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
Character
Comment
Freedom
Politics
4 min read

Elon will learn that speech is never free

We see the cost of our words in our daily lives.
Elon Musk, wearing a t-shirt slouches forward, holding a mic, while sitting on a stage chair.
Musk, not talking.
Wcamp9, CC BY 4.0, via Wikimedia Commons.

Nigel Farage presumably still believes Elon Musk a ‘hero’ for reintroducing absolutely free speech on X- despite the Billionaire concurrently suggesting that Farage isn’t cut out to lead the UK’s Reform party. If he is truly committed to the free speech cause, Nigel should welcome this verbal attack from Musk as proof that he can take what he often gives out.  

This turn of events demonstrates free speech to be a misnomer. Whatever we say - and do - is never free, and always has a price to pay. Farage and Reform ended up paying the embarrassing cost of Musk’s pointed comments this time round, bemused by the volte-face from the man who was in talks to donate to Reform just weeks ago. 

We see the cost of our words in our daily lives. Saying ‘sorry’ costs us our pride, saying ‘thank you’ costs us our independence, saying ‘I forgive you’ costs us our chance at revenge, giving a compliment costs us a battle with our own insecurities, and so on. And these are positive words- the verbal price is plainer to see when we have caused hurt, upset, or distress. I am grieved often by a thoughtless or hurtful comment given or received.  

The impact of Musk’s words on Farage is clear to see, but there is also an impact on Musk’s inner life. This is the hidden cost of negative speech; the speaker poisons themselves with the negativity they are channelling in what they say. A Hebrew proverb states that ‘death and life are in the power of the tongue, and those who love it will eat its fruits.’ Continuous negative speech will twist a person entirely in on themselves, slowly reducing any capacity to love or bear goodness. Eventually the tongue dictates the whole person; what victimising speech comes out is the sum total of the defiled heart that propels it. There is little ability to pull back- what was once a conscious choice to engage in vitriol has become the unconscious reflex of a vitriolic heart. 

Advocates of uncensored speech are usually trying to say something society does not generally accept, and therefore often something extremist. Recognising there is great cost to hurtful speech both to the speaker and the target might encourage those tempted to vent their deepest fears in the form of insult to consider again the power of the tongue.  

Questioning Farage’s politics may not be an extremist thought, but we must pay attention to the fact that the ‘hero’ of free speech, Musk, appears to have fallen out with Farage because of their differing opinions on Tommy Robinson, the extremist whom Musk has continued to platform and refused to censor. Farage has distanced himself from Robinson and seemingly incurred Musk’s wrath. Furthermore, Musk’s vile comments over the weekend about Keir Starmer and Jess Phillips demonstrates that repeated insults curate a dark heart. 

Perhaps we should not be surprised that Musk seems to be on a concurrent campaign to disrupt democracy as he tries to advocate a total absence of censorship. The role of democracy is to protect minorities; the reason we trust elected officials to vote laws in for us is to protect those unlike us from mob rule. In our society, our elected officials should be protecting the migrants, refugees, ethnic minorities, criminals, the disabled, those unable to work, and any others who are ripe for victimisation by wider society.  

These protections, the rule of law, and the court system, means we can live together without our basest human instincts for violence ruling our better judgements. Ours is a society built on biblical principles, and the care for the foreigner and the poor is found continuously from cover to cover of that book. Not only does democracy offer a system of government that offers the protection of the law, but it also incorporates universally just principles with regards protecting minorities. 

This is the reason that free speech is curbed to an extent in Britain by the ability to prosecute hate speech. Our elected officials have decided that the cost of some speech is too high to pay. This is not a totalitarian imposition, but a recognition that in an internet age, hateful opinions spread too quickly and too visibly to be tolerated. 

In order to attempt to curate a society of gentler and healthier hearts, we should turn to the teacher whose words operated exclusively in grace and truth. Jesus recognised that speech was not free, saying on one occasion that each person would have to account for their careless words before God on the day of judgement. Deeper than even the consequences for our own selves and the recipients in the immediate moment, this eternal cost should remind us of the responsibility to use our words wisely and to deal in truth, encouragement, and wise critique.  

All our words have tariffs - Jesus’ earthly life was full of negative reactions to his speaking the truth. And yet, for ourselves, for our societies, and for those who need protection from hatred: we must think twice before we speak. For our words cost more than we will know in this life. 

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