Randfan,
I've worked with children with severe, chronic symptoms and they are not so easily dismissed by circling your ear with your indexed finger.
I wouldn't presume to, but that did make me chuckle. As to why you should trust me, I was stoking a response, like a hot poker on a glowing log. I'm not going to detail my experience with this population because it is extensive, crossing psychological and educational lines.
So we observe phenomenon in children that is behaviorally out of line with social expectation.... no doubt our observation is real. However, to say that the subject being observed is "disordered" or "diseased" crosses the boundary of logic. Again, the observation is many times a real one, but the diagnosis based on that observation is "Pie in the Sky."
Sure the diagnosis is a "real" something, but a "real" what? It is a real social construction, nothing more. In a world where everyone's favorite color is supposed to be blue, then all those who favor green have a disorder.
The problem here, unlike say diabetes or cancer, is that you can't draw blood or examine the problem via any material means. There is no cut, scrape, gash, or severed artery by which one can assume injury. Instead, the injury is in the social world in which the child operates. The injury is ours, not his/her. Expectation is x, subject doesn't meet expectation, therefore subject is disordered. Fill in the blank.
The problem with this mentality is many fold:
1) It removes power/freedom from the individual and places it in law and social institutions. ((ex. He can't sit still, therefore we need to drug him to make him "better;" or worse, "he is spending all his money on manic episodes, therefore we need to take away his rights to his money; or worse still lets just institutionalize the guy))
2) It displaces personal responsibility. ((ex. Johnny would never hit his playmates, it was his condition.))
3) It sets the stage for any number of things to become one of these "etheral disorders." Until recently homosexuality was a disorder in the DSM, who is to say it won't be again given the current religious/political climate? ((ex. Susie is a lesbian, she needs this pill to fix her condition))
4) It is policed by itself, in that the very people creating conditions and disorders are the group benefiting from them. This is no different from the Catholic church instituting a policy of "Indulgences" in the Middle Ages. ((ex. Little Timmy is suffering from acute bi-polar, but I believe with a year of intensive counseling with me, we can get him where he needs to be.))
5) It diverts attention from the real illness in society-- adults. As I mentioned above, ADD is as real as genocide is real, in that it is socially constructed. The problem with genocide (as recently witnessed in the Sudan discussion) is that there is no real method for identifying it. Does genocide begin after 10,000 deaths? 100,000? or maybe 1/4 million? It is not as if genocide has a formula: x/t < 100,000, where x is the number of deaths and t is the time in days through which these deaths occur. Finally, genocide has a political / social element: ex. Phillip Morris isn't going to get called up on genocide charges no matter how many people tobacco kills.
So while we are busy passing laws in the UN to curb genocide (I liken this to giving a kid a pill), people going on killing each other anyway. Saadam was a perfect example with a 1/4 million deaths per year in his country, 8 UN resolutions, and no reduction in the elusive "genocide" category, because what he was doing wasn't harsh enough to be considered genocide... why? Because no one really knows what it is apart from the social conditions and constructions that surround it.
Meanwhile, back at home, we suddenly realize that 1/3 of our population is suffering from ADD and all of it since the 1960's. Rather than look at the social conditions, the vectors of this niche that allowed us to create this category of disorder, we label it or name it, believing somehow that this leads us to be able to control it. Instead of fixing the social vectors, we drug the children, or worse, we kick them out of school and begin the road of institutionalization for them.
Anyway I'm rambling. I strongly suggest those interested in the topic consider, Thomas Szasz "Insanity, its scope and consequences;" Ian Hacking's "Mad Travelers;" and CS Lewis "The Abolition of Man" as a few good reads to begin thinking outside the mainstream on the subject.
Enjoy your posts RandFan.... hope this didn't sound like a rant. I'm having fun with the topic.
Flick