are stillplaying a guessing game when it comes to figuring out how the brain and the nervous system produce the symptoms of ADD.
Primary Sleep Disorder
Some researchers theorize that the core problem in ADD isn’t excess activity but rather underarousal. In other words, peoplewith ADD aren’t fully awake and alert. These scientists hypothesize that a high activity level might be in part an effort to stayawake. Sleep disturbances are fairly common in ADDers. Many experience irregular patterns of sleeplessness and reawakening. Others sleep so deeply that arousal is difficult.
Research into sleeping and waking patterns suggests to some investigators that the disorder arises from a primary sleep disorder. In other words, the person with ADD sleeps poorly and, as a result, has arousal problems duringthe day. Other research indicates that deep dream states are necessary to anchor learning in memory. This suggests that some ADD adults may demonstrate associated learning problems because their sleep irregularities interfere with this deep dream state.
Parenting or Heredity?
There are many unanswered questions about ADD, but we know that there is a strong genetic component. Children with ADDare likely to have ADD parents or close relatives. This might not come as a surprise if you are the ADD parent of an ADD child.
Not all family traits result from genetic inheritance. Parents pass on characteristics to their children through their behaviors and their child-rearing styles—children imitate their parents and tend to adopt their values. When your son talks to his playmates and soundslike a taped recording of your voice with precisely duplicated words, inflections and pauses, you know the power of modeled behavior.
When it comes to behavior, both nature and nurture play important roles. It is now clear that ADD is a neurobiological condition in most cases. Certainly, a difficult environment will make matters worse, but the root cause is to be found in a dysregulated brainand nervous system.
Theory of Blame
This theory holds that the only reasonable explanation for misbehavior or learning problems is that someone, usually a parents,is doing something wrong. If you are a parent, you’re probably well acquainted with child-rearing experts who believe in this theory. These folk are the friends, family and teachers who eagerly offer unwanted comments and advice aboutthe correct method for raising your children:
“ He would never behave like that in my house.”
“You are too tough on him.”
“You aren’t tough enough on him.”
“All he needs is grandma’s spatula on his bottom .”
Many of us do our own share of blaming, especially before we learn about our disorder. Unaware of the underlying ADD, we often grow up blaming our problems on our upbringing and believingthat everything wrong in our lives is caused by our dysfunctional families. Our analysis focuses on the impact of environment, minimizing or excluding consideration of a neurological makeup.
This rather limited view of human behavior may be fostered by the value Western culture places on self-determination. We prefer to feel that we have control over events and can shape destiny by our actions.It’s unnerving to think that our children come as they are and that we have somewhat limited influence on their behavior.
Pregnancy and Childbirth Complications
No one is sure about the relationship between birth complications, prenatal factors and ADD. In a small percentage of cases, there is evidence that pre and post birth problems increase the infant’s risk of developing symptoms of ADD.The risk factors include poor maternal health, maternal age of twenty or less, long labor, fetal distress or postmaturity.
Most people with ADD don’t have a history of these risk factors. Conversely, most children with histories of prenatal and childbirth complications don’t develop ADD. It does appear, however, that early damage to the CNS is a factor in a small