ABSTRACT

ADHD is recorded in a dimensional fashion in psychiatric diagnosis. The disorder comprises three characteristic behavioural features, a disorder of attention, hyperactivity, and impulsiveness. However, these symptoms can be found with different manifestations in very many syndromes, such as borderline disorders, anxiety disorders, depression, narcissistic disorders, and traumatic stress disorders. The diagnosis of ADHD from the psychodynamic perspective therefore includes, as a matter of course, a wide range of disorders which are manifest both as conflict dynamics as well as the result of deficient 'Ego' structure development. With regard to the clinical picture of ADHD, there are challenges presented to psychoanalysis, which in a certain way are similar to those which have been emphasized by Argelander with reference to the narcissistic neuroses, that it is, namely, important to concern oneself with the modality of the specific psychic processing.