The Forums › Forums › Ask The Community › Dr. Jain, please explain why you disputed another Dr.'s diagnosis of ADHD › Re: Dr. Jain, please explain why you disputed another Dr.'s diagnosis of ADHD
Ah, I see your confusion. We’re reading that sentence differently (funny how people can read the sentence and come away from it so differently). Here’s the whole sentence:
“Dr. Jain cannot and will not provide a diagnosis. Mr. Lyle may well suffer from A.D.H.D. but Dr. Jain’s view was that some of the findings indicated a diagnosis of impulsivity which, if untreated, would get Mr. Lyle into trouble again. There is a standard (DSM 4) for the diagnosis that must be followed to achieve a reliable diagnosis and Dr. Blouin did not follow the standard. His diagnosis is, therefore, unreliable and his treatment may also be unreliable.”
The findings indicated that there was impulsivity. From Dr. Blouin’s findings, all that could be determined was a diagnosis of a symptom, which was Jain’s point. Without the full diagnosis, the standard was not met for ADD.
The writer of the document put the word “diagnosis” in front of impulsivity, and there aren’t any quotes around it, so it may have not even been used by Jain. Even if it were, it could be a less usual use of the word meaning “cause of his trouble,” not the disease itself (some docs use that word a bit interchangeably, some dictionaries allow for this usage for a symptom). Impulsivity was the cause, although not the disease itself. It’s hard to tell without being in the room and hearing the exact words used. Note that Jain said he would not provide a diagnosis, so I have a feeling it was not his choice to put “a diagnosis of impulsivity” in the document.
It is clear that the diagnosis standard for ADD was not met, which is what Jain was called in to testify about. Even using that rare usage of diagnosis, meeting the diagnostic standard of impulsivity as a symptom does not mean that the person has ADD. There are several other symptom requirements that need to be met. The point Jain was making is that the guy may not be getting the right treatment for the root cause, and if not, could run into trouble again. There are several other diseases that have impulsivity as a symptom.
But you are right, there is no disease of impulsivity, which is exactly the point.
REPORT ABUSE