Page 4 - Kansas Journal of Medicine, Volume 10 Issue 2, May 2017
P. 4

KANSAS JOURNAL of M E D I C I N E                                        The Judging/Perceiving dimension is equally intriguing.
                                                                          Judging children tend to be organized and systematic, while
    PERSONALITY STYLE IN ADHD CHILDREN                                    Perceiving children tend to be more curious and playful in
    continued.                                                            their approach to the outside world, including education.
                                                                          Children with a Judging preference may value getting things
    Introversion preference (58%; p = 0.001) and the Think-               done and often enjoy schedules and routines. Judgers tend to
    ing preference (29%; p = 0.005). Respectively, these are              be neat, orderly, and like completing their work on time. They
    compared to expected frequencies of 43% and 41%.                      frequently cannot consider playing if they have an assignment
                                                                          due. Perceiving children tend to be far more flexible and like
    Table 1. Distribution of personality types.*                          to have time open to do whatever they want whenever they
                                                                          want to do it. They may start lots of projects but have difficulty
    ISTJ          ISFJ                INFJ        INTJ                    actually getting anything done. The importance of the spon-
    5.1%          20.5%               5.1%        0.9%                    taneous moment can be a powerful enticer for the Perceiving
                                                                          child. This is precisely why we expected children with ADHD
    ISTP          ISFP                INFP        INTP                    to be inclined to be more Perceiving in their orientation; how-
     6%           13.7%               3.4%        3.4%                    ever, the data in our sample did not support this hypothesis.

    ESTP          ESFP                ENFP        ENTP                       There were other incidental findings in this research regard-
    2.6%          4.3%                5.1%        5.1%                    ing higher than expected expression of Introversion and Feeling.
                                                                          It may be that these preferences grew in response to the impair-
    ESTJ          ESFJ                ENFJ        ENTJ                    ments associated with ADHD, for example, difficulty forming
    5.1%          14.5%               4.3%        0.9%                    and maintaining friendships or heightened sensitivity to edu-
                                                                          cational impediments. However, further research is necessary.
    *Extraversion/Introversion, Sensing/Intuiting, Thinking/Feeling, and
    Judging/Perceiving.                                                      This research pointed to the importance of knowing who
                                                                          the patient is, just as much as knowing what the patient has.
    Table 2. Age and gender by type.                                      The utilization of the MMTIC afforded the opportunity to
                                                                          do just that and to tailor approaches to intervention to fit the
                         % Male                   Median Age              personal style of the child. It also allowed the opportunity
                                                        10                to think more globally with parents about why a child does
    Extroversion         73%                            10                what they do, not just in terms of ADHD, but also in terms of
                                                        10                who they are as people. This process also suggested where ef-
    Introversion         81%                            10                fort needs to be placed in terms of educational interventions
                                                        10                and in treatment especially regarding cognitive behavioral
    Intuiting            76%                            10                approaches. For example, interventions that require a long-
                                                        10                term investment and delayed gratification might not bear
    Sensing              79%                            10                as much fruit as those devised in a playful, present centered
                                                                          way, with a reward that is immediate rather than delayed.
    Feeling              76%
                                                                             Perhaps the more important outcome of this research
    Thinking             82%                                              is the consideration of the personality orientation of the
                                                                          child in addition to a focus on the specific ADHD dimen-
    Perceiving           75%                                              sional criteria. We would suggest that adding the MMTIC
                                                                          to standard ADHD assessment techniques such as behav-
    Judging              80%                                              ior rating scales and computer generated tests may cre-
                                                                          ate a more complete picture of the child we hope to help.
    DISCUSSION
       The results of this study affirmed our hypothesis that children    ACKNOWLEDGMENTS
                                                                          	 The authors would like to thank the staff at KU Wichi-
    with ADHD were more likely to be Sensing on the MMTIC, but            ta Pediatrics. This research was supported by a grant from
    did not support that they are more likely to exhibit the Perceiv-     the Wichita Medical Research and Education Foundation.
    ing trait. These results presented an intriguing picture of ADHD
    and personality type that warrants future research, especially at
    pediatric clinics where ADHD is a relatively common diagno-
    sis. It would be important to see if children with an ADHD di-
    agnosis are indeed more likely to be Sensing in their personality
    style. Sensing children may live in the present moment without
    much thinking or worrying about the future and often like real
    things that are right now. They prefer going step-by-step in a
    concrete fashion and principally are not interested in theories or
    big picture generalizations that are usually part of the instruc-
    tional field of play in any educational system. These children
    tend to be pragmatic and practical and if the lesson does not
    make sense to them they will disregard it because the lesson has
    no place in their worldview. It could be expected that Sensing
    children would have trouble with an educational system de-
    signed to teach big concepts that have little to no real meaning
    for the practical world they live. Conversely, Intuiting children
    tend to be quick in their ability to get the major concepts being
    taught but often miss the details leading to the larger lesson.

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