EDITORIAL COMMENT: GUEST COMMENTARY

A pervasive problem faced by children in both classroom and clinic is the lack of transfer from the apparent learning of “skills” to improved overall reading performance. For varied reasons, “skills” learned by children fail to become integrated to enhance reading fluency. A related problem derives from the lack of automaticity that many children fail to achieve either in specific facilitating “skills” or in the reading task generally.     

EDITORIAL

The aim of the present study was to evaluate the usefulness of Barkley’s (1997a) model of inhibition and executive functioning in describing the deficits associated with Attention Deficit Hyperactivity Disorder (ADHD). Besides group differences, the present study addressed the question of independent effects of inhibition and the other executive functions in discriminating between children with ADHD and controls and how well, in terms of sensitivity and specificity, these measures can classify the children into the correct group. The results showed that children with ADHD differed significantly from controls with regard to measures of inhibition as well as all other executive function measures, except repetition of hand movements. In logistic regression models, three different measures tapping inhibition, working memory and emotion regulation were shown to be significant independent predictors of group membership. The sensitivity for these three variables as a set was 76.2, the specificity was 90.5, with a total of 86% of the sample correctly classified. When excluding the parental rating of emotion regulation, the overall classification rate decreased some, but was still relatively high in comparison with previous studies within this area of research.     

EDITORIAL

Applying the thoughts of Tustin, Ogden and Winnicott, this paper describes the sources and the dynamics of the autistic encapsulation, the earliest auto-sensory defence of the personality. Detailed clinical material illustrates the working-through process of the autistic defensive strategy in the analysis of an adult person.