There’s a new medical term for excessive daydreaming: Sluggish Cognitive Tempo. This is not a joke; research into this possible condition has been in progress for thirty years or so. Although it has yet to be recognized in the Diagnostic and Statistical Manual of Mental Disorders, it has conferences and articles in its name.Some supporters of the new diagnosis wax exuberant over the supposed clarity it brings to the ADHD question (since it overlaps with what has been known as ADHD).
Before discussing the problems with such a diagnosis, I will give it its due. “Sluggish Cognitive Tempo” (SCT) is the term for a cluster of symptoms: daydreaming, mental fog, confusion, frequent staring, and others. Researchers have been looking into the possibility that this cluster exists apart from ADHD. If this were so, and if treatment were found for the condition, many children and adults could be spared the pain and risks of misdiagnosis–and might have access to effective treatment. For those whose condition prevents them from functioning from day to day, this could be a godsend (or a science-send).
So, why fret over this? I worry for Walter Mitty, the protagonist of James Thurber’s story and the film based on it (the one starring Danny Kaye; I was unable to bring myself to see the more recent one). Walter Mitty would have been diagnosed with SCT, and then we would not have had him. There would be no “ta-pocketa-pocketa-pocketa-pocketa-pocketa.” Mitty would be “on task.”
In fact, many a wandering mind would be herded back onto the task at hand. But maybe some of those wanderings are more interesting than the task. Maybe we attach too much value to task performance. (I bring this up–in relation to solitude, not SCT–on BBC World Service’s program The Forum.)
I have had students who had difficulty staying on task because they were thinking about the subject in an interesting way–as well as students who seemed “off-task” because they were actually concentrating hard (and not taking notes as the others were). I myself tended not to take notes in school; I preferred to listen and think. Fortunately my teachers let me be; today, I would be considered off-task.
The daydreamer may actually be highly attentive–absorbed in the matter at hand and unwilling or unable to move on to the next thing. The one who stares into space may be listening closely to something.
Granted, some people’s daydreaming and other SCT-associated symptoms prevent them from doing what they themselves want to do. But when it comes to diagnosing children, it is adults who decide whether there’s a problem. They might not see the rewards of daydreaming; they might only see the low grade on the homework assignment. “Why didn’t you start each paragraph with a topic sentence? Why do you have only one supporting detail here instead of two?” Wandering minds such as Mitty, Tristram Shandy, and many an actual person would get faulted, diagnosed, and fixed. The world would fill up with dreary essays that never departed from the rubric.
In Charlotte’s Web, Fern’s mother pays a visit to the family doctor, Dr. Dorian, in order to seek his advice about Fern, who, in her view, spends far too much time alone with the animals, just sitting and listening to them. Dr. Dorian leans back, closes his eyes, and says, “How enchanting!”
I do not mean to romanticize a serious condition–but I suspect that if SCT had been a diagnosis in Fern’s day, and if Dr. Dorian had not been so wise, Fern might well have ended up on medication.