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The Inadequacy of ADHD: A Philosophical Contribution
Lund University.ORCID iD: 0000-0002-9305-6075
Malmö University, Faculty of Education and Society (LS), Department of Children, Youth and Society (BUS).ORCID iD: 0000-0003-1669-7132
2018 (English)In: Emotional and Behavioural Difficulties, ISSN 1363-2752, E-ISSN 1741-2692, Vol. 23, no 1, p. 97-108Article in journal (Refereed) Published
Abstract [en]

Attention Deficit Hyperactivity Disorder (ADHD) is a widely spread diagnosis. The dominant paradigm of ADHD is biomedical where ADHD is defined as a brain disorder. At the same time, the legitimacy of the diagnosis is being questioned since it is unclear whether or not ADHD can be deemed a medical disorder in itself. The aim of this article is to critically assess the merits of understanding the diagnosis of ADHD as a medical condition defined as a brain disorder. This is being done using the seventeenth century philosopher Benedict Spinoza’s (1632–1677) notions of adequate and inadequate knowledge and his counterintuitive theory of mental health. Doing so it becomes clear that ADHD, however adequate it may seem, is founded on inadequate knowledge and that the legitimacy of the individual diagnosis should therefore be questioned on the grounds that on a long term scale it is passivizing and stigmatizing rather that liberating.

Place, publisher, year, edition, pages
Taylor & Francis, 2018. Vol. 23, no 1, p. 97-108
Keywords [en]
ADHD, Education, Ethics, Knowledge, Spinoza
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:mau:diva-3129DOI: 10.1080/13632752.2017.1361709ISI: 000434455800009Scopus ID: 2-s2.0-85026880835Local ID: 23143OAI: oai:DiVA.org:mau-3129DiVA, id: diva2:1399930
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved
In thesis
1. Relationär pedagogik - för ett sannare liv: En essäistisk sammanläggning om dys/funktionell uppfostran: exemplet ADHD
Open this publication in new window or tab >>Relationär pedagogik - för ett sannare liv: En essäistisk sammanläggning om dys/funktionell uppfostran: exemplet ADHD
2020 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [sv]

Föreliggande doktorsavhandling utgör en pedagogisk-filosofisk studie av diagnosen ADHD som uppfostran. Avhandlingen består av fyra internationellt publicerade artiklar samt en substantiell kappa. Det övergripande syftet är att lägga fram ett pedagogiskt argument för varför en förändring kan förefalla nödvändig om målet är att leva ett mer sant liv. Metoden använd utgörs av en triadisk modell som innefattar den grävande mullvaden, den filosofiska ugglan och den pedagogiska örnen. Det pedagogiska exempel som används i studien är den så kallat neuropsykiatriska diagnosen ADHD.

Baserat på en kritisk undersökning av diagnosen ADHD påvisas att denna diagnos inte är vad den sägs vara, utan även någonting annat. Diagnosen ADHD förefaller vara ett symptom på en pedagogisk irrationalitet som hos den enskilde individen re/producerar ”brister” och ”avvikelser” vilket öppnar upp för olika former av mer eller mindre behavioristisk uppfostran. I kappan argumenteras för att diagnosen ADHD bygger på en modern form av sofism, vilken utgör en negativ identitetslogik och en biopedagogik som konstituerar dysfunktionell Andrahet.

Vidare visar analysen att diagnosen ADHD inte enbart är irrationell, utan även orättvis, oren, ond och våldsam. Detta resultat bygger på en teoretisk dialog med tänkare som Michel Foucault, Karen Barad, Michel Serres, Baruch Spinoza, och inte minst Alain Badiou. Utifrån Badiou argumenteras för att diagnosen ADHD bygger på ett ändligt pedagogiskt tänkande, framför oändligt många andra sätt att bli till på tillsammans. Platsen för denna pedagogiska möjlighet uppgår i det unika mötet. I detta unika pedagogiska möte öppnas upp för ett gemensamt kreativt utforskande av världen och därmed möjligheten för de olika parterna att leva ett mer sant liv.

Avhandlingen avslutas med den retoriska frågan om huruvida pedagogen trofast ska hålla fast vid idén om den universella möjligheten att verka för ett mer sant liv, alternativt genom fortsatt bruk av kvasi-diagnostik – diagnosen ADHD – re/producera en irrationell, orättvis, oren, ond och våldsam uppfostran.

Abstract [en]

The present dissertation is a complitation thesis composed of four published articles and a substantial introduction. The writing style of the introduction is essayistic. The overarching leitmotif is to propose a pedagogical argument for the idea that we need to live otherwise than we live today, if the aim is to live a good, as in a more true, life; i.e. so as to reach eudaimonia through the practice of padeia. The method used is threefold but still unified: it includes the digging mole, the philosophical owl, and the pedagogical eagle. Based on a critical examination of the diagnosis of ADHD (and closely related diagnoses), it is argued that the well-known diagnosis of ADHD is not as clearcut as the dominant “neuropsychiatric” paradigm would have it. This dominant paradigm generally assumes that an increased group of citizens suffers from a neurogenetic “deficit” and “disorder”, and that this group is best managed by medical and behaviorist models of “care” – in the thesis referred to as neuro-behaviorism. In the thesis it is argued that the diagnosis of ADHD (and similar diagnoses) is based on modern sophistry, which forms a negative identity-logic and a bio-pedagogic that results in the constitution, and instrumental treatment, of the (negative category) dysfunctional Other(s).

       The analysis shows that the dominant neuropsychiatric paradigm is irrational from a pedagogical point of view. Yet, this dominant paradigm is often referred to as rational. The analysis also shows that the diagnosis of ADHD belongs to a paradigm which is not only irrational, but also injust, inpure, evil, and violent. This result is primarly based on theoretical arguments developed in dialogue with thinkers such as Michel Foucault, Karen Barad, Michel Serres, Baruch Spinoza, and not least the philosopher Alain Badiou. An important argument driving the thesis, which is based on Badiou’s mathematical ontology, is that the diagnosis of ADHD stems from a paradigm that presupposes finite ways of thinking about what it means to be(come) human in an “in-human” world.  

      Accordingly, the thesis makes for a pedagogical-philosophical critique of the diagnosis of ADHD, but at the same time it formulates a pedagogical alternative beyond the individual diagnosis. Against the dominant techno-positivist (therefore relativist) and pragmatic (therefore non-ontological) paradigm, a differently conceived pedagogical rationality is suggested. This pedagogical rationality is fundamentally relational; the relational alternative suggested is rational and indeeed materialistic. A main ontological axiom that the pedagogical alternative suggested draws from, is that if “the One” is not, then nothing is. This also means that Badiou’s mathemathically based ontology makes it possible to deconstruct every effect of oneness; the ontologically based axiom that there is no a priori “Other”. Yet, what there is (on the level of ontology) is a being that is equivalent with pure multiplicity or infinite alterity named void and symbolized with Ø. The thesis argues that in the void/Ø lies a potential to live a (more) true life. Further it is argued that void/Ø holds a pedagogical potential, via the unique encounter, to make the world exist from the perspective of Two rather than from the perspective of One (the dominant order). It is argued that the place where this unique encounter can take place is the so-called Two-scene of love, and that it is the pedagogue’s “slave-duty” in the world to make room for the Two-scene of love. The thesis closes with the rethorical question if the pedagogue, through a decisive decision, should act militant – as in go many miles – following the universal idea that it is possible for everyone to live a more true life, or if we, as pedagogical subjects, should continue to re/produce a society that through quasi-diagnostics renders equality an in-existent reality.

Place, publisher, year, edition, pages
Malmö: Malmö universitet, 2020. p. 401
Series
Malmö Studies in Educational Sciences: Doctoral Dissertation Series, ISSN 1651-4513 ; 92
Keywords
ADHD, critical pedagogy, ethics, ontology, onto-epistemological violence, ontopedagogy, pedagogy, philosophy of education, psychiatrization, ADHD, kritisk pedagogik, etik, filosofi, metafysik, ontologi, onto-epistemologiskt våld, ontopedagogik, pedagogik, pedagogisk filosofi, psykiatrisering
National Category
Pedagogy
Identifiers
urn:nbn:se:mau:diva-18687 (URN)10.24834/isbn.9789178771202 (DOI)978-91-7877-119-6 (ISBN)978-91-7877-120-2 (ISBN)
Public defence
2020-11-27, D138, Jacob Bagges gata 2, Malmö, 09:56 (Swedish)
Opponent
Supervisors
Available from: 2020-10-19 Created: 2020-10-19 Last updated: 2021-01-11Bibliographically approved

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Nilsson Sjöberg, MattiasDahlbeck, Johan

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