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Metacognitive Remediation in Adult ADHD
Author(s) -
WASSERSTEIN JEANETTE,
LYNN ANTOINETTE
Publication year - 2001
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2001.tb05791.x
Subject(s) - disconnection , remedial education , psychology , psychological intervention , metacognition , neuropsychology , cognitive psychology , cognition , neuropathology , cognitive remediation therapy , neuroscience , psychotherapist , medicine , psychiatry , mathematics education , disease , pathology , political science , law
A bstract : The neuropathology underlying ADHD most consistently points to dysfunction in corticostriatal pathways—leading to inactivation, or insufficient engagement, of frontal and prefrontal lobes. By implication there may be functional disconnection between the anterior and posterior higher cortical regions, instead of a fixed dysfunction in either one. Given this premise, reconnection of these systems via cognitive interventions constitutes a logical remedial approach in the treatment of ADHD, which this paper introduces. In particular, a hybrid model is developed which proposes integration of existing psychodynamic, cognitive, and neuropsychological interventions. An organizing theme is expansion of metacognitive understanding through these procedures, powerfully exemplified via use of metaphor in clinical vignettes.