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.  

Column
Comment
War & peace
4 min read

More marches might just make the point about peace

Protest marches highlight conflict close to home, as commentators cast around for agents of peace. George Pitcher thinks he might just know who they are.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A crowd of people on a protest march file down the street in one directions.
A recent pro-Palestinian march in London.
Austin Crick on Unsplash.

The Home Front of the Gaza war opened up in Britain last weekend. There had been pro-Palestinian marches since the conflict began on 7th October, but for many here it remained the equivalent of a “phoney war”, waged thousands of miles away. 

What brought it home were the threats to civil order presented to us over the Remembrance weekend. We now know that the end was drawing nigh for home secretary Suella Braverman when she wrote in The Times last week that the police response to self-styled peace marchers was inadequate. 

Whether or not her words inflamed far-right yobs to attack police at the Cenotaph is a matter of conjecture, but that and the massive pro-Palestine protest last Saturday leave no doubt that Israel’s military response to the Hamas atrocities on its people is now a very live issue on British soil. 

Many of us have consequently spent this week wondering about the right and proper way to respond to these events. We are, in a way, spoilt for commentary. Paul Goodman wrote presciently in The Times at the start of the week that there had always been a policy fault line between prime minister Rishi Sunak and his home secretary, just ahead of their political tectonic plates shifting, precipitating Braverman’s condemnatory earthquake of her former boss’s alleged betrayal and weakness. 

No one can be left in any doubt that there is now support for Hamas terrorism and racist intimidation of Jews on British streets. As a people, we can’t sit idly by and witness this development. The big question is what we do to protect the peace and who does it. Goodman concluded his piece by writing this: 

"We are waiting for someone, somehow, to help bring people of all kinds, ordinary Muslims not least, into a great political alliance of moderation, decency, sense and, yes, Britishness. Who is this saviour? Your guess is as good as mine." 

In an otherwise excellent piece, I’m tempted to respond to this pay-off thus: Well, duh! It’s almost like someone saying wistfully, in response to the challenges of illegal immigration which the UK faces, that if only there was some kind of pan-European federation of which we could be a member in order to sort the problem out collectively. The answer to that is staring us in the face, as is the answer to the question Goodman raises. 

I’d hope I don’t have to spell it out. It is the duty, even the obligation, of a state that has the Christian Church established in law as its moral arbiter to deploy those who witness to its faith as peacemakers between the potentially warring factions in our midst. If that means getting between Hamas sympathisers, racist yobs and frightened Jews who may or may not be Zionists, then so be it. 

We should confront in peace, though firmly, those who chant racist and hateful slogans. We should be visible in our demand for peace; that demand made to our polity, to our people and the United Nations.

Though we should not rejoice in it, this is our moment. So is this nation visible in its Christian witness to peace and reconciliation, to the defence of the helpless and innocent at the hands of those who would do them harm and would kill them? I’m afraid not. 

True, the House of Bishops of the Church of England has issued an unequivocal statement on the last day of October, calling for a kind of peace. It calls for the release of Israeli prisoners held by Hamas; for “humanitarian pauses” in the conflict to allow for the evacuation of suffering civilians; for safe areas for them and for the observance of “international humanitarian law”. 

But it stops short of calling for ceasefire. Why? Is there not a gospel imperative that the killing has to stop? But, anyway, the truth is that these are just words. We are called to action too. 

The organisers of the pro-Palestinian protests in the UK to date have called them peace marches. From what I’ve witnessed so far, I’ve no doubt that the vast majority of participants are doing just that – marching for peace. 

The Church should either join them, or organise its own peace marches, led by the cross, alongside people of all faiths and none. We should confront in peace, though firmly, those who chant racist and hateful slogans. We should be visible in our demand for peace; that demand made to our polity, to our people and the United Nations. 

Perhaps it is too much to hope that this leadership comes from our bishops. It may need to be a movement from the base up, the way Christian witness has been most effective throughout its history. Last weekend, a friend of mine visited a town-wide church celebration, “flags of all nations on the walls, 500 folk… a mix of elderly 1980s Charismatics, trendy Anglicans, plain Baptists and independents, African diaspora Pentecostals, young hipsters of all ethnicities”. 

This is where the hope will come from, (in every sense) the peaceful mass. So, when the estimable Mr Goodman asks rhetorically “who is this saviour?”, our answer should be clear: It’s ours.