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Emilio Mira y López's Perspectives on Understanding ADHD

Title: Emilio Mira y López's Perspectives on Understanding ADHD
Language: English
Authors: Joana Escamilla Lerner (ORCID 0009-0008-5617-9691); Pilar de Castro-Manglano (ORCID 0000-0003-3141-3492); Pilar León Sanz (ORCID 0000-0003-0247-6101)
Source: Journal of Attention Disorders. 2026 30(1):3-7.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 5
Publication Date: 2026
Document Type: Journal Articles; Reports - Research
Descriptors: Attention Deficit Hyperactivity Disorder; History; Vocabulary; Symptoms (Individual Disorders); Intervention; Teaching Methods; Medical Services; Psychiatry; Drug Therapy; Child Health; Mental Health; Learning Problems
DOI: 10.1177/10870547251345916
ISSN: 1087-0547; 1557-1246
Abstract: Objective: The study aims to examine the contributions of Emilio Mira y López (1896-1964) to the early conceptualization and treatment of what is now known as Attention Deficit Hyperactivity Disorder (ADHD). It seeks to contextualize his ideas within broader historical, pedagogical, and psychiatric developments in Spain and internationally. Method: A historical-analytical approach was employed, reviewing Mira y López's publications El niño que no aprende ("The Child Who Does Not Learn, 1947"), as well as related psychiatric and educational literature from the early 20th century. His work was analyzed alongside contributions from contemporaries and predecessors, with a focus on terminology, neurophysiological concepts, and early treatment strategies. Results: Mira y López described the "unstable child" or "butterfly child" with symptoms that align closely with modern ADHD: impulsivity, distractibility, and lack of sustained attention. He proposed that these children suffer from an imbalance between excitatory and inhibitory brain functions, suggesting early therapeutic interventions including behavioral techniques and opotherapeutic (hormonal) medications. His research emphasized a medical and pedagogical approach to learning difficulties and prefigured ideas found in the emerging field of child psychopharmacology. Conclusion: Emilio Mira y López's understanding of childhood instability reflected the influence of French and Anglo-American psychiatry and anticipated key elements of today's ADHD frameworks. His physiological model of inhibition mirrors Charles Bradley's "inhibition hypothesis," which led to the use of stimulants for hyperactivity. Mira's early proposals contributed to shaping a more comprehensive, interdisciplinary view of childhood mental health and learning difficulties in Spain and Latin America.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1493021
Database: ERIC