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9 min read

From the barber’s chair: the friendships that open us up

Adrian and Neal recall and recount tales of friendships and what made them work so well.
Three men walk down a path, the middle one talking and gesturing while the others listen.
Centre for Ageing Better on Unsplash.

Adrian

As life moves on, I began to realize how important my friendships are. Half the people that I grew up with are now married with kids and the other half are still living their life independently. We all have our own paths in life, and I believe whichever path you take, those whom you consider friends will support you and your decisions no matter what. 

As I went through my issues in 2019, I had nothing but support from my family and 

friends. It wasn't easy for me to be open with my struggles because I felt that everyone would look at me differently. I received nothing but support from everyone then and when I returned to work. They were all there, waiting to book their next cuts with me. From the beginning of my return I knew, then, how important my clients were to me. I wasn't just their barber; I was their friend whom they continued to support even during one of the craziest times in my life.  

Trying to stay afloat during a global pandemic was not easy; honestly it was one of the hardest things I’ve had to deal with. I knew I had to be as strong as I could be so I could help my loved ones stay positive and their heads held high. 

During these times, I worked as much as possible. At every appointment with a client, they showed support and always checked in with how I was. I used all these opportunities to help myself by speaking what was on my mind. Sometimes they would even open up to me and share what was going on in their lives, positive or negative. These times were much needed therapy sessions at every appointment. Being vulnerable helped me so much and it also helped my friends share what was on their minds; they opened up to me. 

When I finally felt right to open up about this incident it was with people who shared the same struggles. They understood and never once judged me. 

Growing up we were taught never to show any fear or emotion. I grew up in a rough area where if you showed weakness, you could be the next target to get bullied. I didn't realize until about four years ago how that way of living was wrong. That way of living haunted me for years.  

Going back to my childhood, there was an incident that shaped my teens and early 

adulthood. I was touched inappropriately by a member of my family and thankfully someone came home so it didn't go further than it did. I never spoke about this incident because I didn't realize the severity of the situation as a young boy and how it would affect me in my later life. You would never think a family member would do anything to put you or harm you in any way. Even as an adult I never said anything because I did not want to get judged or have people put a label on me that wasn't true. When I finally felt right to open up about this incident it was with people who shared the same struggles. They understood and never once judged me. 

These were people who I just met but I felt like I had known them for years. I opened up to them more than I had opened up to my childhood friends and family.  

This is where I discovered the meaning of friendship. I was never judged and looked at differently. I was the same person to them, and I was accepted no matter what. What a great feeling. I began to hold my friendships close as I had the confidence to share so much with everyone. One of the first clients whom I felt comfortable with opening up with was my friend Neal. I remember going over to cut Neal’s and his sons’ hair and I always left feeling purified. I can honestly say that Neal is one-of-a-kind and I'm so lucky to have him by my side. Neal has seen me at my lowest and never once has he ever judged me. 

He and his family have shown nothing but support and just truly care for our friendship. This is where I discovered the meaning of friendship. To me, the meaning of friendship is endless love no matter what the person or persons are going through. You never judge but try to point your friend or loved one in the right direction. Always support and be there when you can. We can take for granted those friendships and lose sight that they are the ones that would be there with a simple phone call or text. 

Today I cherish all my friendships and I'm there for those who were there for me when I was at my lowest. I will do anything in my power because I know my friends and family would do the same for me. 

Neal

Thirty years ago, there were a little over 600 websites, two years after the World Wide Web debuted on the global stage. Today, there are a little over two billion websites. Yet, with all of our connectivity, loneliness is endemic. The social isolation that ensued during COVID-19 only exacerbated what was latent in our body politic. Yet, whether pre-, peri-, or post-COVID, the level and depth of loneliness is staggering. While many people have social media accounts, and the ubiquity of smart devices keep us all connected 24/7, one’s number of “likes,” “friends,” “followers” belie what is experienced in silence: we live, and move, and have our being in lonesome existence. We seek to be known and loved, but our career pursuits and dreams of having families leave us feeling alone.  

They desired someone or a few who could understand them, who desired to understand them, to love them.  And to love them not for a quid pro quo, but just to love them for who they are. 

For eight years I served an affluent congregation in one of America’s most affluent ZIP codes. Business acumen, political gravitas, excellence in duty, and elegance in program execution were the values and expectations of the community and congregational context. It was a wonderful ministry, where I learned much and where I had to engage my gifts and skills in deeper ways. God opened up spaces for me to minister within, love and be loved by people who were successful in their industry.  

When that ministry concluded, two separate congregants asked to meet for a meal. Each of them shared that they appreciated my season of pastoral ministry and they hoped that we would continue staying in touch, perhaps become close friends. They realized that they had spent decades forging business relationships, raising a family (for one of them, navigating a divorce of a second failed marriage), and having careers. Now in their mid-/late fifties they looked around and saw the absence of relationships of any meaningful depth. Sure, there were the business lunches, dinners with friends and cocktails with other couples. But in their mid-life, they sought authentic friendships. They desired someone or a few who could understand them, who desired to understand them, to love them.  And to love them not for a quid pro quo, but just to love them for who they are. They said that they experienced a semblance of that in my eight-year ministry with the congregation.  

What was I to do with their request? I had already left the employment of the church by then. They and I had to part ways as I was no longer their pastor. If anything, we were friends, and would remain so, but I could not commit to the level of depth they desired. I told each of them, gently and pastorally, that two decades ago, when I was newly married and starting my pastoral vocation, I intentionally forged a wide network of friendships. Not just for my work but for emotional and spiritual support.  But among this network, there was that small few whom I can count on one hand who are the A-Team of friendships. Those friendships were cultivated over many years – a couple of them over two decades – as we have been intentional about being in each other’s lives. We would stay in touch and would find opportunities to see each other, carving out precious times wherever we were in the world and whatever demands were on our plate.  That intentional commitment meant being willing to be vulnerable. It meant taking the risk early on to open up my heart with guys I deeply trusted and who entrusted their hearts to me. 

The Message version of the Old Testament wisdom sayings of Proverbs says: “Friends come and friends go, but a true friend sticks by you like family.” 

It’s that quality of friendship that is most needed more than ever. It’s the God-shaped heart that takes the risk to love and be loved. It’s the kind where you can whisper to your friend the sacred longings, hopes, dreams, and fears of your heart 

I didn’t want to deflate the spirits of my two former congregants. But neither did I want to over-promise, to commit myself to investing the time and energy in cultivating the depth of friendship they sought. I told them let’s stay in touch and we left it that. It’s been over a year since those sacred conversations and there’s radio silence.  

In reflecting upon those conversations, and in similar conversations with many pastor colleagues and fellow dads who are not pastors, loneliness is, indeed, endemic. It’s tragic and it’s sad. As we can’t be deep friends with everyone, there is a yearning and longing for the depth of friendships that my former congregants sought. People seek that authentic depth of desiring to be known, of being listened to, of being received and welcomed into one’s heart without having to prove anything.  

As Jesus was nearing the end of his time with his friends (his disciples), he emphasized how important it is to love one another. He even washes their feet to demonstrate that even the Son of God will humble himself because he loves his friends. He teaches them what he means when he calls them friends, when he regards us as his friends, and not as servants. This is what Jesus our friend said,  

“I do not call you servants any longer, because the servant does not know what the master is doing, but I have called you friends, because I have made known to you everything that I have heard from my Father” 

The late Earl Palmer, an American Presbyterian pastor, taught from this passage. Palmer observed that Jesus regards us as his friend by virtue of the fact that Jesus allows us to be in the company of him and the heavenly Father as they have a conversation about the secrets of God’s heart. In other words, only to his friends will Jesus whisper the Father’s heart because to do so is to entrust the treasure of the One who loves him into our own heart. That by doing so, we are let into the heart of God. 

It’s that quality of friendship that is most needed more than ever. It’s the God-shaped heart that takes the risk to love and be loved. It’s the kind where you can whisper to your friend the sacred longings, hopes, dreams, and fears of your heart. It’s, likewise, receiving from your friend the same: being entrusted with the treasure of their heart. And it’s also experiencing joy and delight in being with each other, even through online technology, whether it be for a 15-minute coffee or for a whole day at the tennis courts or sharing corny jokes that no one else appreciates but they do.  

Friendships are gifts of God and gifts from God. The ability to open up our hearts and lives to others is a gift of and from God as well. In doing so, we reflect a bit on what Jesus shows us what love is about, what it takes to love, and what it means to be loved.  

The wise words of philosopher and poet, Henri-Frédéric Amiel, encapsulate well what is needed more than ever:  

“Life is short. We have but little time to gladden the hearts of those who walk this way with us. So we swift to love, make haste to be kind.”  

Review
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Psychology
7 min read

We don’t have an over-diagnosis problem, we have a society problem

Suzanne O’Sullivan's question is timely
A visualised glass head shows a swirl of pink across the face.
Maxim Berg on Unsplash.

Rates of diagnoses for autism and ADHD are at an all-time high, whilst NHS funding remains in a perpetual state of squeeze. In this context, consultant neurologist Suzanne O’Sullivan, in her recent book The Age of Diagnosis, asks a timely question: can getting a diagnosis sometimes do more harm than good? Her concern is that many of these apparent “diagnoses” are not so much wrong as superfluous; in her view, they risk harming a person’s sense of wellbeing by encouraging self-imposed limitations or prompting them to pursue treatments that may not be justified. 

There are elements of O-Sullivan’s argument that I am not qualified to assess. For example, I cannot look at the research into preventative treatments for localised and non-metastatic cancers and tell you what proportion of those treatments is unnecessary. However, even from my lay-person’s perspective, it does seem that if the removal of a tumour brings peace of mind to a patient, however benign that tumour might be, then O’Sullivan may be oversimplifying the situation when she proposes that such surgery is an unnecessary medical intervention.  

But O’Sullivan devotes a large proportion of the book to the topics of autism and ADHD – and on this I am less of a lay person. She is one of many people who are proposing that these are being over diagnosed due to parental pressure and social contagion. Her particular concern is that a diagnosis might become a self-fulfilling prophecy, limiting one’s opportunities in life: “Some will take the diagnosis to mean that they can’t do certain things, so they won’t even try.” Notably, O’Sullivan persists with this argument even though the one autistic person whom she interviewed for the book actually told her the opposite: getting a diagnosis had helped her interviewee, Poppy, to re-frame a number of the difficulties that she was facing in life and realise they were not her fault.  

Poppy’s narrative is one with which we are very familiar at the Centre for Autism and Theology, where our team of neurodiverse researchers have conducted many, many interviews with people of all neurotypes across multiple research projects. Time and time again we hear the same thing: getting a diagnosis is what helps many neurodivergent people make sense of their lives and to ask for the help that they need. As theologian Grant Macaskill said in a recent podcast:  

“A label, potentially, is something that can help you to thrive rather than simply label the fact that you're not thriving in some way.” 

Perhaps it is helpful to remember how these diagnoses come about, because neurodivergence cannot be identified by any objective means such as by a blood test or CT scan. At present the only way to get a diagnosis is to have one’s lifestyle, behaviours and preferences analysed by clinicians during an intrusive and often patronising process of self-disclosure. 

Despite the invidious nature of this diagnostic process, more and more people are willing to subject themselves to it. Philosopher Robert Chapman looks to late-stage capitalism for the explanation. Having a diagnosis means that one can take on what is known as the “sick role” in our societal structures. When one is in the “sick role” in any kind of culture, society, or organisation, one is given social permission to take less personal responsibility for one’s own well-being. For example, if I have the flu at home, then caring family members might bring me hot drinks, chicken soup or whatever else I might need, so that I don’t have to get out of bed. This makes sense when I am sick, but if I expected my family to do things like that for me all the time, then I would be called lazy and demanding! When a person is in the “sick role” to whatever degree (it doesn’t always entail being consigned to one’s bed) then the expectations on that person change accordingly.  

Chapman points out that the dynamics of late-stage capitalism have pushed more and more people into the “sick role” because our lifestyles are bad for our health in ways that are mostly out of our own control. In his 2023 book, Empire of Normality, he observes,  

“In the scientific literature more generally, for instance, modern artificial lighting has been associated with depression and other health conditions; excessive exposure to screen time has been associated with chronic overstimulation, mental health conditions, and cognitive disablement; and noise annoyance has been associated with a twofold increase in depression and anxiety, especially relating to noise pollution from aircraft, traffic, and industrial work.” 

Most of this we cannot escape, and on top of it all we live life at a frenetic pace where workers are expected to function like machines, often subordinating the needs and demands of the body. Thus, more and more people begin to experience disablement, where they simply cannot keep working, and they start to reach for medical diagnoses to explain why they cannot keep pace in an environment that is constantly thwarting their efforts to stay fit and well. From this arises the phenomenon of “shadow diagnoses” – this is where “milder” versions of existing conditions, including autism and ADHD, start to be diagnosed more commonly, because more and more people are feeling that they are unsuited to the cognitive, sensory and emotional demands of daily working life.  

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help.

O’Sullivan rightly observes that some real problems arise from this phenomenon of “shadow diagnoses”. It does create a scenario, for example, where autistic people who experience significant disability (e.g., those who have no perception of danger and therefore require 24-hour supervision to keep them safe) are in the same “queue” for support as those from whom being autistic doesn’t preclude living independently. 

But this is not a diagnosis problem so much as a society problem – health and social care resources are never limitless, and a process of prioritisation must always take place. If I cut my hand on a piece of broken glass and need to go to A&E for stiches, I might find myself in the same “queue” as a 7-year-old child who has done exactly the same thing. Like anyone, I would expect the staff to treat the child first, knowing that the same injury is likely to be causing a younger person much more distress. Autistic individuals are just as capable of recognising that others within the autism community may have needs that should take priority over their own.   

What O’Sullivan overlooks is that there are some equally big positives to “shadow diagnoses” – especially as our society runs on such strongly capitalist lines. When a large proportion of the population starts to experience the same disablement, it becomes economically worthwhile for employers or other authorities to address the problem. To put it another way: If we get a rise in “shadow diagnoses” then we also get a rise in “shadow treatments” – accommodations made in the workplace/society that mean everybody can thrive. As Macaskill puts it:  

“Accommodations then are not about accommodating something intrinsically negative; they're about accommodating something intrinsically different so that it doesn't have to be negative.” 

This can be seen already in many primary schools: where once it was the exception (and highly stigmatised) for a child to wear noise cancelling headphones, they are now routinely made available to all students, regardless of neurotype. This means not only that stigma is reduced for the one or two students who may be highly dependent on headphones, but it also means that many more children can benefit from a break from the deleterious effects of constant noise. 

When I read in O’Sullivan’s book that a lot more people are asking for diagnoses, what I hear is that a lot more people are asking for help. I suspect the rise in people identifying as neurodivergent reflects a latent cry of “Stop the world, I want to get off!” This is not to say that those coming forward are not autistic or do not have ADHD (or other neurodivergence) but simply that if our societies were gentler and more cohesive, fewer people with these conditions would need to reach for the “sick role” in order to get by.  

Perhaps counter-intuitively, if we want the number of people asking for the “sick role” to decrease, we actually need to be diagnosing more people! In this way, we push our capitalist society towards adopting “shadow-treatments” – adopting certain accommodations in our schools and workplaces as part of the norm. When this happens, there are benefits not only for neurodivergent people, but for everybody.

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