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
Community
Politics
5 min read

A tents dispute about how to help the homeless

To house the homeless, argues Jon Kuhrt, silly soundbites and hasty policies need to be replaced with the right relationships and radical reform.

Jon Kuhrt is CEO of Hope into Action, a homelessness charity. He is a former government adviser on how faith groups address rough sleeping.

In an underpass a pedestrian passes and look at the tent of a homeless person.
Spielvogel, CC BY-SA 4.0, via Wikimedia Commons.

2011: London’s Westminster City Council proposes byelaws to ban rough sleeping and to prevent groups distributing food to people in need, known as ‘soup runs’, in the Victoria area.  

The proposals caused an almighty uproar from charities and community groups and demonstrations outside the council offices. In addition, both the London Mayor Boris Johnson, and the Conservative central government spoke out against the plans.  In the end the proposals were quietly withdrawn. 

At the time I was Director of the West London Mission, a homelessness charity based in Westminster. We worked closely with both churches and the council but we publicly disagreed with the plans because they were divisive, polarising and unworkable. 

‘Lifestyle choice’ 

2023: The Home Secretary, Suella Braverman, makes comments on social media about cracking down on rough sleepers who sleep in tents. Among other comments, Braverman said: 

"We cannot allow our streets to be taken over by rows of tents occupied by people, many of them from abroad, living on the streets as a lifestyle choice.”  

Again, Braverman’s comments have provoked an avalanche of criticism. In the middle of a housing and cost of living crisis, the accusation that people living in tents are simply making a ‘lifestyle choice' is rightly seen by many as simplistic, harsh and deeply unhelpful to addressing the serious issue of rough sleeping.  

Nothing represents UK poverty and exclusion with such visceral power as the sight of someone huddling in a doorway.  Therefore, to the average person, providing help to rough sleepers makes sense. Banning help appears harsh and inhumane. These are issues that need talking about carefully and compassionately. 

After 25 years of working for homeless charities, I worked for four years in the Government’s Rough Sleeping Initiative as an Adviser on how faith and community groups addressed homelessness. Building trust and cooperation between charities, churches and government was the key focus of my work.   

And probably the most sensitive of all issues is how the outdated ‘Vagrancy Act’ of 1824 could be replaced.  I know what frustration the Home Secretary’s ill-judged comments will cause to those in government working hard on reducing rough sleeping.  

Dangerous and insecure 

But whilst it’s right to condemn Braverman’s comments, we have to consider how we respond and not simply add to the unhelpful polarisation of these issues. The answer to anti-tent rhetoric is not to encourage people to give out more tents.  

It may sound obvious, but the key thing to focus on is the welfare of rough sleepers at the heart of this discussion. And that does not mean we endorse every form of help that is offered.  

The truth is that the rise in the use of cheap tents to sleep rough in is a genuine problem that local councils and charities have been struggling to address. They often create dangerous and insecure environments and can easily mask people’s serious declines in physical and mental health. 

Christian response 

A few years ago, I worked closely with All Saints Church in the centre of Northampton because they had 15 tents pitched in their churchyard.  The drug use, defecation and other behaviours of those living in the tents were genuinely anti-social and problematic.  Tensions with the council were rising and the vicar, Oliver Coss, was grappling with what the right Christian response was.  Of course, there was genuine housing need in the town but what was happening in his churchyard was no good for anyone. 

Through careful discussions, we brokered a plan of joint action between the church, the local authority and the key local charity. Those sleeping rough in the churchyard were given notice and were told the tents would be removed on a certain date but alongside this, interviews and offers of housing were made to everyone.  I have huge respect for the way Rev.Coss navigated these tricky waters with resolve and compassion.  He took heat, especially when the national press picked up the story but he steered a course which was genuinely best for all concerned. Theologically, his actions were the right blend of grace and truth

Relationship and trust 

Last winter I was involved in a similar way with an encampment in the park right behind my house in south London. It was causing serious concern to many local people due to the fires being lit, rubbish piling up and the vermin it attracted. I got to know almost all of the occupants of the camp as they attended a drop in meal I run at my church. The relationship and trust we developed helped me liaise between them and the council’s rough sleeping coordinator and this led to the camp being cleared and each of them offered temporary accommodation. 

Informed debate 

Rather than hasty policies or silly soundbites, we need a more honest and informed public discussion about rough sleeping.  Addressing homelessness is complex because it involves an interweaving of structural injustice and the personal challenges that individuals face. Simplistic comments may work well on social media, but they don’t help people in the real world.   

Enforcement is not the dirty word it is often made out to be – sometimes it is a vital ingredient in helping someone change their life.  But in order to work, it must always be accompanied by a valid offer of accommodation, a meaningful step off the streets. And for too many, especially non-UK nationals, no such step exists.  

Radical reform 

Housing should be the key issue in the next election. We need urgent and radical policy reform to build more social housing. Record numbers are housed in expensive temporary accommodation which is causing bankruptcy in some local authorities. Millions of pounds of public money has been wasted in housing people for years in hotels which could have been used so much more productively.  

We need more of the longer-term, community-based solutions to homelessness such as those pioneered by Hope into Action. We attract investment to buy houses which we turn into homes for people who have been homeless. In addition to professional support, each house is connected to a local church who provide friendship and community. 

People sleeping rough in tents is not a ‘lifestyle choice’. It is the visible tip of a vast homelessness iceberg in this country caused by relational poverty and chronic underinvestment in affordable housing.  And if we do not address the problems beneath the waterline, then we should not be surprised to see more tents appearing in our towns and parks.