Table Of ContentTable of Contents
Title Page
Copyright Page
Dedication
Epigraph
Acknowledgements
Introduction
PART ONE - The Nature of Attention Deficit Disorder
Chapter 1 - So Much Soup and Garbage Can
Chapter 2 - Many Roads Not Traveled
Chapter 3 - We Could All Go Crazy
Chapter 4 - A Conflictual Marriage: ADD and the Family (I)
Chapter 5 - Forgetting to Remember the Future
PART TWO - How the Brain Develops and How the
Circuits and Chemistry of ADD Arise
Chapter 6 - Different Worlds: Heredity and the Environments of Childhood
Chapter 7 - Emotional Allergies: ADD and Sensitivity
Chapter 8 - A Surrealistic Choreography
Chapter 9 - Attunement and Attachment
Chapter 10 - The Footprints of Infancy
PART THREE - The Roots of ADD in Family and
Society
Chapter 11 - An Utter Stranger: ADD and the Family (II)
Chapter 12 - Stories within Stories: ADD and the Family (III)
Chapter 13 - This Most Frenetic of Cultures: The Social Roots of ADD
PART FOUR - The Meaning Of ADD Traits
Chapter 14 - Severed Thoughts and Flibbertigibbets: Distractibility and Tuning
Out
Chapter 15 - The Pendulum Swings: Hyperactivity, Lethargy and Shame
PART FIVE - The ADD Child and Healing
Chapter 16 - It Ain’t Over Till It’s Over: Unconditional Positive Regard
Chapter 17 - Wooing the Child
Chapter 18 - Like Fish in the Sea
Chapter 19 - Just Looking for Attention
Chapter 20 - The Defiant Ones: Oppositionality
Chapter 21 - Defusing Counterwill
Chapter 22 - My Marshmallow Caught Fire: Motivation and Autonomy
Chapter 23 - Trusting the Child, Trusting Oneself: ADD in the Classroom
Chapter 24 - Always on My Case: Teenagers
PART SIX - The ADD Adult
Chapter 25 - Justifying One’s Existence: Self-Esteem
Chapter 26 - Memories Are Made of This
Chapter 27 - Remembering What Didn’t Happen: The ADD Relationship
Chapter 28 - Moses Saved by the Angel: Self-Parenting (I)
Chapter 29 - The Physical and Spiritual Environment: Self-Parenting (II)
Chapter 30 - In Place of Tears and Sorrow: Addictions and the ADD Brain
PART SEVEN - Conclusion
Chapter 31 - I Never Saw the Trees: What Medications Can and Cannot Do
Chapter 32 - What It Means to Attend
Notes
Bibliography
Index
Praise for Scattered
“One of the most comprehensive and accessible books
about ADD ... challenges many accepted notions about
the condition.”
—Publishers Weekly (starred review)
“Based on solid research and a strong humanistic sensibility ...
written with humor and compassion, from an unsparingly
honest personal perspective.”
—John J. Ratey, M.D., coauthor of Driven to Distraction “Valuable for its
stress on environmental issues and the author’s
experience with the syndrome in his own family.”
—Library Journal
“Scattered asks questions that deserve to be considered about
this debilitating disorder—and the kind of society in which
it flourishes.”
—Maclean’s (Canada)
Gabor Mate, M.D., is a physician and psychotherapist in Vancouver, British
Columbia. He was a longtime medical columnist for the Vancouver Sun and the
Globe and Mail, Canada’s national newspaper. Dr. Mate lives in Vancouver with
his wife and three children.
PLUME
Published by the Penguin Group
Penguin Putnam Inc., 375 Hudson Street, New York, New York 10014, U.S.A.
Penguin Books Ltd, 27 Wrights Lane, London W8 5TZ, England
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Penguin Books Ltd, Registered Offices: Harmondsworth, Middlesex, England
Published by Plume, a member of Penguin Putnam Inc. Previously published in a Dutton edition.
First Plume Printing, August 2000
Copyright © Gabor Mate, 1999
All rights reserved
A NOTE TO THE READER
The ideas, procedures, and suggestions contained in this book are not intended as a substitute for medical
treatment by a physician. They reflect the author’s experiences, studies, research, and opinions. The
information included in this publication is believed to be accurate. Neither the author nor the publisher are
responsible for any adverse effects or consequences resulting from the use of this material.
REGISTERED TRADEMARK—MARCA REGISTRADA
The Library of Congress has catalogued the Dutton edition as follows: Mate, Gabor. Scattered: how
attention deficit disorder originates and what you can do about it /
Gabor Maté.—1st American ed. p. cm.
Includes bibliographical references and index.
eISBN : 978-1-101-15385-7
1. Attention-deficit hyperactivity disorder—Psychological aspects. 2. Attention-deficit hyperactivity
disorder—Environmental aspects. I. Title.
RJ506.H9M42326 1999
616.85’89—dc21
99-12999 CIP
Without limiting the rights under copyright reserved above, no part of this publication may be reproduced,
stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic,
mechanical, photocopying, recording, or otherwise), without the prior written permission of both the
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For my mother, Judith (Lõvi) Maté, and for my late father, Andor Maté,
and for my own family, Rae, Daniel, Aaron and Hannah
