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.  

Essay
Comment
Identity
Nationalism
11 min read

Strangers and identity in a global age of nationalism

Exploring inclusive and exclusive nationalism, the challenge to dialogue with those who may see things differently.

Miroslav Volf is Professor of Theology at Yale Divinity School and is the Founder and Director of the Yale Center for Faith and Culture.

A person holds the vertical tall steel bars of a border fence.
Max Böhme on Unsplash.

Born in the former country of Yugoslavia and raised in both Serbia and Croatia, before they fought for their respective independence, Miroslav Volf has experienced nationalism and identity politics firsthand. The theologian, now based in the United States, examines nationalism and the Christian responses to its challenges. 

 

Nationalisms are surging today across the globe. A marginal phenomenon barely two decades or so ago, nationalist and populist movements have now gained political traction in many countries in response to a growing awareness of the failures and injustices of market-driven globalization. 

Christians are called to care for the well-being of their communities, and in principle, nationalism can be a way of attending to the specific needs of the neighbors who happen to be fellow citizens. Just as we care for our families, our communities, and our cities, so also we might care for our nation. We might call this form of national loyalty grounded in universal commitments to humanity “inclusive nationalism.” However, sometimes nationalist movements take a hostile turn towards outsiders. They become rooted in a sense of exceptionalism or even superiority; they become “exclusive” in the ways they think about moral commitments. 

How can we hold together our particular commitments to those around us, while also acknowledging that the command to love our neighbor is not limited to our co-citizens? 

Idols are easier to come by than we might realize. In the famous image of John Calvin, our hearts are idol factories. 

God and idols 

In giving a Christian answer to these questions concerning our fundamental loyalties, there is no better place to start than the first line of that great description of the Christian faith - the Nicene Creed:  

“I believe in one God, the Father Almighty, maker of heaven and earth.”  

Only God is God; all other would-be gods are false gods making empty promises. The law God gave to Moses demands that we have no other gods before God, and that we not make for ourselves any idols. Modern people in our cultures are not often tempted to make “graven images” for themselves, or to bow down and worship things, so this may seem like a quaint prohibition.  

However, something can be an idol without this kind of ritualized service. An idol instead can be anything that we are devoted to rather than to God. Following St. Augustine, we might think of an idol as something we love more than God, that we spend more of our energy trying to attain or to please than God. Following Martin Luther, we might also think of an idol as something we trust more than God, that we rely on for security or success when things get tough. In other words, idols are easier to come by than we might realize. In the famous image of John Calvin, our hearts are idol factories. We love to commit to people, things, and ideas first, and to God second. 

Friends, families, cultures, nations are not just things that we love, but people from whom we receive important aspects of our very selves 

Turning to the question of political allegiance, then, the prohibition of idols means that for Christians, loyalty to God must come before loyalties to families, cultures, or nations. In fact, Jesus even tells his disciples that they must hate their fathers and mothers if they are to follow him —otherwise, they are in danger of idolatry! Now, the main way we can follow Jesus in our relationships with others is by following the second greatest commandment: to love our neighbors as ourselves. Jesus even heightens this command still further: we are to love our enemies and pray for any who persecute us.  

Idolatry and identity 

The things that we love, the things we pledge our loyalty to, in some sense become part of who we are. They shape our identity. This might be true of a hobby or a career in a general sense. The sentences “I am a gamer” or “I am a scientist” describe not just what we do, but who we are. This is more clearly the case with the personal loyalties described above. Friends, families, cultures, nations are not just things that we love, but people from whom we receive important aspects of our very selves. In his famous book City of God, Augustine defined “a people” as a collection of persons united and oriented by a common love. Their identity as a people simply is this shared love.  

Christians therefore must let Jesus’ commands to love others shape their sense of self. To love our neighbors is to define ourselves in part by our care for those near us. To love our enemies is to define ourselves by benevolence even for those who are far from us or who would hurt us. Since Christians are called to follow Christ first, to have no other gods before God, these new self-definitions must shape even the most fundamental loyalties in our lives. Before Christians are citizens of their respective nations, they are those who love even the enemies of their nations. 

As finite creatures, we cannot serve the whole world in one lifetime; we need to make choices about where we will choose to act in love. 

Loves, idols, and nationalism 

Exclusive nationalism, however, is just one of many ways modern politics asks us to prefer members of one group to those of another. Loyalty to our own people becomes more important than love for others beyond our nation or group. In the context of our discussion so far, then, this amounts to a form of idolatry.  

To be clear, our specific relationships are given to us by God and are good things that we ought to treasure. Nevertheless, it is often the good things of the world that are the easiest to turn into idols, by devoting ourselves more to them than to God. Sometimes, in fact, religious leaders or politicians will use Christian principles to emphasize the value of these good relationships and loyalties—but subtly it turns into a scenario where faith in Christ serves the particular loyalty, rather that loyalty expressing faith in Christ. One of the most insidious results of this kind of political theology is that it can turn Christianity into a ‘prosperity religion' or a ‘political religion'— we end up trying to use God to serve our own ends.  

Instead, the command to love not just our neighbor but especially our enemy must itself shape our commitments to the communities we find ourselves within. As finite creatures, we cannot serve the whole world in one lifetime; we need to make choices about where we will choose to act in love, and these choices are governed in part by these particular identities. These identities and loyalties, then, are instances of broader commitments. One can love one’s own family or nation in some sense first, but never at the expense of those outside. If the love of nation starts to compete with love for humanity, it ultimately betrays its own foundation.  

Our national identities must not be conceived of as firmly bounded circles serving to connect us to some only by separating us from others. 

Fair enough, some will say, but don’t some nationalisms simply ask us to take care of America first or Britain first, rather than asking us to entirely dismiss the concerns of all other peoples? Here we must think more about what it might mean for concern for America or Britain to be actively shaped by love for our neighbors and our enemies. In particular, I want to argue that this shaping must take the form of opening these identities and communities outward—of reconfiguring them in ways that make them proactively ready for and open to, and even in some sense perhaps dependent on and learning from, those that are far away or strangers who come in need of our hospitality.  

It's easy to think we love humanity in general while feeling no responsibility to the concrete strangers in front of us. But a love for humanity that does not help us to feel this responsibility is worthless. It is just the love for an idea. The question, therefore, is not “how do my specific loyalties to my community remain consistent with my commitments to humanity as an ideal,” but rather, “how do my specific loyalties to my community encourage my commitments to the specific strangers in front of me, enmeshed as they are in specific loyalties of their own?” After all, we love our family members and our fellow citizens because we must love all human beings and we must start with those closest to us. Precisely the same logic underlies our responsibility to the stranger, the non-citizen or immigrant, in front of us. 

In light of the prohibition of idolatry, our national identities must not be conceived of as firmly bounded circles serving to connect us to some only by separating us from others. True, identities always operate on some logic of boundary, or at least of proximity and distance, or else they would be evacuated of all content. However, these distinctions must always be understood as depending on concrete relationships wherein love is demanded, and therefore also as always being open to, even being constituted by, constant renegotiation. The boundaries of our identities must be kept porous and flexible, ready to readjust to welcome the stranger. 

An example may help here. To live in the UK or in the US, for example, is, in some sense, just to have certain specific relationships to a person’s own culture, family, geographic neighbors, and so on. Family loyalty, cultural pride, and patriotism, insofar as they are virtues, are derivative virtues from following the demands of love towards those neighbors who are closest to us.  

The work of modern historians shows us how our cultural identities are products of long trajectories of exchange, conflict, and hybridity. 

However, in this day and age, to live in the UK or in the US is no less to have certain specific relationships to various groups of immigrants, refugees, and asylum seekers, even if the machinations of globalization, gentrification, and so on try to hide this fact from us. Indeed, the histories of colonial power and imperial conquest that these nations are caught up in only serve to expand the scope and deepen the responsibility of the question: “And who is my neighbor?” The same duties of love apply to our non-citizen neighbors, in the same channels of concrete proximity; therefore, these relationships constitute an identity as a citizen of the UK or the US no less than the familiar relationships of culture and blood.  

Our very identities, thus, must be chastened by the warning against idolatry and the reciprocal command to love. The work of modern historians shows us how our cultural identities are products of long trajectories of exchange, conflict, and hybridity. Similarly, the Christian call to love our neighbor, and even our enemy, suggests that we must not be overly concerned with maintaining identitarian “purity.” Instead, we must always be willing to make space, not just “somewhere else” but in our very homes, even in our very identities, for real relationship with the stranger. This is what the open arms of welcoming embrace signify—an offer to renegotiate the space that we ourselves occupy in order to make room in love for the proximity of the other.  

Double vision 

This relativization of identities will also mean a relativization of our own claims to stable and secure knowledge. Nations and cultures typically have preferred ways of looking at the world, preferred values, and preferred ways of evaluating or proving claims to true belief. We can all think of various ‘British values' or 'American values’, for example. Importantly, we don’t usually experience these things (freedom, say) as only valuable for us, but as valuable in general, for everyone. Nationalism is then in danger of becoming cultural imperialism: our values are better than yours, and we will share them with you.   

The prohibition of idolatry again chastens us. Idolatry is not just the worship of a graven image of God instead of the real God, but also worshiping our own preferred ideas of God instead of God as God really is. God’s transcendence means that our ideas of God can never fully contain God, and therefore there will always be more to God than we can understand. This, in turn, means always being willing to let our visions of the world be challenged, even—and especially—by those we might consider outsiders to truth.  

This is not to say we must always try to get above or behind” our national idiosyncrasies. There is no such thing as a view from nowhere; neither would it be desirable, even if it were possible. Just as to be human is to be in relationship with a particular set of proximate neighbors, so it is also to have our perspectives on God’s truth shaped by our cultural surroundings. The solution is not to try to strip off these identities, to try to be “neutral” by standing further back from the loves that tie us to particular relationships. Rather, it is to always push ourselves into productive dialogue with those who may see things differently from us.   

For example, during the Cold War, Soviet propaganda highlighted the problem of race relationships in the US as the failure of capitalism. This critique was certainly not made in good faith—but it was still the case that a foreign and hostile power was able to see certain aspects of justice more clearly than some of us in the West were able to do at the time. Similarly, a refusal of idolatry means being willing to learn more about God’s goodness from other nations and cultures. This is an especially important attitude to maintain as regards those nations and cultures that might seem opposed to those good things we love about our own.  

Conclusion 

Questions of identity and the stranger will only continue to grow in importance in our increasingly global age. It is important to remember that populist nationalism is responding — and responding wrongly — to real problems with market-driven globalization. However, the concern to acknowledge human finitude and to serve God concretely where God has placed us must not lead us to idolize these particular commitments. Followers of Jesus must be those who love both their enemies and citizens of their own nations.  

The sketches offered here are invitations to act prudentially, in concrete ethical commitments, in prayerful reliance on God who gives wisdom generously to those who ask. They cut across political stances and party affiliation, representing a genuine and distinct way Christians can contribute out of their faith and to the common good. They are countercultural suggestions in an age marked by nationalistic and identitarian fervor. Most importantly, however, they are ways we can follow the God who is unconstrained by human limitations and who has made space in the divine life for sinners like us.