In the last several weeks, there have been several news articles relating to opiate use and changing definitions regarding drug classification and how doctors can prescribe. As usual this has brought a lot of the stigma surrounding medicine use to the limelight. Whenever these conversations get sparked again, a lot of people start talking about over-prescription, abuse of narcotics, and how big bad pharma creates fake conditions in order to sell drugs. People start talking about patients who abuse the system and end up addicted. These conversations are usually had by people who have no personal experience with chronic pain or the type of conditions being discussed. These same arguments then get used to discredit conditions like Chronic Fatigue Syndrome, Fibromyalgia, and ADHD.
The shaming inherent in a lot of these arguments not only make life more difficult for patients, but they are actually an example of how “a little” knowledge is a dangerous thing. Take, for example, the frequent argument that ADHD is often over-diagnosed and an excuse to medicate children. Some people have gone so far as to claim that ADHD meds are the shut up and sit still drug and that ADHD itself doesn’t exist.
The first half of the argument is based on two problematic ideas: the lie of more-diagnoses which I discussed in a previous article, and a tendency by certain studies to limit their focus on white males. While there is some indication that ADHD may be over-diagnosed in white boys, in every other category girls, people of colour, and so forth, the opposite appears to be the case.
In white children misbehaviour is believed to be pathological, whereas in the case of children of colour, it is believed to be genetic and inherent. When behaviours that are believed to be disruptive appear in class, white children are often send to counselors and psychiatrists, while black children in particular are punished. We’ve seen this discussed when activists and studies discuss the school to prison pipeline. In many cases the behaviours being punished are the same that are said to be caused by ADHD in white children. Continue reading “Shaming Med Use Kills”