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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
Freedom of Belief
6 min read

Experiencing Tbilisi's cold shoulder

Georgia’s warm welcome doesn't extend to refugees fleeing Iran.

Steve is news director of Article 18, a human rights organisation documenting Christian persecution in Iran.

On a rainy night a pedestrian, holding a brolly, waits to cross a road.
Tbliisi, Georgia.
Aleksandr Popov on Unsplash.

On the surface, Georgia has a lot going for it: natural beauty, historic sites, lovely food and wine. 

It also boasts an extremely free market. Anyone can to set up a business of their choosing within a couple of hours, should they have the wherewithal. 

But therein also lies the rub. Life is not so easy for those without such wherewithal - perhaps they don’t have sufficient capital, or vision; a disability prevents them; or they try but fail. 

And then life is not so easy in Tbilisi. 

My focus on my recent trip to Georgia, as an employee of an Iranian Christian charity, was its small Iranian population - and principally those who have claimed asylum there. 

I spoke to several such individuals during my stay, and the conclusion that I reached was that Georgia is a lovely place to live, provided that you: a) have money; and b) are happy not to speak out about sensitive issues.  

Which, honestly, sounds eerily like the country from which my Iranian friends fled in the first place. 

When he ignored the warnings, the threats escalated. His car was broken into, and someone even came to his church, claiming to have a bomb strapped to himself. 

Take Reza, for example, who left Iran eight years ago and came to Georgia in the hope that in a country where nearly 90 per cent are Orthodox Christians, he would be free to practise his chosen faith. 

He even set up a church there, and for a while all was good. Until he started getting involved in protests against the regime back in Tehran.  

Reza joined demonstrations outside the Iranian embassy in Tbilisi - which is in a lovely area of town, right next to the Russian embassy and also, somewhat awkwardly, that of Ukraine. 

He also protested outside the “Ferdowsi Educational Complex” - a Shia school with a sign outside proclaiming it as an entity of the Iranian embassy. 

And for these protests, Reza received some, at first, gentle reprimands. He was called by a private number, encouraging him not to take such action again in the future. 

When he ignored the warnings, the threats escalated. His car was broken into, and someone even came to his church, claiming to have a bomb strapped to himself. 

It was only at this point that Reza decided, against his initial intentions, to claim asylum. 

But though the Georgian immigration service eventually acknowledged him to be a Christian - unlike many of his fellow Iranian asylum-seekers - they did not accept that this fact would put him at risk of persecution were he to return home. 

To which the only rational response is a wide-open mouth and outstretched arms. 

Have the Georgian immigration service not read the news? Do they not know that Christians - and more specifically, evangelical Christians and converts like Reza - face sustained and systematic persecution? 

The answer to this question, I was to discover, is two-pronged. 

Firstly, there is Georgia’s close relationship with the Islamic Republic, the reason for which, sadly and all too predictably, is of course money. 

“Georgia is a small country,” a lawyer who deals with immigration cases like Reza’s told me. 

“It’s surrounded by three big countries: Russia, Turkey and Iran, and can’t afford to have bad relations with all of them.” 

Both Russia and Turkey have history of seeking to occupy Georgia, while Russia has made no secret of its hope of re-establishing the territories it once held, including, one presumes, Georgia. 

In this context, it is little wonder that little Georgia does not feel able to cast aside so lightly its relationship with its third mega-neighbour, Iran. 

And when an Iranian claims asylum in Georgia - on whatever grounds - what message would it send for the Georgian government to recognise that claim? 

In the case of Christians like Reza, the message would clearly be that Iran persecutes Christians, which is an uncomfortable reality for a close ally of Iran to publicly admit. 

You can search his name on Google, in both English and Persian, and it’s safe to say that what you would find would not please the Islamic Republic. 

The second prong at play, meanwhile, which is equally uncomfortable to speak about, is the reality that in general Georgia’s Orthodox Christians tend to share some of Iran’s ill-feeling towards evangelicals. 

“They think of us the same way as Jehovah’s Witnesses,” Reza explained. 

“A Georgian friend of mine accused me three times of being a spy for America,” another convert told me. 

Another, whose case was rejected because Georgia’s immigration service did not accept he was a Christian, told me the questions he was asked in his interview related only to elements of the Orthodox faith, about which he had no idea. 

And when this individual sought to explain his own reasoning for his deeply held faith - for which he was arrested in Iran - they told him he could only answer the questions posed. 

And so he said that he could not. And so they rejected his claim, declaring that it had not been established that he was a Christian.  

An easy win.  

I could focus now on the particular challenges faced by asylum-seekers who are unfit to work - two of whom I met, and who receive no support from the state - but I would like to close with one final example which I think highlights the absurdity of the situation. 

And that is the example of Behzad Asiaie, an Iranian whose claim for asylum was based on his political activity and not his faith, although he has since converted to Christianity - for which he blames Reza, as, no doubt, would the Iranian and dare I say even Georgian government. 

The striking thing about Behzad’s case is that it’s extremely well documented. You can search his name on Google, in both English and Persian, and it’s safe to say that what you would find would not please the Islamic Republic. 

For one thing, Behzad has already spent a year in Tehran’s Evin Prison for his activism. Added to that, since arriving in Georgia five years ago, with no intention to claim asylum, he started a new activist group called Hamrasho (which means “all together”), which has organised protests about various things outside the edifices of the Islamic Republic in Tbilisi. 

As part of the protests, which is where Behzad met Reza, Behzad even filmed himself burning images of Iran’s Supreme Leader, and published it on social media. 

So, when the Georgian government rejected his eventual asylum case and told him that they didn’t think he would have any problem were he to return to Iran, the jaw really must drop open. 

My conclusion upon leaving Georgia was that it really is a lovely country -  provided that you have money and don’t make too much noise. 

I put this perspective to a Russian couple, who I met on my last night in town, and they - like Reza and Behzad before them - nodded in agreement. 

For they, like my Iranian friends, are exiles, having fled Russia because they are against Putin’s war. 

They told me they know of no other Russians among the thousands in Tbilisi who support Putin’s war, but nor do they know any who would be foolish enough to protest about it - whether back home, or outside the Russian embassy in the lovely Vake district of Tbilisi. 

I penned this article on my last night in Georgia in a Ukrainian restaurant housed roughly between the two edifices of the Islamic Republic of Iran, which felt about right. 

The entire restaurant is painted in the colours of the Ukrainian flag; the Wifi name is “Slava Ukraine”; and the password, I was told, translates as “super slava”. 

Which seems to be about the loudest protest that one can get away with in Tbilisi.