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
Development
Politics
4 min read

Downsizing in DC undercuts the lives of millions in Nigeria

Nigeria’s Christian communities will bear the brunt of USAID’s demise.

Chris Wadibia is an academic advising on faith-based challenges. His research includes political Pentecostalism, global Christianity, and development. 

Patient wait in a street clinic beside a sign.
A health project clinic in Lagos, Nigeria.

Christendom, the global community of over 2.5 billion Christians living worldwide, has many geographical capitals. Nigeria, like the United States, is one of them. Upwards of 100 million people living in Nigeria identify as followers of the Christian religion. These Nigerians belong to Christian denominations like Roman Catholicism, Anglicanism, Baptist Christianity, and Pentecostalism. On 6 February the Trump Administration announced plans to downsize USAID, the US government agency that administers foreign aid. In 2023 it managed over $40 billion, and has played a significant role in delivering aid and development support in Nigeria for decades.  

Nigeria has one of the world’s lowest levels when it comes to spending on social issues. Its government’s underspending has trapped tens of millions of Nigerians in horrific, inescapable mazes of poverty. The significant challenges Nigeria faces are well-documented -socioeconomic, geopolitical, and religious ones. The protracted and infamously bloodthirsty Boko Haram insurgency (headquartered in the northeastern corner of the country) has led to the deaths of tens of thousands of Nigerians and displaced over two million people, disproportionately affecting vulnerable women and children.   

Abandoned by the government, many Nigerians look to their ethnic communities, religious groups, and even other state’s agencies and charities for the support and solutions they require to survive.  

In 2021 USAID commemorated 60 years of providing development assistance to Nigeria. Its historical activity has prioritised agriculture and food security, democracy, human rights, and governance, public health, and energy production. In just 2021, USAID provided Nigeria with more than $787 million in development and humanitarian assistance.  

Whilst USAID support for Nigeria has historically been blind to religion, the Trump-led downsizing of development and humanitarian assistance for millions of people living in Nigeria will especially impact tens of millions of Christians, They struggle to lead lives in a country rife with Christian suffering  that is ignored by powerful global actors with the financial, political, and military resources to intervene in substantive and peace-generating ways.  

Southern Nigeria is disproportionately developed compared to the North. Lagos, the economic capital responsible for a third of Nigeria's GDP, sits in the southwestern corner. The south contains a majority of the leading private universities, many of which are owned and funded by Christian churches, and is home to Nigeria's largest international airport. Literacy levels among Christians in Nigeria dwarf literacy levels among Muslims, especially when compared to Muslims living in the religiously archconservative northern states.   

The southern region of Nigeria has an appetite for development and the political will needed to implement an inclusive development vision that simply does not exist up north. Downsizing USAID activity in Nigeria will disproportionately affect Christians in Nigeria who for historical and contemporary reasons have been able to benefit from USAID assistance in ways developing themselves to help Nigeria compete in the global economy.    

In the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. 

Muslims in Nigeria, if unbridled by extreme religious dogma, could just as easily undergo the processes of self-development needed to excel in 21st century economic marketplaces. However, as Nigeria's religious landscape stands today, tens of millions of Muslims simply lack access to opportunities to gain the education, training, and work experience that could unleash the full potential of the legendary Nigerian human capital famous globally.  

Millions of educationally and professionally ambitious Nigerian Christians view their work in vocational terms. Inspired by scripture and theological resources like Catholic Social Teaching and the Pentecostal Doctrine of Prosperity, these Christians intentionally seek out educational and professional opportunities because they believe their faith in Christ commands them to provide for their households and invest into their communities. They believe contributions to their homes and communities double as offerings to God himself. For over six decades, USAID has administered development and humanitarian assistance in Nigeria in ways hugely benefitting millions of Christians ignored by their government.  

Administering USAID aid in Nigeria has never been perfect. Bad actors, many of them government officials exploiting the authority of their offices, have stolen development funds intended for marginalized Nigerians and used it to fund their kleptocratic networks and lavish lifestyles. However, in the current 21st century geopolitical climate US-Nigeria relations are far more likely to become more rather than less relevant. USAID support provides a valuable source of American soft power able to win over the hearts of vulnerable Nigerians whose children might one day seize the reins of state power. It also continues the postcolonial project of assisting in the sociopolitical and economic development of the Giant of Africa.  

Downsizing USAID assistance to Nigeria undercuts investment in the lives of millions of Nigerian Christians disproportionately positioned to drive the country in the direction of evolving into just the kind of capable ally in Africa the US wants to work with long term.  

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