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.

Henna Cundill

Henna is a researcher with the Centre for Autism and Theology at the University of Aberdeen.

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.

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Morality

Politics

11 March 2024

6 min read

The moral sugar high of the protest vote

We shouldn’t give politicians bloody noses over insurmountable single issues.

Yaroslav Walker

Yaroslav is assistant priest at Holy Trinity, Sloane Square, London.

A winning candidate at an election address the audience from a lectern while the loosing candidates look on

The victorious candidate at the Rochdale by-election.

A cat was elected as a Member of Parliament. A cat. George Galloway - former Labour party MP and Rula Lenska’s former cat - has been elected as Member of Parliament for Rochdale. The unique circumstances of the by-election make this a less surprising result than one might think. The Labour Party disowned their candidate, the Tory Party hardly contested the seat, and the sheer number of inappropriate independents meant that a split-vote victory for Galloway was entirely foreseeable. One must also note Galloway’s many skills: as a campaigner, an orator, and a dirty-tactic by-election gadfly.

So…Rula Lenska’s cat did the unimaginable and won a seat in Parliament. How did the cat do this? He convinced people that they could vote for him to protest the current Parliamentary position on the Israel-Gaza War. In his victory speech, Galloway gave an ominous warning: “Keir Starmer…this is for Gaza.” He went on to intimate that his victory was due to the high proportion of Muslim voters in Rochdale; their disgust at the Labour Party’s response to the Israeli invasion of Gaza morphing into a wish to give Keir Starmer (‘one cheek of the same backside’ - Rishi Sunak being the other cheek) a bloody-nose. He warned that Starmer “…will pay a high price for…enabling, encouraging, and covering for the catastrophe presently going on in occupied Palestine, in the Gaza strip.”

My fellow voters are intelligent enough to recognise that the single addition of George Galloway to the green benches will do almost nothing to affect change. They have voted so, the general consensus goes, simply to register their fury at the plight of ‘fellow Muslims’. I simply want to respond with a question. Is this moral?

People vote for all sorts of reasons. If we believe political scientists and pollsters, voters might care about many things, but will end up voting on the basis of one thing. Normally the economy. One’s own economic interest is a perfectly rational reason to vote for one party’s promises than another. There is a potential immediate impact on our lives and those of our family and friends. But Gaza?

Sociologists have spilt a tremendous amount of ink describing how human communities tend towards ‘tribal’ affection. We tend to feel more connected to those who are like us - in terms of geographic location, in terms of obvious racial characteristics, in terms of language and culture, of course religion. The notion that the Gazan War is a war on Muslims would be a natural driver for the Muslim community of Rochdale to vote ‘for’ their fellow Muslims.

On the other hand, in the world of modern ethics there has been a move to recognise that such tribal allegiance is ultimately meaningless - a call to see all human beings as equally worthy of our care and attention, especially irrespective of geography. Peter Singer famously presented the thought experiment of a drowning child - if we are willing to get our shoes wet and muddy to save a drowning child we walk by a shallow pond, why aren’t we willing to give up some of our wealth to alleviate the war-stricken poverty of a Gazan child many miles away?

The people of Rochdale must vote as their conscience requires. I simply worry that their conscience has taken on an impossible burden of care that they will struggle to sustain.

The words of Jesus seem to support such an ethic, which is always global in its vision. We are not only to love our neighbour as ourselves, we are to go out into all the world, evangelising the nations. From its beginning the Christian faith has preached that loving our neighbour means loving everyone. Everyone is a beloved child of God. Everyone is our neighbour. Surely a vote for Galloway, a vote of rage against the occupation of Gaza, is fundamentally moral - either on grounds of tribe, or rejection of tribe. Surely its Christian!

I’m not so sure.

I’m not so sure we fallen humans actually have the capacity to ‘care’ about the horrors that go on many, many miles away. Jesus tells us to love our neighbour as ourselves, but we barely have the emotional energy to love ourselves. We live in a society of such activity and distraction - with a seemingly concomitant rise in the incidence of hopelessness and depression - that I don’t think we can really give our moral and emotional energy to an event as distant and overwhelming as the plight of Gazan civilians. We can barely give it to our families. We can barely give it to ourselves. C S Lewis once wrote that the best way of eradicating suffering was people working away quietly at limited objectives: “I think the art of life consists in tackling each immediate evil as well as we can.”

Jesus was the ultimate localist - God became incarnate as a unique individual, of a particular tribe, of a particular nation, in a particular time and place. Jesus taught an ethic of universal love and dignity and respect, but lived out in specific acts of service. He didn’t wash the feet of all Jerusalem - just his disciples. He didn’t heal all disease everywhere and forever - but he did restore sight to the few blind people he met. St Paul wrote individual letters to individual communities. Yes, he asked them to pray for him and each other, but otherwise told them to focus on their immediate needs and charity and holiness. The popularity of Jordan Peterson is largely based on the achievability of his slightly nebulous self-help worldview: make YOUR bed, keep YOUR back straight, look after YOUR family. Improve yourself first if you want to even begin improving the world. You’ll probably never manage to improve more than your village…maybe only your own household. That might be enough.

I don’t judge those who voted for Galloway as a Gaza-conflict protest. A new campaign, ‘The Muslim Vote’, has emerged to persuade Muslim voters to lend their support to candidates who commit to ‘Peace in Palestine’ – ceasefire, sanction Israel, and a state for the Palestinians. It is becoming clear that what appears to have happened in Rochdale may well happen in constituencies up and down the country. The idea of the ‘Muslim vote’, which Galloway was able to turn into electoral victory, is being given form and force. It is emotive and persuasive, and may well convince people who have no link to Gaza other than their Muslim faith. It is entirely possible that some of the voters have family and friends trapped in the siege. I empathise with their vote and weep for their sorrow.

I don’t judge those who voted for Galloway as a Gaza-conflict protest. I do, however, worry that many have taken upon themselves a fundamentally unwieldy ethic. Galloway is not a one-man parliamentary wrecking ball - whatever he says. The position of the Government will not be changed by his election. The resolve of the Israeli military is unlikely to be dinted by the UK Government, no matter what resolutions the House of Commons passes. The people of Rochdale must vote as their conscience requires. I simply worry that their conscience has taken on an impossible burden of care that they will struggle to sustain. Perhaps they would be more fulfilled and more effective if they cast their vote on the basis of what could be achieved for them in their community, in the immediate future.

We must pray for the people of Gaza, and we must not cease praying; but I would suggest that we must vote in the interests of the people of our own place, our own constituency. Giving the Labour Party a bloody nose over Gaza might be an immediate moral-sugar-high. Electing an MP who will actually work for the needs of the community in their particularity will certainly be less instantaneously thrilling - but maybe it is more moral.