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Questions Related to Specific Safety Problems (page 2)

By D.L. Duke
Pearson Allyn Bacon Prentice Hall

Should drugs be used to control the behaviors of students with behavior disorders?

Deciding that a student should be labeled behavior disordered does not mean that the appropriate course of action is necessarily clear. Considerable controversy exists regarding the extent to which students who are seriously emotionally disturbed and behavior disordered should be medicated when they are in school.

Three main categories of drugs are used in conjunction with IEPs involving behavior disorders. Antipsychotic drugs (tranquilizers) are reserved for the most serious cases. They do not cure disorders, but they are helpful in controlling the symptoms of psychosis, including hallucinations and delusions. Coleman (1992, p. 54) reports that, when used in small doses, these drugs can relieve tension, anxiety, and agitation as well as control aggression and self-injurious behavior.

A second category of drug that has gained popularity with therapists in recent years is antidepressants. Although their use in educational settings is not widespread, antidepressants are occasionally prescribed for school phobia and extreme sadness. Stimulants, the third type of drug, are used to treat attention deficit disorder. There are indications that drugs such as Ritalin and Dexedrine can improve attention and reduce impulsivity in many young people.

Some child psychologists and physicians have raised serious questions about the use of drug therapy with young people. Breggin (2000, p. 61), a physician, has taken the extreme position of counseling parents never to permit their children to be placed on psychoactive drugs for the control of behavior or emotions. Not only does prescribing drugs send the wrong message to young people who we want to avoid drug dependency, but some evidence exists that drugs may have the opposite effect of that which we desire. Breggin (2000, pp. 127–146) notes that some of the boys involved in school shootings were taking drugs prescribed by physicians and psychologists. He points out that antidepressants can induce a manic reaction in which a young person feels invincible and godlike, feelings that can lead to violence. Interestingly, antidepressants also can cause depression, the very condition they are supposed to alleviate (Breggin, 2000, pp. 137–138). Stimulants do not escape Breggin's broadside. He refers to research that has traced violent and psychotic behavior to the use of stimulants such as Ritalin (Breggin, 2000, pp. 138–140).

There is no question that, despite its risks, drug therapy has an appeal for many people. Parents naturally want to see their children avoid getting into trouble in school. Educators want to reduce disorderly and dangerous behavior so that teaching and learning can take place. Prescribing antipsychotics, antidepressants, and stimulants for millions of students, however, is unlikely to provide long-term solutions to either unsafe schools or the psychological problems of young people. Drug therapy may be justified as a last resort in the most serious cases, but parents and educators must be apprised of the potential for harmful side effects.

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