Friday, March 2, 2012 16 Comments
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EFD, ADD, ADHD, HRT, MBD – WTF?
by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Hold onto your hats everybody, there is discussion afoot toward yet another renaming of ADD (currently “officially” ADHD) — and the front-runner seems to be (at the moment, at least), EFD.
I wouldn’t block consensus on EFD.
However, as illuminated in an earlier article on this site [ADD – What’s in a Name?], I don’t have a problem with the acronym “ADD” — as long as we focus on the disorder of THE ATTENDING MECHANISM and the Dynamics of Attending.
In other words, the essential point, for me, is that, for whatever reason, ADD is an impairment in the extent of one’s ability to pay attention, STOP paying attention, and/or to get back on track after an interruption or distraction.
- Focusing on the intended object;
- Sustaining the focus;
- Shifting focus AT WILL
Underlying each of the Dynamics is the same impaired element of cognition common to all of the Executive Functioning Disorders: VOLITION.
That’s INTENTIONALITY, boys and girls – being able to drive your own brain and run your own life, rather than being at the effect of chronic oopses and mishaps.
OK with EFD
Pom poms and short skirt at the ready for the BRAIN-BASED Coaching pep rally, this cheerleader is just fine with supporting “EFD” as an effective term for attentional continuum struggles.
As long as you don’t ask me to sign on the the “H” as part of the name (or anything else that might lead poorly educated, out-of-date ADD practitioners to make non-thinking assumptions in ways that will cause more damage than they already have), I’m ready to align with anything likely to shift the current paradigm to one aligned with neurodiversity.
If we ALL put our shoulders to the SAME wheel, I think we’ll be astounded at what we can accomplish together.
If you are unfamiliar with the story of the six blind men of Hindustan (attempting to describe an elephant,
based only upon the portion they had each examined), click on the paragraph header immediately below
to see what Wikipedia has to say on the topic. [**Attribution at end of article.]
ADDers and ADD Pros alike, we are all, in essence, blind men — trying our darndest to describe this “ADD/EFD” elephant we’ve had our hands on, hoping to figure out how to work with it (or work around it).
WHATEVER we end up calling it, I’m thrilled that some of the Professionals, at least, are finally working TOGETHER to attempt to get a handle on the bigger picture, rather than turf-building to justify our individual takes on the part we’ve been touching!
To ALL of us, I offer the last few lines of one of the versions of the fable**:
And so these men of Hindustan
Disputed loud and long,
Each in his own opinion
Exceeding stiff and strong,
Though each was partly in the right
And all were in the wrong.**
The CorePsychBlog, written by Dr. Charles Parker, makes a pretty good case for using EFD as an “umbrella term” in ADHD And Cognitive Anxiety – Now 3 Types, an article which explores what he distinguishes as three different types of cognitive anxiety, which “can occur separately or all together, depending on circumstance and context – the realities of life.”
He refers to the three types as “ADHD anxiety subsets,” which is the concept that supports and underscores his platform calling for a change in nomenclature.
“The ADHD label inaccurately describes the mental condition,” Dr. Parker states, illuminating further with, “it only punctuates what can be observed, not what is.
Dr. Charles Parker’s Three ADHD Anxiety Subsets
1. Frozen Thinking – Unmanageable Cognitive Abundance – Without Worry: Without affect, not feeling constrained, but nevertheless stuck with thinking too much about inconsequential items – small stuff.
These folks think so much they become exhausted, and with encumbered mental lives they often make untimely decisions. They are operationally too stuck, too often, for their own interpersonal comfort.
They can still make decisions and often flip this presentation around to micro-managing so they can control – correct – the thinking.
2. Frozen Thinking – Abundance With Indecision And Worry: These folks get overtly stuck – not a little stuck – and more often, not all the time, [but way too often] they either can’t make that decision or make it too darn late.
The indecision becomes relevant in their interpersonal relationships, at home or work.
3. Thinking With An Anxiety Feeling: In this ADHD presentation, the feelings arise as derivative from the mental/mind thinking too much, then move into indecision and worry, they appear going down into the body.
They feel it in their chest, their stomach – it becomes somatic instead of, or in addition to, mental.
What do YOU think?
- Does EFD seem like a better name than ADD, or is that a bit too much like PDDNOS for you? [Pervasve Developmental Disorder, Not Otherwise Specified]
- Are you following the importance of how we name disorders and how it impacts the diligence of the care provided to “the end user?”
- Have you made YOUR opinion known to the professionals who treat you?
- If not now, when? Really. As a REAL question.
- What would it take for YOU – every single ONE of you reading – to “Sing out Louise?”
- What DO you think?
BY THE WAY, this is a topic that might interest other citizens of Alphabet City as well. (check out ABOUT Alphabet Disorders for what I’m talking about.)
If we don’t have specificity about diagnostic ADD, how in the world will most doctors be able to diagnose “not ADD?”
**The blind men and the elephant. Poem by John Godfrey Saxe (Cartoon originally copyrighted by Jonathan Himmelfarb, Peter Stenvinkel, T Alp Ikizler and Raymond M Hakim, authors of Perspectives in Renal Medicine, a paper published in Kidney International (2002) 62, 1524–1538; doi:10.1046/j.1523-1755.2002.00600.x; G. Renee Guzlas, artist).
Related Articles on this Site
Related articles around the ‘net
- Russell Barkley: Executive Function’s Critical Role in ADHD (capeadhd.wordpress.com)
- An Inside View of How and Why People are Different (brainpathways.net)
- Cognitive control: when less is more! (the-mouse-trap.com)
- Blog Presentation – By Ruwan, Gabi, Emily, and Felix (emilytalley92.wordpress.com)
- An Economic and Rational Choice Approach to the Autism Spectrum and Human Neurodiversity (marginalrevolution.com)
- Rethinking thinking (seattletimes.nwsource.com)
- ‘Silencing Ourselves: A Plea for Civility in the ASD Community’ – A Sister’s Response (autismspeaks.org)
- Concern over the use of the Social Model of Disability, in the Autism Community (autismandoughtisms.wordpress.com)
- Adhd (41staid.wordpress.com)
- A Beautiful Mind (marieclaire.com)
- Omega-3 DHA Improves Literacy In ADHD Children (deretornoacasa.wordpress.com)
- Examining adaptive abilities in children with prenatal alcohol exposure and/or ADHD (medicalxpress.com)
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