ADHD in Adults - What the Science Says - R. Barkley, et. al., (Guilford Press, 2008) WW

513 Pages·2008·3.37 MB·English

ADHD in Adults

ADHD
IN ADULTS

WHAT THE SCIENCE SAYS

Russell A. Barkley
Kevin R. Murphy
Mariellen Fischer

THE GUILFORD PRESS
New York
London

© 2008 The Guilford Press
A Division of Guilford Publications, Inc.
72 Spring Street, New York, NY 10012
www.guilford.com

All rights reserved

No part of this book may be reproduced, translated, stored in a retrieval system,
or transmitted, in any form or by any means, electronic, mechanical, photocopying,
microfilming, recording, or otherwise, without written permission from the Publisher.

Printed in the United States of America

This book is printed on acid-free paper.

Last digit is print number:
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Library of Congress Cataloging-in-Publication Data

Barkley, Russell A., 1949–
ADHD in adults : what the science says / Russell A. Barkley, Kevin R. Murphy,
Mariellen Fischer.
p. ; cm.
Includes bibliographical references and index.
ISBN-10: 1-59385-586-9 ISBN-13: 978-1-59385-586-4 (cloth : alk. paper)
1. Attention-deficit disorder in adults. I. Murphy, Kevin R. II. Fischer, Mariellen. III.
Title. IV. Title: Attention deficit hyperactivity disorder in adults.
[DNLM: 1. Attention Deficit Disorder with Hyperactivity—psychology. 2. Adult.
3. Attention Deficit Disorder with Hyperactivity—diagnosis. 4. Data Interpretation,
Statistical. 5. Longitudinal Studies. WM 190 B256ab 2007]
RC394.A85B37 2008
616.85′89—dc22
2007028826

To our wives, Patricia Barkley and Bonnie Murphy,
in gratitude for their love, support,
and creation of a home and family life
within which we could achieve our dreams
—RUSSELL A. BARKLEY AND KEVIN R. MURPHY

With deep appreciation to the participants in our studies,
who generously and courageously opened their lives to us
so that we all might better understand
—MARIELLEN FISCHER

About the Authors

Russell A. Barkley, PhD, is Clinical Professor of Psychiatry at the Medical
University of South Carolina in Charleston and Research Professor of Psychiatry
at the State University of New York Upstate Medical University in Syracuse. He
was previously Director of Psychology and Professor of Psychiatry and Neurol-
ogy at the University of Massachusetts Medical School in Worcester (1985–
2002), where a portion of the original research reported in this volume was con-
ducted. A diplomate in three specialties (Clinical Neuropsychology, Clinical Psy-
chology, and Clinical Child and Adolescent Psychology, ABCN, ABPP), he has
published extensively on attention-deficit/hyperactivity disorder (ADHD) over
his 30 years of conducting scientific research on the disorder and related topics.
Dr. Barkley served as the principal investigator on the two large research projects
reported in this volume (clinic-referred adults with ADHD and hyperactive chil-
dren grown up) and has received numerous awards from professional associations
for his scientific and clinical contributions and for the public dissemination of
psychological science.

Kevin R. Murphy, PhD, is founder and Director of the Adult ADHD Clinic
of Central Massachusetts in Northborough. He was previously Director of the
Adult ADHD Clinic and an Associate Professor of Psychiatry at the University of
Massachusetts Medical School in Worcester (1990–2002). He has published
extensively on adults with ADHD, often with Dr. Barkley, and consults to
numerous legal, educational, and commercial organizations on the clinical
diagnosis and management of ADHD in adults. Dr. Murphy served as the
coinvestigator on the research study of clinic-referred adults with ADHD
reported in this volume and conducted the clinical evaluations of all of the adults
in that project.

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Mariellen Fischer, PhD, is a pediatric neuropsychologist and Professor in the
Division of Neuropsychology, Department of Neurology, at the Medical Col-
lege of Wisconsin in Milwaukee. A diplomate in Clinical Neuropsychology,
ABPP/CN, Dr. Fischer has published numerous articles on ADHD, develop-
mental psychopathology, and neuropsychology. She and Dr. Barkley have
reported the earlier results of the Milwaukee longitudinal study of hyperactive
children, the adult outcome of which is presented in this book. Dr. Fischer
served as coinvestigator and the Milwaukee site principal investigator on the lon-
gitudinal study reported in this volume.

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About the Authors

Acknowledgments

The research reported here was supported by two grants from the National
Institute of Mental Health to Russell A. Barkley while he was at the University
of Massachusetts Medical School. The opinions expressed here, however, do not
necessarily represent those of the funding institute. We are exceptionally grateful
to Tracie Bush for her assistance with the evaluation of the research participants
in the study of clinic-referred adults with ADHD reported here and with their
data entry. We also wish to thank Laura Montville for her administrative and data
entry assistance on this same project. We are just as grateful to Lorri Bauer, Kelli
Douville, and Cherie Horan for their assistance with the evaluation of the adult
(mean age 27 years) research participants in the Milwaukee longitudinal study
reported here; to physician assistants Hope Schrader and Kent Shiffert for their
help with participant health evaluations; and to Peter Leo for assistance with data
entry. We wish to thank Michael Gordon for his comments on the first three
chapters of this book and, more generally, for challenging us to address clinically
important controversies using the science-based results of these large research
studies and the scientific literature. Last, but hardly least, is the encouragement
and support we received from Kitty Moore and Seymour Weingarten at The
Guilford Press for this book and for the necessity of placing both research studies
in the context of each other and the larger scientific literature relevant to both
clinic-referred adults with ADHD and children growing up with ADHD.

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