CONCLUSIONS:

Awareness of possible association betrryeen self-insertion of foreign bodies and

ADHD is needed and an as$essment for hyperactivity/ADHD is justified in such children,

especially in those over the age of 5 years.

(H Perera - 2009)

Most studies of attention-deficiUhyperactivity disorder (ADHD) have focused on

the combined type and emphasized a core problem in response inhibition. lt is proposed

here that the core problem in the truly inattentive type of ADHD (not simplythe

subthreshold combined type) is in working memory. lt is further proposed that laboratory

measures, such as complex-span and dual-task dichotic listening tasks, can detect this.

Children with the truly inattentive type of ADHD, rather than beingdistractible, may

instead be easily bored, their problem being more in motivation (under-arousal) than in

inhibitory control. Much converging evidence points to a primary disturbance in the

striatum (a frontal-striatal loop) in the combined type of ADHD. lt is proposed here that

the primary disturbance in truly inattentive-type ADHD (ADD) is in the cortex (a frontal-

parietal loop). Finally, it is posited that these are not two different types of ADHD, but

two different disorders with different cognitive and behavioral profiles, different patterns

of comorbidities, different responses to medication, and different underlying

neurobiologies.

(Dev. Psychopathol-2005)

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