Driven to Distraction

Distractibility has always been a sore spot for me. It is one of the three cardinal symptoms of attention deficit disorder (along with inattention and impulsivity), which I have been convinced is an apt description for one set of my struggles ever since I first learned about it in grad school.

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Over the years I have developed a series of “procedures” designed to manage my distractibility, little games such as “touch next,” in which I touch a random object and pursue its completion, then touch another random object and do the same. Or a game I call “subvocal lists,” in which I silently repeat a small list of tasks until each one is finished. These little things and others are designed to facilitate forward movement rather than linger too long in the stultifying effects of distraction.

Distraction can be deadly, as recent experience with cell phones have demonstrated. The horrendous train crashes in Spain and Burbank were likely cell phone related, and in an issue of Flying magazine Jay Hopkins mentioned that the Colgan Air crash near Buffalo, the crash of American Flight 965 in Cali, Columbia and many other incidents and accidents were very likely also distraction-related. The Cali crash and other incidents led to the development of the “sterile cockpit” rule, which unfortunately isn’t always used. But for those of you who may not be familiar with this rule, it is designed to limit all conversations in the cockpit to only that which is essential during the takeoff and landing phases of flight. That typically translates to the first (and last) 10,000 feet above the ground. So for those of you on commercial flights, when they tell you to keep all your electronic equipment off during the takeoff and landing phases, they are doing that not because they are worried about the equipment interfering with their sensitive flight instruments, but because they want the passengers attentive in the event of an emergency during takeoff and landing. And they too, in the “front office,” are keeping things as sterile as they can.

The trio of symptoms that comprise ADD are interesting bedfellows. (The fourth symptom—hyperactivity, goes in and out of fashion as a cardinal symptom.) While the syndrome is named “attention deficit,” when you think about it, distractibility is not an attention deficit at all. In fact, it is an attention excess. Why the folks who dreamed up the name for this constellation called it what they did is a mystery to me; clearly it should have been named “attention regulation disorder,” because that is what it actually is. In fact, it is likely that the inattention found in ADD is actually a result of the underfunctioning of those parts of the brain responsible for filtering information (the reticular activating system: RAS). With a poorly functioning filter, the normal bombardment of sensations is experienced as distractibility. Impulsivity is the result of the inability to select just which information warrants acting upon and which is best filtered out.

By the way, the reason that stimulants, such as Ritalin and caffeine, appear to work so well for those with ADD is because stimulants enhance (stimulate) the RAS’ ability to filter information, resulting in an increased ability to focus on what is relevant.

I think I hear the phone ringing. I’ll be right back.