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It has been almost a century since the initial description of what we now call attention-deficithyperactivity disorder (ADHD) appeared in the English-language medical literature, and it is remarkable that the disorder continues to provoke strong feelings and controversy. It is particularly striking in view of the substantial advances in our understanding of ADHD, including its underlying neurobiologic features and its treatment. In Ritalin Nation, DeGrandpre argues that ADHD reflects cultural changes rather than any underlying biologic predisposition. The essence of his argument is as follows. We are living in a continually speeded-up society in DeGrandpre's words, a "rapid-fire culture,"
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