On the reorganisation of incentive structure to promote delay tolerance: a therapeutic possibility for AD/HD?
On the reorganisation of incentive structure to promote delay tolerance: a therapeutic possibility for AD/HD?
This paper brings together two recent insights into attention deficit/hyperactivity disorder (AD/HD) to provide the rationale for a novel approach to treatment. First is the suggestion, backed up by data from randomized trials, that training and practice in carefully selected cognitive activities (executive and attentional training) and tasks can provide a way of modifying the processes underlying cognitive, especially executive, deficits in AD/HD. Second, is the idea that AD/HD is a neuropsychologically heterogeneous disorder resulting from motivational alterations, specifically an increased intolerance for delay, as well as executive deficits. The paper builds on these two insights to explore the possibility that the motivational alterations underpinning delay aversion can be modified through specific training regimes in a way equivalent to that found with executive and attentional training. The requirements for such an approach are set out. Delay fading is proposed as a possible basis for reorganizing delay experience, altering the incentive value of delay (e.g., increasing tolerance for delay), thereby reducing AD/HD symptoms.
23-28
Sonuga-Barke, Edmund J.S.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
2004
Sonuga-Barke, Edmund J.S.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Sonuga-Barke, Edmund J.S.
(2004)
On the reorganisation of incentive structure to promote delay tolerance: a therapeutic possibility for AD/HD?
Neural Plasticity: Special Issue: Clinical, Experimental and Modeling Studies in ADHD, 11 (1/2), .
Abstract
This paper brings together two recent insights into attention deficit/hyperactivity disorder (AD/HD) to provide the rationale for a novel approach to treatment. First is the suggestion, backed up by data from randomized trials, that training and practice in carefully selected cognitive activities (executive and attentional training) and tasks can provide a way of modifying the processes underlying cognitive, especially executive, deficits in AD/HD. Second, is the idea that AD/HD is a neuropsychologically heterogeneous disorder resulting from motivational alterations, specifically an increased intolerance for delay, as well as executive deficits. The paper builds on these two insights to explore the possibility that the motivational alterations underpinning delay aversion can be modified through specific training regimes in a way equivalent to that found with executive and attentional training. The requirements for such an approach are set out. Delay fading is proposed as a possible basis for reorganizing delay experience, altering the incentive value of delay (e.g., increasing tolerance for delay), thereby reducing AD/HD symptoms.
This record has no associated files available for download.
More information
Published date: 2004
Additional Information:
Review
Identifiers
Local EPrints ID: 18283
URI: http://eprints.soton.ac.uk/id/eprint/18283
ISSN: 0792-8483
PURE UUID: b4b87b11-8f34-4028-8511-7eeca2d9eac8
Catalogue record
Date deposited: 18 Jan 2006
Last modified: 11 Dec 2021 14:18
Export record
Contributors
Author:
Edmund J.S. Sonuga-Barke
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics