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
Gaza
Israel
Middle East
4 min read

“Sometime the killing just has to stop”

Simple calls for peace are often against the grain of power, observes George Pitcher. Many still yearn for it, even when faced with complexities and impossibilities.

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

A dove stands on a concrete block wall.
A dove rests on a wall in Gaza, 2021.
براء حبوش on Unsplash.

I admire my friend Clive Stafford Smith for two principal reasons. He’s a demon pace bowler for my Vicar’s XI cricket team. And, as a lawyer, he has dedicated his career to defending prisoners on death row. I’m not sure whether batsmen or US attorneys find him the more threatening. But I know I’d want to have him on my side, whether on the pitch or in court. 

We always have to be careful how we describe people these days. I nearly wrote that Clive is an atheist; more accurately he is an unbeliever. He’s certainly pleased to have God on his side if it means appealing to the Christian conscience of jury members in a capital trial.  

But it’s two very ordinary comments that I remember from hanging out with him, which come to mind now as we witness the hatred of war in the Middle East and which evoke words spoken to me by the principal of my theological college some years ago:  

“Be very careful to notice, George, where you encounter the Christ.”  

Meaning that it won’t necessarily be among the pious, the faithful and the churched. 

The first was a comment I heard Clive make in an interview:

“It’s always been a rule of my life that if someone is being hated, you have to get between the hated and the hater.” I have tried, when I can, to stand in the corner of what we might call the “hatee”.  

The second was a phrase spoken by an actress in a play that arose from Clive’s work with the charity he co-founded, Reprieve. It’s a monologue comprising the story and the court evidence given in the US by Lorelei Guillory, whose six-year-old son Jeremy was taken and murdered by Rick Langley.  

Lorelei visited him in jail and subsequently appeared as Clive’s witness to plead that Langley be spared the death penalty. Her breathtaking words of explanation, which have stayed with me since, were simple:  

“Sometime the killing just has to stop.” 

It’s the simplest words that cut through the political noise and sophistry. I believe the voices of western powers should be calling for, insisting upon or even demanding a ceasefire between Israel and Hamas in Gaza. Our Church leaders have done so. But these voices are called naive or simplistic or disloyal, or worse. 

In the UK, London Mayor Sadiq Khan has called for a ceasefire, pitching him against his political party leader Sir Keir Starmer. Khan is a Muslim – again, let’s be careful to note where we encounter the authentic voice of peace. Conservative minister Paul Bristow has been sacked by the government for calling for a ceasefire, while prime minister Rishi Sunak continues to mouth that “Israel has a right to defend herself.” 

So, the call for peace, against the grain of power, comes from across the political spectrum. Against it are the claims of naivety and disloyalty, which state that the situation is far too complex for peace or that Israel must be left to its own self-determination.

Faced with complexities and impossibilities, both these writers seem to conclude, almost in prayer, with a yearning for peace 

But even here the runes read for ceasefire. Take two recent and prominent commentators on the conflict, again from across the political spectrum. And, again, we must be careful, in this febrile climate, how we describe people. These are not Jewish commentators, so much as columnists who happen to be Jews. 

One, Jonathan Freedland in the Guardian, writes a superb piece that this isn’t about Team Palestine versus Team Israel and picking which is wrong: “Israeli novelist and peace activist Amos Oz was never wiser than when he described the Israel/Palestine conflict as something infinitely more tragic: a clash of right v right.” His pay-off is devastating: “There are no winners – only never-ending loss.” 

The other, Daniel Finkelstein in The Times, writes equally soundly that foreign observers, calling for ceasefire, fail to understand Israel’s roots. He cites 1958’s blockbuster novel-to-movie Exodus to posit that Khan’s call for a ceasefire “was not merely wrong, not merely absurd… it was utterly pointless.” 

Yet he concludes with a quote from Exodus’s final scene beside an Arab and Israeli grave:  

“... the dead always share the earth in peace. And that’s not enough. It’s time for the living to have a turn.” 

Then Finkelstein’s own pay-off:  

“May it come to pass.” 

Faced with complexities and impossibilities, both these writers seem to conclude, almost in prayer, with a yearning for peace. It’s difficult to see how that peace comes without ceasefire. 

I’ve referenced a Muslim and Jewish voices so far. What of the third Abrahamic faith, the Christian voice?  

One hopes it joins the others, with the old hymn’s still, small voice of calm. It has to call for ceasefire. Because as my friend Clive puts it, we have to get between the hated and the hater. And as Lorelei said, sometime the killing just has to stop.