Intended for healthcare professionals

Rapid response to:

Analysis Too Much Medicine

Attention-deficit/hyperactivity disorder: are we helping or harming?

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6172 (Published 05 November 2013) Cite this as: BMJ 2013;347:f6172

Rapid Response:

Re: Attention-deficit/hyperactivity disorder: are we helping or harming?

I wonder how many people realise that the diagnostic label ADHD validates entitlement to benefits for many families at highest risk of this disorder, regardless of its questionable status as a either a disease, a product of an increasingly dysfunctional society, or whatever else one may choose? And that this ADHD diagnosis is itself validated by prescription of methylphenidate, both for parents and for those with power to grant or disallow benefits.

For families in areas of post-induatrial dereliction, life is hard enough already, and I have no wish to add to their troubles, but it is in nobody's long term interest to ignore this powerful incentive to categorise the consequences of terminal capitalism as disease, rather than a social problem requiring social solutions.

Competing interests: No competing interests

08 November 2013
Julian T Hart
retired GP
research fellow Swansea Medical School
Gelli Deg, Penmaen SA3 2HH