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Christmas survival

17 December 2023

9 min read

Navigating your reality of Christmas

Recounting how Christmas changed for her, Lianne Howard-Dace re-evaluates the story and experiences of the season.

Lianne Howard-Dace

Lianne Howard-Dace is a writer and trainer, with a background in church and community fundraising.

A shopping street is crowded by taxi cabs and buses while above it a Christmas illumination of an angel hangs over all.

Jamie Davies, via Unsplash.

When I became a Christian thirteen years ago, I had to figure out how I might blend the sacred and the secular and rediscover what Christmas meant to me.

Each December, millions of people celebrate this occasion, without faith or religion necessarily playing a role. Nearly 90 per cent of people in the UK celebrate Christmas each year, despite only around 46 per cent of people identifying as Christians and only 5 per cent regularly attending church. These people create memories for their children because they cherish the ones their parents created for them. They decorate their house because it feels good to break up the darkness of winter with a riot of light and colour. They gather with their loved ones because it’s great to have an excuse to catch up. They eat and drink together because there are few pleasures greater than enjoying Yorkshire puddings and roast potatoes with your nearest and dearest. These experiences may even be quite spiritual, though they won’t always be recognised as such.

Of course, the secular Christmas has taken on a mythology of its own. The image I have painted above is true, but it is not the whole picture. Whatever our beliefs, we need to be careful not to make an idol of the “perfect Christmas”. Not every family can afford to eat lavishly. Not everyone has people to celebrate with. For some, late December may mark a different anniversary altogether, and be a hard time of year. Even as someone who would readily say they love Christmas, I have had my fair share of family and romantic dramas that have made some years hard.

If all you’ve ever known each Christmas is a turkey roast and visits from Santa, how can you look beyond the gift-giving and feasting which you have previously focused on, to discover the Jesus narrative within Christmas? You do not have to discard all those other things if they bring you joy, but you will start to notice that there is more going on in the marking of this holiday than you had previously considered.

Underneath the tinsel and baubles you will find Mary and Joseph in a cattle shed, with the infant Jesus lying in a manger. Perhaps there will be animals, and visitors bearing gifts as well. And you will think that you know the story. You’ll remember your role as a shepherd in a school play and playing silent night on the recorder. You’ll remember that Christmas is all about the birth of Jesus. And Jesus is the son of God, or something like that?

An all-powerful God could have revealed themselves to the world in an infinite number of ways. They could have come as a giant, towering over everyone. They could have arrived in a fiery chariot pulled by snow-leopards. They could have come riding a robot, ready to overthrow the Romans.

If the school nativity play is your primary reference point for what Christianity has to offer your life, what does it really tell you about Jesus, and why he matters? Familiarity breeds contempt. So, many people see the nativity scene year after year and dismiss it out of hand. The son of God being born as a baby 2,000 years ago is just a fairy tale. It blends in amongst the snowmen and reindeer, as just another motif of the festive season.

The nativity has become deeply sanitised and is so far removed from our modern way of life in the Global North, that for most it can be hard to see what it is trying to tell us. And if you never enter a church or meet any Christians, who is going to show you? Even as someone who was inquisitive and interested in spiritual things, for a long time, I compartmentalised the ‘churchy’ bit of Christmas as something for other people.

In looking again at Christmas I have found that yes, it tells us a lot about Jesus. But also, it tells us so much about God the Creator. An all-powerful God could have revealed themselves to the world in an infinite number of ways. They could have come as a giant, towering over everyone. They could have arrived in a fiery chariot pulled by snow-leopards. They could have come riding a robot, ready to overthrow the Romans.

But instead, at a time when 30 per cent of infants didn’t live to see their first birthday, God comes to earth as a baby. A tiny human with a soft bit on the top of his head and blurry vision, who can’t stay awake for more than an hour or so, and needs his nappy changed every half hour. That speaks to me not of a God who is far, far away in some magical realm, or a God who wants to control and oppress us, but of a God who deeply understands and respects the human experience. Who is right in the amniotic fluid, and the blood, and the crap of life, with us.

Believing that Jesus is not just the Son of God but also, somehow, Godself at the same time, can take some serious mental gymnastics when you approach it as a cerebral exercise. But when you allow yourself to see and feel the stories afresh, and ask yourself what each of them is revealing about God, God’s relationship to us and God’s relationship to our world, it can start to make an odd kind of sense.

I remember how full my heart was when I learnt that the name you’ve maybe heard Jesus called in carols – Immanuel – actually means ‘God with us’. For me, discovering this gem hidden, tucked away beneath what I thought I knew about Christmas, was extraordinary. Because, God had been with me all along.

God was with me that first disorientating Christmas after my parents’ divorce. God was with me when I was 19 and randomly went to Midnight Mass after four gin and tonics. God was with me when the dog ate our gingerbread house, roof and all. And God was with me when I laughed at my nephew trying his first Brussels sprout.

But the incarnation – the humanity of Jesus – being so pivotal to my faith, I actually find great comfort in envisaging Jesus’ birth as messy and complicated, as the rest of us.

When I think about what it means for God to become a flesh-and-blood person, I find it can be helpful to imagine the humanity of the nativity. To add a layer of realism we don’t often see. Now, I have never given birth, but unlike many childless, or childfree, people in the West, I have witnessed a birth. With the confidence gained from having endured childbirth twice already, when my mum went into labour with my brother, she refused to go to hospital. I think her exact words to my dad were, ‘The midwife can ******* come to me’.

This happened early one June morning in 1992, and I, aged six, was awoken around 6am by my mum’s screams. Going to investigate what on earth was going on, I was surprised to find my nan open the door to my parents’ bedroom. She told me that the baby was coming, and that I should go and occupy myself by getting ready for school.

Having had the birds and the bees talk at a relatively early age, I was quite keen to get a good look at what was going on. I couldn’t see much, as there were four or five adults crammed into the modest master bedroom of our terraced house. But I could see my mum in the birthing position, I could sense the intense nature of what was happening. And, even after my nan closed the bedroom door, I could hear the noises. Few on-screen depictions of birth have come close to really capturing what happened in our house that morning, even on my beloved Grey’s Anatomy.

I went downstairs to make myself a bowl of cereal. I have no idea what my then three year-old sister was up to at this point, but it’s quite possible she slept through the whole thing. After watching some classic 90s kids’ TV (Playdays, anyone?) I went and changed into my little grey skirt, white polo shirt and navy sweatshirt to get ready for school. I then went to brush my teeth, only to be confronted by a disembodied umbilical cord in our bathroom sink. I must have made a commotion at this stage, because I remember the midwife coming to explain what this peculiar mass of blood and veins and tissue was, and suggest that I brush my teeth over the bath on this occasion.

My mum couldn’t avoid hospital completely, and she and the baby went off in an ambulance; she for stitches and he for routine checks. As they were bundled off, my nan and dad came downstairs carrying the double mattress which had just welcomed my little brother into the world. It was practically soaked through and they balanced it on top of the rotary airer in our garden to dry in the spring sunshine. Of course, I delighted in the opportunity to regale my whole class with all the graphic details of this experience when I eventually arrived at school.

It seems to me that if Jesus himself is not spared a painful, bloody death, it’s unlikely to me that Mary would be spared a painful, bloody birth. Let’s not forget that the gospels were written by men, who were likely removed from the messy women’s business of birth, and perhaps wouldn’t have seen how powerful including this might have been.

Perhaps people find it respectful to narrate the birth of Christ in a clean and painless way. If Mary is the virgin mother of Christ, or even immaculately conceived herself, then surely she would’ve been spared the birth pains which Eve inflicted on her sisters? But the incarnation – the humanity of Jesus – being so pivotal to my faith, I actually find great comfort in envisaging Jesus’ birth as messy and complicated, as the rest of us. Perhaps Mary had terrible morning sickness throughout her pregnancy like my sister, perhaps Jesus was born earlier than expected like my cousin, perhaps he had the cord round his neck like me.

We can take what is good and true and life-giving from wherever we find it during the Christmas period.

It would be easy to end this article by saying that once you become a Christian and you know what Christmas is really all about, you should become worried about it being secularised and not taken seriously. You should drastically change your own behaviours and practices around Christmas. But this would miss the fact that God was already with us all along, even if we didn’t realise it.

For those of us with a foot in both camps of the sacred and secular Christmas, the journey doesn’t end when we find faith. There are certainly things we’ll want to re-evaluate - the rampant commercialism of Christmas for one thing - but we don’t need to throw the baby out with the bath water. Having unpicked what we thought we knew about the Christian Christmas, we can rebuild, reconnect and redefine what Christmas means to us now. We can create our own traditions and work out how to interweave them with those of our friends and family who may not share our faith.

I’ve never actually been to church on Christmas morning, because there are traditions in my family that I do not want to miss. The croissants and jam we eat for breakfast in our PJs every Christmas morning are a sign of God’s abundance. I will find a lull in the day, when others are snoozing or watching TV, to pray a prayer of gratitude for them. I will have spent the month leading up-to Christmas attending services and events to help me reflect on and anticipate the coming celebration of Christ’s birth. I’ll also have eaten a chocolate every day to help me count down to the day itself. And after we’ve had our Christmas dinner on Christmas Eve (very Scandinavian, I know), I will go to Midnight Mass. That is the moment when it works for me to really immerse myself in the faith aspects of Christmas.

We can take what is good and true and life-giving from wherever we find it during the Christmas period. We can celebrate loved ones reuniting, and that the days will soon become longer, not in spite of what we now know about God and Jesus, but because of it – because of the richness and new dimensions it adds to our lives. When we know that everything is a gift from God, it makes the presents our friends and family have chosen for us all the more significant, not less.

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Psychology

23 July 2025

7 min read

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

Suzanne O’Sullivan's question is timely

Henna Cundill

Henna is a researcher with the Centre for Autism and Theology at the University of Aberdeen.

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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