Disorders of attention in school children: recent results of classification, diagnosis and pedagogic-psychologic perspectives for intervention

Attention disorders in school children are a frequently occurring phenomenon in the work of clinical psychologists and psychiatrists. The new approach (DSM III) emphasizes the role of attention deficit with/without hyperactivity in contrast to the Hyperkinetics syndrome (ICD 9) and offers an alternative interpretation. Based on experimental results and clinical observation, the following characteristic features of this class of disturbances are accentuated. A deficient central activation (probably related to "weakness" of central norepinephrine and the locus for stimulant drug action), an inadequate inhibitory control function, and a (secondary) disturbance of perceptive and logic processing strategies. A method of cognitive-behavioural intervention is offered which may be applied separately of in connection with drug treatment.