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dr-daniel-dick · 2 years

Text

2013

These adults are just slow so look at the patterns patterns on these cognitive test even though oh it’s only just a few. Studies that has examined the cognition of these individuals so now some of the studies very few I’ve even looked

There are six types of inattention…

1. sustained attention persistence ADHD

2. selective attention… how quickly can you pull what’s important out of what you’re processing. SCT have more trouble in this domain.

Their problem isn’t with persistence it’s with focus.

The ability to select out. What you see in ADHD is perseveration not hyper focusing. Perseveration is symptom of a frontal lobe injury... it means that you continue to persist tasks that you should’ve shifted away from to get something else done. But you stayed the course… There you are playing Warcraft does the bus is coming to pick you up. And you can call that hyper focusing on Warcraft. But the fact is you’re perseverating. And a highly reinforcing activity. When you should’ve shifted away from that activity. The inability to shift across activities which is perseverative is a symptom of ADHD and of a frontal lobe disorder. So Dr Russell Barkley Doesn’t like to use the term Hyper focusing…even though doctor lanette Galloway and Pat uses it.

SCT is a focusing disorder. But instead of over focusing they don’t focus enough I can’t quickly get to what’s important in the information their processing. And as a result too bad they make more errors than other people do. But again the question mark is here to emphasize A very thin literature so far. But what exists is point to some unusual differences … Inattentive and attention we see her. One of the things that is completely uniform uniform across all studies so this is a fact in the bag a SCT is not a disorder of inabition! ADHD is a raging disorder of inabition! Inhibition. People with SCT have no problems with impulse control! If anything they are slower to react to the environment than typical people are. People with ADHD can’t persist over time with the future to the goal! They are distractible! They can’t resist reacting to goal relevant events! That a description to the Attention problem of ADHD and not characteristic of SCT at all. They have problems with day dreaming!! Staring, metal confusion.. in conclusion there are many types of inattention. Only some of which apply to ADHD. BTW- every psych disorder generates inattention… something is interfering with attention… psychotic, manic, panic attacks, ocd, terets, all interfere with attention! What is listened for in ADHD is inability to persist towards a goal! Future directed action! And coupled with that is distractability… that accompanies that! So this is a problem with focus of attention… errors in processing, sluggish responding, slow motor movement! and not impulsive! So, if you start hearing inhibitory problems .. than your looking at ADHD. SCT- A little bit of evidence from test batteries that There is some problem with working memory. Mainly in the verbal domain… Digit span backward and so on. Not sure if it’s a primary problem. ADHD produces a massive primary problem in working memory. in other words there’s nothing wrong with working memory you just have to put something in and they may not be doing that as well. So we’re finding a little bit of of executive deficit mainly on testing batteries. School is a major problem for them! They are as impaired as the ADHD folks are in school equally as disruptive to education. Parents address this as their singular Concern. On the other hand… I was up all night wandering the neighborhood… I couldn’t sit still…taking risks… as a teen… and in fights with other kids maybe a target for others with ADHD I did not start fights… had a hard time listening to story time. SCT instead are worried by parent does he have a learning disability! Why is he struggling so much in school he’s a nice kid!! He seems Compliant and he’s in the band got s few friends… he’s a little quiet.. getting homework out of this kid is torture! But he’s nice! A nice kid who goes nothing! They will go on failing longer than ADHD children because they are nice and not disruptive. Your s lot less apt to see these kids going into therapy counciling because that’s where the kids who are a pain in the ass go!! If your just failing at school your less likely to see a psychiatrist! You might just find them else where like LD programs. ADHD is more of a production problem amount of work done in unit time! Accuracy is far less a problem for people with ADHD! It’s about 85% correct work when they do it! Which is only 9% below normal! For normal kids it’s about 94% correct! When you give medication to ADHD their accuracy doesn’t go up very much! Because it wasn’t the problem. What goes up remarkably is production!!! I can consintrate! Concentrate! Don’t reread same sentence over and over! With Rx production goes up!!! They are finally doing something!!! That’s the problem for ADHD! It’s getting them to sit and produce! ADHD is a production disorder SCT is not! It’s an accuracy disorder! It’s the inverse… and I’m over simplifying to make a point! You get all your work fo e but half of its wrong! You missed the little ques! We are looking for failures in detection rather than you didn’t just do your work! Both produce impairments!

Both groups have learning disorders. 35-40% have primary learning disability that links up with it!

Is my problem over stimulation … disregulation… ? Can’t pay attention to more than five words…

ADHD is more of a reading comprehension, hand writing, language, reading speed and mental arithmetic. It’s the working memory part of arithmetic can’t hold problem in Mind to do it… but that’s true of everything not just arithmetic. You can’t hold onto in mind from the stories you read. From movies you watch… from narratives that teacher reads to you… because of ADHDs massive working memory problem… don’t get out of material what others do! They have a pervasive comprehension disorder! Where as SCT children don’t!

SCT are more withdrawn shy! Passive socially… apprehensive and maybe anxious. Withdrawn is the larger pattern! Less engaged with others socially. What to be clearer aren’t talking about high functioning autism. Skit so personality. That’s aloofness! They don’t value interaction with others! There’s a problem with the social module of the brain … no oddities or peculiarities! They are quiet! If you read the best seller book quiet this this what we are talking about! They are just less engaging! They have more friends than ADHD kids do! But not as many as normal kids do.., same true with adults. ADHDs as kids are excluded. I was a shallow sports guy, youth group guy and Boy Scouts do I had shallow friends. As an adult in oregon limited friends school neighborhood couldn’t really identify with serious A tutors like my dad. I have what I learned today triggers and I got easily triggered by others! Plus maybe I use my own childhood abandonment denial calusness and it came across as aloofness. I had a lot of turn over in duration of relationships with people with ADHD… at PCC I have a long term 10yr friendship but it’s stalled recently … inner child work may not be lining up with his belief.

Comorbidity is very common in ADHD AND SCT!

ADHD - opposition disorder! Followed by conduct disorder followed by learning disability

SCT- there is no link of oppositional disorder to it! They are less likely to be oppositional to other people even less than normal people. Therefore, it’s contrasting or a double dissociation from ADHD comorbilities. They go in opposite direction.

BTW- if you don’t have any risk for ODD or OCD you don’t have any risk for substance abuse antisocial personality or crime ! Because those disorders are the precursors to antisocial behavior psychothopy criminal behavior and drug abuse! And since you don’t have those we predict your life course to be quite different! From people with impulse control disorders. We do however see an opposite pattern. A high risk for depression to this disorder! But it’s not depression! They are more likely to than ADHD or Atypical.

People with SCT don’t have a non verbal learning disability.

Hyper focusing as what we see in autism.… Where are you focus too much on details.

ADHD is an external disorder the conduct disorder antisocial behavior the drug use the risk-taking the ODD and so on.

SCT is more of an internalizing demension of psychopathology anxiety and depression.

BEHAVIOR:

ADHD - risk taking snd no concern for future. Live in the now ! Damn the torpedoes kind of person! Low consciousness having a high time preference! You want it now! Waiting is very hard for you. Adults with ADHD aren’t as hyper they are more internally restless … thinking about lots of ideas and they dont finish things I do. But adults don’t climb on furniture… as the executive deficits don’t decline as quickly.

SCT - linked to oversensitivity to punishment so they are concerned about getting it wrong! And also concerned with a with draw factor. You might expect given their social profile, school and work are where the problems are.

ADHD - more impairing at work

SCT- more impairing in social leisure life activity

Can these two disorders coexist! YES!

SOCIALLY- as a rule my dad wasn’t the roll model dad for socializing with neighbors. On the way to church my dad ran over the neighbors dog… killed it on accident! We as kids were traumatized! So as an adult it was hard to socialize with other families dads and I didn’t feel comfortable socializing with the wives… my dad accused to many other dads of flirting with mom!!!! I was raised with childhood trauma I wasn’t a normal guy!!! I had unresolved shame… I was conscientious to an extent!

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