ADHD is currently understood to be a disorder of inattention, impulsivity, and usually hyperactivity that arises in childhood or early adolescence and is highly persistent over time in most cases. However, since the first medical papers have been published on ADHD starting in 1798, emotion has always been included in the conceptualization of the disorder up through the 1970s. Beginning with DSM-II and progressing to the present, emotional dysregulation has been excluded from the clinical conceptualization of the disorder and the diagnostic criteria and relegated to an associated problem or the result of comorbid disorders.
This recording reviews the evidence from the history, neuropsychology, neuro-anatomy, and observational research that shows that emotional impulsiveness and deficient emotional self-regulation are an integral part of ADHD. Returning emotion to its rightful place as a core feature of the disorder also serves to better explain the development of comorbid disorders, such as oppositional defiant disorder, and well as various life course impairments. Dr. Barkley, internationally recognized authority on ADHD, will discuss how to determine which aspects of emotional adjustment problems in ADHD cases are the result of the disorder and which are likely to be the consequence of comorbidity or other life course circumstances. He will also address the implications of including emotion in ADHD for its management.
Summarize history of ADHD and the central place of emotion in the conceptualization of the disorder
Explain the current neuropsychological theories of ADHD and the key role of emotional self-regulation problems in understanding the nature of ADHD
Describe the neuro-anatomy of ADHD and why those brain regions implicated in the disorder would be associated with poor emotional self-regulation
Recognize why certain comorbid disorders such as ODD are better explained by the role of emotion in ADHD than by the current DSM view of ADHD
Identify how dysregulated emotional control in ADHD predicts the development of various life course impairments
Summarize the role of poor emotion regulation in the assessment and management of ADHD
Current View of ADHD
History of Involvement of Emotion in ADHD
Poor Emotion Regulation is in ADHD back to 1775
DSM-II Eliminates Emotional Dysregulation from ADHD
Neuro-anatomy of ADHD
Disturbances to Anterior Cingulate Cortex
Neuropsychology of ADHD
Involvement of “Hot” Emotional Executive Circuits
Review of Psychological Evidence
Poor Self-Regulation of Emotion
Unique Contribution of Emotional Impulsiveness to Impairments
Role of Emotional Impulsiveness
Risk for Comorbid Oppositional Defiant Disorder
Implications of Emotional Dysregulation for Diagnosis
Implications of Poor Emotional Self-Regulation for Treatment
About the Speaker:
Russell A. Barkley, Ph.D., is a Clinical Professor of Psychiatry at the Medical University of South Carolina and Research Professor of Psychiatry at the State University of New York Upstate Medical University in Syracuse. He served as the Director of Psychology at the University of Massachusetts Medical School for more than 15 years (1985-2000) and established the research clinics for both child and adult Attention Deficit Hyperactivity Disorders. In 2002, he relocated to the Charleston, SC region.
Dr. Barkley is a Diplomate in three specialties, Clinical Psychology (ABPP), Clinical Child and Adolescent Psychology, and Clinical Neuropsychology (ABCN, ABPP). He is a clinical scientist, educator, and practitioner who has authored, co-authored, or co-edited 13 books and clinical manuals now numbering 23 separate editions. He has published more than 230 scientific articles and book chapters related to the nature, assessment, and treatment of ADHD and related disorders. His most recent books include ADHD in Adults: What the Science Says (2008); ADHD in Adults: Diagnosis and Management (2007); Your Defiant Teen (2008); Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment (3rd ed., 2006), Taking Charge of ADHD: The Complete Authoritative Guide for Parents (2005, 3rd ed.), and Assessment of Childhood Disorders (2007). In 1993, he founded a bimonthly newsletter for clinical professionals, The ADHD Report (Guilford). He has created seven professional videotapes on ADHD and defiant children, three of which have won national awards, including the 1992 and 1994 Golden Apple Award for educational videos from the National Education Association. Dr. Barkley has served on the editorial boards of 11 scientific journals and as a reviewer for numerous others.
Dr. Barkley has presented more than 600 invited workshops, public addresses, and scientific presentations internationally, including Australia, New Zealand, Belgium, Israel, Russia, Kenya, Venezuela, Sweden, Denmark, Norway, Iceland, Finland, Spain, Portugal, Brazil, Argentina, Uruguay, Italy, Canada, and Great Britain. He has appeared on the nationally televised 60 Minutes, The Today Show, Good Morning America, CBS Sunday Morning, CNN and many other programs on behalf of those with ADHD. In 1994, he received the Distinguished Contribution Award from the American Association of Applied and Preventive Psychology, and in 1996, he was awarded the C. Anderson Aldrich Award from the American Academy of Pediatrics for his research career in child development. In 1998, he received the Award for Distinguished Contribution to Research from the Section on Clinical Child Psychology, (now Division 53) of the American Psychological Association. In 2002, he received the Dissemination Award from the Society for a Science of Clinical Psychology, Division 12, of the American Psychological Association for his career efforts to educate the public and other professionals about the science of ADHD.