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.

Henna Cundill

Henna is a researcher with the Centre for Autism and Theology at the University of Aberdeen.

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.

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Film & TV

25 October 2023

4 min read

Why we watch dark drama

Reviewing The Reckoning, and the reviewing cycle, leads George Pitcher to change his mind on whether to watch such darker dramas and documentaries.

George Pitcher

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

A man in a tracksuit sits in an arm chair smoking a cigar while looking towards a curtained window.

BBC.

The BBC’s four-part drama-documentary about the life and crimes of Jimmy Savile, The Reckoning, concluded. And the media caravan moves on.

Its reviews have been mixed, to say the least. You may have got the gist of them: Steve Coogan was brilliant as Savile. But why would he do it? Other actors around him were equally good, if not better. The BBC was either brutally honest or self-exculpatory about its enablement of the monster. I particularly noticed a review line that emerged which hoped the BBC would concentrate on its safeguarding, rather than gather material for its drama department

There’s a case for taking a breath after the television reviewers have completed their work, of asking what we are left with after all this and whether there is a bigger picture than the one our television screens contained.

The first window I want to look through is the church one forever stained by the hideous image of child sexual abuse. Those priests who over recent years have been exposed for these heinous crimes were not, unlike Savile, celebrities. They weren’t as often, like him, committing them in plain sight. But all child abusers, as adults, occupy a position of trust, either as family members, teachers, people of power or as priests, and they abuse that trust as they abuse their victims.

I have had direct experience, as a parish priest, of two instances of child sexual abuse. In both instances, the clergy who abused are long dead. It may go without saying, but in both cases I have witnessed how the victims, now in late middle-age, have had their lives ruined as a consequence, how nothing can really be healed as such, but how we can only help them to manage.

As for the perpetrators, they’re dead. As with Savile, the knowledge of this leaves a feeling that they got away with it and that justice has not been done, nor importantly seen to be done.

The BBC’s depiction of him had him being tortured, to some degree at least, by his Roman Catholic faith, that he faced consignment to hell for his crimes and that his charitable works were an effort to compensate for his moral turpitude and get him to heaven. This was portrayed partly in a tentative fumbling for absolution in the confessional box.

There’s no way to know whether that’s an accurate telling, but it’s not consistent with my memory of the conduct of his final years, nor with that of the period after his death in 2011, as evidence of his crimes emerged. That time was characterised more by intimidation of journalists with lawyers and calling in favours from police. Being in denial seems to have been more likely than being in the confessional space.

That may have been true of abusive priests too. But it’s axiomatic also of a means to evade justice. One can only hope that they have faced divine judgement. But, then, who throws the first stone?

I refused to watch it on the grounds that I feared it fell into a TV category that could bear the file name “true-crime titillation”

I want to turn to another aspect of the reviewing cycle of The Reckoning: Should it have been made at all? This is not the question of whether it should have been made by the BBC, which harboured Savile’s career, but whether drama should be made out of the most atrocious of crimes.

A very little over a year ago, Channel 5 screened Maxine, a three-part drama miniseries based on the murders of 10-year-olds Holly Wells and Jessica Chapman in Soham at the hands of Ian Huntley, ostensibly from the viewpoint of his girlfriend Maxine Carr, unwittingly coerced into his attempted cover-up.

I refused to watch it on the grounds that I feared it fell into a TV category that could bear the file name “true-crime titillation”. I also felt that the twentieth anniversary of the murders was too soon for these events to be revisited for dramatic purposes.

I want to re-visit those opinions now, in light of The Reckoning. Savile was not a murderer, but he destroyed children's lives. It’s important, ultimately, that we know about him and of what he was capable. I have written recently, with regard to a documentary screened on Channel 4 about the Holocaust in Ukraine, that we don’t have the moral option nor the luxury of looking away.

So this: Hats off to broadcast journalists and dramatists who face up to the darkest of crimes and human nature. Journalists show us (or should try to) that it’s really there. And it’s valid territory for drama producers, because it makes us think about it, if not understand it. That’s what drama does, or is supposed to.

Finally, we acknowledge from dramatised events, perhaps, that no one is defined by a single aspect of the lives they lead. From this, we might pray that they (and we) may be forgiven somehow, by someone, simply because we can’t.