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.  

Article
Comment
Sport
4 min read

Why are sportspeople so superstitious?

Routine and rhythm help performance, but sporting superstition begs a question, writes Jonny Reid. Who do we really think is in control?

Jonny Reid leads the communications team at Christians in Sport.

A rugby ball sails towards a player in a striped jersey from the foot of a kicker who has a leg and an arm extended out.
England v. Argentina, RWC 2023.
RFU.

Guinness’ Rugby World Cup advert commands supporters: “Don’t Jinx It!” The advertiser explained:

“All of Ireland will be supporting the team with every fibre, but our campaign urges fans to remember that their actions are as important as the team on the pitch, they need to play their part too, don’t jinx it.” 

Superstitions on the pitch are just as prominent as those off it. England legend Jonny Wilkinson always wore the same t-shirt under his match shirt as a lucky charm, the Welsh side used to ritually vomit before games and for decades club side Bath played without a number 13. 

So why is it that sport is so fill of superstition?  

A longing for control 

We feel like we’re in control until a sudden injury or a major pandemic arrives and we realise that we may be less in control than we’d like. 

Indian sports psychologist Ashis Nandy thinks this may be why cricketers are so superstitious. In a game full of failure, which has a high degree of luck, it is inevitable that players will turn to superstition to help regain a sense of control: 

'No wonder cricketers lean on superstition as a crutch. They cannot accept the awful truth - that the game is governed by erratic umpiring decisions, random tosses and unpredictable seam movement - so they invent a coping strategy to persuade themselves they are in control.'

We want to be in control but we know we’re not.  

Whether it’s a snapped Achilles tendon at a random training session, a contract not renewed at the end of a season or point deductions due to mismanagement by owners - sport is littered with examples which remind us we’re not in charge.  

It’s worth saying that routine is different to superstition. US soccer psychologist Tim Perrin argues that routines are integral for the elite sportsperson. “Performance is about routines—they take us into performance, and superstitions are very much a part of that,” Perrin said. “They are a way we can very habitually, automatically, and unconsciously take ourselves into performance mode.” 

Repetition and routine are a key part of sport. Not only do they improve our skill levels (think of the 10,000 hour theory) but they also help ease the mental pressures faced by athletes. As Perin explains, the emotional demands and strains of sport can be lessened by routines that “allow certain things (to be done) on a mechanistic, repetitive nature” and can thus be “put on autopilot.” 

This is the reason for Jonny Wilkinson’s famous pre-kick routine or the even more extreme Dan Biggar’s version which has become known as the ‘Biggarena.’ His idiosyncratic routine once proved an Internet sensation

When does routine tip into superstition? It’s when it becomes irrational and when a change to that routine leads to distinct mental torment or a level of discomfort.  

Superstition, as we observe it, in the stands or the pub or on the pitch provokes questions for all of us: Is there a way I can be in control? Or am I actually under control from a higher power? 

Who is in control? 

When things don’t happen as we’d like, it’s easy to feel pretty disillusioned. But do our superstitious tendencies point towards something bigger? 

Among Christians there is the belief that we humans are created in the image of God and that he gave us the weighty responsibility to live in the world and also to shape it. While we have responsibility for how we live, we only have penultimate agency. Ultimate power over events lies in hands bigger than ours.  

The trouble is we chafe at our limited role in all this. 

Dan Strange, in his book Making Faith Magnetic says:  

“deep down we know we’re not divine and that we need something greater than us in which to find meaning and legitimacy. So we still invest in other things that can give us a sense of ultimate meaning and purpose.” 

This could be our partner or family. It could quite easily be our sporting career. We load them with an unbearable weight of responsibility, that none of these substitutes for God can handle because they too are penultimate not ultimate. 

In the book of John, Jesus calls himself “the good shepherd” - the one who guides the flock of sheep, whether they are aware of it or not. 

The world is not controlled by luck or energy or even random chance, it is in the hands of a loving God, a loving shepherd who leads his sometimes reluctant flock to where they need to go. 

In the stories of Jesus we see someone who exercises an extraordinary control over the world - over nature (walking on water), over disease (healing blind people) and over evil powers (exorcising the .disturbed) He shows us a world which isn’t just defined by fate or by an angry impersonal Deity but one in which there is a sense that we are both in control and under control.  

Far from living in a world of randomness and luck, maybe after all we live in a world where a good God works through the details of our lives and is with us in the ups and the downs, in the injury, de-selection, contract confusion, dip in form and in the cup wins, record breaking, peak-performing moments of our sporting careers.  

Routine and rhythm can help sporting performance but superstition ultimately leads us to ask a question. Who do we really think is in control?