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
Creed
Education
Psychology
6 min read

We miss so much when we only see what we are looking for

Explaining why we don't see the unseen - with the help of a gorilla.
A blurred image of a blindfolded man.
Manuel Bonadeo on Unsplash.

In a thriving Pentecostal Church on an English city street, a room full of worshippers are singing, clapping, dancing and throwing their hands in the air. The preacher cries “Come, Holy Spirit!” and there are cries of “Amen!” and “Yes Lord!” One person has tears on their cheeks.  

A few doors down, a few dozen Anglicans also gather. Heads bent over their liturgy books, there is a hum of responses and an air of reverence. “Give us the joy of your saving help: and sustain us with your life-giving Spirit.” The altar candles flicker as the community settles itself into pews. The Holy Spirit is no less present to these worshippers, although they respond in a completely different way.  

Both churches share one creed, in which they commit to their belief in God as the source of all things, seen and unseen. Whilst Pentecostal theologies tend to focus on the observable and unpredictable signs of the Spirit at work, many Anglicans would describe the Spirit in terms of an inner experience, perhaps one that is cognitive rather than physical. But either way, Christians share one belief – that God is present in the world, and we call that the Holy Spirit.  

However, there are also hundreds of people who walk past both of these churches, week by week, who would never dream of setting foot inside. Many of them will think that anyone who believes in God is deluded or deceived. Such rationalist thinkers often have a strongly monist view of the world, in which everything, even mysterious things such as human consciousness and perception of non-physical entities, must have a physical or biological basis. As Ebenezer Scrooge says to the apparent ghost of Marley in Charles Dickens’ book, A Christmas Carol, “You may be an undigested bit of beef, a blot of mustard, a crumb of cheese, a fragment of an underdone potato. There's more gravy than of grave about you, whatever you are!” 

It is almost impossible to convince someone who hasn’t had a first first-hand experience of God that anything like the Holy Spirit exists. Many nay-sayers, I suspect, quietly (or maybe not so quietly) believe that their unbelief is because they are more rational and maybe even more intelligent than those who get excited by such things. But there is another possible explanation for why some people apparently cannot, or will not, see the unseen.  

The British education system is heavily orientated towards STEM. Even when more creative subjects such as literature find their way into the syllabus, they are often studied in a rather dry and analytical way. Notwithstanding the efforts of the occasional maverick teacher, I recall much time spent learning how to identify the iambic pentameter of Shakespeare, and little (if any) time learning to articulate how his sonnets made me feel. Such a system turns out good scientists, but it may be that in doing so it trains our young people out of being able to perceive a whole raft of things which are arguably just as important to human flourishing.  

The world around us contains significantly more sensory input than our minds can process, so we simply don’t pay attention to most of it. 

A “selective attention test” can quickly prove this point. I did one recently with a room full of psychology undergraduates, almost all of whom had identified as monists. “Since you guys are the brightest and the best,” I simpered “let’s do a little intelligence test. Apparently only five per cent of the general population get the answer right to this puzzle, but in this room, I expect the success rate will be a little higher…”  

Having primed them by flattering their egos, I proceeded to show them a video called “The Monkey Business Illusion”, designed in 2009 by scientists Christopher Chabris and Daniel Simons. During the short film, a group of people pass basket balls to each other, and viewers are asked to count how many times the players wearing white shirts pass the ball. It seems simple enough, and when the film ended, I asked the students how many counted the right number of passes. Almost every hand in the room went up. No surprises there.  

Then I asked the more important question – who saw the gorilla? There was a smattering of laughter, and this time only about half of the hands went up. Meanwhile, the other half of my students were looking around at their peers, utterly confused… 

But it was true. In “The Monkey Business Illusion”, a person in a 6ft gorilla costume walks right across the middle of the scene, weaving through the players in the game. However, because most viewers are intently focussed on watching the players in white, they simply don’t perceive it. You can try this for yourself - the video I’m talking about can be found easily on YouTube, and if you follow the search term “selective attention test” there are many others like it.  

The material point is that the world around us contains significantly more sensory input than our minds can process, so we simply don’t pay attention to most of it. If you pause for a moment right now, you might notice that there is the hum of a heater in your room, or the noise of traffic outside, or the smell of an air freshener, or that a piece of your clothing that is too tight – things you were simply not aware of until I pointed them out. It’s common that we don’t perceive things until something else makes us think that they are important. If someone tells you that your house might have structural damage, you will suddenly start to notice every creak that comes from your walls and ceilings, even though those creaks have probably been happening for years.  

As social beings, we can be easily conditioned into paying attention to certain things and ignoring others. If I tell a group of students that intelligent people are highly attentive to the players in white shirts, I increase the likelihood that they simply will not notice a gorilla.  

There is good research to show that children, even in our modern and secular society, are inherently spiritual – most young kids believe in God, or gods, fairies and the existence of many things unseen. But this is not celebrated in our STEM focussed education system, wherein young minds are highly conditioned to let go of such “irrational” beliefs and trust in the full explanatory power of science. It is so effective that, by the time they get to my classroom at university, I’ve got little hope of persuading any of my monists that there was a 6ft gorilla without showing the video again and letting them see it for themselves.  

But there are always some people who are willing to challenge the idea that Marley was just an undigested bit of beef. There are always some people who attend churches of one type or another, or practice other forms of spirituality and religion. Some pray, some meditate, and many take part in rituals. This trains them in what anthropologist Tanya Luhrmann calls “micro-processes of attending”, leaving them more ready to perceive spiritual things instead of screening them out of their conscious awareness. How they respond might depend on preferred tradition – dancing, liturgy, or a little bit of both. But all agree that there is something going on that is unseen and important.  

Many STEM educated, highly rational and fully committed monists no doubt think that those who attend churches are deluded and deceived into perceiving unseen things are simply just not there. These nay-sayers have been taught, implicitly and explicitly, that it is more intelligent to believe in the all-explanatory power of science. But perhaps it is they who have been deluded and deceived? As the Monkey Business Illusion demonstrates, if you flatter someone’s intelligence enough, it becomes entirely possible to hide a 6ft gorilla in plain sight.  

Watch the Monkey Business Illusion

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