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
Leading
Politics
3 min read

My problem with the polls

Chasing the polls hobbles the leadership we really need.

Jean Kabasomi works in financial services in London. She also writes and broadcasts. 

A graphic shows two political opinion poll questions and bar graphs.
Political opinion polls.
YouGov.

Recently reviewing the media’s coverage of the riots in the UK, I came across an article in The Telegraph that both surprised and annoyed me. It outlined an opinion poll conducted on the government’s response to the riots. It claimed that 49 per cent of the population were unhappy with the Prime Minister’s response to the riots. 

Now, you might be wondering why I was annoyed by the article. For me, IF opinion polling is to be used it has three principal applications. First, it might be used to understand how people intend to vote in an upcoming election. Secondly, polling might be used to inform governments or public organisations. They might want to understand how a policy could impact the general populus or a specific group of people. Or measure whether a policy is having its intended impact or not. Lastly, polling might be used by a government to gauge how its overall programme is being received by the population it was elected to serve.  

Polling, in my view, is not supposed to be used   to ask the general public about the day-to-day functioning and decision-making of a recently elected government. Again, you might wonder - why does this matter?  

Well, you don’t need to be a polling expert to know that trust in politicians in developed democracies around the world is at an all-time low. The prevailing view is that politicians are out for themselves, lack integrity, do not believe in anything in particular.  They are happy to provide their opinion based on whichever way the wind is blowing.  

The blame for this is often placed at the feet of those politicians. The argument is that the calibre of people choosing politics is far lower than it has been in previous generations. As such we have a group of leaders who do not believe in what they tell us. Others argue the toxic culture of social media, the overall decline in moral standards in Western democracies and the rise of the culture of the individual, also contribute to fewer common norms on moral expectations.  

All of these are true and do intensify the situation we find ourselves in. But I think there might be a more fundamental problem that is rarely addressed. Instead of politicians getting on with the job they have been elected and therefore delegated to do, they are constantly trying to please people instead of serve people. 

Politicians are having to constantly try and not say the wrong thing on social media or in a tough interview. They are, more and more being urged to respond to polls (often commissioned by the media) and the resulting stories about the day-to-day functioning of government. In any sphere of life, it is virtually impossible for any leader to make a good decision if they are constantly forced to question whether they are making the right decision not because it might harm the people they are leading or serving but because it might not be received well.  

If we want the calibre of our politicians to improve, our current crop needs the freedom to govern, oppose and lead without the need to please us. 

Both Jesus and St Paul spoke of the contrast in pleasing people instead of being led by God (or your convictions). Jesus said that you cannot serve two masters. You will either hate one and love the other or be devoted to one and despise the other. Here, the contrast in question is between money and God. But the principle remains the same. Politicians cannot govern effectively if they are trying to win a popularity contest at the same time.  

This does not mean that politicians should not be held accountable. They should be able to explain and justify the policies and decisions they make within the confines of the system that they have been elected into. In the UK, this includes Parliament, engagement with constituents, in-person surgeries and meetings, party management, and dialogue and examination by the media. It should not include weekly polling data which seems to serve the purpose of generating cheap content and fleeting headlines.  It prevents the politicians from taking difficult but necessary decisions and stifles debate on challenging topics.  

If we want the calibre of our politicians to improve, our current crop needs the freedom to govern, oppose and lead without the need to please us. They need to feel compelled to serve us. Not only will this lead to better decision making but it will also encourage ‘stronger’ candidates to enter politics knowing that they have the freedom to contribute to a better society for all.