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
Humility
Politics
4 min read

Why radical humility challenges personality politics

Amid the political party conferences, George Pitcher searches for the flickers of radical humility.

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

A cropped image of the face of RIshi Sunak with colours of a flag behind him
Rishi Sunak at a previous party conference.
BNN.

As a glutton craves a fast, so might regular consumers of party political conferences, stuffed with a surfeit of arrogance, yearn for a display of a little humility. 

It would, admittedly, be a tough trick for a conference speaker to pull off, when the whole point is to achieve a standing ovation. Unlike his immediate predecessors, prime minister Rishi Sunak did try. Humility is an extra challenge for him, being a multi-millionaire former investment banker married to a billionaire heiress. 

But he raised his humble origins again, as he did in his party’s leadership contest, paying tribute to his immigrant parents, a GP and pharmacist in Southampton. Herein lies another problem: As the old saw has it, as soon as you claim humility, you lose it.      

So, one is left to wonder whether humility is a desirable quality in our politics at all, or even possible. Kenneth (now Lord) Clarke came close, in a number of Conservative ministerial positions, saying calmly and honestly what he thought. Labour’s Frank Field was another, possibly informed by his quietly devout Christian faith. 

Further back, Labour’s post-war prime minister Clement Attlee had a gentle and unassuming demeanour, which only led Winston Churchill to observe that he “had much to be modest about.” There’s the problem. Humility is seen as a sign of weakness.  

This is radical humility, a Cinderella quality to its ugly sister “radical honesty”.

But it can be found in politics. Baroness Cathy Ashton, whose many achievements include brokering an agreement between Serbia and Kosovo and negotiating the Joint Comprehensive Plan of Action with Iran, has written a memoir. 

She was a guest on The Rest is Politics, the podcast hosted by Alastair Campbell and Rory Stewart, of both of whom a neuro-surgeon might observe that humility bypasses have been a complete success. But she is a perfect exemplar of what Stewart called, towards the end of the interview, “radical humility”. 

This, Stewart observed, counters the “Great Man” theory of history, the super-hero who saves his people – the character currently channelled by so many populist leaders, with Donald Trump as its apotheosis. 

Ashton herself said things like “we do our best”, that there’s a web of small, interconnected acts that reach a successful resolution and that the deals aren’t hers to make, but belong to the people making them. A lesson that could be taken from Kosovo to complex circumstances such as British transport infrastructure, the nature of our union, or local governance from Birmingham to Newcastle. 

This is radical humility, a Cinderella quality to its ugly sister “radical honesty”, the latter developed since the Nineties by the American psychotherapist Brad Blanton, which is really a licence for being rude. Radical humility, by contrast, puts its practitioner firmly at the service of those affected by a political situation and enables them to resolve it.  

Impressed as he was by the concept, Campbell neatly summarised the problem of deploying it as a political slogan: “What do we want? Radical humility! When do we want it? Now!” 

But radical humility should be a given for the way we manage the administrative organs of our faith, the Churches. Cardinal Basil Hume, the Archbishop of Westminster who never forgot he was foremost a Benedictine monk, springs to mind. 

As does Rowan Williams, whom I observed from the Daily Telegraph and then as his principal spin-doctor between 2008 and 2011, holding the complexity of the Anglican Communion together by empowering its components. 

The point about radical humility is that it subsumes personality into the lives of those it serves.

Their aim, in perhaps unconscious application of radical humility, was like Baroness Ashton to give those they convened room to tell their stories, to take ownership of them and become co-narrators. And that has a central gospel provenance. Jesus of Nazareth led by story-telling, the parables inviting listeners to reach their own conclusions – even and especially today. 

Radical humility doesn’t invite servant ministry. It is service ministry, precisely because it puts the governed in charge of their own story, which in a grander context could be called their destiny. 

Whether that kind of liberation could be applied to our secular politics is a tall order. As I’ve said, there are flickers of radical humility in Sunak, but when he claims to be proud to be the UK’s first Asian PM and “even prouder that it’s no big deal”, he paradoxically feels obliged to proceed to slam Labour for its lack of diversity. 

It was telling that home secretary Suella Braverman, in her somewhat incoherent speech this week, widely cast as a leadership bid, claimed that Labour leader Sir Keir Starmer didn’t have the “personality” to be prime minister. 

The point about radical humility is that it subsumes personality into the lives of those it serves. It’s one reason, perhaps, why we know so little of the personality of the Nazarene. But the likes of Braverman and other populist politicians can’t see beyond personality. 

Maybe she, like other politicians, wouldn’t recognise radical humility. And it can’t be transformative unless it’s listened to.