ADHS - Indikation für psychoanalytische Behandlungen? Einige klinische, konzeptuelle und empirische Überlegungen ausgehend von der Frankfurter Präventionsstudie

Abstract

Based on clinical experiences, results of the Frankfurt Prevention Study and arguments taken from a current interdisciplinary dialogue between psychoanalysis and neurobiology the authors discuss that Attention Deficit Hyperactivity Disorder (ADHD) always has to be understood as a product of complex interactions of (mostly unconscious) idiosyncratic, biographical, relational, institutional, societal as well as neurobiological, neurophysiological, and genetical factors. This is one reason why the authors think that psychoanalysis with its unique conceptualizations to understand psychic realities as products of such a complex intertwining of unconscious and reality factors, taking into account biological as well as societal roots of human behavior, could be regarded as one of the best available psychotherapeutic approach nowadays which is capable to deal theoretically and therapeutically with children suffering from ADHD. Psychoanalysis offers an alternative (with longlasting positive results) to exclusive treatments with psychostimulants. This thesis is discussed by short case studies illustrating 7 subgroups of children with very different inner conflicts and fantasies all being subsumed under the ADHD diagnosis in DSM-IV.