Don's Theory of ADD/ADHD and Shame

• Welcome to the BOL Forum on Shame and Affect Theory by John Grohol, 2/10/96
  • A Family of Emotions and a Family of Psychotherapists by Don Nathanson, 1/2/96
    
    

Hi Don,

I'd just like to tell you that I thoroughly enjoyed your discussion of shame and am intrigued and excited by your theories. I am particularly interested in your shame theory of ADD as a disorder of the interest-excitement affect. I think you are saying that when a person with ADD has their interest impeded in some way they are triggered into a shame reaction. How does this shame reaction look in children with ADD? I have worked with many ADD children who, upon interuption of their interest,do not seem to display the typical response you would expect from a shame reaction (head down, eyes averted, blushing etc). Is the "acting out"behaviour typical of this population actually a shame reaction? How do you account for the hyperactivity that often accompanies ADD? I predict you will say something about the excitement end of the interest- excitement continuum - but this stuff is so new its hard to wrap my mind around it!

Wbat about comorbidity issues? ADD tends to occur with oppositional defiant disorder, conduct disorder, depression and anxiety (depending on the age and gender of the individual). Are these also disorders of affect? We know depression (I know you hate the word) certainly is but what about ODD? Its seems logical that this would be a disorder of the anger-rage afffect (was that the continuum?). Do these people (with several "disorders") have a more generalized affect disorder? A problem with the whole affect system? Hmmm I could ask you questions all day but I'll wait for your response on the above. Can't wait to hear from you!

Jennifer

• Responses to Shame by Jim Pfrommer, 4/16/96
  • Treatment of ADD by Jennifer Morley, 4/17/96
    • hyperactivity as shame by donald klein, 7/1/96
      • Good Question by Gil Levin, 7/1/96
      • Klein's definition of shame? by Don Nathanson, 7/2/96
      • Movement Disorder? by Fiona Geiser, 7/3/96
      • Dr. Klein--Please Study Affect Theory by Vick Kelly, 7/4/96
      • response to aad/adhd and shame by mike fabiani, 10/27/98
        • Primary and secondary sources of shame affect by Don Nathanson, 10/31/98
      • response to add/adhd and shame by mike fabiani, 10/27/98
  • Bipolar Disease Related to Shame? by Kris Evans, 7/26/96
    • Bipolar Affective Illness and Shame by Don Nathanson, 7/26/96
      • Bipolar Illness and Capacity for Intimacy by Vick Kelly, 8/4/96
        • Good Readings on Affect Theory by Jan Halper, Ph.D., 8/27/97
          • Readings on Affect Theory and on Couples Therapy by Don Nathanson, 8/27/97
        • I Want MY LIFE BACK...! by Greg Alexander, 10/6/98
          • Help is on the way! by Don Nathanson, 10/7/98
            • Here is help! by cthomas555@ameritech.net, 10/8/98
        • Bipolar I Cure Rate? by Anna Kay, 1/10/99
          • Cure? by Don Nathanson, 1/11/99
      • Yes of course shame is integral with BiPolar by Karen, 10/2/97
        • Can you share more with us? by Don Nathanson, 10/3/97
    • Thank you for the quick Bipolar reply! by Kris Evans, 7/28/96
      • Affective learning after pharmacotherapy by Don Nathanson, 7/28/96
        • Hypnosis and Mood Disorders by Peter B. Bloom, 8/3/96
        • new script creation what is it? to Nathanson by ginni...fan of Nathanson, 7/11/98
          • Goals and Methods of Therapy by Don Nathanson, 7/19/98
  • SSRI'S AND DOWNMODULATION OF SHAME by JOHN HASSLER, 4/14/97
    • Downregulation of shame affect by Don Nathanson, 4/17/97
      • (No title) by John Hassler, 4/18/97
      • Adaptive value of shame mechanism? by Dori LeCroy, 1/23/98
        • Adaptive value of an affect by Don Nathanson, 1/24/98
          • Guilt vs. shame? by Anna Kay, 1/10/99
  • ADD shame by R. N. SMITH, 4/23/98
    • others like you by christina l. remien, 4/24/98
      • others like you by stacey, 6/1/98
        • Some Make It, Some Don't by Greg Alexander, 10/6/98
  • Responses to public humiliation by Lia Ades, 12/8/98
    • Life as interacting matrices rather than billiard balls by Don Nathanson, 12/13/98
      • Shame links identity and social interaction by Lia Ades, 1/21/99
• Any problem with attention is a problem with affect! by Don Nathanson, 4/16/96
  • Wondering why ? by Michèle Paquette, 4/17/96
    • Amplified to Attention by Jim Pfrommer, 4/18/96
      • Thank you by Michèle Paquette, 4/18/96
    • Who's upset by Jim Pfrommer, 4/18/96
      • A difficult issueAndy Morrison by Michèle Paquette, 4/18/96
        • New theories upset old certainties by Don Nathanson, 4/18/96
          • In all new there is some old! by Michèle Paquette, 4/19/96
            • AD/HD Neuroimaging. by Fiona Geiser, 4/21/96
              • Neuroimaging of Affects, studies needed! by Jim Pfrommer, 4/21/96
          • doctoral research on shame by Mary Byrley <byrley@ix.netcom.com>, 4/28/96
            • research on shame and domestic violence by Keith Wiger / <kw@lasertone.com>, 5/31/96
        • Apparently a clean win by Don Nathanson, 6/6/96
          • less expressive therapists by linda, 6/7/96
            • Therapists' Range of Expression by Don Nathanson, 6/13/96
              • Society and Shame by Nathanson, 9/2/96
            • Therapists' Expression and Shamed Clients by Catherine Skillin, 8/21/96
          • Learning by HMBll, 5/17/97
            • Passive-Aggressive Behavior & Shame? by R. J. Wolfe, Ph. D. in Education, 7/8/97
            • Passive-Aggressive Behavior & Shame? by R. J. Wolfe, Ph. D. in Education, 7/8/97
    • Why? by Amanda, 9/27/97
      • For example? by Don Nathanson, 9/28/97
  • Affects and Neuroimaging by Jim Pfrommer, 4/21/96
    • Mood Neuroimaging Study by Fiona Geiser, 4/23/96
• Response to J. Morley's comments RE: Don's Theory of ADD/ADHD by Gordon Shannon, 1/23/98
  • Primary and secondary shame by Don Nathanson, 1/24/98
    • re Don's response:Primary and secondary by Gordon Shannon, 7/13/98
      • Primary and secondary manifestations of ADD by Don Nathanson, 7/19/98
        • Secondary as trigger for primary by (No author), 9/22/98
          • affects are analogues of their stimulus conditions by Don Nathanson, 9/23/98