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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.  

Article
Comment
War & peace
4 min read

How to shape peace today

On International Day of Peace, Christine Schliesser counts today’s conflicts, deliberately imagines peace, and recalls an old song.

Christine Schliesser lectures in Theology and Ethics at Zurich University, and is a scientific collaborator with the Center for Faith & Society at Fribourg University.

a dirt barricade blocks a cross roads, behind which stands a roadside cross
A crossroads in Ukraine.
Jonny Gios on Unsplash.

One in four. This is the number of people living in conflict-affected areas on this planet. A record 100 million people have been forcibly displaced worldwide. Psychologists tell us that we can only process numbers in the two-digit realm in a meaningful way. Any number larger than that eclipses our capacities to attach a face, a story, an existence to that number. 100,000,000 is simply too large to picture. So imagine the entire UK population on the run, plus the population of Australia, plus that of Hongkong. In 2022, 16,988 civilians were killed in armed conflicts, which is a 53 per cent increase compared to the year before. And as you read these lines, there are 32 ongoing violent conflicts in the world, including drug wars, terrorist insurgencies, ethnic conflict, and civil wars.  

Just as we are overwhelmed with trying to grasp the extent of violence, conflict and war, we are equally at loss with imagining peace. When in 1981 the United Nations General Assembly established the International Day of Peace (IDP), it was recognizing exactly this by emphasizing that “it is in the minds of men that the defences of peace must be constructed”. Constructing, envisioning, imagining. The tough world of realpolitik, however, seems to leave no place for such kind of romantic games of mind. Helmut Schmidt, former chancellor of Germany, made no attempt to hide his scorn for the imaginary, “Let him who has visions consult a doctor”. This shows a remarkable misconception of reality, however. French philosopher Henri Bergson points to the power of imagination, for to invent “gives being to what did not exist; it might never have happened”. Perceiving and transforming reality thus become mutually supportive forces. And the numbers above make it clear that peace is not the default option of reality, but needs to be envisioned. “Inventing peace”, as film director Wim Wenders calls this conscious effort.  

Restoring momentum to the SDGs is a crucial sign of life for global cooperation – and for peace. 

So peace begins in our minds, but it cannot remain there. Just as love yearns to be embodied, peace seeks concrete shape. And just as the shape of love is acts of kindness, the shape of peace is acts of justice. In the Jewish and Christian tradition, the term shalom is used to convey this kind of inclusive vision of peace and justice. This year’s International Day of Peace (IDP) coincides with the UN General Assembly. When conceived 78 years ago, a vital part of the United Nations’ raison d'être was the common vision for peace. The experiences of the horrors of two world wars totalling more than 76 million people dead – another one of these unfathomable numbers –united the nations of this world in their quest for peace. Yet the shape of peace is justice. So three years after the conception of the UN, the Universal Declaration of Human Rights was born, celebrating its 75th birthday this year.  

As the world leaders currently convene for the UN General Assembly, however, the nations assembled there will be anything but united. The demand and supply of international collaboration seem grossly disproportionate as multiple challenges, including geopolitical, ecological and economic crises, eat away on multilateral ties. This year’s IDP also coincides with the Sustainable Development Goals (SDG) summit, marking the mid-point milestone of the goals.  

Endorsed in 2015, the 17 SDGs unfold the vision of a better world, including the eradication of poverty, advancing education and gender equality and environmental stewardship. If justice is the currency of peace, it seems only appropriate that this year’s IDP’s theme is ‘Actions for Peace: Our Ambition for the #GlobalGoals’. “Peace is needed today more than ever”, says UN Secretary-General António Guterres. This, in turn, means that the vision spelt out by the SDGs is needed today more than ever. It is a misunderstanding to conceive of the SDGs as an add-on for better times. Rather, restoring momentum to the SDGs is, as Stewart Patrick and Minh-Thu Pham from the Carnegie Foundation point out, a crucial sign of life for global cooperation – and for peace, one may add.  

To dispel the ever-prevalent “myth of redemptive violence” as the still predominant paradigm, we need exactly this kind of active imagination. 

One would think that the scale of the challenges spelt out by the 17 SDGs requires the joint collaboration of all actors. Yet one factor that is strikingly absent in this equation is religion. This is all the more remarkable given the fact that 85 per cent of this planet’s population profess adherence to a faith tradition, according to the World Population Review 2022. This makes faith communities the largest transnational civil society actors. Now religion – every religion – is inherently ambivalent. But this means that each religion can not only be used to incite hatred and violence, but also contains potent resources for peace and reconciliation.  

Many of the SDGs including peace, justice, equality and care of creation to name but a few align with core concerns of, for example, the Christian faith tradition. Just imagine the potential for transformational change towards peace and justice if faith-based actors worked together, among each other and with secular actors! To dispel the ever-prevalent “myth of redemptive violence” (Walter Wink) as the still predominant paradigm, we need exactly this kind of active imagination. Or as the poet of an ancient song once put it:

“Kindness and truth shall meet; justice and peace shall kiss”. 

 

For more information on the role of religion in the SDGs, read the Open Access book series “Religion Matters. On the Significance of Religion for Global Issues” (Routledge), edited by Christine Schliesser et al.