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Rising rates of stimulant drug use among children have been accompanied by a vigorous social and ethical debate over the relative harm and benefits of psychotropic drugs for children. Stimulants such as Ritalin have been used to treat behavior problems in children since the 1950s. Contemporary attention deficit/hyperactivity disorder (ADHD) is part of an era of neurobiogeneticization of behavior in which stimulants must be seen as potential options and opportunities for children, parents, teachers, and clinicians. Pediatricians have an ethical responsibility to protect their patients from drug company influences and to refuse drug company involvement in their practice when this involvement could threaten their ability to provide treatment that is in the best interests of the child. Stimulant drug use among children for purposes of enhancement is very different than such use among consenting adults.
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