ADHD 7 Flashcards
Choose to visit a practitioner (2)
diagnoses is correct and prescribed medication will work; worked in the past with no (few) instances of not working
Attribution
if medication did not work = blame practitioner not medicine and change practitioner
Behavioural reaction to medication (2)
an expectation of getting better = less anxious and depressed (associated physical and psychological symptoms disappear such as fatigue, insomnia, upset stomach and diarrhoea); and = more positive and active (attention shifted from internal pain and discomfort to external life events resulting in a decrease in pain
As illness symptoms decrease
patient attributes change to medication
ADHD (hyperactive) placebo research
Humphries et al (1978); 2 studies
Humphries et al (1978) Study 1
compared parents of hyperactive child with parent-child grads of control non-hyperactive children and found parents of hyperactive children were more intrusive, argumentative, demanding and non-reinforcing compared to parents of non-hyperactive control parents
Humphries et al (1978) Study 2
compared placebo hyperactive parent child dyads before medication and after the onset of placebo effect and found these negative self-maintaining behaviours disappeared
Conclusion of Humphries et al (1978)
with onset of medication (called good boy pills), parents changed expectations (no longer problem child needs to be controlled); changed controlling behaviours to non-intrusive, non-demanding and maintained child’s changed behaviour
What do these studies conclude
studies conclude a vicious cycle; child misbehaves, parent introduces coercive commands, child increases misbehaviour, parents increase coerciveness (Patterson’s coercion theory)
Attribution theory
the process by which individuals explain the causes of behaviour and events
Attribution theory developed by
developed by Fritz Heider, Harold Kelley and Bernard Weiner
What do people strive for
while people strive to find accurate explanations for their behaviour, they often develop biases; these attribution errors are distorted by the need for self-enhancement
Example
when parents see medication changing child behaviour they will attribute to a biological condition within the child rather than environmental influences (parenting outside the child)
Why
because it avoids parents blaming themselves
Why are these changes not maintained when medication is removed
the medication treats symptoms (not the neurological disorder) hence does not permanently change behaviour but has both physical and psychological side effects