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
Attention
Culture
5 min read

Dispatches from the battlefield of imagination

The Age of Intellect has given way to the Age of Imagination.

Theodore is author of the historical fiction series The Wanderer Chronicles.

A collage image shows a person holding their head, with a wash of warm colours over the scene.
Jr Korpa on Unsplash

Twenty years ago today, I crossed the threshold of the Christian faith. It was a baptism of fire in a more literal and mystical sense than I care to describe (or indeed would be able to). And unlike many, I really can point to a day and a time and a place.

That night, perhaps unlike CS Lewis, I was not quite “the most dejected and reluctant convert in all England.” But I was certainly the most bewildered. ‘What have I let myself in for?’ I wondered as I walked away from that church on a dark, wet January night. I was certain that in crossing that threshold I had entered a new world. Even if it was true, as I believed – or as I now knew - I sensed that it was dangerous too. There was a wildness to what I had just witnessed that was both thrilling and disconcerting. And yet, after that encounter, I could no more have turned away from what I had discovered than stop the world turning. As the mathematician Blaise Pascal discovered in his own ‘night of fire’ – “certitude, certitude!” is a very precious gift, and one worth holding on to.

Twenty years later, the landscape of faith in this country looks very different to the one in which I stumbled my way over the line. (Or through the back of the wardrobe might be a better metaphor.)

Back then, in 2005, the War on Terror was raging. If religion was discussed at all, it was generally reckoned a pretty rotten sort of institution. A regrettable historical hangover, an inheritance bequeathed to us by our more credulous ancestors of which we were doing well to divest ourselves, albeit too slowly for some. In this brave, new secular world, it was an increasingly commonplace view that religion ruined everything; beside which, it wasn’t true anyway.

These were the days when a certain form of atheism was ebullient and on the march. The Four Horsemen of Dawkins, Hitchens, Dennett and Harris held the cultural conch for a time, and they weren’t letting go. The God Delusion came out in October 2006, quickly followed by God Is Not Great in early 2007. Religion (not sin) was the root of all evil. ReasonTM was the exclusive intellectual property of the unreligious mind, untainted as it was by visions of that laughably silly Sky-Fairy in the heavens. The battlefield of apologetics was a much-contested landscape at the time. Truth was the prize - which both sides could at least agree upon - and many a debating hall was filled to bursting to watch each side’s sharpest minds slug it out.

God only knows how in such an intellectual atmosphere, I survived the shelling and carried through to the other side. But it’s telling that I had as my guide through the intellectual carnage, not voices of that age, but rather voices from further back in time. My old friend, CS Lewis, but also GK Chesterton, St Augustine, Dostoyevksy, and the potent words of the gospels to which they led me. Like wily old corporals, they saw me safe across No Man’s Land.

Even if I made it through, there’s no doubt it was the secularists who gained the cultural ground back then. That their intellectual case was unsound, it didn’t matter. Their propaganda was better – it was what people wanted to hear – and so Christianity was shoved out of the public square.

And now, two decades on, the war has moved into a very different theatre of operations. The Age of the Intellect has given way to the Age of Imagination as, unwittingly, the dry vacuum of secularism has sucked in contending spirits of another kind.

These days proponents and adversaries of the Christian faith jostle not in the dusty debating halls of our great universities, but on the battlefield of cultural consumption. Its topography formed of the movies we watch, the streaming channels we look at, the podcasts, music and media we endlessly gulp down.

Truth itself is no longer the prize, since the logical outworking of atheism’s ascendancy was to get what perhaps its proponents never bargained for: a post-truth age. What matters now is not so much what you believe, as what you attend to. The words and images which you consume. (Or which consume you.)

Walk the streets of any city and witness every passer-by glued to the screen nestled in their hand. Earphones clamped over their head. Distraction, saturation, enchantment: a cacophony of sound, a barrage of images overrunning the imagination to the point of madness. Until we have forgotten what it is like to sit patiently in silence with a still and empty mind. What it’s like to observe the world around us, to be available for the people around us.

But with what do we fill our imaginations now – that is the question? There lies the battle. 

But with what do we fill our imaginations now – that is the question? There lies the battle.

And so we find ourselves now moving through a world in which our capacity to create and consume is loaded with inestimably high stakes. It harkens back to Dostoyevsky’s famous line in The Brothers Karamazov: “The awful thing is that beauty is mysterious as well as terrible. God and the devil are fighting there and the battlefield is the heart of man.”

He’s right. Although the heart, the mind, the imagination cannot in any true sense be de-coupled from one another. (Is ‘soul’ a more encompassing word?)

 And yet, of the two, the truly subversive combatant is God and not the devil. (Consider the Cross: the most subversive act in all reality.) It is God who is the invader here after all. He is the one taking back ground. His weapons are Truth, Beauty and Goodness. On the face of it, these are mild, even benign, abstractions. And yet in each is wrapped a potency as explosive as dynamite. Because with them, the spells that hold our imaginations captive can be broken. In an unguarded moment, He can slip through the enemy lines.

Witness the ear of culture’s recent harkening to the ancient truths and wisdom of our Judeo-Christian heritage. Nick Cave sings of a “Wild God” and to everyone’s surprise, people are starting to listen again. But he’s not the only one.

The inescapable wildness of God is that He cannot be contained; if His will is to break through, then He cannot be held back. As Mr. Beaver said of the lion Aslan, in answer to the fear: “Is he safe?”

“Who said anything about safe? ’Course, he isn’t safe. But he is good.”

As little image-bearers of this Creator, indeed as little creators in our turn, our creativity teeters on a knife-edge – it always has. An edge sharp enough to cleave heaven from hell. We’d do well to remember that. And that, being image-bearers of this wild God, no wonder we have a wildness of our own.

Yep. Twenty years has already been one heck of an adventure. But I suspect it has only just begun.

​​​​​​​Join with us - Behind the Seen

Seen & Unseen is free for everyone and is made possible through the generosity of our amazing community of supporters.

If you’re enjoying Seen & Unseen, would you consider making a gift towards our work?

Alongside other benefits (book discounts etc.), you’ll receive an extra fortnightly email from me sharing what I’m reading and my reflections on the ideas that are shaping our times.

Graham Tomlin

Editor-in-Chief