A man daydreaming (Photo: ShutterStock)

So why is the phenomenon causing such a big storm?

Well, there are several reasons for this.

The main argument is that the diagnosis is very similar to that of a disorder that already exists - ADD, ADHD without hyperactivity.

In addition, quite a few experts believe that in general, there are already too many children (and adults) who are diagnosed with ADHD and receive stimulant pills that are not helpful to them and may even cause harm.



Alon Schwartz, an American journalist who was nominated for the Pulitzer Prize, covered the subject of ADHD extensively and even wrote a book called "ADHD Nation" in which he interviewed experts who pointed out failures in diagnosing the disorder.

After in 2014, the scientific journal Research on Child and Adolescent Psychopathology dedicated a special issue to "Lazy Cognitive Rhythm," he published a response article in the New York Times, based on expert opinions he collected along the way.



"I can not doubt that there are quite a few children and adults who have difficulty with large and small operations ... and we need to help them ... but recognizing SCT as a disorder is a very significant step, especially when the disorders that already exist today suffer from overdiagnosis."

Supporters of the definition of a lazy cognitive rhythm are still a minority.

Tired woman in office (Photo: ShutterStock)

Dr. Yaakov Ofir, a clinical psychologist and research fellow at the Technion and the Hebrew University, also opposed the study of the phenomenon in a series of articles he wrote for Haaretz on attention and concentration disorders. Dr. Ofir also goes further and writes that "there is no conclusive scientific evidence , And calls those who attack his views the "Science Police."

On SCT he wrote that "already today, Russell Barkley, an architect of attention deficit disorder, is working on a new invention: 'lazy cognitive rhythm', soon, in the absurd cinema of attention deficit disorder."



But the same Barkley, a clinical psychologist from Commonwealth University Hospital in Virginia, points to studies that show just the opposite.

One study he presented showed that ADHD is not currently diagnosed in about 20 percent of children and no less than 80 percent of adults who suffer from it.

He said, "The evidence that supports allegations of overdiagnosis is simply inadequate."

However, he emphasizes that this is a discussion that is important to hold and that it should be noted when the diagnosis is mistaken and medications that are not needed are prescribed.

"All my life I thought I was stupid or lazy"

Alan Frances, who previously served as chair of the prestigious Duke University Department of Psychiatry and headed the task force that drafted the fourth version of the DMS, the guide to diagnosing mental disorders, used words that may be considered the most blatant in this debate. , He believes that SCT is "One of the dumbest". But alongside the harsh words, Frances also provided a more professional explanation: "I think the whole concept is so flawed that no one in the world can stop studies that can save it. "



Barkley, who wholeheartedly believes that this is a legitimate disorder that needs to be further investigated, claimed that Schwartz, one of his sharp critics, refuses to believe in ADHD because he believes in Scientology, a religion that generally denies the existence of mental disorders." Schwartz responded: "I A Scientologist just like I am a grapefruit. "

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Ritalin (Photo: AP)

But while the adult experts continue to quarrel, there are quite a few children, teens and young people who read about the phenomenon and feel, sometimes for the first time in their lives, that they have a way of explaining the chaos that takes place in their minds and the difficulties they face every day. They of course, just like us, cannot decide who is right in an argument, but feel that giving this title to their confrontation already makes it simpler.



Today there is even a Facebook group on the subject, which already has almost a thousand members. It is a platform where people share their difficulties, support each other and also talk about tools that have helped them lead a better life alongside the challenges. Avi Williard is a member of the group and said in an interview how much the exposure to the subject affected her: "All my life I believed I was stupid or just lazy," she says.



In the term "lazy cognitive rhythm" she first encountered at the age of 19, when she received documentation of a psychological diagnosis made on her when she was 12. A short Google search, she said, changed her life.

"I remember everything suddenly seemed so logical at that moment. It made me so much order."

Will drugs really improve the situation?

This is the place to re-emphasize - as of today "lazy cognitive rhythm" is not a known disorder and researchers who believe it should receive such recognition are in a minority position. The discussion on the subject will probably continue for many more years over our heads, but it raises questions that are relevant to each of us.



First of all, is it right that we define everything in our functioning that goes a little beyond the norm and label it a disorder, or do we come to terms with the fact that each of us is different and unique - and sometimes has difficulty, for his own reasons, in challenges that others succeed without problem? In addition, if you have been diagnosed with one disorder or another - how to properly treat it? Should children be prescribed more and more medications that will indeed help them function like the others, but may also produce dependence and side effects? There are quite a few people who have completed medical or legal studies and feel that they have done so thanks to these drugs, while others feel that they would like to “teach the brain” to be able to function even without relying on chemicals that can also be harmful.



These questions are also difficult for mental health experts to provide an unequivocal answer.

But these are questions that it is important for each of us to examine for ourselves.

And if there is one thing that can be deduced from the words of the experts is that since each of us is different, each will also have a different approach to improving his life.

But awareness and the ability to ask the right questions are initial and necessary steps along this long path.

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Source: walla

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