In the Past: a disorder of behaviour premised on psychosocial theories
…… but now …..
a neurological basis with …
a disorder in inhibition, executive functioning, self-regulation and even an ‘intention deficit disorder’
The Brain-Behaviour Link I want you to know that I have a different physiology - in the frontal-striatal-cerebellar network. The effect is that I have low inhibition control and poor executive functioning!
It is Not an Attention Deficit but an Intention Deficit Disorder
This means the ability to focus on a task, presume that you will complete the task successfully within a reasonable time period and that you will understand and manage your own behaviours in order to achieve a satisfactory outcome.
Allow sufficient time for thorough observation and assessment - in more than a clinical setting
Most tests do not provide the breadth and depth of information required and few measure cognitive processing style and skills
Interview people (parents and professionals, especially teachers) who have known the child for a sustained period of time and who know the child well
Rating scales can be useful if informed people complete them - but insufficient for intervention planning
Daily work observations, work logs etc are important
Functional assessments must be part of the assessment protocol, together with formal tests, rating scales and observations - but an ecological perspective (social skills, social perception and impact on the social group of the child) is essential