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Subjective Vs.
Objective Labels: A Plea for Occam's Razor
by
Jan Hunt |
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| I am often asked,
sometimes heatedly, about my dismissal of labels like "ADD".
Parents tell me they are grateful to have a label that seems to
explain - at last - their child's challenging behavior. Other adults
tell me that the ADD label has helped them to understand the
difficulties they themselves have faced in life. So what is wrong with
using labels that seem to explain so much? Nothing - if we are talking
about objective labels. Everything - if we are using subjective ones.
The definition of "objective" is
"having actual existence or reality." In medicine, objective
labels such as cancer, brain damage, dietary deficiencies, and sleep
disorders can be verified in the laboratory.
The definition of "subjective" is
"proceeding from or taking place in a person's mind rather than
the external world". Subjective labels (ADD, ADHD, sensory
sensitivity etc.) are given casually, arbitrarily, with no laboratory
or other medical proof - and thus are not valid; they are based on a
list of subjective feelings and experiences which can change from one
day to the next, and thus are not reliable. The only brain damage that
has ever been associated with so-called "learning disorders"
has been found in children or adults who were already taking a strong
medication such as Ritalin. The similarities between Ritalin and
cocaine have prompted concern that the unknown dangers of Ritalin
could be similar to the known dangers of cocaine.1
The use of such dangerous drugs are especially unjustified as there is
no true laboratory evidence of the "disorders" that Ritalin
is supposed to cure. In a study of 5,000 children followed from
adolescence to adulthood, psychopharmacologist Susan Schenk of Texas
A&M University found that children treated with Ritalin are three
times more likely to develop a taste for cocaine.2 |
| All
subjective labels are self-fulfilling. |
Subjective labels, being neither
valid nor reliable, have no usefulness. They do, however, have many
unfortunate consequences. First, all subjective labels are
self-fulfilling. If I believe that I am "clumsy", the next
time I drop something I will view that as further proof of that label,
when there may be a much simpler reason. Perhaps my sleep the previous
night was disturbed or I am not paying attention because I am worried
about a friend who is ill. |
| We truly are what we
believe we are. In fact, there are many understandable, human reasons
for clumsiness, sadness, forgetfulness, distraction and all the
"symptoms" of "learning disorders". Anyone - at
any age - can drop things, forget things, and over-react to
frustration if they haven't had sufficient rest, their diet hasn't
been adequate, or their life is currently stressful. These reactions
are universal. They are understandable. They are human.
In contrast, a true medical condition, like
cancer, is objective. This type of label serves the very useful
purpose of telling us about something that can be treated, and ideally
cured. A subjective label like ADD distracts us from the true
causes of human behavior. If I believe that it is "my ADD"
that has brought about clumsiness, I am likely to miss the actual
cause (such as lack of sleep) and solution (changing my lifestyle to
get sufficient rest).
Subjective labels not only distract us from true
causes and solutions, they fool us into thinking that the only
solution is medication. Millions of dollars are spent for drugs that,
at best, have a placebo effect, and at worst cause severe side
effects.
The labels "ADD" and "ADHD",
because they have been applied to millions of children, who are then
given dangerous, addictive drugs, are especially troublesome. We all
owe it to children to avoid using these labels. Every time we use
them, we are proclaiming their validity. |
| There is a philosophical tool called
"Occam's Razor", a handy device for cutting through
preposterous theories: the simplest theory that fits the facts of a
problem is the one that should be selected. Applying Occam's Razor to
the so-called "symptoms" of subjective disorders, we could
say "I'm feeling sad because my best friend moved away."
"I'm tired because I didn't sleep well last night."
"I'm dropping things because I'm tired." "I'm
overreacting to criticism because my partner and I argued this
morning." "I'm restless because I had coffee today."
"I can't concentrate right now because I'm worried about
finances." "This child is distracted in school because he is
being bullied / because the presentations are boring / because he
needs more physical exercise / because he would rather learn through
play." |
Children
are naturally energetic, playful, and curious. |
| Not only do such
explanations make more sense and fit Occam's Razor, they can help us
to find and fix the true causes, and improve our lives and
relationships. If we focus directly on our current feelings and
circumstances, we can begin to discover the real difficulty. Only when
we know the real problem - the true objective cause - can we find a
real solution. When we are talking about children, the true
"problem" is often the simple fact that they are
children, who are naturally energetic, playful, and curious.
Objective labels (true physical disorders that
can be tested and verified in a lab) are the simplest explanation for
many conditions. If someone has a brain tumor, that is the simplest
explanation for his distractibility, confusion or clumsiness,
and the sooner it is detected the better the outcome can be. Objective
labels are enabling - they help us to look for real solutions
for real problems. They fit Occam's Razor.
Subjective labels are disabling - they
convince us that the problem is permanent and unavoidable (so there is
no reason to focus on improving our sleep, diet, relationships,
lifestyle choices, or personal habits) and convince us that the only
solution is a dangerous drug. Subjective labels like "ADD"
do not fit Occam's Razor - they are far from the simplest explanation
- and in fact they are the most obscure and arbitrary, and do nothing
to further our understanding of true causes. Instead, they bring only
further confusion, and lead us away from creative, realistic and
useful solutions to life's challenges.
Perhaps the greatest danger of using such labels
is that they medicalize both the child's and his parents' view of his
way of being - and to what end? ADD, ADHD, Asperger's Syndrome,
"selective mutism" and other similar terms are all
subjective labels based on a negative interpretation of the child's
unique approach to life and learning. Like all negative labels,
they affect the child's self-concept and the way other children and
adults view him. In that sense, all of these labels are detrimental,
limiting and self-fulfilling. The misunderstood behaviors behind the
labels demonstrate the child's understandable attempts to cope when
overwhelmed by fear or frustration (these "disorders" appear
almost exclusively in the school environment). Fortunately,
there is a new alternative view called "neurodiversity".
Thomas Armstrong has shown that what we regard as "disabilities"
in our culture have at other times and in other cultures been
considered assets and advantages. Dr. Armstrong calls for a new
approach based on deep respect and a celebration of natural
differences.3
Learning disability labels assume that children
should act like adults. Why can't we let children be children, with
all their natural energy and playfulness? Have we all forgotten what
it was like to be a child? Expecting five-year-olds to act as though t
hey are thirty-five is both unfair and unrealistic. They will grow up
soon enough! |
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1. Koerner, Brendan I. "Is
Ritalin "Chemically Similar" to Cocaine?" Slate,
Jan. 6, 2003
2. Schenk, Susan and Emily S. Davidson. "Stimulant
Preexposure Sensitizes Rats and Humans to the Rewarding Effects of
Cocaine" NIDA Monograph 169, p. 56-82.
3. Armstrong, Thomas, Ph.D. "Special
Education and the Concept of Neurodiversity" |
Jan Hunt, M.Sc., is the Director of the Natural Child Project and author of The
Natural Child: Parenting from the Heart and A
Gift for Baby. Jan offers telephone
counseling worldwide, with a focus on parenting, education, and personal
matters.
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| Jan
Hunt Library |
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