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
General Election 24
Politics
4 min read

Who’s right when hurling charges of hypocrisy?

Accusations highlight the risk of self-deception.

George is a visiting fellow at the London School of Economics and an Anglican priest.

A newspaper headline, text and an image of the subject of the article.
Ashcroft's charge against Raynor.
David Yelland, X.

Lord Ashcroft launched an extraordinary new attack on Labour’s deputy leader, Angela Rayner, in the Mail on Sunday at the start of this week, claiming that his investigation into where she lived, allegedly for tax purposes, was never about money. 

“Hypocrisy was always the charge against Angela Rayner,” he intoned, “not tax avoidance… And the stain will dog her for years to come.” 

Leaving aside whether stains dog people or the other way around, this is extraordinary not because Ashcroft attacks a senior Labour figure – day follows night, etc – but because it’s the sort of volte face that journalists call a reverse ferret. 

Had Rayner been found by investigating police officers to have committed a tax-fraud or electoral offence (and, to be clear, they didn’t), we need to ask ourselves whether Ashcroft would have run with the same line.  

Imagine: “Angela Rayner has committed a crime, but this is really about hypocrisy.” Do you think he’d have gone with that? Neither do I. 

Usually, charges of hypocrisy are levelled at politicians who use social privileges to which they’re opposed in principle. 

Hypocrisy is invariably the charge when there’s nothing else to go with. And that must raise questions about what hypocrisy really is. 

It’s clearly not just about telling lies. In the first televised debate this week between Rishi Sunak and his rival for premiership, Keir Starmer, the former repeatedly (12 times) claimed that Treasury officials had independently calculated that the latter’s spending plans would add £2,000 to the tax bill of every family in the UK. A published letter subsequently showed that the Treasury had specifically told the Government that this figure was bogus and not to be used. 

Was this hypocritical? No, it was just plain wrong – in the sense of both inaccurate and immoral. The opportunity for hypocrisy came when both leaders were asked whether they would use private healthcare for a family member in need. Sunak said he would; Starmer said he wouldn’t. If Starmer now ever uses private health facilities, Mr Hypocrisy will be ringing his door bell. 

From this, we deduce that hypocrisy is pretending to be what you’re not. So Donald Trump poses as a great statesman, the saviour of his nation, but goes down for all 34 felony charges of falsifying accounts to hide his pay-off of former porn actor Stormy Daniels, in order to protect his electoral prospects. That’s hypocrisy, precisely because he’s pretending to be someone he isn’t. 

That hypocrisy is exacerbated when Trump holds up a Bible to support his authority – or, indeed, publishes his own. Likewise, when a rich TV evangelist is convicted of sexual abuse (there are, tragically, too many examples to choose from).  

By contrast, is Rayner pretending to be something she isn’t because her family has used two properties? Very probably not. Similarly, we might like to ask whether SNP deputy leader Kate Forbes is a hypocritical politician because she’s a Christian, or a hypocritical Christian because she’s a politician. Very probably neither. Being both is who she is. 

Usually, charges of hypocrisy are levelled at politicians who use social privileges to which they’re opposed in principle. Like when Labour MP Diane Abbott sent her son to a fee-paying school. Private education, like private healthcare, is only meant to be available to those who support it ideologically, rather than just financially. Otherwise, it’s hypocrisy. 

The problem here is the presumption that the private sector is only available to those who endorse it. So it’s hypocritical for socialists to use it. But that presumption moves very close to the view that working people should know their place (a social order, incidentally, that the Christian gospel defies). 

There is no inconsistency – and consequently there can be no hypocrisy – in wanting the best for our own children, while concurrently wanting the best for all children. One might even call such a policy something like levelling-up, should such a thing exist. 

We may not know what Angela Rayner’s shortcomings are, but simply having them doesn’t make her a hypocrite.

A biblical definition of hypocrisy might be the hiding of interior wickedness under an appearance of virtue. In Matthew’s gospel, it’s the charge levelled at Pharisees whose good deeds are entirely self-serving. 

In this manner, moral theology would point to hypocrisy being the fruit of pride. But simply to hide one’s own shortcomings isn’t necessarily to be construed as hypocrisy, because there’s no moral obligation to make them public.  

In that context, we may not know what Angela Rayner’s shortcomings are, but simply having them doesn’t make her a hypocrite. Otherwise, we’re all hypocrites (and there may be some truth in that). 

It reduces to resisting the temptation to point to the mote of hypocrisy in our neighbour’s eye, while failing to attend to the beam in our own. That would also be to avoid self-deception. The kind of deception that pretends that one’s actions are in the public interest, when clearly they are only serving your own. Which, neatly enough, brings us back to Lord Ashcroft.