As I posed some of the questions, can I say that I do believe there is such a beast as AD/HD AND that it is also a useful label to ascribe to children who present with troubled behaviour. The aetiology for the behaviour in different children may be different but the label given is the same. Also the thorny question of 'abuse' which is a very emotive word and the assumption could be made that abuse is assumed to be 'gross' with the children being in highly troubled/dysfunctional families. Children I have encountered who have (or are in the process of being given) the diagnosis of AD/HD nevertheless do seem to come from families where relationships are troubled. This does not mean that there is no biological basis or that some children do not warrant being given medication etc. as it can be highly effective. This does still not quite move away from my original general question about the seeming paradox between lessening figures for abused children and the (I freely admit) anecdotal evidence from teachers etc. as to the younger and younger age for children presenting with problems and the sheer number of children desperate for attention/affection in their classes. Perhaps it was always so and the change in attitudes towards children have meant there are not the social constraints on the behaviour within the classroom even for the very young so more children are given 'permission' to 'act out' their feelings. Sorry - ramblings over!! Maria Robinson
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