Does a single inhibition deficit account for behavioural signs and symptoms of attention deficit hyperactivity disorder?
Attention deficit hyperactivity disorder (AD/HD) is a developmental disorder that
affects around 5% of the world’s population. The symptoms that are associated with this disorder are wide and varied. According to the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) there are eighteen main symptoms which can be divided into two main categories. These two categories really help to classify the symptoms, they include the cognitive domain of inattention, of which nine of the symptoms fall into, and the hybrid domain of hyperactivity of which the remaining nine fall into. In order for a child to be diagnosed with AD/HD the child must exhibit at least six of the symptoms from either one of the criteria. There are multiple levels of explanation for AD/HD, including biological, cognitive and behavioural explanations. The biological explanations for AD/HD include information about the molecular genetics of AD/HD patients, brain imaging studies carried out on patients and dopamine processes in patients. The behavioural explanations focus much more on the signs and symptoms of AD/HD. Finally, the cognitive explanations deal with looking at cognitive deficits that are common to all patients that have been diagnosed with AD/HD. One of the main cognitive deficits that has been examined is that of inhibition difficulties. It has been suggested that the inability to inhibit a prepotent response can be used as a single account for all difficulties in AD/HD. This essay plans to analyse the single inhibition deficit account and to question whether it can be used to explain all the behavioural symptoms of AD/HD or whether a more multiple pathway model is required.