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Attention
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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.  

Review
Art
Attention
Culture
5 min read

The very image of kindness

Photography risks cruelty in search of sensation. Andrew Davison contrasts such works with Dorothea Lange’s compassionate gaze.

Andrew works at the intersection of theology, science and philosophy. He is Canon and Regius Professor of Divinity at Christ Church, Oxford.

A black and white close up of a mothers cradling her jaw in worry as children cuddle into her.
'Migrant Mother', Lange's best known image.
Public Domain, The J. Paul Getty Museum, Los Angeles.

Do you like your photography cruel or kind? I’m generally an enthusiast for kindness – an unsung virtue – but I was mesmerised by a 2019 show of photography by Diane Arbus (1923–71) at the Heyward Gallery, London, and she’s the cruellest of the lot. Her photographs are a study in the awkward, the disturbing, and the unusual: a pair of brothers with extraordinarily large ears, a child with a grimace and a toy hand grenade, a boy from a pro-war parade, wearing with straw boater and “Bomb Hanoi” badge. 

Arbus’s photographs have an undeniable charge. They hold your view. I’m glad, however, that I stand in front of her prints, not in front of her lens. She was not out to show you at your best. Here is Germaine Greer, describing a photoshoot with Arbus in the Chelsea Hotel in Manhattan. 

'Clutching the camera she climbed on to the bed and straddled me, moving up until she was kneeling with a knee on both sides of my chest. She held the Rolleiflex at waist height with the lens right in my face. She bent her head to look through the viewfinder on top of the camera, and waited… as soon as I exhibited any signs of distress, she would have her picture… Nothing would happen for minutes on end, until I sighed, or frowned, and then the flash would pop. After an eternity she climbed off me, put the camera back in her bag and buggered off. A few weeks later she took an overdose of barbiturates and slit her wrists.' 

Reviewing the Aperture monograph that would secure Arbus’s fame, Susan Sontag described her work as ‘a hymn to the isolation and atomization of the individual’. I am not sure that’s entirely fair. There was undeniable cruelty to Arbus. “You see someone on the street,” she wrote, “and essentially what you notice about them is the flaw.” Perhaps all photography risks cruelty, depicting us warts and all (at least before the advent of the Instagram filter, although I’m inclined to call Instagram filters the worst indignity of all). Yet, even in Arbus, just in portraying the human as human, compassion lurks at least just round the corner. 

But sometimes compassion is nearer at hand, even centre stage. For that, I turn to Dorothea Lange (1895–1965), and to a recently-opened show of her work at the National Gallery of Art in Washington, DC, entitled Seeing People. It holds Lange before us as the archetype of compassionate photography.  

Lange could not have produced the photographs she did, however compassionate she might have been, without time, care, and attention. 

Lange trained as a portrait photographer, establishing a successful studio in San Francisco in the 1920s. Her approach to photography as a humane act developed during her work documenting rural poverty in the decade that followed. With it, she drew public attention to the effects of the Great Depression and the dust bowl, and helped to shift the public mood. From 1935, she did that under the auspices of what would soon become the Farm Security Administration. A photograph taken in March 1936 – “Human Erosion in California” (eventually known as “Migrant Mother”) – proved to be her career-defining shot. It shows Florence Owens, mother of ten children, photographed in the pea pickers’ camp in Nipomo, California. She and her family were in a dire situation, constantly moving to find new, transitory work.  

In the 1940s, Lange documented the suffering of Japanese Americans during the Second World War (“Japanese American-Owned Grocery Store, March 1942”), not least once Japanese Americans began to be moved into internment camps (“Grandfather and Grandson of Japanese Ancestry at a War Relocation Authority Center, July 1942”). For the rest of her career, Lange would travel to places in the United States that rarely, if ever, feature in genteel conversation, to photograph people scraping through on very little, never failing to capture a sense of their dignity. 

So, Lange was a compassionate photographer. I knew that before this show opened, and kindness is there in print after print. I was expecting that. What struck me for the first time is that Lange’s compassion was no light, easily achieved affair. She was careful, prepared, painstaking. She spent extended periods in deprived parts of her country, sometimes travelling for months at a time. She immersed herself in the life of a community, not least in its religious life, rather as an anthropologist would. She took detailed notes, and laboured over how to describe her subjects in captions and accompanying prose. 

It is too easy to say that Lange was compassionate in way in which Arbus was not: too easy, if that implies that the fruits of her compassion were easily achieved. Lange could not have produced the photographs she did, however compassionate she might have been, without time, care, and attention.  

She ‘saw people’, as the name of this exhibition reminds us. She saw people is because she took time to look. Before she clicked her shutter, she looked, she saw, she listened. 

In contrast to Lange’s deliberate intent, Arbus was a wanderer. She had a remarkable eye, and she took what she wanted. She is among the greatest of opportunist photographers. Sontag got to the heart of that, remarking that Arbus treated human beings like the “found objects” that Surrealists elevated to the status of art: 

What may seem journalistic (read “sensational”) in Arbus’s photographs places them, rather, in the main tradition of Surrealist art—with their taste for the grotesque, the proclaimed innocence with respect to their subjects, their claim that all subjects are merely objets trouvés.  

Therein lies the difference from Lange. 

The world could do with more compassion. Who would deny that? The message of the Washington exhibition, and of Lange’s work as a whole, is that compassion is not the work of a moment. Posting outrage to social media, or posting solidarity for that matter, is not going to change very much at all. It may make things worse. Lange’s lesson for this hour is that compassion requires us to take time. Her message is in her anthropological attention to people, communities, stories. She ‘saw people’, as the name of this exhibition reminds us. She saw people is because she took time to look. Before she clicked her shutter, she looked, she saw, she listened. 

  

Dorothea Lange: Seeing People runs from 5 November 2023 to 31 March 2024 in the West Building of the National Gallery of Art, Washington, DC. Entry is free.