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From Publishers Weekly
In one of the most comprehensive and accessible books about Attention Deficit Disorder (ADD), Mat?, a Canadian physician and popular medical columnist, challenges many accepted notions about the condition, which afflicts more than three million children and a significant number of adults. An ADD sufferer himself, and the father of three children battling the disorder, Mat? discusses its origins and development, drawing on four years of study, research and patient interviews. Since its discovery in North America in 1902, ADD has been characterized by a poor ability to focus, deficient control of impulses and hyperactivity. Taking a maverick stance, Mat? doesn't believe it is purely a genetic condition, but rather one with a physiological component linked to culture and environment. He contends that it can stem from a variety of ordinary sourcesAfrom stress to marital woes, from school and peer pressures to substance abuseAcausing serious problems in academic achievement, employment and relationships. In chapters that include his patients' commentaries on the impact of ADD on their lives, Mat? discusses its symptoms, ADD in the classroom and effective ways parents can handle and treat the unruly behavior of children with the disorder. In the closing pages of this well-documented but sure-to-be-controversial book, he effectively hammers home his suspicions about the possible over-prescription of Ritalin and other drugs to control rather than heal children, and proposes that, in some cases, emotional support, patience and love can be more powerful remedies than chemicals. Copyright 1999 Reed Business Information, Inc.
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From Library Journal
Among the recent epidemic of books on Attention Deficit Disorder (ADD), this one is valuable for its stress on environmental issues and the author's experience with the syndrome in his own family. Though a physician himself as well as a columnist for Canadian newspapers, Mat? dismisses the "medical model" of ADD, arguing that it is the combined result of genes and stressed parenting. Neurological deficits intervene in this process. Drug therapy is viewed as useful but no panacea for what is essentially a problem of society and human development. Well-written explanations and descriptive case studies fill the book, and guiding principles and suggestions for reversing the course of ADD through therapy make it useful for parents, stricken adults, and counselors alike. Focusing on parents as the cause of psychological disorders is not a new idea, though, and Timothy Wilens's Straight Talk About Psychiatric Medications for Kids (LJ 2/15/99) may be more practical in a society where drug therapy is ubiquitous. For public libraries with comprehensive ADD collections.AAntoinette Brinkman, Southwest Indiana Mental Health Ctr. Lib., Evansville Copyright 1999 Reed Business Information, Inc.
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Product details
Hardcover: 304 pages
Publisher: Dutton Adult; 1 edition (August 1, 1999)
Language: English
ISBN-10: 9780525944126
ISBN-13: 978-0525944126
ASIN: 0525944125
Product Dimensions:
6.2 x 1.1 x 9.2 inches
Shipping Weight: 1.6 pounds
Average Customer Review:
4.6 out of 5 stars
168 customer reviews
Amazon Best Sellers Rank:
#718,005 in Books (See Top 100 in Books)
Mate begins with the statement that ADD is “…defined by three major features, any two of which suffice for the diagnosis: poor attention skills, deficient impulse control, and hyperactivity.†There is no specific citation here to justify this claim, but assuming it is generally agreed that this is true, what makes up the body of the book are dozens of portrayals of random characteristics which Mate identifies as those attributable to ADD. In what might be considered typical ADD fashion, there is no ordered attempt to associate these characteristics directly with the major features in his original definition, despite the cleverly titled chapters (or maybe because of them.)Nowhere does Mate suggest that a diagnosis of ADD would necessitate a preponderance of these characteristics, or conversely, that taken individually, these characteristics might be diagnosed as some other disorder, or even (God forbid) as a relatively natural response to the stressors of the world we live in. Mate defines these “hallmark†characteristics of ADD in absolutes, rendering many of his conclusions not only inaccurate, but irresponsible. His leaps of logic, and lack of hard evidence or citations (other than general lists at the end of the book) are maddening, and some scientific “evidence†was misrepresented (see other reviews.)I have lived for 30 years with an ADD husband and his daughter, abandoned by her mother before the age of two. Both were diagnosed by psychiatrists (not family practice physicians, as is Mate.) Some of the behaviors which Mate describes are recognizable in one of them, but not the other; some cannot be seen in either; some are issues for both.Mate’s hypothesis that ADD is the result as much of nurture as nature is enlightened, as we now know nature and nurture together are responsible for all the positive and difficult aspects of our physical and emotional health. Though we may be born with a proclivity for a disease or disorder, we do not have to open those genetic envelopes. So I applaud Mate for making this point, and taking the inevitability out of the ADD equation.But he severely undermines any positive take-away on this score by focusing on the role of early childhood trauma in bringing about ADD behaviors, and placing the responsibility solely on the shoulders of mothers. This blame is not only unhelpful, but downright detrimental to ADD mothers everywhere who often feel overwhelmed and abandoned in the face of it. The weight of this finger-pointing is countered with almost NO help at all, as he offers nothing more than the same suggestions which may be found in any of the hundreds of pop-psych magazine articles that are published in any given month.I’d suggest skipping this book and reading Hallowell or Thomas E. Brown instead. IMHO This book belongs in the ever-growing category of self-help books written by doctors - whom we are wont to trust - out to make a name for themselves from insufficiently substantiated theories. Just the sorts of distractions that render us “Scattered.â€
I don't know if I'm convinced that his theory of the source of ADD is the only source - but he addresses feelings I have so precisely that it must be significant, and he addresses them with the subtlety and real understanding only an intelligent and sensitive fellow sufferer who has grappled with the same problems could. One who writes well too - it's an entertaining and often a moving read.If you or your child suffers (or you suspect suffers) from ADD, read this. It opens up avenues of growth and healing for those with ADD that no one else has - and they could be recommended to many human beings with positive results, but could be life changing to those with ADD.
As a mental health clinician who works in a high school with teenagers, this book has been so helpful in putting a lot of the typical adhd behaviors that we see into a larger context. This was my first Dr. Mate read, and I've since become a big fan of his approach to early traumatic environments and how that affects the person. ADHD is way more than a "brain" issue, and medication is only a sometimes helpful band-aid to a larger, deeper problem. This book is easy to read and gives great tips to parents and schools working with both children and adults who suffer from this disorder.
Anyone who has ADD or has a family member/child with ADD needs to read this. It completely changes everything you believed and makes total sense. I wish I had read this when my son was young so I could have implemented some of the suggestions. However, even though he is now 20, there are still many things you can change in your interactions and when advising.
I read this because it was suggested by my psychiatrist at the VA. My psychiatrist was the person who I was comfortable to speak with and it pains me so to finish this book after 2 years. I am planning to visit him and thank him for this suggestion as it was a great read.I wish I would’ve read it sooner and had more things to talk about but he had another better job lined up for him. There is no greater lesson in life than regret and the cliche of not going to live my life without any regrets is truly false, because without this pain in my heart I would not have appreciated this book and why he suggested in the first place. I wish I don’t have any regrets but at the same time I have this lesson learned and I will not forsaken this feeling.
I had high expectations for this book but I was disappointed. I listened to Gabor mate on the tim ferris podcast and was impressed. If you're buying this book so it can help you with solutions for ADD don't buy the book. It went into great depth about the things people with ADD struggle with and family problems that can lead to ADD. Doesn't go into depth about solutions
Wow. This is a life-changing book. There is power in the fact that Gabor Mate uses his personal experience to illuminate the world of the ADD child (and adult). More than that, he offers so much insight into the personality of the ADD person, and such great guidance on how parents can help, and especially as to how an adult can 'parent' their own ADD tendencies. If you know an ADD person, this will totally change your attitude towards them. If you yourself have undiagnosed ADD, this book can help you understand yourself in a deeper and more loving way.
Perhaps the best book I've read on ADHD, and really helped me to understand my spouse so much more. It's helped me understand why he does some of what he does, and thus it has dissipated my anger with his condition and helped me understand better how to help him. This book was therapeutic to discuss with a friend who's wife was a later in life diagnosis as well. I just keep going back to it, especially the bits about time management.
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