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The dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD): Present status and future perspectives

Published online by Cambridge University Press:  07 September 2005

Espen Borgå Johansen*
Affiliation:
Centre for Advanced Study, Norwegian Academy of Science and Letters, NO-0271Oslo, Norway Department of Physiology, University of Oslo, NO-0317Oslo, Norway; http://folk.uio.no/terjesa/
Terje Sagvolden*
Affiliation:
Centre for Advanced Study, Norwegian Academy of Science and Letters, NO-0271Oslo, Norway Department of Physiology, University of Oslo, NO-0317Oslo, Norway; http://folk.uio.no/terjesa/
Heidi Aase*
Affiliation:
Centre for Advanced Study, Norwegian Academy of Science and Letters, NO-0271Oslo, Norway Norwegian Centre for the Studies of Behavioural Problems and Innovative Practice, UNIRAND LTD, University of Oslo, NO-0118Oslo, Norway
Vivienne Ann Russell*
Affiliation:
Centre for Advanced Study, Norwegian Academy of Science and Letters, NO-0271Oslo, Norway Department of Human Biology, University of Cape Town, ZA-7925South Africa.

Abstract

The dynamic developmental theory (DDT) has benefited from the insights of the commentators, particularly in terms of the implications for the proposed steepened delay gradients in attention-deficit/hyperactivity disorder (ADHD). The introduction of modified memory processes as a basis for the delay gradients improved the links to aspects of ADHD. However, it remains unclear whether the hyperactive-impulsive and inattentive subtypes are separate subgroups or may be explained as different outcomes of the same genetic factors and thus explicable by the same principles. The DDT suggests that altered reinforcement and extinction processes define an endophenotype in ADHD that can be related dimensionally to inattention, hyperactivity, and impulsivity. The relation between the suggested endophenotype, characterized by changes in basic learning mechanisms, and other endophenotypes characterized by delay aversion or response disinhibition, needs to be tested in future studies.

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Copyright
Copyright © Cambridge University Press 2005

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