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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.  

Essay
AI
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11 min read

The summit of humanity: decoding AI's affectations

An AI summit’s prophecies need to be placed in the right philosophical register, argues Simon Cross. Because being human in an AI age still means the same thing it has for millennia.

Simon Cross researches ethical aspects of technology and advises on the Church’s of England's policy and legislative activity in these areas.

An AI generated image of robot skulls with bulging eyes on a shelf receding diagonally to the left.
Alessio Ferretti on Unsplash.

The UK’s global artificial intelligence (AI) conference is nearly upon us. If the UK had a ‘prophecy office’ it would have issued a yellow or even amber warning for the first days of November by now. Prophecy used to be a dangerous business, the ancient text of Deuteronomy sanctioned death for false prophets, equating its force with a leading away from God as the ultimate ground of truth. But risks duly acknowledged, here is a prophecy about the prophecies to come. The global AI conference will loudly proclaim three core prophecies about AI. 

  1. This time it’s different. Yes, we said that before but this time it really is different. 
  2. Yes, we need global regulation but, you know, it’s complicated so only the kind of regulation we advise is going to work.  
  3. Look, if we don’t do this someone else will. So, you should get out of our way as much as you possibly can. We are the good guys and if you slow us down the bad guys will win. 

I feel confident about this prediction not because I wish to claim the office of prophet but because just like Big Tobacco and Big Oil, Big Tech’s lobbyists will redeploy a tried and tested playbook. And here are the three plays at the heart of it. 

Tech exceptionalism. (We deserve to be treated differently under the law.) 

Regulatory capture. (We got lucky, last time, with the distinction between platform and publisher that permitted self-regulation of social media, the harvesting of personal data and manipulative design for attention, but the costs of defeating Uber in California and now defending rearguard anti-trust lawsuits means lesson learned, we need to go straight for regulatory capture this time). 

Tech determinism. (If we don’t do it, someone else will. We are the Oppenheimers here.) 

Speaking of Pandora 

What should we make of these claims? We need to start by exploring an underlying premise. One that typically goes like this “AI is calling into question what it means to be human”. 

This premise has become common currency, but it is flawed because it is too totalising. AI emphatically is calling into question a culturally dominant version of human anthropology – one specific ‘science of humanity’. But not all anthropologies. Not the Christian anthropology.  

A further, unspoken, premise driving this claim becomes clearer when we survey the range of responses to the question “what does the advent of what the government is now calling ‘frontier’ AI portend?”  

Either, it means we have finally prized open Pandora’s box; the last thing humans will ever create. AI is our Darwinian evolutionary heir, soon to make us homo sapiens redundant, extinct, even. Which could happen in two very different ways. For some, AI is the vehicle to a new post-human eternal life of ease, roaming the farthest reaches of the universe in disembodied digital repose. To others, AI is now on the very cusp of becoming abruptly and infinitely cleverer than us. To yet others, we are too stupid to avoid blowing ourselves up on the way to inventing so-called artificial general intelligence.  

Cue main global summit speaking points… 

Or, 

AI is just a branch of computing. 

Which of these two starkly contrasting options you choose will depend on your underlying beliefs about ‘what it means to be human’. 

Universal machines and meat machines 

Then again, what does it mean to be artificially intelligent? Standard histories of AI always point to two seminal events. First, Alan Turing published a paper in the 1930s in which he proposed a device called a Universal Turing Machine.  

Turing’s genius was to see a way of writing a type of programme to control a computer’s underlying binary on/off in ways that could vary depending on the task required and yet perform any task a computer can do. The reason your computer is not just a calculator but an excel spreadsheet and a word processor and a video player as well is because it is a kind of Universal Turing Machine. A UTM can compute anything that can be computed. If it has the right programme.  

The second major event in AI folklore was a conference at Dartmouth College in the USA in the early 1950s bringing together the so-called ‘godfathers of AI’.

 This conference set the philosophical and practical approaches from which AI has developed ever since. That this happened in America is important because of the strong link between universities, government, the defence and intelligence industry and the Big Tech Unicorns that have emerged from Silicon Valley to conquer the world. That link is anthropological; it is political, social, and economic and not just technical. 

Let’s take this underlying question of ‘what does it mean to be human?’ and recast it in a binary form as befits a computational approach; ‘Is a human being a machine or is a human being an organism?’ 

Cognitive scientist Daniel Dennett was recently interviewed in the New York Times. For Dennett our minds and bodies are a “consortia of tiny robots”. Dennett is an evolutionary biologist and a powerful voice for a particular form of atheism and its answer to the question ‘what does it mean to be human?’ Dennett regards consciousness as ephemera, a by-product of brain activity. Another godfather of AI, Marvin Minsky, famously described human beings as ‘meat machines.’

By contrast, Joseph Weizenbaum was also one of the early computer pioneers in the 1960s and 1970s. Weizenbaum created one of the first ever chatbots, ELIZA– and was utterly horrified at the results. His test subjects could not stop treating ELIZA as a real person. At one point his own secretary sat down at the terminal to speak to ELIZA and then turned to him and asked him to leave the room so she could have some privacy. Weizenbaum spent the latter part of his professional life arguing passionately that there are things we ought not to get computers to do even if they can, in principle, perform them in a humanlike manner. To Joseph Weizenbaum computers were/are fundamentally different to human beings in ways that matter ineluctably, anthropologically. And it certainly seems as if the full dimensionality of human being cannot yet be reduced to binary on/off internal states without jettisoning free will, consciousness and transcendence. Prominent voices like Dennett and Yuval Noah Harari are willing to take this intellectual step. Their computer says ‘no’. By their own logic it could not say otherwise. In which case here’s a third way of asking that seemingly urgent and pressing question about human being;  

“Are we just warm, wet, computers?” 

The immanent frame 

A way to make sense of this, for many people, influential and intuitively attractive meaning of human being is to understand how the notion of artificial intelligence fits a particular worldview that has come to dominate recent decades and, indeed, centuries. 

In 2007 Charles Taylor wrote A Secular Age. In it he tracks the changing view of what it means to be human as the Western Enlightenment unfolds. Taylor detects a series of what he calls ‘subtraction stories’ that gradually explain away the central human experience of transcendence until society is left with what he calls an ‘immanent frame’. Now we are individual ‘buffered selves’ insulated by rational mind so that belief in any transcendent reality, let alone God, is just one possible choice among personal belief systems. But, says Taylor, this fracturing of a shared overarching answer to the question ‘What does it mean to be human’ over the past, say, 500 years doesn’t actually answer the question or resolve the ambiguities. Rather, society is now subject to what Taylor calls ‘cross pressures’ and a lack of societal consensus about the answers to the biggest questions of human meaning and purpose. 

In this much broader context, it becomes easier to see why as well as how it can be the case that AI is either a profound anthropological threat or just a branch of computing – depending on who you talk to… 

The way we describe AI profoundly influences our understanding of it. When Dennett talks about a ‘consortia of tiny robots’ is he speaking univocally or metaphorically? What about when we say that AI “creates”, or “decides” or “discovers” or ‘seeks to maximise its own reward function’. How are we using those words? If we mean words like ‘consortia’ or ‘choose’ and ‘reward’ in as close to the human sense as makes no difference, then of course the difference between us and our machines becomes paper-thin. But are human beings really a kind of UTM? Are UTMs really universal? Are you a warm wet computational meat-machine?  

Or is AI just the latest and greatest subtraction story?

To say AI is just a branch of computing is not to say the harms of outsourcing key features of human being to machines are trivial. Quite the opposite. 

How then should we judge prophecies about AI emanating from this global conference or in the weeks and months to follow?  I suggest two responses. The first follows from my view of AI, the other from my view of human being.  

Our view of current AI should be clear eyed, albeit open to revision should future development(s) so dictate. I am firmly on the side of those who, without foreclosing the possibility, see no philosophical breakthrough in the current crop of tools and techniques. These are murky philosophical waters but clocks don’t really have human hands now do they, and a collapsed metaphor can’t validate itself however endemic the reference to the computational theory of mind has become.  

Google’s large language model, Bard, for example, has no sense of what time it is where ‘he’ is, let alone can freely choose to love you or not, or to forgive you if you hurl an insult at ‘him’. But all kinds of anthropological harms already flow from the unconscious consequences of re-tuning human being according to the methodological image of our machines. To say AI is just a branch of computing is not to say the harms of outsourcing key features of human being to machines are trivial. Quite the opposite. 

Which brings me to the second response. When you hear the now stock claim that AI is calling into question what it means to be human, don’t buy it. Push back. Point out the totalising lack of nuance. The latest tools and techniques of AI are calling a culturally regnant but philosophically reductive anthropology into question. That much is definitely true. But that is all. 

And it is important to resist this totalising claim because if we don’t, an increasingly common and urgent debate about the fullness of human being and the limitations of UTMs will struggle from the start. One of the biggest mistakes I think public theology made twenty-some years ago was to cede a normative use of language that distinguished between people of faith and people of no faith. There is no such thing as being human without faith commitments of one kind or another. If you have any doubt about this, I commend No One Sees God: The Dark Night of Atheists and Believers by Michael Novak. But the problem with accepting the false distinction between ‘having faith’ and having ‘no faith’ is that it has allowed the Dennetts and Hararis of this world to insist that atheism is on a stronger philosophical footing than theism. After which all subsequent debate had, first, to establish the legitimacy of faith per se before getting to the particular truth claims in, say, Christianity.  

What it means to be human 

I see a potentially similar misstep for anthropology – the science of human being – in this new and contemporary context of AI. Everywhere at the moment, and I mean but everywhere, a totalising claim is being declared ever more loudly and urgently: that the tools and techniques of AI are calling into question the very essence of human identity. The risk in ceding this claim is that we get stuck in an arid debate about content instead of significance; a debate about ‘what it means to be human’ instead of a debate about ‘what it means to be human.’  

This global AI summit’s proclamations and prophecies need to be placed in the right philosophical register, because to be human in an age of AI still means the same thing it has for millennia.  

Universals like wonder, love, justice, the need for mutually meaningful relationships and a sense of purpose, and so too personal idiosyncrasies like a soft spot for the moose are central features of what it means to be this human being.  

Suchlike are the essential ingredients of the ‘me’ that is reading this article. They are not tertiary. Perhaps they can be computationally mimicked but that does not mean they are, in themselves, ephemeral or mere artifice. In which case their superficial mimicry carries substantial risks, just as Joseph Weizenbaum prophesied in Computer Power and Human Reason in the 1970s.  

Of course, you may disagree. You may even disagree in good faith, for there are no knockdown arguments in metaphysics. And in my worldview, you are free to do so. But fair warning. If the human-determinism of Dennett or the latest prophecies of Harari are right, no credit follows. You, and they, are right only because by arbitrary alignment of the metaphysical stars, you, and they, have never been free to be wrong. It was all decided long ago. No need for prophecies. We are all just UTMs with the soul of a marionette  

But when you hear the three Global summit prophecies I predicted earlier, consider these three alternatives; 

This time is not different, it is not true that AI is calling into question all anthropologies. AI is (only) calling into question a false and reductive Enlightenment prophecy about ‘what it means to be human.’  

The perennial systematic and doctrinal anthropology of Christianity understands human being as free-willed, conscious, unified body soul and spirit.  It offers credible answers to the urgent questions and cross-pressures society is now wrestling with. It also offers an ethical framework for answering the question ‘what ought computers to be used for and what ought computers not to be used for – even if they appear able to be used for anything and everything? 

This Christian philosophical perspective on the twin underlying metaphysical questions of human being and purpose are not being called into question, either at this global summit or by any developments in AI today or the foreseeable future. They can, however, increasingly be called into service to answer those questions – at least for those with ears to hear.