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If true, RH pathology in ADHD should reflect interhemispherically networked and overactivated functioning. The authors evaluated these assertions. Method: Four elements of lateralized brain function were measured: LH specialized, RH specialized, LH with interhemispheric processing (LH\/IH), and RH with interhemispheric processing (RH\/IH). Next, the authors tested their association with cognitive ability, psychiatric comorbidity, and sibling correlations in 79 children with ADHD. Results: RH\/IH processing was uniquely associated with other outcome measures. There were no associations for independent RH or LH function alone. Conclusion: Interhemispherically networked RH processing is critical in ADHD. 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