Proponents of psychiatric drugs attest that they "work," meaning they alter mood, thought, and action. They also "work," of course, in that they assuage the medical community's expectation that drugs be used to "treat" these children. I believe that fully informed adults should have every right to voluntarily use any drugs they wish, as long as they don't endanger others in doing so. Children, however, are not able to give fully informed consent to drug use - especially those under six years of age, a group in whom we are witnessing a dramatic increase in psychiatric drug prescription.¹ It is, therefore, our responsibility as adults to ensure every possible opportunity for optimal development for our children, to protect and defend our children from powerful toxic drugs, particularly those prescribed for psychiatric purposes.

Like Alice, a large percentage of adults who take psychiatric drugs or give them to their children would prefer to avoid them - and yet they capitulate and use them because the drugs provide relief: from tension, fear, and desperation, as well as from the external strains of judgment and coercion. Lawrence Diller, author of the best-selling book Running on Ritalin, argues that: "The 700 percent rise in Ritalin use is our canary in the mineshaft for the middle class, warning us that we aren't meeting the needs of all our children, not just those with ADD. It's time we rethought our priorities and expectations unless we want a nation of kids running on Ritalin."² Dr. Diller decries the trend (as I do in my book The Wildest Colts Make the Best Horses), contending that this increased reliance on drugs reflects a society in distress. Rather than try to force our children to shrink into situations that do not meet their needs, he states, we need to take responsibility for our society.

Diller himself is, however, torn by the same conflict many parents have concerning Ritalin. On the one hand, he says: "As a citizen I must speak out about the social conditions that create the living imbalance. Otherwise I am complicitous with forces and values that I believe are bad for children." On the other hand, though, he concludes: "As a physician, after assessing the child, his family and school situation, I keep prescribing Ritalin. My job is to ease suffering and Ritalin will help round- and octagonal-peg kids fit into rather rigid square educational holes." ³

A condition such as diabetes carries detectable physical evidence of disease - abnormal blood sugar levels, evidence of pancreatic malfunction - justifying medical treatment. Families confronted with the "wouldn't you give insulin" argument could begin by asking the neurologist to provide medical evidence that a disease requiring treatment exists. Between 1993 and 1997, neurologist Fred Baughman corresponded repeatedly with the Food and Drug Administration (FDA), the Drug Enforcement Agency (DEA), Ciba-Geigy (now Novartis, manufacturers of Ritalin), and top ADHD researchers around the country - including the National Institute of Mental Health - asking them to show him any article(s) in the peer-reviewed scientific literature constituting proof of a physical or chemical abnormality in ADHD and thereby qualifying it as a disease or a medical syndrome. Through sheer determination and persistence, Dr. Baughman eventually got these entities to admit that no objective validation of the diagnosis of ADHD exists.⁴

Prescribing Ritalin for something that is not a "disease" does not, in my estimation, constitute a legitimate practice of medicine. If ADHD is not a disease, treating it medically constitutes a fraud. Yet many physicians are true believers in medically treating "mental illness," despite the consistent lack of scientific evidence of "mental illness" as a "disease."⁵ Herein lies the conflict for parents like Alice.

Victims of oppression are not only blamed for their condition, and usually thought to be deserving of their inferior position, they are eventually conditioned to accept it as their reality. As the great American writer James Baldwin stated: "It's not the world that was my oppressor, because what the world does to you, if the world does it to you long enough and effectively enough, you begin to do it to yourself."⁶ In what may be the ultimate power play, a victim is, over time, conditioned to internalize, accept, and ultimately, forget about the very fact that they are oppressed.

The second form of oppression is what I call psychiatric oppression: the systematic mistreatment of people labeled as "mentally ill" - including children diagnosed with fictitious illnesses such as ADHD. Institutionalized in our society, psychiatry is also guided by a worldview that embraces biopsychiatry.⁷ Juxtaposed with adultism, psychiatric diagnosis and treatment enforce the message that an "ADHD child" is inadequate, defective, unworthy of complete respect, and in need of drugs to control and cope with the effects of his or her "illness."

Not always. Sometimes it makes them "psychotic," sometimes it makes them aggressive. Other times Ritalin makes children anxious or nauseous. It can make some children feel suicidal. And for some children, Ritalin has been a deadly prescription. ⁸ When it "works" well, the child is observed to produce better in the classroom. This, the research shows us, is the only positive short-term outcome. There are no positive long-term effects in any aspect of child functioning - social, behavioral, or academic - associated with the use of Ritalin.⁹

In an 1854 speech on the Kansas-Nebraska Act, Abraham Lincoln said, "I would consent to any great evil, to avoid an even greater one."¹⁰ Many parents feel the compulsion to punish or discipline their child in hopes that even greater misfortune might not befall them. Given the reality of today's oppressive society, and its lack of resolve to truly meet the needs of our children, the argument goes, Ritalin may seem a better choice than continued pressure, disapproval, and sanction.

This "ease the suffering" argument reveals one of the most consistent justifications for the use of psychiatric drugs for children: on one level or another, Ritalin absolves each person of his or her responsibility. The child is not responsible, he's "sick." Parents, doctors, the community, the medical and educational institutions - the society at large - are relieved of their duty to meet the real needs of that child. We prescribe drugs; the child conforms; the educational and medical institutions don't have to change; and our standards of "normalcy" are passed on to the next generation of drug-assisted children learning to fit into the mandated square hole. We have endless justifications that allow us to conform to oppression with a seemingly clear conscience, while an estimated 5,000,000 children are on methylphenidate, and another 3,000,000 on other toxic drugs - given to them by adults who care for them. Some may call this "medicine," but a growing group of parents and others are beginning to see it as institutionalized child abuse.