Article
Attention
Comment
Psychology
6 min read

Paying attention to ADHD– is it really just a fad?

Media fixation with ADHD caught Henna Cundill’s eye, so she decided to investigate its struggles and superpowers.
From a darkly shadowed face, a single illuminated eye stares.
Brands&People on Unsplash.

In a feat of irony, attention deficit hyperactivity disorder (commonly known as ADHD) is now getting a lot of attention. For example, between 28 and 31 January The Times newspaper published one article per day about ADHD. Intrigued, I looked back over the past few months, and I found that The Times has averaged 8 to 10 articles per month which are either partly or exclusively about this topic. These range from celebrity diagnoses to handwringing over the “troubling rise” in incidents of the condition, to concerns about parents gaming the system to get their children disability payments or extra time in exams.  

With all this media hype, it is little wonder that some commentators are inclined to dismiss ADHD as a fad. Scroll through the comments beneath each article, and you will reliably find the rallying cry of, “We didn’t have ADHD in my day!” followed by the patient responses of those who try to correct this fallacy.  

While the high public profile of ADHD is new, the condition itself is not. As early as the mid-1700s a Professor of Medicine called Melchior Adam Weikard was describing patients who were “unwary, careless, and flighty” – behaving in ways governed by impulse, and showing poor skills in punctuality, accuracy, and having an inability to complete tasks, to the detriment of their mental health. His description is of its day. For example, and somewhat amusingly, Weikard (himself German, but at this point living in Russia) also described his patients as follows:  

Compared to an attentive and considerate person such a jumpy person may act like a young Frenchman does in comparison to a mature Englishman. 

Even so, Weikard did not unconsciously adopt all the prejudices and stereotypes of his context: he broke firmly with existing medical consensus when he diagnosed these patients as having a “dysregulation in cerebral fibres” – rather than attributing their difficulties to astrological misalignments or demon possession.  

By characterising ADHD as a brain-based condition, Weikard was ahead of his time, and we’ve come a long way since then. This is not the place to chart the whole biography of ADHD, suffice to say that when someone rolls their eyes and declares dismissively, “We didn’t have ADHD in my day…” – they are either over 300 years old or not talking like a mature Englishman, even if they read The Times.  

The negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do. 

Another thing that is not new, despite what cynical commentators might seek to imply, is the treatment of some aspects of ADHD with medication.  

Doctors have been prescribing amphetamines to patients with ADHD since at least the 1950s. Yet now those medications are in short supply. Contrary to the media hype, fewer than 1 in 10 people with an ADHD diagnosis take prescribed medication, but for some of those who do it can be a lifeline – calming down a washing machine mind that is stuck on constant spin.  

One acquaintance of mine has taken to anxiously touring the local pharmacies, driving to neighbouring towns and villages, desperate to get her prescription filled.  

Another is passing her own tablets on to her son, whose prescribed supply ran out sooner. Sharing prescription medication is, I am duty-bound to add, an illegal practice – but it is hard to expect a parent to medicate themselves whilst seeing their own child struggle to attend school, to complete exam papers and to just generally feel (and I quote) “like a normal person.”  

People who have ADHD sometimes describe the negative side of the condition as being in a constant fight with one’s own thoughts and senses – these are doughty opponents, they always know where to find you, and they only sleep when you do.   

This is not to overlook that there are positives to ADHD too – it is often pointed out that the condition entails a degree of “superpower.” A person living with ADHD may have an incredible ability to focus on one difficult problem to the exclusion of all else, and thus solve it, perhaps devising creative solutions that elude those with a more pedestrian style of thought.  

Also, it is common for people who live with ADHD to be dynamic conversationalists, with high social intelligence and empathy, priming them for success at tasks like broadcasting and debating. Many elite athletes also live with ADHD and say that they able to strive for excellence due to their restless energy and resilience in the face of tough training regimes.  

Given the mixed bag of struggles and superpowers, there is a raging debate about whether ADHD should even be considered as pathology, or just as a neurodivergent way of being human. I suspect there is no right or wrong answer to this – for each person who lives with ADHD it depends on their own experience and how they feel it helps or hinders them to live the life they choose. Neither is it a binary choice: more than one of my own acquaintances who live with ADHD has described themselves as being in a “love-hate relationship” with their neurodivergence.   

ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human. 

Neurodiversity, like any kind of diversity, challenges the way we live to together in communities, choosing or refusing to show empathy towards those who are perceived as ‘other’. There are several places in the Bible where human interconnectedness is likened to the human body – made up of many different parts, with each member dependent on the other for the wellbeing of the body as a whole. In one of his letters, St Paul wrote, “If the whole body were an eye, where would the hearing be? Or if the whole body were an ear, where would the sense of smell be?” Society needs problem solvers, communicators, high achievers, even while society also needs people who can structure, plan and maintain consistency – and above all, society needs these different neurotypes to work together with a certain amount of mutual understanding and trust.  

Reflecting further on the body metaphor, Paul also wrote this: “If one part of the body suffers, the whole body suffers with it.” It is estimated that about 5 per cent of people in the UK has ADHD, so it is likely that includes someone you know. The majority don’t take regular meds, but if you are connected to someone who is usually reliant on these, the next few months may be a time of particular stress and anxiety, as the current medication shortage is expected to continue into late spring. This affects not just those living with ADHD, but all of us, as we live together in our families, communities, and networks. Not everyone chooses to be open about having an ADHD diagnosis, but if they are, now might be a good time to ask them how they experience this condition, both with its positives and negatives, and how you can support them if they are managing without their usual prescription. 

The body metaphor, and Paul’s teaching around it, reminds us that diversity is no accident, God has always been attentive to those who feel divergent or far from the centre, as Jesus affirmed when he announced his ministry would be for the poor, the prisoners, the disabled and the oppressed. The psalmist too, observes that God’s attention and concern for us is so complete, that one is “…hemmed in, before and behind” – even if one strays to the very ends of the Earth, or drives to the pharmacy in the next village. Thus, while the media circus may be new, we can be sure that God has always been attentive to those with ADHD, and wider society is called to be likewise. 

Writing for The Times, Esther Walker describes ADHD as “…the health story that keeps unfolding.” Well, certainly every time I unfold my newspaper, there it is again. But ADHD challenges me to unfold my mind too – to become ever more aware and appreciative of the fact that there are many ways to be human: usually complex, sometimes difficult, often brilliant, and always interconnected.  

Article
Comment
General Election 24
Leading
Politics
3 min read

Let’s not make saviours out of Sunak or Starmer

Politicians do not live up to messianic billing.
Looked down upon by crowds in galleries, a politician stands amid a throng of supporters
Kier Starmer at Scottish Labour's election launch.
Pam Duncan-Glancy via Twitter.

It was 2015 and I thought Ed Miliband was the saviour of the free world. Remember, this was before Covid and Brexit and Trump, and politics seemed so binary and easy. Left-Right. Government-Opposition. Thatcher, Major, Blair, Brown. Monoliths in my teenage eyes.  

The excitement of the novel 2010 hung parliament and the injustice (as I saw it) of Nick Clegg (remember him?) ‘getting into bed’ with David Cameron instead of Gordon Brown had carried me all the way to the A-level Politics classroom. I was watching Ed attempt to tell Jeremy Paxman that, hell yeah, he was tough enough. A hung Parliament threatened again, until it didn’t. The Conservatives won enough to govern and the hope swelling in my breast was trodden down by spending upper sixth watching Donald Trump sweep to power.  

I have learned enough since then not to cast Sir Kier Starmer in the same mould. Sunak’s snap election is not a choice between two saviours, but two politicians compromised by the grit of reality and the inheritance of a set of global circumstances. 

Boris Johnson and Liz Truss, figures held up for their political savvy and economic foresightedness respectfully. To put it mildly, they did not live up to their messianic billing.

Often, we can make these political figureheads into messiahs, those who will come on a wave of hope to fix the nation’s problems, govern wisely, and bring unity. Perhaps, approaching July 4th, these feelings are intensified.  

There is much in these pages excellently denoting the deliberate co-opting of Christ for nationalistic political purpose, and I am suggesting that we are often willing collaborators, bringing a religious devotion to our ideology and those which propound it: “If only it were insert politician who were running the country, then everything would be much better!”  

This almost cultic reverence was present in some circles surrounding both Boris Johnson and Liz Truss, figures held up for their political savvy and economic foresightedness respectfully. To put it mildly, they did not live up to their messianic billing. For others, this devotion was saved for Thatcher, Blair, Cameron, Corbyn.  

A word of wisdom to my teenage self? Passion for politics is no bad thing, but devotion to human ideology is misplaced. 

Rishi Sunak and Sir Kier Starmer do not quite have the same star power, with Starmer especially coming across as the more doughty-and-dependable type. But it was ever thus. Human nature is inherently cyclical, and we swing from one archetype to the next, always in the hope that the next one in will do a better job than the last. 

The messiah is of course a Jewish concept, the awaited one who will deliver them from their enemies and lead them to a state of peace. Many have claimed to be the awaited one, but only one has convinced a multitude. We read of Jesus of Nazareth in our carol services every year that the government will be on his shoulders and the greatness of his government and peace will have no end. At the end of this year in which a new government is formed, perhaps these age-old claims have increased significance. They invite us to look beyond the immediate and the physical, to look beyond those names who dominate headlines, claiming to be the one who will deliver change and reverse decline.  

Saint Paul has some wise words for those of us wondering how we can engage with a political world feeling more divisive and divided than ever. He tells us to pray for our government, whether you want Labour or Conservative and end up with the reverse. It is a tough job, and he tells us to give due honour to those who lead us, engaging with politics, giving it the respect it is due. But looking to politicians for deliverance? St Paul would call that folly. He only had one saviour. 

For deliverance, we must look beyond the territorial and the electoral, to one who does not promise vote share or positive polling, but sacrifice and justice; to one who comes to us not with populism or popularity, but with lowliness, humility, and integrity. A word of wisdom to my teenage self? Passion for politics is no bad thing, but devotion to human ideology is misplaced. Do not put your trust in the cycle of human proclivities, but in the one whose government will have no end.