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.  

Column
Comment
Football
Sport
6 min read

Is the Premier League too much of a good thing?

A weary look ahead to the new season.
Four footballers stand arms crossed looking expectant and confident.
Premier League.

Well, it’s the time of year again when my emotional well-being is governed by the weekly performance of Liverpool Football Club. Yes: the Premier League is back!  

The start of a new season is usually abuzz with the excitement of possibilities. So many questions, so many possible outcomes. What will life look like after Jürgen Klopp? Will we win the league? Will we ever sign a defensive midfielder? This should be an exciting time for any football fan; a time of hope, of daring to believe this really is your year. 

So, why does the start of the season fill me with such dread this year?  

Normally as the season starts, I know when all the games are; who Liverpool are playing, where, and when. I’ve watched Liverpool’s pre-season friendlies to see if we’ve changed formation or made tactical tweaks. I’m up to date with all the players bought and sold by clubs across the league.  

Not this year. This year the season has caught me completely off guard and I’m finding the prospect of yet another year of football hard to process. I was invited to join a work fantasy football league this week and, honestly, the thought of it made me want to cry.  

When did the sport I love so much begin to feel like such an obligation? Why does being a football fan feel like such hard work? 

I think I’m just tired of football. No, not tired. Fatigued. Exhausted.  

Or, more accurately, football itself – the sport – is fatigued. As though it’s been drained of all enjoyment. 

As television, rather than sport, football inevitably lives in the aftermath of the ‘HBO effect.’ 

There are all sorts of reasons for this. To start with one of the more obvious ones, Video Assistant Referees (VAR) have turned football into a glorified science project. It’s now a common occurrence for matches to be stopped for extended periods while three men in a portacabin miles away from the game pull out their CGI rulers. All to determine if an attacker has a toenail offside, so they can gleefully disallow a goal and congratulate themselves on a job well done. The line between ‘being right’ and ‘doing right’ is blurred more than ever as commentators bemoan the increasing gulf between ‘the laws of the game’ and ‘the spirit of the game.’  

The standard and nature of refereeing in English football certainly isn’t helping my enjoyment of it. But it’s only part of a wider problem.  

But there’s a truth about football that many football broadcasters and organizations don’t want to face. 

Football is now primarily a televised commodity - content. Most football fans across the globe engage with the sport primarily through a screen, rather than at a stadium. As television, rather than sport, football inevitably lives in the aftermath of the ‘HBO effect.’ 

Prestige HBO shows like The Sopranos, The West Wing, The Wire, Game of Thrones (and countless others besides) have shaped the landscape of TV and, by extension, the culture around us. No longer confined solely to HBO, there seems to be, at any given moment, at least one TV programme you simply have to be watching if you’re going to keep up with the cultural conversation. If you’re not watching, you’re left behind. 

This is the context in which football finds itself in 2024. No longer sport, but drama. And drama that begs to be discussed. A series of prompts for those sought-after ‘water-cooler moments’ that dominate conversation throughout the week. “That was never a red card!”  “We were robbed!” Competitive sport boiled down and reduced to a series of controversies and talking points.  

Because football is more television content than sport now, these controversies are not just discussed in the immediate context of the match in question. No, all week between games, key moments and decisions are slowed down, dissected, viewed from multiple angles, pulled apart. 

I watch matches, and then watch people talk about the matches I’ve watched, until there’s another match to watch. There is simply too much football, and too much talking about football. All in service of football as television. 

On top of this, the matches themselves are only becoming more frequent. This year, the Champions League will have an extra two games in the group stage. 

And then there’s international football. This summer alone, there has been the Euros and the Olympics and, during breaks in the Premier League, players represent their nations in friendlies, World Cup qualifiers, and Nations’ League games (the competition literally no-one asked for).  

This is to say nothing of proposals for a 39th Premier League game played abroad and an expanded Club World Cup from 2025 (again, neither of which fans seem to be clamouring for). 

And all these matches are taking place within this context of football as television content. There’s not just more football, but there’s more football to talk about, more contentious refereeing decisions, more player mistakes and tactical battles to unpick.  

But there’s a truth about football that many football broadcasters and organizations don’t want to face. Loads of it is really boring.  

There’s no guarantee anything of actual interest will happen in any given football match. Goals in football are relatively scarce compared to other sports. Liverpool beat Manchester United 7-0 a few years ago and it was heralded as borderline divine intervention. If a rugby match finished 7-0, fans would be asking for a refund.  

Authentic mundanity will always be more compelling than manufactured drama. 

That’s one of the beautiful things about the beautiful game; it’s authentic. There are no pre-written storylines, and no perfect endings or twists set in stone. It’s real life. Like real life, it can often be mundane.  

That should be no surprise, really. At the end of the day, football is a game we humans created to pass time and have fun. Like all sport, football is human flourishing in practice. By this I mean that, through playing sports, we get a glimpse into what it is we’ve been put here to do: to enjoy our existence. It is an expression of communal joy found in delighting in the physicality of our nature as created beings. When we take it too seriously or make too much of it, we obscure that fundamental truth to which it points, even at its most mundane. That we are creatures created to flourish and find joy in our creatureliness.  

Authentic mundanity will always be more compelling than manufactured drama. In its endless pursuit to inject drama into the sport so it can compete as television, football has lost the mundanity and authenticity that makes it so compelling.   

All of this has been somewhat lost in contemporary football and goes some way to explaining why the thought of yet another season of endless debates, drama, and analysis of the sport I love makes me feel rather exhausted. I just want to watch some people kick a ball.  

So, what are my hopes for this Premier League season? It might sound counterintuitive, but if there was less football and less football drama in my life, that would do for me. Failing that, I’ll take a Liverpool treble.