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July 26, 1976

The Learning-Disabled or Hyperactive Child

Author Affiliations

Silver Springs, Md

JAMA. 1976;236(4):344. doi:10.1001/jama.1976.03270040010003

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To the Editor.—  The following is in reply to the comment made by Stephen Sulzbacher, PhD (235:1553, 1976) in reply to my letter (235:1552, 1976).Dr Sulzbacher quoted my letter only in part, thereby providing an erroneous impression. Not only did I say that "the diagnosis (of hyperkinetic syndrome) can usually be made quickly from a brief medical history and clinical observation of the child," but I also said that "in cases of doubt, a soft-sign neurological examination and psychological testing may be required." It is not "an oversimplistic approach."To correct any mistaken impression, it should be known that practically all of the youngsters seen by us for treatment of hyperkinetic syndrome receive psychotherapy along with their pharmacotherapy, and their parents are seen in psychiatric casework. The crucial point missed by physicians who avoid the use of amphetamines is this: many hyperkinetic children have a broad impairment of ego