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64 pages 2 hours read

Gabor Maté

Scattered Minds: The Origins and Healing of Attention Deficit Disorder

Nonfiction | Book | Adult | Published in 1999

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Key Figures

Gabor Maté

Dr. Gabor Maté is a Canadian general practice physician with a background in family medicine. He is interested in the effects of the attachment relationship on early childhood development and its subsequent impact on mental health, addiction, and disease. His 20 years’ experience as a palliative care clinician in East Vancouver informs much of his work regarding chronic health and substance abuse disorder, particularly the role of repressed trauma in fracturing the self and producing chronic stress and illness in the mind-body. Maté’s work incorporates a holistic biopsychosocial approach to mental health with an emphasis on relationships and childhood development, as well as a socially informed understanding of illness and disease that stems in part from his experiences escaping the Holocaust as a child.

Maté has authored five books, which cover topics of addiction, parent-child relationships, the mind-body connection between stress and disease, and the inadequacy of Western medicine. His work frequently references his own experience as a clinician and a father. Scattered Minds, Maté’s first published book, explores the neurophysiological relationship between ADD symptoms and early infant development. Maté has been inducted into the Order of Canada and is a frequent speaker at medical and psychology-related conferences, sometimes alongside his son and co-author, Daniel Maté.

Gabor Maté’s Mother

Scattered Minds explores Maté’s relationship with his mother through a series of photographs and diary entries, analyzing his and his mother’s facial expressions and the extreme family stresses he faced as an infant. Maté discusses his tendency to turn away from difficult emotions, a characteristic he refers to as repression; it is a coping strategy he associates with ADD. This tendency, he says, came from his childhood desire to protect his anxious mother, who he recognized could not handle his emotional expression. Maté recognizes that his mother’s extreme emotional environment overwhelmed her capacity to develop an adequately attuned relationship with him regardless of their love for one another. Maté investigates his parents’ psychological states to understand his own resentment toward them and to make sense of this resentment in regard to his physiological ADD symptoms.

Maté’s mother features particularly in Maté’s account of his infancy. At that time, the Matés, a family of Jewish Hungarian refugees, faced the threat of execution at the hands of the Nazis. Maté suggests that this period informed his development of ADD—particularly his sense of abandonment, which he attributes to a three-week period of separation from his mother that occurred during his infancy. Maté further believes that he absorbed the anxiety that his mother experienced during the Holocaust, contributing to anxieties of his own.

Gordon Neufield

Gordon Neufield is a developmental psychologist from Vancouver most notable for contributing to attachment theory. His work focuses on synthesizing the intuitive, emotional unconscious and the physiological experience; his six-stage theory of development seeks to explain the formation of shyness and defensive detachment. Neufield’s work informs Maté’s focus on the relationship between parent and child as the primary prerequisite for emotional development. Throughout the book, Maté references Neufield’s work on the relationship between anxiety and counterwill (a term Neufield popularized) and quotes Neufield’s advice for parents who want to foster a relationship with a defiant child. Neufield advanced the idea that unconditional positive regard is necessary for the child to achieve a true sense of will, a central premise of Scattered Minds.

Neufield and Maté co-authored the 2004 work Hold Onto Your Kids. Founder of The Neufield Institute in Vancouver, Neufield offers education and professional development based on his own attachment framework.

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