ATTENTION-DEFICIT HYPERACTIVITY DISORDER Attention-Deficit Third Edition Hyperactivity Disorder A HANDBOOK FOR DIAGNOSIS AND TREATMENT RUSSELL A BARKLEY THE GUILFORD PRESS New York London ©2006 The Guilford Press A Division of Guilford Publications, Inc 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Printed in the United States of America This book is printed on acid-free paper Last digit is print number: Library of Congress Cataloging-in-Publication Data Barkley, Russell A., 1949– Attention-deficit hyperactivity disorder : a handbook for diagnosis and treatment / Russell A Barkley.—3rd ed p cm Includes bibliographical references and index ISBN 1-59385-210-X (hardcover: alk paper) Attention-deficit hyperactivity disorder—Handbooks, manuals, etc Attention-deficit hyperactivity disorder—Treatment—Handbooks, manuals, etc Behavior therapy for children— Handbooks, manuals, etc I Title [DNLM: Attention Deficit Disorder with Hyperactivity—diagnosis Attention Deficit Disorder with Hyperactivity—therapy Attention Deficit Disorder with Hyperactivity— etiology WS 350.8.A8 B256a 2006] RJ496.A86B37 2006 618.92′ 8589—dc22 2005016986 To my mother, Mildred Terbush Barkley, with love and gratitude for instilling in me her insatiable curiosity and love of learning, among many of her remarkable attributes About the Author Russell A Barkley, PhD, is Research Professor of Psychiatry at the State University of New York (SUNY) Upstate Medical University at Syracuse In 1978, he founded the Neuropsychology Service at the Medical College of Wisconsin and Milwaukee Children’s Hospital, and served as its Chief until 1985 He then moved to the University of Massachusetts Medical School, where he served as Director of Psychology from 1985 to 2000 and established the research clinics for both child and adult Attention-Deficit/Hyperactivity Disorder (ADHD) In 2003, he relocated to a position as Professor in the Department of Psychiatry at the Medical University of South Carolina He joined the faculty of the SUNY Upstate Medical University in 2005 Dr Barkley has published 15 books, more than 200 scientific articles and book chapters, and videos on ADHD and related disorders, including childhood defiance, and is editor of the newsletter The ADHD Report A frequent conference presenter and speaker who is widely cited in the national media, he is past president of the Section of Clinical Child Psychology, Division 12 of the American Psychological Association, and of the International Society for Research in Child and Adolescent Psychopathology His distinguished research contributions have been recognized with awards from the American Association of Applied and Preventive Psychology, the American Academy of Pediatrics, the Section on Clinical Child Psychology of the American Psychological Association, and the Society for a Science of Clinical Psychology vii Contributors Arthur D Anastopoulos, PhD, Professor, Department of Psychology, University of North Carolina at Greensboro, Greensboro, North Carolina Russell A Barkley, PhD, Research Professor, Department of Psychiatry, State University of New York Upstate Medical University, Syracuse, New York; Adjunct Professor, Department of Psychiatry, Medical University of South Carolina, Charleston, South Carolina Joseph Biederman, MD, Director, Joint Program in Pediatric Psychopharmacology, McLean General Hospital and Massachusetts General Hospital; Professor, Department of Psychiatry, Harvard Medical School; Pediatric Psychopharmacology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts Daniel F Connor, MD, Professor, Department of Psychiatry, and Director, Pediatric Psychopharmacology Clinic, University of Massachusetts Medical School, Worcester, Massachusetts Charles E Cunningham, PhD, Professor, Department of Psychiatry and Behavioural Neurosciences, Jack Laidlaw Chair in Patient Centered Health Care, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada Lesley J Cunningham, MSW, Hamilton–Wentworth District School Board, Hamilton, Ontario, Canada Jodi K Dooling-Litfin, PhD, Developmental Disability Consultants, P.C., Denver, Colorado George J DuPaul, PhD, Professor, Department of Counseling Psychology, School Psychology, and Special Education, Lehigh University, Bethlehem, Pennsylvania Gwenyth Edwards, PhD, Private Practice, Delta Consultants, Wakefield, Rhode Island Suzanne E Farley, MA, Graduate Student, Department of Psychology, University of North Carolina at Greensboro, Greensboro, North Carolina ix x Contributors Michael Gordon, PhD, Professor, Chief Child Psychologist, and Director of Outpatient Services, Department of Psychiatry, State University of New York Upstate Medical University, Syracuse, New York William L Hathaway, PhD, Program Director, Doctoral Program in Clinical Psychology, Regent University, Virginia Beach, Virginia Benjamin J Lovett, MA, Psychology Intern, Department of Psychiatry, State University of New York Upstate Medical University, Syracuse, New York Kevin R Murphy, PhD, Director, Adult ADHD Clinic of Central Massachusetts, Northboro, Massachusetts Linda J Pfiffner, PhD, Associate Professor, Department of Psychiatry, Children’s Center at Langley Porter, University of California at San Francisco, San Francisco, California Jefferson B Prince, MD, Director, Department of Child Psychiatry, North Shore Medical Center, Salem, Massachusetts; Staff, Department of Child Psychiatry, Massachusetts General Hospital; Instructor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts Laura Hennis Rhoads, MA, Graduate Student, Department of Psychology, University of North Carolina at Greensboro, Greensboro, North Carolina Arthur L Robin, PhD, Professor of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, Michigan Cheri J Shapiro, PhD, Research Assistant Professor, Department of Psychology, University of South Carolina, Columbia, South Carolina Bradley H Smith, PhD, Associate Professor, Department of Psychology, University of South Carolina, Columbia, South Carolina Thomas J Spencer, MD, Assistant Director, Pediatric Psychopharmacology Clinic, Massachusetts General Hospital; Associate Professor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts Timothy E Wilens, MD, Director of Substance Abuse Services, Pediatric Psychopharmacology Clinic, Massachusetts General Hospital; Associate Professor, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts ... that their performance deteriorated dramatically when partial reinforcement was introduced, particularly at schedules below 50% reinforcement Campbell, Douglas, and Morgenstern (1971) further... homes can creative works as this be achieved RUSSELL A BARKLEY, PhD Charleston, South Carolina REFERENCES Barkley, R A (1981) Hyperactive children: A handbook for diagnosis and treatment New York:... biased reporters who have tried to claim that ADHD is a fraud or that the use of medications as part of a total treatment package is scandalous and reprehensible As in previous editions, I once again