By D. Riddoch
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Extra info for Aids to the Examination of the Peripheral Nervous System
Avoidance makes problems worse. They tend to plan less due to low self-esteem. EXAMPLE These individuals tend to be late and be poor planners of time due to distractibility and always having to finish one more thing. Inattention to the whole and the spatial problems result in their inability to size up a job and estimate how long it will take them and then to put that together in terms of how much time they have and if it can all be done. Also, they think they have time to travel from Point A to Point B when they don’t.
They cannot see the steps to reach their goals nor can they see how to organize those steps in some kind of order. They have difficulty with the task of switching sets and maintaining a set. The cognitive flexibility to problem solve is absent. Thus, perseveration can occur and these individuals repeatedly try the same solution for the same problem even though it does not work. Similar to the learning problems discussed, this issue relates to the rigidity of the brain. With the frontal processes not available, these individuals do not have the capacity to be flexible in their thinking.
They appear to others as if they don’t care and, more often than not, they don’t. We once tested a 5-year-old boy who, while in the testing room with his mother, father, and aunt, simply said “No” and that was the end of the testing. This explains why we are generally unable to talk these individuals out of things and also helps to understand why ADHD individuals are unable to use © 1999 by CRC Press LLC the cognitive control strategies. They can’t will themselves to stay on task or pursue a task if there is no will.