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Misdiagnosis of the Gifted
by Lynne Azpeitia, M.A. and Mary Rocamora, M.A.
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Gifted individuals face many challenges. One
of them may be in getting correctly identified by
psychotherapists and others as gifted. ~ ~ ~
It's well known among re searchers of the
gifted, talented and creative that these individu als
exhibit greater intensity and increased levels of emotional,
imaginational, intellectual, sensual and psychomotor
excitability and that this is a normal pattern of
development. It is because these gifted children and adults
have a finely tuned psychological structure and an organized
awareness that they experience all of life differently and
more Intensely than those around them.
These characteristics, however, are fre
quently perceived by psychotherapists and others as evidence
of a mental disturbance because most of the population lacks
accurate information about the special characteristics of
gifted individuals, couples and families. Most people don't
know that what is considered normal for the gifted is most
often labeled as neurosis in the general population and as a
result, the gifted are personally and emotionally vulnerable
to a variety of unique relationship difficulties at home,
work, school and in the community.
Since the gifted function with relatively high
levels of intensity and sensitivity, when they seek therapy
they are frequently misdiagnosed because therapists receive
no specialized training in the identification and treatment
of persons who have advanced and complex patterns of
development.
Therapeutic assessment of gifted persons with
asynchronous development, heightened levels of awareness,
energy and emotional response, and an intense level of inner
turmoil often results in their developmental transition
being mislabeled as a personality or attentional disorder.
Histrionic, dysthymic, cyclothymic, borderline,
narcissistic, ADHD (Attention Deficit Hyperactivity
Disorder) or ADD (Attention Deficit Disorder) are a few of
the diagnostic labels mistakenly used to describe normative
stages of positive disintegration.
The results of this type of misdiagnosis can
range from benign neglect to misguided counseling strategies
that in validate and attempt to 'normalize' the complex
inner process of the gifted. When misdiagnosed gifted
clients are prescribed medication to suppress the "symptoms
of giftedness" there is the danger that the wonderful inner
fury of the gifted process will be neutralized, thus
minimalizing the potential for a life of accomplishment and
fulfillment. As a result, those who have the most to offer
society are the least likely to get their therapeutic needs
met.
For the gifted, inner conflict is a
developmental rather than a degenerative sign, because it
drives the gifted person forward to replace current ways of
thinking and being with those of higher level development.
This type of positive disintegration is characterized by an
intensified inner tension between what one is and what one
could be. This dynamic tension is what fuels the creative
person's complex inner life and provides the impetus for
growth and development. Any therapist who works with a
gifted population must be familiar with these internal
processes, which are utilized to develop advanced potential
- otherwise, the therapist risks inflicting further
psychological damage.
When working with the gifted, a therapist must
address the following intrapersonal issues: the internal
stress of being gifted; the emotional trauma of rapid
development; the effects of intro version, intensity,
perfectionism and extraordinary sensitivity on self and
others; the recognition of the symptoms of insufficient
mental engagement; the importance of interacting with other
gifted persons, and channeling and focusing an abundance of
physical, sensual, intellectual and emotional energy.
Unique interpersonal challenges that gifted
individuals, couples and families encounter during their
life span include learning to interact in the mainstream
world; manage expectations and pressures to fit the norm;
defuse unconscious hostility, resentment, antagonism and
sabotage directed at them because they are perceived as
intellectually, creatively or personally advantaged; set
appropriate boundaries for the utilization of their
abilities; collaborate with others, and manage the daily
dilemmas of giftedness involving relatives, bosses,
co-workers, neighbors, counselors, teachers and other
members of the community.
The challenges that the gifted must face in
order to achieve their advanced potential and maintain their
health are many. One of the greatest gifts a therapist can
give gifted, talented and creative people is a genuine
valuing of themselves and their abilities. Professionals who
are willing to learn about the gifted will certainly
accomplish this.
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Published in Mensa Bulletin, November 1994
Lynne Azpeitia, M.A., located in Santa Monica CA., can be
reached at 310-828-7121 or
www.giftedadults.com
Mary Rocamora, M.A., located in Los Angeles CA., can be
reached at 310-876-3358 or
mary@rocamora.org
Appreciation to Linda Kreger Silverman, Ph.D., Director of
Gifted Development Center, President of Institute for the
Study of Advanced Development, 1452 Marion St., Denver, CO
80218
www.gifteddevelopment.com
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