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many of the pharmacological effects of amphetamine, methamphetamine, and cocaine. Contrasting sharply with medical practices elsewhere in the world, use of such stimulants in the United States increased 600 percent between 1990 and 1995, and continues to rise in numbers, especially for younger children. Between 2000 and 2003, spending on ADHD for preschoolers increased 369 percent. Both boys and girls are diagnosed with ADHD, but approximately 90 percent of the young people placed on medication—often at the suggestion of school officials—are boys.

One child psychiatrist explains: “My prejudice is that girls with ADHD whose symptoms are similar to boys with typical symptoms of ADHD are not common.” Notice that he said “prejudice.” Much about ADHD remains a medical and political mystery.

The massive increase in ADHD diagnoses and treatment may, in fact, be a matter of recognition: ADHD has been there all the time, called by other names or missed entirely, causing suffering for children and their families. Another explanation boils down to availability: three decades ago, the currently used medications were not widely known or as intensely marketed by pharmaceutical companies, and not yet fully trusted by physicians—and we’re lucky to have them now. Nonetheless, the use of such medications and the causes of ADHD are still in dispute. As of this writing, the latest culprit is television. The first study to link television-watching to this disorder was published in April 2004. Children’s Hospital and Regional Medical Center in Seattle maintains that each hour of TV watched per day by preschoolers increases by 10 percent the likelihood that they will develop concentration problems and other symptoms of attention-deficit disorders by age seven.

This information is disturbing. But television is only part of the larger environmental/cultural change in our lifetime: namely, that rapid move from a rural to a highly urbanized culture. In an agricultural society, or during a time of exploration and settlement, or hunting and gathering—which is to say, most of mankind’s history—energetic boys were particularly prized for their strength, speed, and agility. As mentioned earlier, as recently as the 1950s, most families still had some kind of agricultural connection. Many of these children, girls as well as boys, would have been directing their energy and physicality in constructive ways: doing farm chores, baling hay, splashing in the swimming hole, climbing trees, racing to the sandlot for a game of baseball. Their un-regimented play would have been steeped in nature.

The “Restorative Environment”

Even without corroborating evidence or institutional help, many parents notice significant changes in their children’s stress levels and hyperactivity when they spend time outside. “My son is still on Ritalin, but he’s so much calmer in the outdoors that we’re seriously considering moving to the mountains,” one mother tells me. Could it simply be that he needs more physical activity? “No, he gets that, in sports,” she says. Similarly, the back page of an October issue of San Francisco magazine displays a vivid photograph of a small boy, eyes wide with excitement and joy, leaping and running on a great expanse of California beach, storm clouds and towering waves behind him. A short article explains that the boy was hyperactive, he had been kicked out of his school, and his parents had not known what to do with him—but they had observed how nature engaged and soothed him. So for years they took their son to beaches, forests, dunes, and rivers to let nature do its work.

The photograph was taken in 1907. The boy was Ansel Adams. “Our brains are set up for an agrarian, nature-oriented existence that came into focus five thousand years ago,” says Michael Gurian, a family therapist and best-selling author of The Good Son and The Wonder of Boys. “Neurologically, human beings haven’t caught up with today’s over-stimulating environment. The brain is strong and flexible, so 70 to 80 percent of kids adapt fairly well. But the rest don’t. Getting kids out in nature can make a difference. We know this anecdotally, though we can’t prove it yet.”

New studies may offer that proof.

This research builds on the well-established attention-restoration theory, developed by a husband-and-wife research team, Stephen and Rachel Kaplan. Environmental psychologists at the University of Michigan, the Kaplans were inspired by philosopher and psychologist William James. In 1890, James described two kinds of attention: directed attention and fascination (i.e., involuntary attention). In the early 1970s, the Kaplans began a nine-year study for the U.S. Forest Service. They followed participants in an Outward Bound–like wilderness program, which took people into the wilds for up to two weeks. During these treks or afterward, subjects reported experiencing a sense of peace and an ability to think more clearly; they also reported that just being in nature was more restorative than the physically challenging activities, such as rock climbing, for which such programs are mainly known.

The positive effect of what the Kaplans came to call “the restorative environment” was vastly greater than the Kaplans expected it to be. According to the Kaplans’ research, too much directed attention leads to what they call “directed-attention fatigue,” marked by impulsive behavior, agitation, irritation, and inability to concentrate. Directed-attention fatigue occurs because neural inhibitory mechanisms become fatigued by blocking competing stimuli. As Stephen Kaplan explained in the journal Monitor on Psychology, “If you can find an environment where the attention is automatic, you allow directed attention to rest. And that means an environment that’s strong on fascination.” The fascination factor associated with nature is restorative, and it helps relieve people from directed-attention fatigue. Indeed, according to the Kaplans, nature can be the most effective source of such restorative relief.

In a paper presented to the American Psychological Society in 1993, the Kaplans surveyed more than twelve hundred corporate and state office workers. Those with a window view of trees, bushes, or large lawns experienced significantly less frustration and more work enthusiasm than those employees without such views. Like similar studies on stress reduction, this study demonstrated that a person does not have to live in the wilderness to reap nature’s psychological benefits—including the

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