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Attention
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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.  

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Time
4 min read

The challenge of filling your blank page or keeping it empty

The start of a sabbatical sets Ian Hamlin thinking through the tension between contemplation and action.

Ian Hamlin has been the minister of a Baptist church since 1994. He previously worked in financial services.

A notebook is open at two blank pages. a pen rests across the page.s.
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The famed anxiety inducing nemesis of any writer or creative, the ever-daunting blank page.  Well, I’ve bought myself a new notebook, so I have a literal open page in front of me, but also something more.    

I’m starting a three-month sabbatical from my role as a Baptist minister. Stepping down from my day-to-day responsibilities of work, but also, to a degree, away from the basic structures that define my life; the people, purpose and rhythm of, not only what I do, but who I am. It’s a weird sort of job like that.  

What would you do with three months off?  From work, family commitments, whatever it is that defines your day to day ordinarily?  Well, buy a notebook, obviously, but after that?  

I’m conscious, of course, that this is a rare privilege, a consequence, I guess, of the strange link between a professionalised clergy and academia from days past, but also, a recognition of the all-encompassing nature of the role.  Maybe, because of that, it’s also a real challenge, a true ‘blank page’. 

The first instinct, I guess, is to take a break, to stop, to breathe. That’s undeniably good, but how long for? Is that it? At what point does stopping and breathing become lazy indulgence?  I’ve been reading quite a lot lately, perhaps subconsciously preparing for these months, about taking time out, resting, slowing down.  Often, these thoughts have been expressed as an exploration of the notion of ‘Sabbath’ that Judeo-Christian notion of keeping a period of time, a day a week, special, sacred even.  This, of course, is the route from which ‘sabbaticals’ have grown, not so much the ivory towers and quadrangles after all, but more the Hebrew prophets and itinerant Jewish preachers of ancient days, seeking to find the rhythms of a fulfilled life  There’s John Mark Comer’s ubiquitous The Ruthless Elimination of Hurry, which seems to have touched a cultural nerve, but also Ruth Haley Barton’s Invitation to Solitude and Silence.  Then, out of the blue, I was invited to reflect again on Walter Brueggemann’s sense of Sabbath as: 

 ‘the refusal to let one’s life be defined by production and consumption, and the endless pursuit of private well-being’. 

He also observed that, recognizing just how we, like multiple generations before us, each in their own way, are utterly enmeshed in systems and structures designed, not so much for our well-being but rather the benefit of others,  

‘the departure into restfulness is both urgent and difficult, for our motors are set to run at brick-making speed.’   

(A reference to one of those earliest structures, highlighted in the Bible, where Egypt’s Pharaoh had Hebrew slaves building ever larger structures, to assuage their growing thoughts of freedom.)   

Most recently of all, I’ve been struck, by following Pete Grieg’s pilgrimage walk from Iona to Lindisfarne, and  the passing comment that the original Celtic monks, in making the same journey, eschewed the offer of horses to ride, preferring to walk, fearing that the increased pace of travel might cause them to miss something.   

I’m sure I’ve missed lots, I’m convinced I’m caught up in a whole range of hectic, consumerist structures, and I’m often tired, so rest, gets a big tick from me.  At least I think it does, but barely do I sit down, and I’m feeling restless again.  How long can/should I keep this up?  There are so many things to do, opportunities to explore, people to please. I need to justify this privilege of time and space. 

His speaking, his marching, his campaigning and protesting, even his sitting, was driven with a passion and an urgency that was infectious, and effective.

And then there’s that ever-present sense within me, my natural instinct if you will, true, I’m sure, of many.  That I like the idea of contemplation, the need for it even, but, actually, I’m more driven by activism, by getting stuff done.  The focal point of my whole break, planned for quite a while now, is a trip to the USA to follow the life of one of my spiritual heroes, Rev. Dr. Martin Luther King.  Now, there’s an activist if ever there was one.  His speaking, his marching, his campaigning and protesting, even his sitting, was driven with a passion and an urgency that was infectious, and effective.  His consistent rage against injustice has been a call to arms, both to his immediate contemporaries, and generations subsequently, to get up, go out and do. Ultimately, of course, he poured out his whole life in the cause. It’s taking me an age to read a few preparatory biographies of him, stimulated as I am from every page, challenged to act, to never let injustice rule while I have voice and agency.         

So, there we have it, another paradox, in the complicated business of being the person I’m meant to be, realizing the best of God’s investment in me. The conflict between rest and exploration, being and doing, contemplation and activism. I imagine we are all drawn to a certain place on that spectrum.   

Blank pages, freed up days and diaries, only serve to underline what we already are.  But, I suspect, we can all also hear the call to either end of the range; to be stirred to action by the things that break the heart of God, and to lay down our burdens, take upon ourselves the easier yoke, and live increasingly in ‘the unforced rhythms of grace’.  Maybe, to start with at least, listening to that call, recognizing the tension, while not allowing it to create pressure in us, is enough. Hearing, praying, scribbling my first, semi coherent, thoughts on that vast empty page, making myself another coffee, and wondering what I might do next.