OBJECTIVES: Clinical symptoms and related psychological problems in children with attention deficit hyperactivity disorder (ADHD) are associated with low self-control and problematic interpersonal relationship between family members. A therapeutic narrative treatment based on "Treating Huckleberry Finn" by David Nylund was reported to be effective in reduction of individual or family conflicts. We hypothesized that therapeutic narrative treatment would improve self-control and parent-child relational problems. METHODS: Sixteen children who were diagnosed as ADHD participated in the current study. They were classified according to two groups, narrative treatment group and medication treatment group. The narrative treatment group (NTG) was asked to participate in 6 weeks combined therapy of medication and 11 sessions of narrative therapeutic treatment. The medication group (MG) was asked to participate in 6 weeks combined therapy of medication and education for behavior controls in ADHD children. RESULTS: During the 6-week treatment period, the clinical symptoms in NTG improved at a trend level, compared to MG [F(1,16)=4.32, p=0.054]. During the 6-week treatment period, the sub-scale of respecting for children in parent-child interaction scores [F(1,16)=8.65, p=0.010] and self-control scores [F(1.16)=3.78, p<0.01] in NTG improved significantly, compared to MG. CONCLUSION: Based on the current results, therapeutic narrative treatment can be a complementary trial for improving self-control and parent-child interaction in children with ADHD.
Attention Deficit Disorder with Hyperactivity* ; Behavior Control ; Child* ; Education ; Family Conflict ; Huckleberry Plant ; Humans ; Narrative Therapy*

Diabetic patients undergo psychosocial difficulties, including anger, because of their chronic disease, anxiousness of complications, and stress resulting from the need for self-management. These difficulties often lead to depression and other negative emotions. Thus, management of these emotions is needed. Narrative therapy can help patients discover their identity, including their own capabilities, values, and hopes. Through the process of narrative therapy, which includes externalization conversation, reauthoring conversation, re-membering conversation and definition ceremony, diabetic patients can achieve emotional stability. Furthermore, it can be helpful in blood sugar management.
Anger ; Blood Glucose ; Chronic Disease ; Depression ; Hope ; Humans ; Narrative Therapy* ; Psychology ; Self Care