I was completely fine with the article until the author compared nonperfectionists to Homer Simpson. How insulting. I guess I should compare perfectionists to Frazier, or Sheldon in The Big Bang Theory, or Monk to be equally as insulting to the author, who must consider herself a “healthy perfectionist.”
I believe everyone has some things that they “obsess” over. I like my gardens to be weed-free, but if they are not it is usually because I lack time to maintain them—and I can still sleep at night. I will try to make my drawings and paintings perfect. I love to sew and want my embroidery to look beautiful. My husband will spend hours on a presentation but not on a home maintenance project. My children both have things that they are “picky” about. I think “healthy” is being picky about the important things and letting the rest go.
A Matter of Wiring
It is my view that the theory presented by Christof Koch in “A Theory of Consciousness” [Consciousness Redux] is incomplete science at best and philosophy at worst. Any study deserving to be considered science must be at least testable. My view is that the definition of integration as meaningful connections between pieces of data is arbitrary and requires more specifics to be scientific. The transistors inside a microprocessor may have a limited number of connections between the registers (memory locations), but software provides nearly unlimited possibilities for sorting the data. The same could also be said for the performance of the human mind, using the reasonable assumption that our brains are more or less constant between individuals and that it is our innovation and experience that count.
“Do ADHD Drugs Take a Toll on the Brain?” by Edmund S. Higgins, raises a question about the root causes of secondary symptoms or conditions in patients with ADHD.
In my experience of more than 45 years as a psychologist, often working with ADHD individuals from preschoolers to senior citizens, I have observed cases in which patients develop anxieties and depressions as a result of a mismatch between their medical treatment and their developing brain. As they accumulate life experience or deal with short-term stressors, their medication regimen may need adjustment. Unfortunately, practitioners may see the anxiety or depression and treat it as a new problem, without exploring the underlying developmental causes that may be related to the primary ADHD.
Treatment of ADHD entails understanding its impact at all life stages. A child may fail a class, not do homework or drive unsafely, and exploration could reveal medications falling below therapeutically effective levels at such times. Once their treatment is “fine-tuned” to reflect these changes, the difficulties may resolve without adding another diagnosis or class of medications.
Teaching individuals self-monitoring and medication scheduling is imperative. We should be cautious about adding a second diagnosis to anyone with ADHD before current treatment has been evaluated from a developmental perspective.