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Conceptual History of Attention Deficit Hyperactivity Disorder: Idiocy, Imbecility, Encephalitis and the Child Deviant, 1877-1929

NCJ Number
187931
Journal
Deviant Behavior: An Interdisciplinary Journal Volume: 22 Issue: 2 Dated: March-April 2001 Pages: 93-115
Author(s)
Adam Rafalovich
Date Published
March 2001
Length
23 pages
Annotation
This article examines the medical discourse that took place during 1877-1929 and that formed the foundations of what mental health professionals today call Attention Deficit Hyperactivity Disorder (ADHD).
Abstract
The article examines literature from two medical discussions. The first discussion focuses on the concepts of imbecility and idiocy and took place in the late 19th and early 20th centuries in Western Europe and the United States. The second discussion focused on the diagnosis of encephalitis lethargica in children during the 1920’s. The previous discussion of imbecility heavily influenced the diagnosis of encephalitis lethargica and occupied a seminal place in the history of defining child behavior in medical terms. This diagnosis served as a specific disease category for children who demonstrated unconventional behavior in a variety of social contexts. The analysis argues that the discussion of encephalitis lethargica began a psychiatric research modality that sought to find neurological bases for childhood deviance, typified by the contemporary discussion of ADHD. 43 references (Author abstract modified)