Abstract

The statistics at least seem alarming. The production of Ritalin, an amphetamine derivative used for the treatment of attention deficit disorder in children (and lately, in adults as well), has risen a whopping 700 percent since 1990. According to figures given by Lawrence Diller in Running on Ritalin, over the decade, the number of Americans using Ritalin has soared from 900,000 to almost 5 million -- the vast majority children from the ages of 5 to 12, though there is a significant rise in Ritalin use among teens and adults as well. No comparable rise is reported in other countries, though a much smaller surge has taken place in Canada and Australia. In Virginia Beach, Virginia (perhaps the most egregious example), 17 percent of fifth-grade boys were taking Ritalin in 1996 to control behavior problems and improve school performance. (Boys on Ritalin 1 outnumber girls in a ratio of 3.5 to 1; when I was recently complaining to another mother about my own son's academic difficulties, she said simply, "Welcome to the world of boys.") Stimulants have been used to treat behavior problems in children since 1937; Ritalin itself appeared on the market in the 1960s to treat what was then called "hyperactivity" -- impulsive, disruptive behavior by children who just "couldn't sit still." In recent years, however, the root problem has been identified as "attention deficit disorder" (ADD), either with or without attendant hyperactivity. Symptoms of ADD, according to the standard survey used in its diagnosis, include: "often fails to give close attention to details or makes careless mistakes in schoolwork," "often has difficulty organizing tasks and activities," and "often avoids, dislikes, or is reluctant to engage in tasks that require mental effort (such as schoolwork or homework)." Symptoms of ADD-H (the variant with hyperactivity) include: "often fidgets with hands or feet or squirms in seat," and "often has difficulty playing or engaging in leisure activities quietly." Ritalin, by most accounts, is remarkably effective in getting such children to settle down and pay attention, with resultant (at least short term) gains in parental sanity and academic achievement. The fear, stated quite baldly, is that as a society we are 1 drugging our children in ever-larger numbers to get them to conform to adult expectations..