Journal of Medical Humanities

, Volume 21, Issue 4, pp 199–214 | Cite as

Foster Children and ADHD: Anger, Violence, and Institutional Power

  • Niranjan S. Karnik


This paper explores the ways in which foster children and attention deficit hyperactivity disorder (ADHD) intersect as social and medical categories. Through the method of interpretive biography based on the official case file, this paper shows how the experiences of violence and ADHD become linked in the child's life through the emotion of anger. In this way, it is possible to see how the power dynamics of the medical, educational and welfare systems lock the diagnosis with its embedded meanings into the child's life. It is also possible to see how counter forces like a caring foster family can challenge medical and welfare authorities.


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  1. American Hospital Formulary Service. (1997). AHFS drug information 97. Bethesda, MD: American Society of Health-System Pharmacists, Inc.Google Scholar
  2. American Psychiatric Association (Ed.). (1994). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: Author.Google Scholar
  3. American Psychiatric Association (Ed.). (1997). DSM sourcebook (Vol. 3). Washington, DC: Author.Google Scholar
  4. Bloom, S., & Reichert, M. (1998). Bearing witness: Violence and collective responsibility. New York: Haworth Maltreatment & Trauma Press.Google Scholar
  5. Bok, S. (1998). Mayhem: Violence as public entertainment. Reading, MA: Addison-Wesley.Google Scholar
  6. Breggin, P. (1998). Talking back to Ritalin. Monroe, ME: Common Courage Press.Google Scholar
  7. Ciba-Geigy Corporation. (1997). Ritalin prescribing information. In Physicians' Desk Reference. Montvale, NJ: Medical Economics Company.Google Scholar
  8. Conrad, P. (1976). Identifying hyperactive children: The medicalization of deviant behavior. Lexington, MA: Lexington Books.Google Scholar
  9. Conrad, P., & Schneider, J. (1992). Deviance and medicalization: From badness to sickness. Philadelphia: Temple University Press.Google Scholar
  10. Coyle, J. T. (2000). Psychotropic drug use in the very young. Journal of the American Medical Association, 283(8), 1059–1060.Google Scholar
  11. Das, V. (1995). Suffering, legitimacy and healing: The Bhopal case. In V. Das (Ed.), Critical events: An anthropological perspective on contemporary India (pp. 137–174). Delhi, India: Oxford University Press.Google Scholar
  12. Denzin, N. K. (1990). On understanding emotions: The interpretive-cultural agenda. In T. D. Kemper (Ed.), Research agendas in the sociology of emotions (pp. 85–116). Albany, NY: State University of New York Press.Google Scholar
  13. Eheart, B. K., & Power, M. B. (1995). Adoption: Understanding past, present, and future through stories. The Sociological Quarterly, 36(1), 197–216.Google Scholar
  14. Foucault, M. (1977). Discipline and punish: The birth of the prison (Alan Sheridan, Trans.). New York: Vintage.Google Scholar
  15. Goldsmith, S. (1997a, March 31). Unmonitored stream of mood drugs imperils children entrusted to state. Seattle Post-Intelligencer, pp. A1, A6–7.Google Scholar
  16. Goldsmith, S. (1997b, April 2). Once children are placed into foster care, families lose their say about drugs. Seattle Post-Intelligencer, p. A7.Google Scholar
  17. Goldsmith, S. (1997c, April 2). Drugging foster kids cheaper than. Seattle Post-Intelligencer, p. A6.Google Scholar
  18. Kleinman, A. (1988). The illness narratives: Suffering, healing and human experience. New York: Basic Books.Google Scholar
  19. Kleinman, A., & Desjarlais, R. (1995). Violence, culture, and the politics of trauma. In A. Kleinman (Ed.), Writing at the margin: Discourse between anthropology and medicine (pp. 173–189). Berkeley, CA: University of California.Google Scholar
  20. Kleinman, A., & Kleinman, J. (1995). Suffering and its professional transformation: Toward an ethnography of interpersonal experience. In A. Kleinman (Ed.), Writing at the margin: Discourse between anthropology and medicine (pp. 95–119). Berkeley, CA: University of California Press.Google Scholar
  21. Lupton, D. (1998). The emotional self: A sociocultural exploration. Thousand Oaks, CA: Sage Publications.Google Scholar
  22. Mayor, S. (1996). Warning against overuse of drugs for inattentive children. British Medical Journal, 313(7060), 770.Google Scholar
  23. McCarthy, E. D. (1989). Emotions are social things: An essay in the sociology of emotions. In D. D. Franks & E. D. McCarthy (Eds.), The sociology of emotions: Original essays and research papers (Vol. 9, pp. 51–72). Greenwich, CT: JAI Press.Google Scholar
  24. Monahon, C. (1993). Children and trauma: a guide for parents and professionals. San Francisco: Jossey-Bass.Google Scholar
  25. Mukerji, C. (1997). Monsters and muppets: The history of childhood and techniques of cultural analysis. In E. Long (Ed.), From sociology to cultural studies (pp. 155–184). Malden, MA: Blackwell Publishers.Google Scholar
  26. Okie, S. (1998, June 2). Hyperactivity drugs given to very young. Washington Post, p. Z07.Google Scholar
  27. Pollack, W. (1998, July 9). Fresh air radio broadcast. Philadelphia: WHYY Radio.Google Scholar
  28. Power, M. B. (1986). Socializing of emotionality in early childhood: The influence of emotional associates. In P. A. Adler & P. Adler (Eds.), Sociological studies of child development: A research annual (Vol. 1, pp. 259–282). Greenwich, CT: JAI Press.Google Scholar
  29. Power, M. B., & Eheart, B. K. (1995). Adoption, myth, and emotion work: Paths to disillusionment. Social Perspectives on Emotion, 3, 97–120.Google Scholar
  30. Toth, J. (1997). Orphans of the living: Stories of America's children in foster care. New York: Simon & Schuster.Google Scholar
  31. Turner, B. (1997). What is the sociology of the body? Body & Society, 3(1), 103–107.Google Scholar
  32. Weber, T. (1998, May 17). Caretakers routinely drug foster children. Los Angeles Times pp. A1, A31.Google Scholar
  33. Zito, J. M., Safer, D. J., dosReis, S., Gardner, J. F., Boles, M., & Lynch, F. (2000). Trends in the prescribing of psychotropic medications to preschoolers. Journal of the American Medical Association, 283(8), 1025–1030.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2000

Authors and Affiliations

  • Niranjan S. Karnik
    • 1
    • 2
    • 3
  1. 1.Research and Policy Program, Hope for the ChildrenRantoul
  2. 2.Department of Sociology and Medical Scholars ProgramUniversity of Illinois at Urbana-ChampaignIllinois
  3. 3.College of MedicineUniversity of IllinoisUrbana

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