Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: The American Medical Association
(AMA) Council on Scientific Affairs has concluded that ". . . there
is little evidence of widespread overdiagnosis or misdiagnosis of ADHD
[attention-deficit/hyperactivity disorder] or of widespread
overprescription of methylphenidate."1
Psychiatrists Marzuk and Barchas2 state, ". . . the most
significant conceptual shift (from DSM-III-R [Diagnostic
and Statistical Manual of Mental Disorders, Revised Third Edition]
to DSM-IV [Diagnostic and Statistical Manual of Mental
Disorders, Fourth Edition]) was the elimination of the rubric
organic mental disorders, which had suggested improperly that most
psychiatric disorders . . . had no organic basis." Herein, they
assume but do not prove that "most psychiatric disorders" have an
organic basis. Goodwin3 writes, "Physicians are consulted
about the problem of alcoholism and therefore alcoholism becomes . . .
a disease." Later, he acknowledges "a narrow definition of disease
that requires the presence of a biological abnormality."
Baughman, Jr FA. Treatment of Attention-Deficit/Hyperactivity Disorder. JAMA. 1999;281(16):1490–1491. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-16-jbk0428
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