Amphetamine-dependent patients seeking treatment are diagnosed with ADHD at a significantly higher rate than members of the general population. To study this relationship as it is constructed in everyday life, we draw on membership categorization analysis to examine how individuals account for their candidate memberships in two social categories — `illicit amphetamine user' and `ADHD patient'. We analyse interviews with four drug-dependent individuals, diagnosed with adult ADHD, undergoing detoxification treatment in Perth, Western Australia. Participants formulated their problematic behaviour via membership in the morally neutral category `ADHD patient' and methodically constructed symptoms as predicates of this category, despite the availability of the equally valid alternative category `illicit amphetamine user'. The category `ADHD patient' is shown to be functional: it absolves drug users from responsibility for troublesome conduct, and provides continued access to amphetamines as `medication'. In such cases, the diagnosis of ADHD arguably affords the conditions of possibility for an iatrogenic disorder in that the prescription of ATS medication provides for a morally and legally sanctioned form of drug dependence.
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association.
2.
Atkinson, J.M. and Heritage, J. (eds) (1984) Structures of Social Action: Studies in Conversation Analysis. Cambridge: Cambridge University Press.
3.
Australian Institute of Health and Welfare (AIHW) (2005a) 2004 National Drug Strategy Household Survey: First Results. AIHW cat. no. PHE 57 (Drug Statistics Series No. 13). Canberra: AIHW.
4.
Australian Institute of Health and Welfare (AIHW) (2005b) 2004 National Drug Strategy Household Survey: State and Territory Supplement. AIHW cat. no. PHE 61. Canberra: AIHW.
5.
Baker, C. (2000) `Locating Culture in Action: Membership Categorisation in Texts and Talk', in A. Lee and C. Poynton (eds) Culture and Text: Discourse and Methodology in Social Research and Cultural Studies, pp. 99-113. St Leonards, NSW: Allen and Unwin.
6.
Berbatis, C., Sunderland, V. and Bulsara, M. (2002) `Licit Psychostimulant Consumption in Australia, 1984-2000: International and Jurisdictional Comparison', Medical Journal of Australia177: 539-42.
7.
Boyle, M. (1999) `Diagnosis', in C. Newnes, G. Holmes and C. Dunn (eds) This is Madness: A Critical Look at Psychiatry and the Future of Mental Health Services, pp. 75-90. Ross-on-Wye, UK: PCCS Books.
8.
Clift, R. (2001) `Meaning in Interaction: The Case of Actually' , Language77: 245-91.
9.
Cohen, D., McCubbin, M., Collin, J. and Pérodeau, G. (2001) `Medications as Social Phenomena', Health5(4): 441-69.
10.
Cruickshank, C. and Dyer, K.R. (in press) A Review of the Clinical Pharmacology of Methamphetamine, Addiction.
11.
Doyle, R. (2004) `The History of Adult Attention-deficit/Hyperactivity Disorder', Psychiatric Clinics of North America27: 203-14.
12.
Dyer, K.R. and Cruickshank, C.C. (2005) `Depression and other Psychological Health Problems among Methamphetamine Dependent Patients in Treatment: Implications for Assessment and Treatment Outcome', The Australian Psychologist40(2): 96-108.
13.
Edwards, D. (1997) Discourse and Cognition. London : SAGE.
14.
Edwards, D. (1998) `Salience and the Business of Identity. The Relevant Thing About Her: Social Identity Categories in Use', in C. Antaki and S. Widdicombe (eds) Identities in Talk, pp. 15-33. London : SAGE.
15.
Edwards, D. (2006) `Facts, Norms and Dispositions: Practical Uses of the Modal would in Police Interrogations', Discourse Studies8(4): 475-501.
16.
Edwards, D. and Fasulo, A. (2006) `To be Honest': Sequential Uses of Honesty Phrases in Talk-in-interaction', Research on Language and Social Interaction39(4): 343-76.
17.
Edwards, D. and Potter, J. (2001) `Discursive Psychology', in A. McHoul and M. Rapley (eds) How to Analyse Talk in Institutional Settings: A Case Book of Methods, pp. 12-24. London: Continuum.
18.
Edwards, D. and Potter, J. (2005) `Discursive Psychology, Mental States and Descriptions' , in H. te Molder and J. Potter (eds), Conversation and Cognition , pp. 241-59. Cambridge: Cambridge University Press.
19.
Eglin, P. and Hester, S. (2003) The Montreal Massacre: A Story of Membership Categorization Analysis. Waterloo: Wilfrid Laurier University Press.
20.
Eyre, S.L., Rounsaville, B.J. and Kleber, H.D. (1982) `History of Childhood Hyperactivity in a Clinic Population of Opiate Addicts', The Journal of Nervous and Mental Disease170: 522-9.
21.
First, M.B. and Tasman, A. (2004) DSM-IV-TR Mental Disorders: Diagnosis, Aetiology and Treatment. Chichester: John Wiley and Sons.
22.
Fitzgerald, B. (1998) `The Private World of the Drug User: Psychological Theories of Problem Drug Use', in M. Hamilton , A. Kellehear and G. Rumbold (eds) Drug Use in Australia: A Harm Minimisation Approach, pp. 71-83. Melbourne: Oxford University Press.
23.
Goffman, E. (1981) Forms of Talk. Oxford: Blackwell.
24.
Harper, D.J. (1996) `Deconstructing "Paranoia": Towards a Discursive Understanding of Apparently Unwarranted Suspicion', Theory and Psychology6: 423-48.
25.
Hewlett, T., Hansen, S. and Rapley, M. (2005) `Like Bees to a Honey Pot': ADHD as Rhetoric', Journal of Critical Psychology, Counselling and Psychotherapy5(2): 94-103.
26.
Illich, I. (1976) Medical Nemesis: The Expropriation of Health. New York: Pantheon.
27.
Jayyusi, L. (1984) Categorisation and Moral Order. Boston, MA: Routledge and Kegan Paul.
28.
Jefferson, G. (1990) `List Construction as a Task and a Resource', in G. Psathas (ed.), Interaction Competence, pp. 63-92. Washington, DC: University Press of America.
29.
Jefferson, G. (2004) `At First I Thought': A Normalizing Device for Extraordinary Events', in G.H. Lerner (ed.) Conversation Analysis: Studies from the First Generation , pp. 131-67. Amsterdam: John Benjamins.
30.
Kendall, J., Hatton, D., Beckett, A. and Leo, M. (2003) `Children's Accounts of Attention-deficit/Hyperactivity Disorder', Advances in Nursing Science26: 114-30.
31.
Koesters, M., Becker, T., Kilian, R., Fegert, J. and Weinmann, S. (2008) `Limits of Meta-analysis: Methylphenidate in the Treatment of Adult Attention-deficit Hyperactivity Disorder', Journal of Psychopharmacology, published online 18 June 2008 as doi: 10.1177/0269881108092338.
32.
Levin, F.R., Evans, S.M. and Kleber, H.D. (1998) `Prevalence of Adult Attention-deficit/ Hyperactivity Disorder Among Cocaine Abusers Seeking Treatment', Drug and Alcohol Dependence52: 15-25.
33.
Mackey, P. and Kopras, A. (2001) `Medication for Attention Deficit/Hyperactivity Disorder (ADHD): An Analysis by Federal Electorate.' Retrieved 31 March 2004, from http://www.aph.gov.au/library/pubs/cib/2000-01cib11.htm
34.
McCabe, S.E., Teter, C.J. and Boyd, C.J. (2004) `The Use, Misuse and Diversion of Prescription Stimulants among Middle and High School Students', Substance Use and Misuse39(7): 1095-19.
35.
McGregor, C., Srisurapanont, M., Jittiwutikarn, J., Laobhripatr, S., Wongtan, T. and White, J.M. (2005) `The Nature, Time Course and Severity of Methamphetamine Withdrawal', Addiction100: 1320-9.
36.
McHoul, A. and Rapley, M. (2003) `What Can Psychological Terms Actually Do? Or, if Sigmund Calls, Tell Him it Didn't Work', Journal of Pragmatics35(4): 507-22.
37.
McHoul, A. and Rapley, M. (2005) `A Case of Attention-deficit/Hyperactivity Disorder Diagnosis: Sir Karl and Francis B. Slug it out on the Consulting Room Floor' , Discourse & Society16: 419-49.
38.
McKetin, R. and McKenna, S. (2004) The Methamphetamine Situation in Australia: A Review of Routine Data Sources. Technical Report Number 172. Retrieved 5 May 2006, from http://www.ndarc.med.unsw.edu.au/NDARCWeb.nsf/resources/TR_8?$file/TR.172.pdf
39.
Mann, N. and Bitsios, P. (2008) `Modafinil Treatment of Amphetamine Abuse in Adult ADHD', Journal of Psychopharmacology, published online 18 June as doi: 10.1177/ 0269881108091258.
40.
Moncrieff, J. (2007) The Myth of the Chemical Cure: A Critique of Psychiatric Drug Treatment. London: Palgrave Macmillan.
41.
Moynihan, R. and Cassels, A. (2005) Selling Sickness: How the World's Biggest Pharmaceutical Companies are Turning us all into Patients. New York: Nation Books.
42.
Newnes, C. and Radcliffe, N. (eds) (2005) Making and Breaking Children's Lives. Ross-on-Wye: PCCS Books.
43.
Nice (2008) Attention Deficit Hyperactivity Disorder: Diagnosis and Management of ADHD in Children, Young People and Adults. London: National Institute for Health and Clinical Excellence. Available from: http://www.nice.org.uk/Guidance/CG72
44.
Parran, T.V. and Jasinski, D.R. (1991) `Intravenous Methylphenidate Abuse: Prototype for Prescription Drug Abuse', Archives of International Medicine151: 781-3.
45.
Parsons, T. (1951) The Social System. London: Routledge and Kegan Paul.
46.
Pomerantz, A. (1984) `Pursuing a Response', in J.M. Atkinson and J. Heritage (eds) Structures of Social Action: Studies in Conversation Analysis , pp. 153-63. Cambridge: Cambridge University Press.
47.
Pomerantz, A. (1986) `Extreme Case Formulations: A Way of Legitimising Claims', Human Studies9: 219-29.
48.
Potter, J. (2004) Representing Reality: Discourse, Rhetoric and Social Construction. London: SAGE.
49.
Radcliffe, N. and Timimi, S. (2004) `The Rise and Rise of ADHD', Clinical Psychology40: 8-16.
50.
Rapley, M. and McHoul, A. (2004) `Paying Attention', Meanjin63(4): 60-7.
51.
Rapley, M., Kiernan, P. and Antaki, C. (1998) `Invisible to Themselves or Negotiating Identity? The Interactional Management of ` " Being Intellectually Disabled" ', Disability and Society13(5): 807-27.
52.
Root, R.W. and Resnick, R.J. (2003) `An Update on the Diagnosis and Treatment of Attention-deficit/Hyperactivity Disorder', Professional Psychology: Research and Practice34: 34-41.
53.
Rose, N. (2005) Becoming Neurochemical Selves. Retrieved 20 May 2005, from http://www.lse.ac.uk/collections/sociology/pdf/Rose-BNS.pdf
54.
Sachdev, P.S. and Troller, J.N. (2000) `How High a Dose of Stimulant Medication in Adult Attention Deficit Hyperactivity Disorder?', Australian and New Zealand Journal of Psychiatry34: 645-50.
55.
Sacks, H. (1984) `On Doing "Being Ordinary"', in J.M. Atkinson and J. Heritage (eds) Structures of Social Action: Studies in Conversation Analysis, pp. 413-29. Cambridge: Cambridge University Press.
56.
Sacks, H. (1995) Lectures on Conversation. Vols I and II. Cambridge, MA: Blackwell.
57.
Sawyer, M.G., Rey, J.M., Graetz, B.W., Clark, J.J. and Baghurst, P.A. (2002) `Use of Medication by Young People with Attention-deficit/Hyperactivity Disorder', Medical Journal of Australia177: 21-5.
58.
Schegloff, E.A. (2005) `On Complainability', Social Problems52: 449-76.
59.
Schegloff, E. (2007a) `A Tutorial on Membership Categorization', Journal of Pragmatics39: 462-82.
60.
Schegloff, E. (2007b) Sequence Organization in Conversation: A Primer in Conversation Analysis. Cambridge: Cambridge University Press.
61.
Schubert, S., Hansen, S. and Rapley, M. (2005) `"There is No Pathological Test": More on ADHD as Rhetoric', The Journal of Critical Psychology, Counselling and Psychotherapy5: 151-60.
62.
Spencer, T., Biederman, J., Wilens, T.E. and Faraone, S.V. (1998) `Adults with Attention-deficit/Hyperactivity Disorder: A Controversial Diagnosis', Journal of Clinical Psychiatry59(Suppl. 7): 59-68.
Stokoe, E.H. (2003) `Mothers, Single Women and Sluts: Gender, Morality and Membership Categorization in Neighbour Disputes', Feminism and Psychology13: 317-44.
65.
Szasz, T.S. (1974) The Myth of Mental Illness: Foundations of a Theory of Personal Conduct (revised edn). New York: Harper and Row.
66.
Timimi, S. and Taylor, E. (2004) `ADHD is Best Understood as a Cultural Construct' , British Journal of Psychiatry184: 8-9.
67.
Topp, L. and Mattick, R.P. (1997) `Validation of the Amphetamine Dependence Syndrome and the SAmDQ', Addiction92: 151-62.
68.
Volkow, N.D. and Swanson, J.M. (2003) `Variables that Affect the Clinical Use and Abuse of Methylphenidate in the Treatment of ADHD', The American Journal of Psychiatry160: 1909-18.
69.
Woolgar, S. and Pawluch, D. (1985) `Ontological Gerrymandering: The Anatomy of Social Problems Explanations', Social Problems32: 214-27.
70.
Zwi, M. and York, A. (2004) `Attention-deficit Hyperactivity Disorder in Adults: Validity Unknown', Advances in Psychiatric Treatment10: 248-59.
