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
Middle East
Christmas survival
4 min read

Last Christmas in Bethlehem

With its Christmas displays cancelled, Bethlehem resident Christy Anastas writes about a bleak future for its Christian Palestinian community.

Christy Anastas is a Bethlehem resident. She is a Palestinian advocate for nonviolent ways of mediating a more stable Middle East.

A church gable featuring a cross, a Madonna and angel Christmas decorations.
2017 Christmas decorations on the Church of the Nativity, Bethlehem
Jana Humeedat, CC BY-SA 4.0, via Wikimedia Commons

Religious minority groups, like Christians, represent about one per cent of the overall Palestinian population. We feel stuck between a rock and a hard place in this conflict. As a consequence of this war, many of us are already planning to emigrate once the opportunity arises. If this happens, Bethlehem will virtually become a non-Christian city. This would be a sad outcome given it was the birthplace of Jesus Christ and that in the early 1900s the Christian population used to be just under 85 per cent. Now Bethlehem's population is approximately five per cent Christian. After this war we fear that these statistics would decrease even more. The main source of income of the city heavily relies on tourism, with almost 70 per cent of Bethlehem’s GDP due to religious pilgrims from all over the world visiting Jesus Christ’s birthplace, especially during Christmas.   

This is the first year for decades, when all Christmas festive displays have been cancelled in Bethlehem. This decision taken by Bethlehem municipality and the Palestinian church is a sobering and poignant one and comes with a financial heavy price paid by locals. Such traditions have been kept for decades, even during the second Intifada, so that between 2000 to 2005 a Christmas tree in Manager Square was still displayed each year. Even the Covid-19 pandemic did not stop Bethlehem from decorating the entire city. However, today many Palestinian Christians are not in a festive mood. The Israel-Hamas war is in its second month and has already a higher death toll than during the whole of five years of the second Intifada.   

A ceasefire is what Palestinian Christians will be praying for during this Christmas, alongside praying against the perpetual cycles of death, violence, and destruction. 

In my opinion it feels fitting to stand in solidarity with those who mourn, inspired by Paul’s letter to the Romans encouraging Christians to “Rejoice with those who rejoice; mourn with those who mourn”. During such devastating circumstances of the civilians in Gaza, Palestinian Christians are heartbroken at the enormity of lives lost and the desperate conditions experienced especially by children. The desire to celebrate the birth of the most important child in Christianity’s history is dimmed by the death toll of children in Gaza during this war. An ancient biblical proverb offers a powerful depiction of what it would be like for us Christians to celebrate Christmas as usual. It would have felt “like one who takes away a garment on a cold day, or like vinegar poured on a wound, is one who sings songs to a heavy heart.” 

However, the announcement of the cancellation issued by the head of Bethlehem municipality, was made exclusively in honour of Palestinian “martyrs”, in Gaza and the West Bank. This disappointing statement distorts the church’s role in the region as a peace builder and the bridge amongst different communities and ethnicities. In fact, it is an utterly missed opportunity for the church to demonstration its ethics and values in the region, especially when confronted with losses of lives across all ethnicities and religions. A more inclusive nuanced statement that could have honoured the suffering of all, could have been worded along the lines of offering tributes to the devastating losses of lives in the Israel-Hamas war since the 7th of October, without any discrimination or prejudice. That old proverb continues to say, “if your enemy is hungry, give him food to eat; if he is thirsty, give him water to drink.” 

The exclusivity of the statement's approach made by the churches was a lost opportunity to express a more authentic side of Christianity to the world revealed from its birthplace. It could have counteracted the way the church was portrayed in Europe during the Holocaust. It could have been the chance to respond in a less indifferent manner to the plights of the Jewish people in the region, rather than reiterate a similar stance of the European churches during World War II. 

A ceasefire is what Palestinian Christians will be praying for during this Christmas, alongside praying against the perpetual cycles of death, violence, and destruction, inspired by what our brothers and sisters in Gaza have conveyed to us in private communication. Christians in Gaza are pleading for peace and stating that as a community, they oppose violence. The zero-sum approach towards this war has made it difficult for us Christians to be true to our faith without being condemned or oppressed for it. When we call for a ceasefire, we are accused of supporting terrorism and denying Israel’s right to self-defence. However, when we want to acknowledge the suffering of the Israeli side during the 7th of October, we are deemed to be traitors. Our objective isn’t to attempt to prevent Israel from defending itself; rather, to suggest that the consequences of inflicting violence and bloodshed in retaliation could reinforce a stronger hold for violence and extremism in the region.  

Therefore, most Palestinian Christians do not feel they have the freedom to stand for their beliefs and the churches in the region are not portraying the best paradigm. In my opinion, this is one of the main factors behind the drastic decline of the Christian population generally especially in Bethlehem. It is also why they no longer hold as much power as they used to in influencing the culture and mindsets in the area. Their roles became more politicised which has gradually led them to neglect standing up for truth until it has become too dangerous to even express it. This could well lead to a reality where this would be the last Christmas in Bethlehem for a majority of Christian families.