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.  

Explainer
Comment
Gaza
Israel
War & peace
8 min read

How redemptive justice could be a way out of a long and costly war

Dynamics of shame, dis-honour and vengeance swirl around the decision makers in the Israel-Hamas war. Steven Firmin explores how redemptive justice could restore a relationship of peace.

Steven Firmin is a lecturer in Christian Ethics at the University of Oxford. His research interests include the interaction of Christian and Muslim political thought.

An army general in green fatigues stands and address a group of soldiers sitting, squatting and standing around him
Israeli Chief of the General Staff Herzi Halevi addresses troops.

The horrific, indiscriminate attacks against Israel by Hamas terrorists have brought the larger Israel-Palestine conflict back to centre stage in international politics. The event has been called “Israel’s 9/11”, and senior Israeli political and military officials have vowed to “exact a price that will be remembered by [Hamas], and Israel’s other enemies, for decades to come.” , and to turn Gaza into a “city of tents”. Israel has begun bombarding thousands of Hamas targets and preparing for a ground invasion in Gaza.  

The die thus seems to be cast for a long and costly war which may not ultimately be able to achieve its aims, and that will halt or reverse any progress towards a resolution of the Israel-Palestine conflict in at least two ways. 

Much more important is that fair-minded Palestinians and their supporters in the wider Arab and western world are also able to understand Israel’s military actions as fitting and discriminate. 

First, the trauma resulting from a large-scale Israeli air and ground campaign in Gaza will be enormous for Palestinians. This trauma will almost certainly be the seedbed of resentment which gives the next generation of Gazans sufficient reason to hate Israel and work for its demise. Indeed, if the tragedy of October 7 is Israel’s “9/11” then it is imperative that Israel not neglect the difficult lesson the US learned through its “war on terror”: when you punish terrorists in a manner that destabilizes and alienates the wider population of a region, you merely create more terrorists. This is not to say that responding to Hamas’ attacks with military force is unjust. Military action should form part of a just response to Hamas’ actions. But this military action needs to be conducted carefully. Any military judgement must be done in such a way that not only Israelis and sympathetic westerners see it as a rightful judgement on Hamas. Much more important is that fair-minded Palestinians and their supporters in the wider Arab and western world are also able to understand Israel’s military actions as fitting and discriminate. This would require Israel, at minimum, to go to extraordinary lengths to minimize civilian casualties, even to the point of significantly increasing risks to Israeli soldiers.  

In the recent past, however, and perhaps also now, Israel’s military strategy, known as the ‘Dahiya Doctrine’ has geared in the opposite direction: it deliberately strikes back at enemy targets in a disproportional manner, in an effort to deter the enemy from further aggression. And when it faces a choice between increasing risks to Israeli soldiers or civilian populations, it often chooses the latter. If that strategy continues to play itself out in a drawn-out air and land campaign, any short-term military victory will only result in long-term creation of new and more determined enemies of Israel.   

A long and costly ground war against Hamas will only make things worse for Israelis and Palestinians. 

Second, Israel’s pursuit of a war against Hamas makes it all but impossible for the wider Arab world to pursue normalization of ties with Israel. Prior to Israel’s declaration of war, a fresh start was within reach. The 2020 Abraham Accords normalized ties between Israel and Bahrain, Morocco, and the United Arab Emirates, and this year an historic, US-brokered deal between Israel and Saudi-Arabia was well on its way to being agreed. Now, the Israel-Saudi deal is in tatters, and other Arab countries with diplomatic ties to Israel are feeling political pressure to show distance. This pressure is not arising because any of these Arab countries support Hamas. All are opposed to its Islamist ideology. It is because they are tied by bonds of affection and loyalty to the Palestinian people, and these bonds prevent Arab countries from negotiating in good faith with Israel when they have serious doubts that Israel’s military actions are making sufficient provision for the welfare of ordinary Palestinians.  

A long and costly ground war against Hamas will only make things worse for Israelis and Palestinians. But what would make things better? Rather than a vengeful justice, Israel might consider pursuing what is called ‘redemptive justice’ in its war against Hamas.  

This kind of justice is exactly the path Jesus urges his followers to follow in his Sermon on the Mount: 

“You have heard that it was said, ‘Eye for eye, and tooth for tooth.’ But I tell you, do not resist by evil means. If anyone slaps you on the right cheek, turn to them the other cheek also.  

The teaching here about retaliation has three parts. 

First, Jesus presents a traditional teaching from the Mosaic law, sometimes called the lex talionis: ‘You have heard that it was said, “An eye for an eye and a tooth for a tooth.”’ In its Old Testament contexts, this principle was supposed to prevent violence from spiraling out of control. When someone wronged you, your injury didn’t give you unlimited right of revenge. Wrongdoing had to be addressed with strict retribution. No more.  

Next, Jesus warns of a deeper dynamic which leads to problems: ‘But I say to you, do not resist by evil means’. Jesus’ warning is not opposed to the lex talionis. What Jesus is warning about, as New Testament commentator Peter Leithart argues, is not to apply this law in ways that perpetuate violence rather than limit it. The example Jesus gives next is illuminating: a slap on the right cheek is not a violent threat to life. To slap someone on the right cheek, you must use either your left hand, or the back of your right hand. Either of these would have been understood as acts of dishonour and shame to a first century Jew. They were not acts intended to harm grievously. And when someone is intent on publicly shaming or dishonouring you, responding with a counter-act of shame or dishonour only heightens the antagonism between you and encourages further retaliation. Strict retribution in these situations will not achieve the law’s aim of limiting violence.  

This leads us to the third part of the teaching, where Jesus proposes a creative solution to the danger: rather than respond to dishonour with dishonour and risk creating a cycle of vendetta, take the penalty of the law on yourself he says – “accept the second slap rather than giving it” as Leithart puts it. This is what redemptive justice means. It cuts evil off at its root and restores a relationship of peace. After all, a person seeking to humiliate you runs out of ammunition very quickly when you show yourself willing to be humiliated.  

Lex talionis is a principle which limits violence to strict retribution. Adopting this approach would require Israel’s leadership to renounce formally the “Dahiya Doctrine.” 

How then might Israel’s political and military leadership enact redemptive righteousness in the situation it now faces in Gaza and in the areas under its effective control? First, let me say it again, Jesus’ commands do not abolish the lex talionis “an eye for an eye, a tooth for a tooth”. Judgement via military force against Hamas is thus not forbidden by the Sermon on the Mount. But as was noted earlier, the lex talionis is a principle which limits violence to strict retribution. Adopting this approach would require Israel’s leadership to renounce formally the “Dahiya Doctrine” and commit publicly to a more proportionate, discriminate form of retaliation to the Hamas attacks.  

Second, we should note that the political situation which has been created by these attacks has deeper dynamics than merely trying to achieve justice for the victims of the attack. The situation also has important dynamics of shame and honour. Unable to prevent this horrific tragedy, the competency of Israeli political and military leaders has been called into question. They have been humiliated by these attacks, and the great temptation for them now is to ‘resist by evil means’, projecting strength by responding to dishonour with counter-dishonour, humiliation with counter-humiliation. This teaching warns Israel’s leadership to do otherwise: accept the second slap, rather than give it.  Although it may sound counter-intuitive, allow yourself to be humiliated by Hamas rather than perpetuate further humiliation that will alienate the wider Palestinian population and potential Arab allies. Undercut the cycle of humiliation by going out of your way to honor ordinary Palestinians, protecting them from harm and blessing them even if it means incurring greater risks to your own soldiers or civilian population. This is the kind of bold, innovative leadership that Graham Tomlin has argued is needed in this most complex of global conflicts. 

Would adopting such a self-sacrificial military strategy be ultimately self-defeating? Would it weaken Israel’s military advantage and prevent them from achieving victory over Hamas? The opposite is true. The Israeli military, with its superior military capability, is not at all in danger of ceding victory to Hamas by fighting a more self-sacrificial form of warfare. But if Israel fails to adopt a self-sacrificial strategy as it pursues military action, the sweetness of any initial victory will sour into a long-term defeat as the contagion of resentment is sown among a new generation of Palestinians and their supporters.  

But surely this would be politically unfeasible for Israel’s leadership to implement? Any leader who enacted redemptive justice towards Hamas and the wider Palestinian population amidst the current national mood of mourning and outrage would face certain political demise. That may be so. Jesus warns those who follow him that they must be prepared to take up their cross. What would motivate that kind of decision, given the cost? The confidence to enact redemptive justice cannot ultimately be separated from confidence that death has been overcome through resurrection, bringing life to the whole world. The call to enact redemptive justice can only be sustained with a recognition of both the wisdom and the ultimate victory of the Jew from Nazareth.  

Israel’s leadership is at a cross-roads. In response to the horrific attacks of Hamas, it has begun a severe bombing campaign in pursuit of a vengeful justice that will soon be followed by a ground invasion. If it wants long-term peace, it must consider changing course quickly and drastically. It must pursue the redemptive justice of the crucified Messiah that overcomes evil with good.