A short history of ADHD Major achievements in research and therapy

Part 1 - Before 1900

Before 1798 

While stories of restive and undisciplined children are as old as humanity itself, reports of fidgety and restless children in a more closely medical context can be traced back at least as far as 1798.

 
 

1798 

Alexander Crichton describes in his book “An inquiry into the nature and origin of mental derangement” a mental state reminiscent of the inattentive subtype of ADHD.

 
 

1844/45 

Heinrich Hoffmann publishes his children´s book „Struwwelpeter“ including the story of „Fidgety Phil".

 
 
 

1885 

Nagayoshi Nagai isolates ephedrine, similar in structure to its synthetic derivatives amphetamine and methamphetamine, from the plant “Ephedra vulgaris”

 
 

1887 

Lazar Edeleanu synthesizes amphetamineat the Humboldt University in Berlin.

 
 

1899 

Thomas Smith Clouston, a notable Scottish psychiatrist of the late nineteenth century, describes states of over-excitability and mental explosiveness in children.

 
 
 

1902 

In March, George Frederic Still presents a series of 3 lectures, the „Goulstonian lectures“ on “some abnormal psychical conditions in children“.

 
 

1908 

Alfred Tredgold publishes „Mental Deficiency“ and extends Still´s observations.

 
 

1917-late 1920s 

Epidemics of encephalits lethargica spread around the world triggering behavioral changes in affected children.

 
 
 

Part 2 - 1900-1940

1921 

A special ward dedicated to the observation of children opens at Berlin´s Charité.

 
 

1930 

First Kramer and Pollnow reference to the disorder, resulting in their article „Über eine hyperkinetische Erkrankung im Kindesalter“ (1932).

 
 

1931 

The „Emma Pendelton Bradley Home“ opens in Rhode Island as America’s first neuropsychiatric hospital for children.

 
 

1932 

Smith, Kline and French introduce an inhaler and bronchodilator under the trade name “Benzedrine”.

 
 
 

1934 

Kahn and Cohen describe 3 cases in which hyperkinesis is a predominant feature that they term “organic driveness”,  considered to be the result of a subacute encephalitis affecting brain stem and basal ganglia.

 
 

1937 

Charles Bradley publishes his landmark article „The behaviour of children receiving benzedrine“.

 
 

1937 

Molitch and Sullivan report on the beneficial effects of benzedrine on children taking the “New Stanford Achievement Test”.

 
 

1939 

Dub and Lurie describe the effect of benzedrine on 48 depressed female patients.

 
 
 

Part 3 - 1940-present

1940s 

Follow-up studies show the beneficial effects of benzedrine.

 
 

1942 

Strauss and Werner describe disorders of conceptual thinking in the “brain-injured child”.

 
 

1944 

Leandro Pannizon synthesizes methylphenidate while working for CIBA.

 
 

1954 

CIBA patents methylphenidate  and introduces it in Germany and Switzerland under the brand name “Ritaline”.

 
 
 

1950s 

Carlsson and colleagues publish their landmark papers on the neurotransmitter dopamine.

 
 

1957 

Eisenberg summarizes prominent clinical features of “the brain damaged child”.

 
 

1957 

Laufer and Denhoff further characterize the “Hyperkinetic Behavior Syndrome in Children” and describe the disorder in an article with Gerald Solomons as the “Hyperkinetic Impulse Disorder”.

 
 

1963 

Conners and Eisenberg report on the effects of methylphenidate in disturbed children.

 
 
 

1968 

DSM II mentions the “hyperkinetic reaction of childhood”.

 
 

1970 

Virginia Douglas investigates specific disabilities of hyperactive children in 1970, suggesting that a core group of symptoms involving inability to sustain attention and to control impulsivity can account for most of the deficits.

 
 

1980 

DSM III defines “Attention Deficit Disorder, with or without hyperactivity”, thus distinguishing between ADD and ADHD, and listing “inattention, impulsivity and hyperactivity“ as essential features.