Skip to main content
Log in

A Very Childish Moral Panic: Ritalin

  • Published:
Journal of Medical Humanities Aims and scope Submit manuscript

Abstract

This paper examines some of the moral panics around hyperactive children, the construction of Attention Deficit-Hyperactivity Disorder, and the lure of Ritalin in turning kids identified as “at risk” into successful, productive individuals. Through a historicization of the child as a psychiatric subject, we try to demonstrate Ritalin's part in the uneven development of modern trends towards the pathologization of everyday life, a developing continuum between normality and abnormality, and an emphasis on the malleability of children and the importance of environment in their upbringing. We conclude that Ritalin is a part of modernity's project of turning people into individuals—in this case, a kind of US transcendence fantasy—which, along with discourses and institutions, promises to transform young subjects and biocosmetically alter their futures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Accardo, P. J., & Blondis, T. A. (2000a). The neurodevelopmental assessment of the child with ADHD. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 141–161). New York: Marcel Dekker.

    Google Scholar 

  • Accardo, P. J., & T. A. Blondis, (2000b). The Strauss syndrome, minimal brain dysfunction, and the hyperactive child: A historical introduction to attention deficit hyperactivity disorder. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 1–11). New York: Marcel Dekker.

    Google Scholar 

  • Albee, G. W. (1977). The protestant ethic, sex, and psychotherapy. American Psychologist, 32(2), 150–161.

    Article  PubMed  Google Scholar 

  • Barker, M. (1999). [Review of the book Moral panics]. Sociology, 33(2), 224–227.

    Article  Google Scholar 

  • Beck, U., Giddens, A., & Lash, S. (1994). Reflexive modernization: Politics, tradition and aesthetics in the modern social order. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Berman, S. M., Strauss, S., & Verhage, N. (2000). Treating mental illness in students: A new strategy. Chronicle of Higher Education, B9.

  • Bloom, S. G. (2000, May 23). Sex-free bliss? Salon. Retrieved from http://cobrand.salon.com/health/sex/urge/2000/05/17/sex_drugs/

  • Breggin, P. R. (1994). Toxic psychiatry: Why therapy, empathy, and love must replace the drugs, electroshock, and biochemical theories of the “new psychiatry.” New York: St Martin's Press.

    Google Scholar 

  • Breggin, P. R. (1998). Talking back to Ritalin: What doctors aren't telling you about stimulants for children. Monroe, ME: Common Courage Press.

    Google Scholar 

  • Cantwell, D. P. (1999). Attention deficit disorder: A review of the past ten years. In J. A. Incorvaia, B. S. Mark-Goldstein, & D. Tessmer (Eds.), Understanding, diagnosing, and treating AD/HD in children and adolescents: An integrative approach Reiss-Davis child study Center, Vol. 3 (pp. 3–23). Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Capella, P., & Boseley, S. (1999, February 24). UN agency on the offensive against the abuse of “lifestyle” drugs. Guardian, 14.

  • Clark, A. (2000a, November 18). The man who sold America calmer kids. Guardian, 32.

  • Clark, A. (2000b, December 12). Shire in 5.9bn merger. Guardian, 27.

  • Cohen, P. (1999). Rethinking the youth question: Education, labor, and cultural studies. Durham, NC: Duke University Press.

    Google Scholar 

  • Cohen, S. (1973). Folk devils & moral panics: The creation of the mods and rockers. St Albans: Paladin.

    Google Scholar 

  • Cooksey, E., & Brown, P. (1998). Spinning on its axes: DSM and the social construction of psychiatric diagnosis. International Journal of Health Services, 28(3), 525–554.

    PubMed  Google Scholar 

  • Daniels, A. M. (1998). [Review of the book Moral Panics]. British Medical Journal, 7, 1327.

    Google Scholar 

  • Davis, E. (2000, September 1). Take the red pill. AlterNet. Retrieved from http://www.alternet.org/story.html?StoryID=9722

  • DeGrandpre, R. (1999). Ritalin nation: Rapid-fire culture and the transformation of human consciousness. New York: W. W. Norton.

    Google Scholar 

  • Diller, L. H. (1998). Running on ritalin: A physician reflects on children, society, and performance in a pill. New York: Bantam.

    Google Scholar 

  • Diller, L. H. (2000, September 25). Just say yes to Ritalin. Salon. Retrieved from http://www.alternet.org/story/html?StoryID=9838

  • Donzelot, J. (1979). The Policing of families. New York: Pantheon.

    Google Scholar 

  • Eberstadt, M. (1999). Why Ritalin rules. Policy Review, 4. Retrieved from http://www.policyreview.org/apr99/eberstadt.html

  • Fogel, A. (1993). The prose of populations and the magic of demography. Western Humanities Review, 47(4), 312–337.

    Google Scholar 

  • Foucault, M. (1979). Discipline and punish: The birth of the prison (A. Sheridan, Trans). New York: Vintage Books.

    Google Scholar 

  • Foucault, M. (1982). The subject and power (L. Sawyer, Trans.). Critical Inquiry, 8(4), 777–795.

    Google Scholar 

  • Foucault, M. (1984). The history of sexuality: An introduction (R. Hurley, Trans.). Harmondsworth: Penguin.

    Google Scholar 

  • Foucault, M. (1987). Mental illness and psychology (A. Sheridan, Trans). Berkeley, CA: University of California Press.

    Google Scholar 

  • Foucault, M. (1991). Governmentality (P. Pasquino, Trans). In G. Burchell, C. Gordon, & P. Miller (Eds.). The Foucault effect: Studies in governmentality (pp. 87–104). London: Harvester Wheatsheaf.

    Google Scholar 

  • Foucault, M. (1991). Remarks on Marx: Conversations with Duccio Trombadori (J. R. Goldstein & J. Cascaito, Trans.). New York: Semiotext(e).

    Google Scholar 

  • Foucault, M. (1994). Problematics: Excerpts from conversations. In R. Reynolds & T. Zummer (Eds.), Crash: Nostalgia for the absence of cyberspace (pp. 121–127). New York: Thread Waxing Space.

    Google Scholar 

  • Foucault, M. (2000). About the concept of the “dangerous individual” in nineteenth-century legal psychiatry. In J. D. Faubion (Ed.), Power: Essential works of Foucault 1954–1984, Vol. 3 (pp. 176–200). New York: New Press.

    Google Scholar 

  • Gilbert, J. (1986). America's reaction to the juvenile delinquent in the 1950s. New York: Oxford University Press.

    Google Scholar 

  • Goode, Erica, (2000, July 18). Once again, Prozac takes center stage, in furor. New York Times, pp. F1–F2.

  • Goode, Erica, (2000). No need to panic? A bumper crop of books on moral panics. Sociological Forum, 15(3), 543–552.

    Article  Google Scholar 

  • Hale, N. (1995). The rise and crisis of psychoanalysis in the United States: Freud and the Americans, 1917–1985. New York: Oxford University Press.

    Google Scholar 

  • Hall, C. (2000, May 8). Pediatricians' group issues guide for ADD diagnosis. San Francisco Chronicle, p. A1.

  • Hepstintall, E., & Taylor, E. (1996). Sex differences and their significance. In S. Sandberg (Ed.), Hyperactivity disorders of childhood (pp. 329–349). Cambridge: Cambridge University Press.

    Google Scholar 

  • Herman, E. (1996). The romance of American psychology: Political culture in the age of experts. Berkeley, CA: University of California Press.

    Google Scholar 

  • Hinshaw, S. P. (2000). Introduction. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. xiii–xvii). New York: Marcel Dekker.

    Google Scholar 

  • Hinsliff, G. (2000, September 3). Sedative drug ban for under-5s. The Observer, 1.

  • Horn, D. (1995). This norm which is not one: Reading the female body in Lobroso's anthropology. In J. Terry & J. Urla (Eds.), Deviant bodies (pp. 109–128). Bloomington, IN: Indiana University Press.

    Google Scholar 

  • Hyman, S. (2000, May 16). Statement for the record on Methylphenidate (Ritalin) for children with ADHD. Retrieved from http://waisgate.hhs.gov/cgibin/waisgate?WAISdocID+7418017227+3+0+0&WAISaction=retreive

  • Jenkins, P. (1999). Synthetic panics: The symbolic politics of designer drugs. New York: New York University Press.

    Google Scholar 

  • Jones, K. (1999). Taming the troublesome child: American families, child guidance, and the limits of psychiatric authority. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Lacey, H. (1996, October 27) Drug him when he teases. Independent, 12.

  • Layton, M. J., & Washburn, L. (2000, October 1) “Hyperactive” kids: Victims of a plot?—Lawsuit alleges scheme to sell Ritalin. Record, 1.

  • Leibowitz, D. (2000, August 8). Parents prosecuted for taking son off Ritalin. Arizona Republic, 1.

  • Lerner, S. (2000, April 11). The shrink brigade. Village Voice, 32.

  • Livingstone, K. (1997). Ritalin: Miracle drug or cop-out? Public Interest, 127.

  • Lock, T. M., & Bender, D. B. (2000). In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (29–56). New York: Marcel Dekker.

    Google Scholar 

  • Luk, S. L. (1996). Cross-cultural aspects. In S. Sandberg, (Ed.), Hyperactivity disorders of childhood (pp. 350–381). Cambridge: Cambridge University Press.

    Google Scholar 

  • Lunbeck, E. (1994). The psychiatric persuasion: Knowledge, gender, and power in modern America. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Marinoff, L. (2000, July 16). Mäs platön y menos Prozac. El Pais, 14–15.

  • Marshall, E. (2000, August 4). Epidemiology: Duke study faults overuse of stimulants for children. Science, 721.

  • Maslin, J. (2000, June 29). Exploring a dark side of depression remedies. New York Times, p. E11.

  • Mason, R. (1999, May 19). The gift of clarification. Jerusalem Post, 11.

  • McBurnett, K., Pfiffner, L. J., & Ottolini, Y. L. (2000). Types of ADHD in DSM-IV. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 229–240). New York: Marcel Dekker.

    Google Scholar 

  • Messinger, E. C. (1978). Violence to the brain. Semiotexte, 3(2), 66–71.

    Google Scholar 

  • Musto, D. (1995, March 31). No cure but care. Times Literary Supplement, 4800, 6.

    Google Scholar 

  • Orr, D. (2000, November 1). Do we need to drug our children? Independent, 5.

  • Phalen, K. F. (2000, September 12). Treatment of Choice. Washington Post, p. Z34.

  • Powers, C. A. (2000). The pharmacology of drugs used for the treatment of Attention Deficit Hyperactivity Disorder. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 477–511). New York: Marcel Dekker.

    Google Scholar 

  • Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community. New York: Simon & Schuster.

    Google Scholar 

  • Quinn, P. O., & Nadeau, K. G. (2000). Gender issues and Attention Deficit Disorder. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 215–227). New York: Marcel Dekker.

    Google Scholar 

  • Reeves, J. L., & Campbell, R. (1994). Cracked coverage: Television news, the anti-cocaine crusade, and the Reagan legacy. Durham, NC: Duke University Press.

    Google Scholar 

  • Reznek, L. (1998). On the epistemology of mental illness. History and Philosophy of the Life Sciences, 20(2), 215–232.

    PubMed  Google Scholar 

  • Rubinstein, R. A., Scrimshaw, S. C., & Morrissey, S.E. (2000). Classification and process in sociomedical understanding: Towards a multilevel view of sociomedical methodology. In G. L. Albrecht, R. Fitzpatrick, & S.C. Scrimshaw (Eds.), The handbook of social studies in health & medicine (pp. 36–49). London: Sage.

    Google Scholar 

  • Rundle, G. (1999). Ten years of vitamin P. Arena Journal, 13, 25–30.

    Google Scholar 

  • Russell, J. (1997, December 1). The pill that teachers push. Good Housekeeping, 110–117.

  • Sanberg, S., & Garralda, M. E. (1996). Psychosocial contributions. In S. Sandberg (Ed.), Hyperactivity disorders of childhood (pp. 280–328). Cambridge: Cambridge University Press.

    Google Scholar 

  • Sandberg, S., & Barton, J. (1996). Historical development. In S. Sandberg (Ed.), Hyperactivity disorders of childhood (pp. 1–25). Cambridge: Cambridge University Press.

    Google Scholar 

  • Santostefano, S. (1999). A psychodynamic approach to treating Attention Deficit/Hyperactivity Disorder: Recent developments in theory and technique. In J. A. Incorvaia, B. S. Mark-Goldstein, & D. Tessmer (Eds.), Understanding, diagnosing, and treating AD/HD in children and adolescents: An integrative approach Reiss-Davis child study center, Vol. 3. (pp. 319–367). Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Sax, L. (2000). Ritalin: Better living through chemistry? The World and I 15. Retrived from http://www.worldandi.com/public/2000/November/sax.html

  • Scandal! They haven't tested Ritalin on the children it's not prescribed for! Scandal! They're going to test Ritalin on the children it's prescribed for. (2001, January 2). Washington Post, p. T6.

  • Schachar, R., Tannock, R., & Cunningham, C. (1996). Treatment. In S. Sandberg (Ed.), Hyperactivity disorders of childhood (pp. 433–476). Cambridge: Cambridge University Press.

    Google Scholar 

  • Scheid, T. L. (2000, August). Commodification and contradiction: The rationalization of mental health care. Paper presented to the American Sociological Association, Washington, D.C.

  • Schizophrenia may be expanded. (2000, July 26). Wall Street Journal, pp. B1, B4.

  • Shattuc, J. M. (1997). The talking cure: TV talk shows and women. New York: Routledge.

    Google Scholar 

  • Sieg, K. G. (2000). Neuroimaging and attention deficit hyperactivity disorder. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 73–118). New York: Marcel Dekker.

    Google Scholar 

  • Steinberg, L. (1999). ADD or AD/HD medication treatment. In J. A. Incorvaia, B. S. Mark-Glodstein, & D. Tessmer (Eds.), Understanding, diagnosing, and treating AD/HD in children and adolescents: An integrative approach Reiss-Davis child study center, Vol. 3 (pp. 223–234). Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Steinberg, S. R., & Kincheloe, J. L. (1997). Introduction: No more secrets—Kinderculture, information saturation, and the postmodern childhood. In S. R. Steinberg & J. L. Kincheloe (Eds.), Kinderculture: The corporate construction of childhood (pp. 1–30). Boulder, CO: Westview Press.

    Google Scholar 

  • Stookey, L. L. (1996). Robin Cook: A critical companion. Westport, CT: Greenwood Press.

    Google Scholar 

  • Terry, J. (1995). Anxious slippages between us and them. In J. Terry & J. Urla (Eds.), Deviant bodies (pp. 129–169). Bloomington, IN: Indiana University Press.

    Google Scholar 

  • Thomas, K. (2000, November 27). Stealing, dealing, and Ritalin: Adults and students are involved in abuse of drug. USA Today, p. 1D.

  • Thompson, K. (1998). Moral panics. London: Routledge.

    Google Scholar 

  • Trapani, C. (2000). Psychoeducational assessment of children and adolescents with Attention Deficit Hyperactivity Disorder. In P. J. Accardo, T. A. Blondis, B. Y. Whitman, & M. A. Stein (Eds.), Attention deficits and hyperactivity in children and adults: Diagnosis, treatment, management, 2nd ed. (pp. 197–214). New York: Marcel Dekker.

    Google Scholar 

  • Wagner, D. (1997). The new temperance: The American obsession with sin and vice. New York: Westview Press.

    Google Scholar 

  • Waters, R. (2000, May 2). Generation Rx. Alternet. Retrieved from http://www.alternet.org/story.html?StoryID=9722

  • Woodworth, T. (2000, May 16). DEA congressional testimony before the Committee on Education and the Workforce: Subcommittee on early childhood, youth, and families. United States Drug Enforcement Administration. Retrieved from http://www.usdoj.gov/dea/pubs/cngrtest/ct051600.htm

  • Zametkin, A. J., Nordahl, T. E., Gross, M., King, A. C., Semple, W. E., Rumsey, J., et al. (1990). Cerebral glucose metabolism in adults with hyperactivity of childhood onset. New England Journal of Medicine, 323, 1361–1366.

    PubMed  Google Scholar 

  • Zito, J., Saferx D. J., dos Reis, S., Gardner, J., Boles, M., & Lynch, F. (2000). Trends in the prescribing of psychotropic medications to preschoolers. Journal of the American Medical Association, 283(8), 1025–1030.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Toby Miller.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miller, T., Leger, M.C. A Very Childish Moral Panic: Ritalin. Journal of Medical Humanities 24, 9–33 (2003). https://doi.org/10.1023/A:1021301614509

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1021301614509

Navigation