ifso215
09-22-05, 03:17 AM
I just posted a thread in the resources section with a bit of info about this apparently brand new book I stumbled on in the bookstore today: "Attention Deficit Disorder: The Unfocused Mind in Children and Adults" by Thomas E. Brown.
I wish to discuss some of Brown's ideas/observations/research here. Don't judge a book by it's cover... the author chose what may possibly be the most boring title in the history of the subject, but I have worked myself up into a frenzy after reading what he had to say.
I plowed right through the book in a few hours, so forgive me if I fudge some of the specifics, but I'll try and give you the overarching idea that I got from it first. Essentially, Brown is proposing that ADD is a "complex syndrome" that most prominently affects the "executive functions" of the brain. In most of the resources I've read, the experts have painted a picture of ADD that is far more fragmented than the one that Brown is presenting here strongly centered on these "power broker" functions in the brain.
For talking points, these are the "Six Aspects of a Complex Syndrome" that Brown writes about:
Cluster 1: Organizing, Prioritizing, and Activating for Tasks
Cluster 2: Focusing, Sustaining, and Shifting Attention to Tasks
Cluster 3: Regulating Alertness, Sustaining Effort, and Processing Speed
Cluster 4: Managing Frustration and Modulating Emotions
Cluster 5: Utilizing Working Memory and Accessing Recall
Cluster 6: Monitoring and Self-Regulating Action
As everything relates back to the cognitive neuroscience surrounding impaired executive functions (yes, the book is a bit dry and technical) I found Brown's take on familiar symptoms refreshing because he seems to logically tie them all together. Specifically, I'm excited that someone not only finally mentioned some of the ADD "eccentricities" that are usually thrown in the miscellaneous ill-effects catagory by other experts, but Brown manages to weave them into the heirarchy of those "clusters" so seamlessly and logically!
Ok, no more abstract generalizations... The concepts discussed surrounding clusters 3 and 5 were groundbreaking in my ADD world. I have a few serious "eccentricities" that have I've never been able to fit into any of the established ADD models, something I'm sure many of you are familiar with. There was an overarching worry that as I examine each one I'd find one comorbid condition after another on top of the already complex ADD, and that I'd never really be "fully diagnosed" if you will. Long story short, Brown brings together and touches upon most of those fragmented "things" and shows how they really have roots in ADD afterall.
Examples:
In explaining the implications of impaired "working memory" (aka short-term memory) mechanisms in the ADD brain and the effect on expressive communication, it now makes a whole lot more sense why writing a post like this has taken me close to three hours so far. I'd explain the details of the concept... but that would take me another four hours. :faint:
Also related to "working memory" are problems with mathematics, specifically problems that appear around adolescence... when algebra and formulas are introduced. Some ADDer's working memory just can't hold a structure/series of steps associated with remembering and using a formula, proof, etc. I'm one of them. Was in accelerated classes until the dreaded algebraic formulas and proofs came along... then I got my first F, and first "just try harder" speech. Completely agree with Brown on this one.
This was my favorite... instead of just talking about the abstract "need for stimulation," Brown elaborates on deficiencies in "regulating alertness," giving the concrete example of what I now know is one of my most hillarious symptoms... uncontrollable borderline narcolepsy when not fully engaged by something... Working 14 hour shifts at my semi-enjoyable job without so much as yawning, but recalling the pre-adderall days when ten minutes into every high-school class I'd be out like a light if the material didn't excite me.
Besides having a solid base in cognitive science, I think the subtleties that Brown unfolds from the concept are incredible, especially in the insights he has about carrying the baggage of ADD as you go through life, the compound effects of it.
Alright, just wanted to get the ball rolling and see if anyone has read this book and wants to discuss, or had that "Holy Cow, my ADD has contributed to that too?" feeling when reading it like I did.
I wish to discuss some of Brown's ideas/observations/research here. Don't judge a book by it's cover... the author chose what may possibly be the most boring title in the history of the subject, but I have worked myself up into a frenzy after reading what he had to say.
I plowed right through the book in a few hours, so forgive me if I fudge some of the specifics, but I'll try and give you the overarching idea that I got from it first. Essentially, Brown is proposing that ADD is a "complex syndrome" that most prominently affects the "executive functions" of the brain. In most of the resources I've read, the experts have painted a picture of ADD that is far more fragmented than the one that Brown is presenting here strongly centered on these "power broker" functions in the brain.
For talking points, these are the "Six Aspects of a Complex Syndrome" that Brown writes about:
Cluster 1: Organizing, Prioritizing, and Activating for Tasks
Cluster 2: Focusing, Sustaining, and Shifting Attention to Tasks
Cluster 3: Regulating Alertness, Sustaining Effort, and Processing Speed
Cluster 4: Managing Frustration and Modulating Emotions
Cluster 5: Utilizing Working Memory and Accessing Recall
Cluster 6: Monitoring and Self-Regulating Action
As everything relates back to the cognitive neuroscience surrounding impaired executive functions (yes, the book is a bit dry and technical) I found Brown's take on familiar symptoms refreshing because he seems to logically tie them all together. Specifically, I'm excited that someone not only finally mentioned some of the ADD "eccentricities" that are usually thrown in the miscellaneous ill-effects catagory by other experts, but Brown manages to weave them into the heirarchy of those "clusters" so seamlessly and logically!
Ok, no more abstract generalizations... The concepts discussed surrounding clusters 3 and 5 were groundbreaking in my ADD world. I have a few serious "eccentricities" that have I've never been able to fit into any of the established ADD models, something I'm sure many of you are familiar with. There was an overarching worry that as I examine each one I'd find one comorbid condition after another on top of the already complex ADD, and that I'd never really be "fully diagnosed" if you will. Long story short, Brown brings together and touches upon most of those fragmented "things" and shows how they really have roots in ADD afterall.
Examples:
In explaining the implications of impaired "working memory" (aka short-term memory) mechanisms in the ADD brain and the effect on expressive communication, it now makes a whole lot more sense why writing a post like this has taken me close to three hours so far. I'd explain the details of the concept... but that would take me another four hours. :faint:
Also related to "working memory" are problems with mathematics, specifically problems that appear around adolescence... when algebra and formulas are introduced. Some ADDer's working memory just can't hold a structure/series of steps associated with remembering and using a formula, proof, etc. I'm one of them. Was in accelerated classes until the dreaded algebraic formulas and proofs came along... then I got my first F, and first "just try harder" speech. Completely agree with Brown on this one.
This was my favorite... instead of just talking about the abstract "need for stimulation," Brown elaborates on deficiencies in "regulating alertness," giving the concrete example of what I now know is one of my most hillarious symptoms... uncontrollable borderline narcolepsy when not fully engaged by something... Working 14 hour shifts at my semi-enjoyable job without so much as yawning, but recalling the pre-adderall days when ten minutes into every high-school class I'd be out like a light if the material didn't excite me.
Besides having a solid base in cognitive science, I think the subtleties that Brown unfolds from the concept are incredible, especially in the insights he has about carrying the baggage of ADD as you go through life, the compound effects of it.
Alright, just wanted to get the ball rolling and see if anyone has read this book and wants to discuss, or had that "Holy Cow, my ADD has contributed to that too?" feeling when reading it like I did.