Negotiating Normalcy: Epistemic Errors in Self-Diagnosing Late-ADHD
Alexandra Brandt Ryborg Jønsson1,2
1Roskilde University, Universitetsvej 1, 4000, Roskilde, Denmark. ajoensson@ruc.dk.
Culture, Medicine and Psychiatry
|January 5, 2025
Summary
Many adults self-diagnose with Attention Deficit Hyperactivity Disorder (ADHD) without meeting clinical criteria. This study explores how these self-perceptions challenge societal norms of normality and condition, impacting ADHD diagnosis debates.
Area of Science:
- Anthropology
- Sociology of Mental Health
- Psychiatry
Background:
- Ongoing debates surround the overdiagnosis and underdiagnosis of Attention Deficit Hyperactivity Disorder (ADHD).
- Individuals who identify with ADHD symptoms but do not meet clinical diagnostic criteria are a key focus.
- Societal perceptions of normality and conditions influence ADHD diagnosis and self-diagnosis trends.
Purpose of the Study:
- To explore the experiences of adult Danes who self-identify with ADHD but lack a formal diagnosis.
- To analyze how these self-perceptions interact with societal definitions of ADHD and normality.
- To critically examine the medicalization of personality variations in the context of ADHD.
Main Methods:
- Ethnographic fieldwork among adult Danes.
- Critical anthropological analysis, drawing on Gregory Bateson's theories.
- Examination of the dynamics between formal diagnosis, self-diagnosis, and societal norms of normality.
Main Results:
- Individuals with self-perceived ADHD, despite not meeting diagnostic criteria, feel distinct from 'normal' individuals.
- The medicalization of personality variations is presented as a potential societal epistemic error.
- The study highlights the complex interplay between diagnostic processes, self-diagnosis, and societal perceptions of ADHD.
Conclusions:
- Understanding the nuances of ADHD diagnosis and self-diagnosis is crucial for addressing diagnostic challenges.
- Medicalizing personality variations may lead to misinterpretations and misdiagnoses of ADHD.
- The research contributes to a deeper understanding of mental health discourse and diagnostic practices surrounding ADHD.
Related Concept Videos
Attention-Deficit/Hyperactivity Disorder
36
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
36
Self-Presentation: Self-Monitoring and Self-Handicapping
38.8K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
38.8K
Hindsight Biases
3.4K
Hindsight bias leads you to believe that the event you just experienced was predictable, even though it really wasn’t. In other words, you knew all along that things would turn out the way they did. Can you relate this to the phrase "Hindsight is 20/20" now?
3.4K
Revisionist Views of Adolescent and Adult Cognition
23
A revisionist approach to Jean Piaget's theory of cognitive development has brought new insights that challenge and reinterpret his established ideas. Piaget proposed that the formal operational stage, emerging in adolescence, represents the culmination of cognitive maturity. During this stage, individuals are said to develop abstract thinking, engage in systematic problem-solving, and show a form of egocentrism, believing others are as preoccupied with their behavior as they are...
23
Autism Spectrum Disorder
58
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
58
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K


