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by quacked 598 days ago
I don't understand why people consistently seem to think that I am telling people that their experience "isn't real" or that their brains and behavior aren't different from the majority, or that everyone can get around it by "trying harder". None of that is what I'm saying. I could be diagnosed with a real, clinical case of ADHD pretty immediately if I so desired. Going by the dictionary definition, I "have it" and have "had it" for my entire life. My father "has it" to the same degree that I do and is medicated for it. My life has been a great deal harder than it would have been had I taken stimulants.

My point is that, unlike people who have a fracture in their femur vs. people who don't, the "significant reduction" of dopamine processing metric, when codified, is a pretty consistent, smooth line across the population. There are a group of people who are seriously dopamine-processing-reduced, and then a huge grey area with people who kind of are and then kind of aren't, and then there's group of people whose dopamine-processing ability defines the "baseline" against which ADHD is constructed. ADHD is a four letter label that was only invented to help doctors help people deal with difficulties they have with executive functioning, given that modern society demands a baseline of executive function out of citizens if you want to receive food, shelter, salary, and promotions.

In recent years, the "ADHD boundary" has been expanding to capture more people in the grey area as doctors, psychiatrists, and insurers play looser with the definition of ADHD than they did when it was first invented. But at its core, the condition is literally "compared to this other group of people, you have a harder time at certain important tasks than they do". Is that a "real condition" in the same way that COVID-19 is a real condition? I say not; it's a methodological shorthand.

I am very aware that the brains of certain people work differently than others, and that in "ADHD brains" (a group which includes mine) it is possible to use a brain scan to observe differences relative to that "normal group of people". But if you took scans of the "least ADHD" group, you could find that their brains differ as well, and they have certain cognitive advantages compared to the new baseline of middle-ground brains. We could call that "Attention Surplus Normal-activity Advantage". But it would be stupid to label them with ASNA. Everyone would be aware that the four-letter acronym is just an arbitrary shorthand to describe a group of people that can be diagnostically clustered together relative to everyone else. The "advantage" would be exactly as real as the "disorder".

1 comments

What you’re describing is a spectrum… and I don’t see any problem here. Even blindness is not binary - it too is a spectrum.

People can be 100% blind where they don’t detect bright lights strobing in front of them, all the way to someone who has a mild 0.01 stigmatism.

But from the sounds of it, you don’t like anything that isn’t binary? Sorry, maybe I’m misunderstanding you