Gabor Maté on the environmental causes of ADHD and Addiction

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Moog
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28 Dec 2010, 1:41 pm

http://www.alternet.org/module/printversion/149325

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if we recognize that it’s not a disease and it’s not genetic, but it’s a problem of brain development, and knowing the good news, fortunately—and this is also true for addicts—that the brain, the human brain, can develop new circuits even later on in life—and that’s called neuroplasticity, the capacity of the brain to be molded by new experience later in life—then the question becomes not of how to regulate and control symptoms, but how do you promote development.


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One way to look at ADD is a massive problem of motivation, because the dopamine is lacking in the brain. Now, the stimulant medications elevate dopamine levels, and these kids are now more motivated. They can focus and pay attention.

However, the assumption underneath giving these kids medications is that what we’re dealing with here is a genetic disorder, and the only way to deal with it is pharmacologically. And if you actually look at how the dopamine levels in a brain develop, if you look at infant monkeys and you measure their dopamine levels, and they’re normal when they’re with their mothers, and when you separate them from mothers, the dopamine levels go down within two or three days.

So, in other words, what we’re doing is we’re correcting a massive social problem that has to do with disconnection in a society and the loss of nurturing, non-stressed parenting, and we’re replacing that chemically.


He mentions autism too. Will probably be a controversial one.

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Well, autism is a whole spectrum of disorders, but the essential quality of it is an emotional disconnect. These children are living in a mind of their own. They don’t respond appropriately to emotional cues. They withdraw. They act out in an aggressive and sometimes just unpredictable fashion. They don’t know how to—there’s no sense—there’s no clear sense of a emotional connection and just peace inside them.


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28 Dec 2010, 2:33 pm

His ADHD ~theory~ sounds like another variation on blaming the parents, and of course ignoring all current research. The only correlations are hereditary and to a lesser extent certain environmental causes - if the mother drinks alcohol or smokes cigarettes during pregnancy, this increases the risks. If he wants to propose it's caused by upbringing he will have to account for existing evidence that says the opposite.

So tired of irresponsible doctors and researchers turning selection bias into an income.

His autism comments make no sense, either. I am wondering (and worried) that neuroplasticity will become some kind of magical buzzword. Not that it doesn't exist - it does - but how it's being misused in this article.



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28 Dec 2010, 2:44 pm

Verdandi, could you provide some links to current research? I have to admit that the theory that Gabor presents feels at least somwhat true.

I am also very open to the idea of neuroplasticity. I don't really understand how you think the word has been misused in this article, could you elaborate?


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nelle
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28 Dec 2010, 2:51 pm

So many times parents are blamed. I can't blame my parents they would have done anything. I'm a parent of adult children and I would still do anything to help them. I don't know what the causes are. I do know the brain is plastic and can be changed. I also know it's very difficult to do the work to change and it's easy to slip back into old paterns. It seems like the brain changes but it remembers the old ways too and when one goes off track it doesn't take long to be really messed up again, especially drug use wise. It's good news that the brain can change but it's not easy to do.



Verdandi
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28 Dec 2010, 3:05 pm

What does "feels correct" mean? How do you determine correctness by feel?

Here's an international consensus statement on ADHD: http://www.russellbarkley.org/adhd-consensus.htm

Quote:
The genetic contribution to these traits is routinely found to be among the highest for any psychiatric disorder (70–95% of trait variation in the population), nearly approaching the genetic contribution to human height. One gene has recently been reliably demonstrated to be associated with this disorder and the search for more is underway by more than 12 different scientific teams worldwide at this time.


There's a transcript of one of Dr. Barkley's lectures here: http://www.greatschools.org/special-edu ... ontent=677 (pdf form again) which goes into detail about ADHD.

While I am picking one person, it is not strictly because he produces all the research (he does not) but because he pretty much is the leading researcher on the subject and has accumulated significant amounts of data regarding possible etiologies. Upbringing itself is simply not a factor that's been observable at all.

I meant using neuroplasticity as a catch-all to refute or ignore existing evidence to reassert culturally popular narratives about certain diagnoses. Obviously neuroplasticity exists, but to make it the be-all and end-all of ADHD (or autism) etiology you have to do so in a manner that accounts for existing evidence. And isn't his theory about both autism and ADHD very similar to the long discredited "refrigerator mother" theory?



zenstrive
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14 Feb 2016, 7:46 pm

Sorry to resurrect this thread, but I recently have been reading Dr. Mate's book, Scattered. It provides good insight on how ADHD/Autism may be developed: because of lack of attentions to sensitive children.

I now realized that my 3 yearl old son is a sensitive and attention seeking boy that me and my wife have somewhat neglected outside of giving him food and clothing, sometime teaching him how to play with toys, and tuck him to bed.

I have been busy with work (in and outside working hours), and was raised in generally communication-lack environment, so my communication capacity is limited, and I prone to get lost on my own thought.

My wife is the only other person in his life, but she refused to get a maid and do home works on herself, leaving my son on his own many time in the day, watching TV, climbing stairways, or wreaking havocs by pulling things, and being shooed away by my wife if approaching her while in kitchen.

Maybe for other children, it'd be fine, but not for this kind of hyper sensitive, independent, lonely child. Reading the book, now I realize that I need to give him attentions, so much attentions that they come out of his ears.

Will this be the wrong thing to do?



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06 May 2025, 11:21 pm


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07 May 2025, 12:23 am

Kinda makes you wonder .....pld story of Nature vs Nurture ...or lack thereof .. :?: ..


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PrivatePyle99
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14 May 2025, 7:51 am

This is a really insightful take from Gabor Maté on ADHD and addiction, especially his perspective on how brain development and environmental factors play a bigger role than genetics. His point about the lack of dopamine being tied to motivation and the importance of social connection is compelling. It’s definitely a different lens to view these conditions through, rather than just seeing them as diseases needing medication. Makes you think about how much our environments, especially in childhood, shape us in ways we might not always realize.


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15 May 2025, 1:09 am

PrivatePyle99 wrote:
This is a really insightful take from Gabor Maté on ADHD and addiction, especially his perspective on how brain development and environmental factors play a bigger role than genetics. His point about the lack of dopamine being tied to motivation and the importance of social connection is compelling. It’s definitely a different lens to view these conditions through, rather than just seeing them as diseases needing medication. Makes you think about how much our environments, especially in childhood, shape us in ways we might not always realize.



He definitely does have an interesting perspective, one that seems to lean quite heavily into the environmental factors. He talks about how the environment from within the womb to the environment after birth affects many developmental variations over time, such as ADHD and such. It is a more holistic approach,


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