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
Weirdness
3 min read

Be more St Patrick

How did the cultural icon win the hearts of the people that enslaved him?

Jamie is Associate Minister at Holy Trinity Clapham, London.

A parade particpant dressed as a bishop in green vestments with a false beard walks down a street.
A St Patrick’s Day parade participant, London, 2022.
Garry Knight, CC BY 2.0, via Wikimedia Commons.

The local pub has a sign out the front: 'Celebrating the Saints'. You would, too, if you were a landlord with Guinness on tap. And as we paint the town green, celebration is even more at the heart of St Patrick’s Day than we first realise. Beyond the frivolity, there’s foundations to be found in this kind of celebrating. St Patrick was a man who knew how to celebrate well. So instead of merely celebrating St Patrick, what if we were to celebrate like him? 

The link to St Patrick himself on St Patrick’s Day might feel as tenuous as a pub’s signage or an American politician celebrating their Irishness, but its origins are worth celebrating. St Patrick didn’t have an easy start. It’s a tale of pirates, a king, and turning around a country. Either born in northern England or Scotland in 385, he was taken to Ireland and spent about six years in forced labour before he had a vision or a dream to escape back to Britain. And yet he was then, remarkably, driven to return to Ireland, despite threats on his life. As someone faced with this antagonism, those of us looking to change the world today can learn a thing or two from his approach. 

In How the Irish Saved Civilization, Thomas Cahill wrote: 'Patrick found a way of swimming down to the depths of the Irish psyche and warming and transforming Irish imagination—making it more humane and more noble while keeping it Irish.' He was able to celebrate the good in what he saw, and inhabit the culture, while remaining distinctive, and changing it from the inside. 

Take a leaf out of St Patrick's book. Patrick had a mission, and Dr George G. Hunter writes that, without compromising, ‘One day, he would feel [the Irish] were his people.' Identifying with the enemy is probably not the first thing we try. When it comes to the battles we're facing as a society, and all the ways norms need to change, can we change ideas robustly, winsomely and gently all at once? Think of the kind of protest today that is polarising, loud, and often destructive rather than constructive. You don’t build bridges by damaging things. Clickbait doesn't mean connection. And pressure rarely leads to persuasion in things of significance. 

As our world finds itself on the rocks, we’d do well to not only get to the bottom of the glass, but also where all the energy for this celebrating originates. 

So how could he celebrate others, while staying secure in himself and his own values? His ability to celebrate others was found in the way he celebrated God. It was during St Patrick’s captivity that he was captured by his faith and became captivated by Jesus Christ. The prayer known as St Patrick's Breastplate shows a man totally immersed in God. It’s both the resolve and the resilience he found in the Trinity that characterised his life. John H. Darch and Stuart K. Burns write: 

'The adventures and escapades of his journey home honed his reliance upon God, and when he finally returned to his family he felt that he should become a priest, and began a period of training that was to last for several years. According to tradition, some years later in 431 Patrick, newly consecrated bishop, returned to Ireland. He devoted himself to evangelism, reconciliation amongst local chieftains, and the training of monks and nuns.’ 

So, as we raise a Guinness or a whiskey, we are inadvertently celebrating a man who changed the hearts and minds of a nation through prayer and the practical presence of the church in the country. As our world finds itself on the rocks, we’d do well to not only get to the bottom of the glass, but also where all the energy for this celebrating originates.