ADHD Can Be Understood As a Disorder of Performance

Dr. Russell Barkley is an international authority onsuggests that the developmental level of the ADHD
ADHD. His lectures and writings offer a somewhatchild can be estimated by subtracting 30% from the
different theory on ADHD than generally described inchild's chronological age (i.e. a 10 year old ADHD child
the popular literature. He states that ADHD is actuallyfunctions more like that of a 7 year old). Although
"... a disorder of performance". He theorizes thethe ADHD child may have knowledge of the skills and
ADHD child to be delayed in their development ofabilities to better control or manage their behavior,
self-regulation and self-control. Specifically, the ADHDthey have difficulty demonstrating their skills due to
child cannot effectively pause and think beforedeficits in inhibiting their own impulsive behavior.
responding to situational demands. Under developedThe ADHD child is lacking in the internal restraints
brain neurology impairs the ADHD child's ability tonecessary to regulate their own behavior. They
delay impulsive responding to immediate "here andessentially have less capacity to self-direct and
now" environmental events.persist on a task in order to satisfy a future oriented
This deficit in behavior inhibition disrupts the ADHDgoal. Future oriented and goal directed behavior is
child's performance at the point of responding todisrupted by their here and now orientation. Their
expectations. Noticeably absent from this symptomunder developed internal guidance and regulation
description are the deficits in attention commonlytends to function inefficiently especially without
regarded as the primary disruption of ADHD. Dr.external reinforcement and structural supports in their
Barkley clarifies that problems with inattention shouldenvironment.
be characterized as an information processingThe 30 percent lag in the development of self-control
disorder as opposed to the impairment regarded asand inhibition remains evident even as the ADHD child
ADHD. He states that an information processinggrows older. It is unlikely to anticipate a full recovery
weakness is a qualitatively different disorder ofin the ADHD child's ability to inhibit behavior. Yet it is
attention that should not be confused with ADHD.still possible for the ADHD child to learn the strategies
In Dr. Barkley's opinion, ADHD is over simplified whenand modifications necessary to become higher
it is described as a disorder of attention. Instead, hefunctioning individuals. When we compare one person
understands ADHD as the inability to inhibit behaviorto the next, do we not recognize a great deal of
long enough to self regulate, control, manage, andvariability in self control and self management across
organize oneself so as to meet situationalthe normal population? Do we not recognize some
expectations. The mental mechanism controlling theseindividuals as characteristically disorganized and
abilities is often referred to as executive functioning."scattered" personalities? Do we not hold high regard
This mental mechanism that allows a person tofor those individuals who are masterful in organizing
self-control and self-regulate is the core ability thatand "juggling" a number of activities at once?
separates humans from other species. Self controlA simplistic understanding recognizes the ADHD child
allows the individual to pause, think, and considerto fall at the low end of the self management
different behavioral choices to various situationalcontinuum. This suggests that most non-ADHD
circumstances.individuals likely fall somewhat higher on the same
In contrast, the ADHD child lives in the momentcontinuum demonstrating improved behavior inhibition
governed by the impulse to immediately gratify theirand self management. Inherently, this notion appears
needs and interests. An impulsive, uninhibited, andto enjoy some good face validity especially as we
under regulated ADHD child fails to demonstraterecognize the tremendous variability of self
thoughtful, planned, and controlled behavior. Thismanagement skills in the general population. In fact,
tendency is commonly observed in the egocentricmany individuals will continually strive to improve their
behavior of the younger child. In the ADHD child, theself management skills so as to be more competent
development of behavior inhibition is substantiallyand successful in their daily functioning. Most
delayed similar to the egocentric behavior of theindividuals place high value on orchestrated goal
younger child. The ADHD child has difficulty at thedirected behavior. While some people are quite
point of performance, the point in time when theyaccomplished in focusing their energy towards quality
must respond to a behavior expectation. Underperformance, others will struggle in reaching higher
developed self-control and self-regulation interferesperformance expectations due to weaker ability to
with the ADHD child's ability to function an effectivefocus mental energies and persist towards goal
manner.achievement. Here we can recognize the ADHD child
Dr. Barkley theorizes that the ADHD child is typicallyto be least accomplished in demonstrating behavior
30% delayed in their ability to self-manage,inhibition and managed goal directed behavior.
self-control, organize, and plan for their future. He