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Children's behaviour problems: a NICE mess
1Child and Family Services, Lincolnshire Partnership NHSFT, Lincoln, UK.
International Journal of Clinical Practice
|September 9, 2014
Summary
Medicalization of children's behavior, including ADHD and ASD, is critiqued for lacking scientific evidence. NICE guidelines reflect cultural issues rather than sound understanding of child behavior interventions.
Area of Science:
- Child Psychology
- Medical Ethics
- Public Health Policy
Background:
- Medicalization of childhood behavior problems is a growing concern.
- Existing guidelines may not be evidence-based.
Purpose of the Study:
- Critique National Institute for Health and Clinical Excellence (NICE) guidelines for child behavior disorders.
- Examine the scientific validity and cultural influences behind these guidelines.
Main Methods:
- Perspective piece analyzing existing NICE guidelines.
- Literature review of medicalization and child behavior.
Main Results:
- NICE guidelines for Attention Deficit Hyperactivity Disorder (ADHD), Autistic Spectrum Disorder (ASD), and Conduct Disorder (CD) lack scientific evidence.
- Guidelines appear based on wishful thinking about technological interventions.
- Guidelines reflect cultural confusion in managing children's behavior.
Conclusions:
- NICE guidelines for pediatric behavioral conditions are not scientifically sound.
- These guidelines highlight societal challenges in addressing children's behavior.
- A re-evaluation based on robust scientific understanding is needed.
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