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
Nationalism
5 min read

Geert Wilders: heir apparent to an anxious nation

The election of a populist has shocked The Netherlands. Wim Houtman unpacks the result and explores anxious attitudes among electors, particularly Christians.

Wim Houtman is a senior editor with Nederlands Dagblad, a Christian daily newspaper in the Netherlands.

A politician in a suit stands amid a scrum of reporters holding microphones
Geert Wilders is at the centre of media attention in The Netherlands.

Much has been made in recent years of the similarity in appearance - their hair dos especially - between Donald Trump, Boris Johnson and Geert Wilders. All three sport this striking blond head of hair, invariably cut in the same style - be it with loosely non-conformist locks or carefully eccentric waves. 

It’s their trademark, it sets them apart - instantly recognizable. And it sends a message: Here is a leader who stands out, who doesn’t care what is ‘normal’ or ‘accepted’ or what others may think; he knows what he wants, he knows what you want and he will go for it. 

Until a fortnight ago, Dutch politician Geert Wilders was the leader of a relatively minor party on the far right, with a strong anti-Islam, anti-immigration agenda. His populist Partij voor de Vrijheid (PVV, Party for Freedom) had been around since 2006, hovering between 6 and 16 per cent of the vote. But suddenly, on November 22nd, he scored a whopping 24 per cent, becoming the largest party with 37 seats in the Lower House of the Dutch parliament, way ahead of the runner-up, the left-wing alliance of social democrats and greens at 25 seats. 

In the Dutch electoral system, this automatically gives Geert Wilders the lead in forming a new government. And here the problem starts. 

Now he wants to cash in on his victory to finally and decisively put his stamp on the country’s policies. At 60 years old, it may well be his last chance. 

So far, his party has been a wallflower in the political arena. Other parties have found his standpoints too extreme to bring on board. Today, however, looks very different. As the leader of the largest political party, Geert Wilders seems destined to become Prime Minister - at least he himself claims so. It would seem like going against the will of the people to stand in his way. But still, most other parties are reluctant to work with him.  

In its leader comment the morning after, the Dutch Christian daily newspaper Nederlands Dagblad recalled what kind of party and what kind of leader the country had just elected to be its next PM: 

‘Geert Wilders, who for years on end has branded democratically elected colleagues traitors to their country and a fake parliament. Who called the rule of law ‘corrupted’, after he had been persecuted and fined for collective insult. Who for years on end has hatefully offended entire sections of the population, because of their faith (Muslims) or their origin (Moroccan, Eastern European etc). Who wants to abolish religious freedom, leave the European Union, do away with the euro, end the military support to Ukraine, post soldiers along the nation’s borders, ban headscarves, disband climate policy and energy transition. Who wants to revert the apologies the King made last July for the nation’s slavery record. And so on, and so on.’ 

In the run-up to these latest elections, Mr Wilders ran a brilliant campaign in which he presented himself in a more moderate way, and pledged if he won, to be ‘the Prime Minister of all Dutch people’ - leaving aside the question what a person needs to qualify for being ‘Dutch’. Now he wants to cash in on his victory to finally and decisively put his stamp on the country’s policies. At 60 years old, it may well be his last chance. 

But if he is to lead the next government, and be successful at it, he will need to go through no less than a ‘deradicalisation programme’, the Nederlands Dagblad commentator wrote: ‘That’s the kind of test you can pass, but also fail.’ 

From Dutch Christians, you might say, the response to the first election victory of a populist party came in stages. 

At first, many of them were shocked, dismayed, and anxious. Their faith prompted them to strive for a government that will reach out to the poor, respect minority rights, care for the environment and welcome refugees. They had always known that Mr Wilders and his party had totally opposite ideas. But they had never expected him to gain any real political influence. Now, it felt as if they had woken up in a different country. 

But once some of the dust had settled down, there came room for other considerations, too. Surely not all 2.4 million PVV voters could be classified as extremists. The size of its electorate puts it rather in the range of a mainstream conservative party. Many people had voted for Mr Wilders out of disillusionment with the established parties who had governed the country for decades - and rightly so. 

It is one thing to say we must welcome asylum seekers, but it is another when you can’t find a place to live, because there is a shortage of affordable housing and refugees seem to get priority. It is one thing to say the government is there to support people who need help, but it is another when you experience you’re immediately suspected of fraud when you apply for a benefit. 

So Christian voters, like the general public, seem divided: some are shocked by the election result, others feel that their concerns have finally been heard. 

Up until 1967 Christian political parties had a majority in the Dutch parliament. Their support has shrunk steadily, but at this election it fell from 15 per cent in 2021 to no more than 7 per cent. And yes, some of their voters defected to the populist PVV.  

‘We have loved the stranger more than ourselves’, explained one of them in the Nederlands Dagblad newspaper. ‘It is better to begin at yourself; from there you can help the world. That’s what Mr Wilders stands for’.  

‘What decided it for me was the insight that this country needs real change’, commented another. ‘Not just some minor adjustments, but a firm pull to the right: a stronger policy on law and order, critical on the growing influence from Europe, battling poverty in our own country.’ Several Christians mentioned they had voted PVV because Mr Wilders is a keen supporter of Israel; they were worried about the anti-semitic tones in some quite noisy pro-Palestinian demonstrations because of the war in Gaza. 

So Christian voters, like the general public, seem divided: some are shocked by the election result, others feel that their concerns have finally been heard. 

The surprising election result seems to leave the country - and Christians in particular - with a couple of nagging questions. 

How to avoid stigmatizing PVV voters, and recognize that their problems are real and deserve solutions that are real? 

How to convince them that a party that has some anti-democratic tendencies and lives in denial of the big international and environmental crises cannot be the solution? And that care for the environment, refugees and the poor are authentic components of the Christian story, and not just after all of our own personal needs have been met?