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.

The trouble with identity politics

Identity politics reflected two great longings, a desire for uniqueness, and a need to belong. It’s time to ditch it.

Graham Tomlin

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A head and shoulders portrait consisting of large disc-like pixels that obscure the real person..

Photo by Vadim Bogulov on Unsplash.

I’ve been watching the remarkable documentary series Once Upon a Time in Northern Ireland, and there is one story in it I can’t get out of my mind. Richard Moore was a ten-year old boy in Londonderry in the early seventies. Charles Inness was a 30-year old British soldier in the Royal Artillery stationed in the city at the time. During a local disturbance in 1972, Inness fired a rubber bullet to disperse a crowd of youths throwing stones at a RUC base at exactly the moment the ten-year old Richard crossed his line of fire. The bullet hit the young boy in the eye, blinding him for life.

Many years later, Moore expressed a desire to meet the man who fired the gun. And so, in 2006 they met. The British soldier, cautious, a little stiff and very proper, was initially defensive, refusing to apologise as he still felt he had acted rightly at the time and in the circumstances. Moore persisted, not out of a desire for vengeance or recrimination, but simply wanting to understand. Gradually the two became friends and Inness eventually found a way to say he was genuinely sorry.

The history of the troubles in Northern Ireland is full of stories of people being murdered simply because of one part of their identity - that they were Protestant or Catholic, UDA or IRA, British soldier or Irish Republican. What struck me listening to this story was Moore’s tenacity, to get beyond the simplistic identity of Inness as ‘the soldier who took away my sight’.

Summing up what he had learnt, Moore said: ‘Finding out who he was changes everything. To me, he’s no longer a soldier, he’s a human being. A father, a grandfather – it makes a person very real. And that’s a good thing.’ There seemed to me a gem of wisdom here that can get us past much of the polarisation of modern life.

“There are two striking human passions, the passion for uniqueness and the passion for union.”

Tom Morris.

‘Identity politics’ was a term borrowed from social psychology in the 1970s and quickly gained traction. It was an attempt to enable marginalised people to find solace and support with one another, by focussing on the common characteristics of one aspect of a person’s identity. It tried to help bring particularly disadvantaged groups together by describing the common experiences they had faced.

Since then it has gained a great deal of traction and generated much controversy. So why did it hit such a nerve?

The philosopher Tom Morris once wrote:

“There are two striking human passions, the passion for uniqueness and the passion for union. Each of us wants to be recognised as a unique member of the human race. We want to stand apart from the crowd in some way. We want our own dignity and value. But at the same time, we have a passion for union, for belonging, even for merging our identities into a greater unity in which we can have a place, a role, a value.”

Identity politics was a reflection of these two great human longings - our desire for uniqueness, and our need to belong. On the one hand we all want to be special, unique, different from everyone else. On the other hand, we want a tribe to belong to, whether defined by gender, race, sexuality, nationality or the like. And so, we choose an identity that defines us, marks us off to the world, and gives us a group to belong to.

Identity politics began with good intentions. Yet the way it is often used means that it encourages me to think that once I have labelled someone with a particular characteristic, that is all I need to know about them. If I know they are black or white, privileged or deprived, young or old, gay or straight, conservative or progressive, and so on, then I know all I need to know. I can then embrace them as one of my tribe, or dismiss them as different, without any further discernment.

One of the writers of the Psalms, reflecting on his own self-awareness, wrote “I am fearfully and wonderfully made.” The reality is that we are all immensely complex beings with multiple facets, different qualities and a number of overlapping identities. My neighbour may be Asian. And knowing that, I might think ‘I know what Asian people are like – and he must be like all the others.’ Yet he might also be a father, a husband, an Arsenal fan, of Bangladeshi heritage, a doctor, middle-aged, a Labour voter, suffering from occasional depression, a 2 handicap golfer. And so on. These are all part of who he is and if I want to get to know him fully, I need to understand something about all of these elements of his identity. If I fix on any one of these as the final truth about him, and ignore all the rest, I do him a disservice. To reduce the complexity and wonder of a fellow human being to one single characteristic is surely a mistake. It is to fail to do them justice, and display an unwillingness to take the time to understand them. It is, in the final analysis, a failure to love.

The final truth about each one of us can only be what is true of all of us - that we are ‘fearfully and wonderfully made’. In that same Psalm, the writer relates his sense that the God he worships, in a way that is both comforting yet unnerving, knows everything about him:

“you know when I sit and when I rise; you perceive my thoughts from afar, you discern my going out and my lying down; you are familiar with all my ways.”

We are each one known, loved, understood in our very complexity by the God who made us, and invited to become capable of that same kind love – the love that looks beyond the surface to understand the complexities of others – in other words, to grow into the likeness of God.

Richard Moore may have been blinded by that rubber bullet in 1972. Yet in a strange way he learnt to see better than most of us. He learnt to see past the simple identity of Charles Inness as ‘the British soldier who ruined my life.’ He had the tenacity to learn that that this man was, like all of us, both complex and simple - a man with unique relationships, a history, in his own way shaped by his experience, and yet at the same time, worth getting to know in that complexity - that ultimately he was, like all of us, ‘fearfully and wonderfully made.’