Every person ever born has the desire to be recognized or acknowledged in contrast to being ignored. This desire can be a gift or a curse. It can be on an individual level, team level or even a national level. It can be the making of an individual or a nation or it can be the downfall . The amount of recognition or acknowledgement a person needs to keep his/her self esteem in tacked varies greatly from one person to the next. Lets say we have a scale of Twenty down to one . Twenty being a person who needs continuous and never ending recognition or acknowledgement in order to feel a part of life and one being a person who needs very little. What is seen as the average required to meet the needs of most people is close to the ten in any specific country.. As we move from a ten to a one the number of people dwindle slowly. Less and less as we head down the scale with number ones requiring very little praise or recognition or acknowledgement to feel accepted and meet their needs. On the other side of the scale we have the ten to twenties. The higher the number the more recognition the person needs to feel they have value. It is important to them their input is acknowledged. Not necessarily agreed with but not ignored . Most people fall around 8-12 and as we say the numbers dwindle as we move toward either end of the scale. The world in general provides most people in the eight to twelve range the acknowledgement they need to live a balanced lifestyle. With most living in agreance with the world that surrounds them . They live with in the boundaries of the rules and structure of their community .They seldom intentionally break laws or want to stand out the crowd Most want to play their part in the community and be respected for it as compared to say someone on a fifteen who may often overstep the mark and flaunt the law. It appears to others this is attention seeking but this is not necessarily so. Where we are on the scale varies from day to day. For instance if we are with a group of people that are very cautious and not risk takers and we are willing to challenge the status quo we would probably be seen as a risk taker. (Or perceived by some as attention seekers.) again this may or may not be correct. If we were in a group of people who ranged from fifteen to twenty we would not even be noticed or our actions seen as anything but normal. At school If we are or where a good student whose work was constantly recognized we would not be seen as having a disorder as our focus would be on maintaining the flow of recognition. (A gift indeed ) but if a child had the same need for recognition or attention as the top student but was not as competent at producing then he/she would need seek attention from another source, which may not be as acceptable in the teaching arena. These are often the children which excel in the sporting arena and they are also the ones the teachers often refer for physiological assessment which often undermines the child's whole self esteem.
Before a person child or adult starts on a medical journey for physiological problems they are usually referred by a teacher ,parent or are convinced by a partner they have a problem and volunteer in order to try and save a partnership.
As I witnessed in my early days of teaching many children which i saw as normal were referred for physiological assessment by teachers who were academically brilliant but who had very little understanding that many children only saw school as a place to fill in time during the week until the weekend came around