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In 1973, San Francisco allergist Ben Feingold created an uproar by claiming that synthetic food additives triggered hyperactivity, then the most commonly diagnosed childhood disorder in the United States. He contended that the epidemic should not be treated with drugs such as Ritalin but, instead, with a food additive-free diet. Parents and the media considered his treatment, the Feingold diet, a compelling alternative. Physicians, however, were skeptical and designed dozens of trials to challenge the idea. The resulting medical opinion was that the diet did not work and it was rejected.Matthew Smith asserts that those scientific conclusions were, in fact, flawed.An Alternative History of Hyperactivityexplores the origins of the Feingold diet, revealing why it became so popular, and the ways in which physicians, parents, and the public made decisions about whether it was a valid treatment for hyperactivity. Arguing that the fate of Feingold's therapy depended more on cultural, economic, and political factors than on the scientific protocols designed to test it, Smith suggests the lessons learned can help resolve medical controversies more effectively.

Dr. [BEN F. FEINGOLD] received his MD from the University of Pittsburgh in 1924, and interned at Passavant Hospital, Pittsburgh. In 1927, he was a fellow in pathology at the University of Gottingen, Germany, and he worked at a children's clinic at the University of Vienna in 1928 and 1929.

He expounded on his theories in many articles for scientific journals and in two books, ''Why Your Child is Hyperactive,'' which was published in 1975, and ''The Feingold Cookbook for Hyperactive Children,'' published in 1979. Dr. Feingold complained after publication of his first book that the United States Food and Drug Administration was ''like a brick wall, giving me no support, only discouragement, as though they were representatives of the food industry, rather than a Government agency.'' Dr. Feingold's work remains the subject of controversy. The National Institutes of Health recently held a consenus development conference on food additives and hyperactivity and failed to arrive at any firm conclusions. The conference reported that the Feingold diet ''should not be universally applied'' to hyperactive children but also said that dietary treatment ''may be warranted.'' Served in Europe in 20's

\"[Brad Novotny] and I saw the difference in just two days,\" she said. \"If the medical people could just see it - it's just incredible.\" \"In 24 years I've seen enough kids that even if the books say 'hooey', sometimes Mom knows better.\" [Wanda Koszewski] suggested two books by Ellyn Satter: \"How to Get Your Child to Eat, But Not Too Much\" and \"Child of Mine: Feeding With Love and Good Sense.\"

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