Stephen, Thanks for the TIP!  I did, see below.  I'm sure I probably
should've waited until I cooled down, but if I did that, I'm equally sure I
would never have gotten around to doing it.  So for better or worse, I'm
including my piece for your consideration.  My guess is they won't accept
it, but at least I did what I always implore my students to do when they
spot questionable science.

Wally



On 4/6/04 10:31 AM, "Stephen Black" <[EMAIL PROTECTED]> wrote:

> Hey Wally:
> 
> Better than that, why not stick it to them directly on their website?
> They have the refreshingly open policy of allowing anyone to submit
> an electronic response to their published papers. In fact, there's
> one there already calling them on this issue (Gallagher: Causal or
> casual?).
> (http://pediatrics.aappublications.org/cgi/content/abstract/113/4/708
> and click on "published P3R for this article").
> 
> If I have a chance, I may do it too. The more complaints, the more
> likely they'll pay attention (as if!).
> 
> Stephen


Dear Wallace E. Dixon, Jr.,


Thank you for your submission.  Below is a copy of your P3R
as we received it.  Your P3R, if accepted, should be
viewable within a few days.

<!-- article ID: 113/4/708 -->

<P>  I am amazed about what passes for scientific claims these days.
Not only did the American Academy of Pediatrics some years ago
get away with calling for the removal of all television viewing for all
children under age 2 with absolutely no evidence other than its
own opinion, now it seems to be advocating for making causal
attributions from correlational data.

<P>  I am not challenging the validity of the revealed correlation
between childhood attention-related disorders and television
viewing in infancy and toddlerhood.  I am trusting the authors
conducted their analyses accurately.  The problem is that the
authors ran wild in making causal implications about the direction
of effects with absolutely no scientific license to do so.  If
psychologists did this, I would like to think their peer reviewers
would call them on it, and require them to reframe their
conclusions in more cautionary language long before publication
would ever be permitted.  Apparently the same admonitions do not
take place among all medical researchers, nor among some of
their peer-reviewed journals.

<P>  Here's the deal.  At least two alternative explanations can be made
to account for the relationship between TV-viewing and attention-
related disorders in childhood.  First, it is possible, indeed I would
say even likely, that children with attention-span problems are
more likely to find television interesting than children without
attention-related problems.  Children's television programs are
made exceptionally attention-grabbing by virtue of their fast-paced,
exciting, frequent-scene-changing, musical styles of presentation
they employ.  Although this is appealing to all children, it's not
surprising that it's especially appealing to attention-disordered
children who seem to find the normal world especially boring.  TV
may provide the most stimulating bang for the buck of any
environmental stimulus out there.  Unlike attention-disordered
children, children without such disorders can find solace in lots of
stimuli besides TV; but for attention-disordered infants and
toddlers, this may be the best they can hope for.

<P>  The authors dismiss this possiblity because according to them,
most experts believe that attention-related disorders don't emerge
until later childhood.  Unfortunately, the beliefs of experts have
nothing to do with reality, unless those beliefs are based on data.
To be sure, attention-related disorders are likely to be "discovered"
in childhood, as opposed to infancy, because it is during childhood
that children with attention-related disorders run smack-dab into
the highly structured school setting, which tends not to give
children with attention-related disorders much latitude.  But the fact
that these disorders aren't reported frequently until school age, has
nothing to do with whether or not they are present before school
age.  These disorders may be present from birth, we just don't
know!   If a child has an attention-related disorder at birth, it strikes
me that she or he would likely to keep the disorder until well into
adulthood.

<P>  This leads to a second alternative interpretation of the data
reported in this article.  That is that parents of infants who have
attention-related disorders may turn to TV as a last resort for
dealing with their potentially difficult children.  The literature on
infant and toddler temperament is replete with data linking
temperamental difficulty to parenting practices.  Children with
difficult temperaments tend to have weary, tired, hapless, and
frustrated parents.  Is this a coincidence?  Probably not.  It makes
sense that children with difficult temperaments would produce
parents who develop parenting tactics to deal with their children's
difficult temperaments, and TV-viewing might be one of the most
successful parenting tactics employed.  In this case, TV-viewing
wouldn't be responsible for attention-related disorders.  Quite the
contrary, attention-related disorders would be responsible for
parenting tactics that result in TV-viewing.  But alas, this possibility
is given short-shrift by the authors in this article.  The fact is that
infants and todders with difficult temperaments also tend to have
short attention-spans, so parents who can find a means to
successfully maintain the attention of their temperamentally difficult
infants and toddlers may have also found a means to attenuate
their infants' and toddlers' temperamental difficulty.

<P>  (Ironically, if I were trying to publish this kind of research in
Pediatrics, I might so far as to claim that the difficult temperament
caused the parents to become weary, tired, hapless, and
frustrated.  But as a psychologist, I hold strongly to the old adage
"correlation does not imply causation."  So I am left with the mere
suggestion that it might be so.)

<P>  The bottom line is that the recieved and, it seems to me, extremely
destructive result of this article may be that the general public will
declare that when children have ADHD, it is the fault of their
parents who let them watch too much TV.  If ADHD gets blamed on
parents, who knows what's next; maybe health insurance rates for
treating ADHD will be determined partially as a function of how
many TVs are in the home.  Meanwhile, research funding for the
real cause of ADHD may become reduced by communities who
fail to understand the difference between correlation and
causation, and attempts to find a cure for ADHD may become
further removed from the gaping arms of waiting, suffering
children.






----------------------------------------------------------------------------
Wallace E. Dixon, Jr.              |
Chair and Associate Professor      |     Rocket science is child's play
  of Psychology                    |     compared to understanding
Department of Psychology           |     child's play
East Tennessee State University    |       -unknown
Johnson City, TN 36714             |
(423) 439-6656                     |
----------------------------------------------------------------------------


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