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Treatment of Attention-Deficit Hyperactivity Disorder-Reply FREE

Daniel J. Safer, MD; John M. Krager, MD, MPH
JAMA. 1993;269(18):2369-2369. doi:10.1001/jama.1993.03500180060032
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In Reply.  —What follows is a sequential, point-by-point response to concerns about the "subtextual implications" of our study raised by Drs Vatz and Weinberg.The anti-Ritalin campaign of 1987 through 1989 was fueled primarily by the Church of Scientology.1,2 Dr Barkley3 reported that Church of Scientology "propaganda" claimed that "Ritalin was a dangerous and addictive drug often used as a chemical straitjacket to subdue normally exuberant children because of intolerant educators, parents, and money hungry psychiatrists." Dr Barkley, a child psychologist and behaviorist, concluded that these media statements against Ritalin were "dramatic, exaggerated, and unfounded."3 Bass, a science reporter for the Boston Globe, referring also to the media blitz, noted in 1988 that "in newspapers, television, and radio accounts, Ritalin is often depicted as a dangerous drug being forced on millions of innocent children."2Most drug-sensitive hyperactive children did not do well when taken off stimulant

REFERENCES

Sappell J, Welkos RW.  Scientologists triggered Ritalin debate. Baltimore Sun . (August 7) , 1990;:8. "To Your Health" section.
Bass A.  Debate over Ritalin heating up. Boston Globe . (March 28) , 1988;:33-36.
Barkley RA. Attention-Deficit Hyperactivity Disorder . New York, NY: Guilford Press; 1990;:34-36.
Report of the task force on the use of methylphenidate in the treatment of attention-deficit hyperactivity disorder diagnosed children to the governor and the general assembly of Virginia . Richmond: Commonwealth of Virginia; 1991;:B3. House document No. 28.
Ross DM, Ross SA. Hyperactivity . 2nd ed. New York, NY: John Wiley & Sons Inc; 1982;.
Zametkin AJ, Nordahl TE, Gross M, et al.  Cerebral glucose metabolism in adults with hyperactivity of childhood onset. N Engl J Med . 1990;;323:1361-1366.
Mental Health Committee of the Canadian Paediatric Society.  Use of methylphenidate for attention deficit hyperactivity disorder. Can Med Assoc J . 1990;;142: 817-818.
Safer DJ, Krager JM.  Hyperactivity and inattentiveness: School assessment of stimulant treatment. Clin Pediatr . 1989;;28:216-221.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Sappell J, Welkos RW.  Scientologists triggered Ritalin debate. Baltimore Sun . (August 7) , 1990;:8. "To Your Health" section.
Bass A.  Debate over Ritalin heating up. Boston Globe . (March 28) , 1988;:33-36.
Barkley RA. Attention-Deficit Hyperactivity Disorder . New York, NY: Guilford Press; 1990;:34-36.
Report of the task force on the use of methylphenidate in the treatment of attention-deficit hyperactivity disorder diagnosed children to the governor and the general assembly of Virginia . Richmond: Commonwealth of Virginia; 1991;:B3. House document No. 28.
Ross DM, Ross SA. Hyperactivity . 2nd ed. New York, NY: John Wiley & Sons Inc; 1982;.
Zametkin AJ, Nordahl TE, Gross M, et al.  Cerebral glucose metabolism in adults with hyperactivity of childhood onset. N Engl J Med . 1990;;323:1361-1366.
Mental Health Committee of the Canadian Paediatric Society.  Use of methylphenidate for attention deficit hyperactivity disorder. Can Med Assoc J . 1990;;142: 817-818.
Safer DJ, Krager JM.  Hyperactivity and inattentiveness: School assessment of stimulant treatment. Clin Pediatr . 1989;;28:216-221.
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