shijing
The Living Force
Attention Deficit Disorder (ADD) has quickly become a controversial topic in recent years. Whereas other books on the subject describe the condition as inherited, Dr. Gabor Maté believes that our social and emotional environments play a key role in both the cause of and cure for this condition. In Scattered, he describes the painful realities of ADD and its effect on children as well as on career and social paths in adults. While acknowledging that genetics may indeed play a part in predisposing a person toward ADD, Dr. Maté moves beyond that to focus on the things we can control: changes in environment, family dynamics, and parenting choices. He draws heavily on his own experience with the disorder, as both an ADD sufferer and the parent of three diagnosed children. Providing a thorough overview of ADD and its treatments, Scattered is essential and life-changing reading for the millions of ADD sufferers in North America today.
I finished this book a couple of weeks ago, and thought it was very helpful. I wanted to read it partly because Gabor Maté's other books (When the Body Says No and In the Realm of Hungry Ghosts) had been so helpful to people here on the forum, and partly because it had been suggested to me that I had some qualities that seemed ADDish. Before reading Scattered, I had a more stereotypical idea of what ADD looked like, and wasn't sure I fit the description -- after reading it, however, I feel like it fits me quite well, and reading about Maté's own experiences with ADD has been very useful.
As it mentions in the summary above, Maté goes beyond many other books on ADD in addressing both nature and nurture. Regarding the former, he hypothesizes that people with ADD tend to be born with more sensitive temperaments, something which can actually be measured physically in infants. While Elaine Aron's book ended up being problematic for various reasons, Scattered could have easily been subtitled "The Highly Sensitive Person", and will probably be useful for anyone who feels they fit that description.
Regarding the latter, Maté emphasizes the role of connection, first with parents and caregivers in childhood, and later with significant others (including close friends) later in life. He says at one point that ADD is literally "Attention Deficit Disorder" -- meaning that children with ADD have suffered from a lack of attention from the caregivers which they were supposed to bond with early in life. He is very slow to assign blame to parents for this, however, arguing that in today's society it is nearly impossible not to be neglectful as a parent to some extent, particularly when they are under financial, work, and other kinds of pressure. Part of what makes the book so attractive is that Maté freely discusses his own shortcomings as a parent and spouse, and what he has learned from these as he has studied ADD and worked with his own patients.
There are several concepts which Maté introduces that I found useful. One example is 'time-blindness', where the adult suffers from an inability to make realistic temporal judgments, often procrastinating or biting off more than they can chew due to a kind of wishful thinking, which he relates to an underdeveloped prefrontal cortex (something which he argues characterizes the ADD personality in general). Another is 'counterwill', which is the resistance (either active or passive) that a child erects as a defense to being forced to do something for the sake or convenience of the parent, which is later habitualized to the detriment of the child as they mature and it stops serving a useful function.
Overall, it's a highly engaging book and is applicable to a wide range of people and situations -- I highly recommend it.