Metacognitive remediation in adult ADHD: Treating executive function deficits via executive functions

Jeanette Wasserstein, Antoinette Lynn

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations

Abstract

The neuropathology underlying ADHD most consistently points to dysfunction in corticostriatal pathways - leading to inactivation, or insufficient engagement, of frontal and prefrontal lobes. By implication there may be functional disconnection between the anterior and posterior higher cortical regions, instead of a fixed dysfunction in either one. Given this premise, reconnection of these systems via cognitive interventions constitutes a logical remedial approach in the treatment of ADHD, which this paper introduces. In particular, a hybrid model is developed which proposes integration of existing psychodynamic, cognitive, and neuropsychological interventions. An organizing theme is expansion of metacognitive understanding through these procedures, powerfully exemplified via use of metaphor in clinical vignettes.

Original languageEnglish
Pages (from-to)376-384
Number of pages9
JournalAnnals of the New York Academy of Sciences
Volume931
DOIs
StatePublished - 2001

Keywords

  • ADHD treatment
  • Cognitive remediation
  • Executive functions
  • Metacognition

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