A Linguistic Analysis of In-Office Dialogue among Psychiatrists, Parents, and Child and Adolescent Patients with ADHD

Autor/inn/en	Findling, Robert L.; Connor, Daniel F.; Wigal, Timothy; Eagan, Corey; Onofrey, Meaghan Nelson
Titel	A Linguistic Analysis of In-Office Dialogue among Psychiatrists, Parents, and Child and Adolescent Patients with ADHD
Quelle	In: Journal of Attention Disorders, 13 (2009) 1, S.78-86 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1087-0547
DOI	10.1177/1087054708323002
Schlagwörter	Age; Learning Disabilities; Attention Deficit Disorders; Patients; Genealogy; Interpersonal Competence; Interaction; Feedback (Response); Males; Behavior Problems; Psychiatry; Parent Attitudes; Attitudes toward Disabilities; Language Patterns + Suchen Sie Ihr Suchwort? Alter; Lebensalter; Learning handicap; Lernbehinderung; Attention deficit hyperactivity disorder; ADHS; Aufmerksamkeits-Defizit-Hyperaktivitäts-Störung; Aufmerksamkeitsstörung; Patient; Ahnenforschung; Genealogie; Interpersonale Kompetenz; Interaktion; Male; Männliches Geschlecht; Psychiatrie; Elternverhalten; Sprachmodell; Sprachstruktur
Abstract	Objective: The aim was to evaluate in-office discussions of ADHD and psychiatric comorbidities. Method: Naturally occurring interactions among 11 psychiatrists, 32 patients and their parents were recorded, with a focus on "complicated" patients (i.e., having or suspected to have [greater than or equal to] 1 psychiatric comorbidities and/or learning disabilities in addition to ADHD). Participants were interviewed separately post visit. Transcripts were analyzed using validated sociolinguistic methodologies. Results: Some 62% of patients were male, with an average age of 12.5 years, and 79% had a family history of ADHD. Visits were psychiatrist-driven, focusing on medication management and school performance, leaving management of comorbidities largely unaddressed. Post visit, 78% of parents and psychiatrists disagreed on patients' "most concerning behavior." Parents most often reported concern about aggression and oppositionality. Psychiatrists and parents emphasized different aspects of patients' personality, using deficit- and strength-based models, respectively. Conclusion: Psychiatrists and parents interpreted the relationship between ADHD and comorbidities differently. The significant incidence of misalignment regarding worrisome behaviors warrants further exploration. (Contains 4 tables, 1 figure and 1 note.) (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10