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.
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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
Comment
Economics
Hinduism
Sustainability
10 min read

What Gandhi's economist can say about sustainability today

As twentieth-century notions on economic growth for its own sake are questioned it may be worth revisiting JC Kumarappa, the most influential Christian of the India’s independence struggle.
A mechanic stands in a workshop beside a motorcycle under repair.
A motorcycle mechanic in his Chennai workshop.
Photo by Palash Jain on Unsplash.

J.C. Kumarappa (1892 – 1960) was an Indian economist, writer and freedom fighter in the Indian Independence Movement. Widely regarded as the most influential Christian of the India’s independence struggle, Kumarappa’s most notable contribution was as the father of Gandhian economics. Informed by a lifetime of travel through rural India, Kumarappa fused Gandhian thought with Christian ethics to create a school of economics that is difficult to place within the traditional Western understanding of the political spectrum. 

Fusing traditionalist perspectives on economics with a radical commitment to universal upliftment, Gandhian economics was regarded by many as being too idealistic for real world application. But in an era where twentieth-century notions on the inherent superiority of central planning, material consumption and economic growth for its own sake are being increasingly questioned, it may be worth revisiting this school of thought, its early achievements and its founding father. 

Early Life 

J.C. Kumarappa was born on January 4, 1892, in what is now Thanjavur District, Tamil Nadu, India. The son of a well to do civil servant and the grandson of a Lutheran Pietistic Minister, his family descended from some of India’s earliest Protestant converts.  

His parents were strong believers in Pietistic notions of morality and charity. Kumarappa’s father was a strong proponent of academic achievement and professional success, encouraging all his children, including daughters, to pursue higher education and careers. 

Kumarappa’s mother believed in the importance of imparting a sense of personal responsibility and concern for the poor to her children. A defining experience of Kumarappa’s childhood working alongside his siblings to raise chickens and turkeys for sale in the market, with all proceeds going to support his mother’s charitable endeavors.  

Though most readers would nod approvingly at the Kumarappa’s parenting strategies they were ahead of their time in many ways. Facilitating higher education for their daughters at a time when even many upper-class Indian women were illiterate and encouraging their children to raise chickens in a society where the upper classes recoiled at the thought of performing any sort of manual labour. 

In keeping with the high academic and professional expectations of his family, Kumarappa would go on to study history before departing for London in 1913 to pursue an accounting apprenticeship. Unlike many Indian independence activists, including Gandhiji, Kumarappa steered clear of the political activism that was becoming increasingly mainstream among Indian students studying in the UK.  

A regular church goer at first, he grew disillusioned by the British church’s active support for World War I war efforts and became increasingly influenced by Christian Pacifist war resistors. He returned to India in 1919 to pursue a career as a successful accountant before travelling to the United States in 1927, at the age of 35, to pursue a business degree at Syracuse University.  

By this time, Kumarappa had psychologically detached himself from the organized church in favor of independent spiritual practice. Kumarappa was not alone in this. The ascetic, Sadhu Sundar Singh, and the women’s rights advocate, Pandita Ramabai, regarded as the mother of Indian Pentecostal Christianity are two other notable Indian Protestant figures, from the twentieth-century, also rejected formal church affiliation. In all three cases, an intense Christian devotion coexisted alongside a sense of disillusionment over the organized church’s support for the British Raj. 

With his spiritual transformation complete, Kumarappa’s time in the United States marked the start of his political awakening. Following the lead of two of his elder brothers, who had already joined the independence movement, Kumarappa grew increasingly disillusioned by the actions and attitudes of the British Raj. He published Public Finance and India’s Poverty, a critical analysis of British colonialism’s economic exploitation of India. The publication was disseminated internationally and widely read by many including Gandhiji himself.  

He also expressed skepticism in the unchallenged belief that technological innovation was always a net good. 

Kumarappa had returned to India in 1929, where after his request for an audience with Gandhiji was approved, he became a full-time independence activist and adherent of the Gandhian social movement. His first undertaking included an assessment of the economic state of rural India, something which had previously only be done from the perspective of the British colonial government and would eventually go on the become the editor of Young India, the official English language newspaper of the Gandhian movement. It was through this work that Kumarappa began to develop a school economic thought he dubbed Gandhian economics. 

Gandhian economics 

Inspired by the teachings of Gandhiji along with his own Christian worldview, Gandhian economics served as an indigenous alternative to the dominant ideologies of capitalism and socialism. Kumarappa recognized that contemporary Indian society was plagued by extreme poverty, low-social trust, and systemic exploitation of the rural majority at the hands of the colonial state, feudal landlords and caste hierarchy. However, he was unconvinced of capitalism and socialism’s ability to effectively address these issues, fearing their propensity to centralize decision making authority in the hands of a few, be they bureaucrats or CEOs, would only further disenfranchise ordinary Indians.  

He also expressed skepticism in the unchallenged belief that technological innovation was always a net good and believed technology should be critically assessed to evaluate whether it advances the interests and values of the communities they serve.  

The six pillars of Gandhian economics include the concepts of: 

1. Sarvodaya (universal upliftment): Gandhian economics believed economic development must focus around achieving welfare and upliftment for all people, including those who have been historically marginalized. The emphasis on Sarvodaya is also why Gandhian economics should not be confused with reactionary political thought which emphasizes the preservation of traditional social and economic institutions for the benefit of the elite. 

2. Decentralization: The decentralization of decision-making authority is necessary to protect individual autonomy and empower communities. Kumarappa believed that centralized authority and the concentration of wealth in the hands of a few would lead to exploitation and disenfranchisement, regardless of the prevailing ideology. Kumarappa argued that an emphasis on small scale industries and local self-sufficiency would be more effective as a means of poverty alleviation in India. 

3. Trusteeship: Gandhian economists believed that a decentralized economy would limit extreme concentrations of wealth but recognized that class differences would likely never truly disappear and thus believed that wealthy individuals be encouraged to engage in the voluntary redistribution of wealth.  

4. Swadeshi (self-reliance): Gandhian economics was skeptical of globalization and believed in economic self-reliance at the national and local level with the aim of reducing dependence on foreign imports. 

5. Nonviolence: Gandhian economics advocated non-violence which when taking an economic perspective includes avoiding practices such as usury, hoarding and predatory lending.  

6. Environmental sustainability: Gandhian economics believed that environmental stewardship and the sustainable use of natural resources were key to ensuring the long-term wellbeing of society and that this was best achieved by giving local communities autonomy and decision-making authority over their resources and local environments. 

The impact of Gandhian economics

Though the tenets of Gandhian economics often come across as overly idealistic, the ideology inspired several major economic movements during the Indian Independence Movement. The All India Village Industries Association (AIVIA) was established by Gandhiji and Kumarappa in 1934 with the aim of identifying best practice solutions that could be disseminated to promote village industries and improve economic self-reliance 

One early initiative undertaken by the AIVIA was to address rural India’s dependence on foreign kerosene and kerosene lamps for lighting, at a time when rural electrification was extremely rare. AIVIA technicians worked to develop the magan dipa, a locally produced alternative to kerosene lamps that could operate on domestic supplies of non-edible vegetable oils. Aside from the employment generated through the manufacturing of magan dipas, the newly created demand for locally produced non-edible vegetable oil incentivized Indian farmers to process their oilseed crops locally rather than sell them for export. This would boost employment through the establishment of oil presses and also provide farmers with a new stream of income as they could now rent out their cattle to power oil presses. AIVIA believed that solutions like the magan dipa could create economic growth at the local level and improve the quality of life for India’s rural majority without the need for an industrialized export driven economy. 

Gandhian economic principles also manifested as social movements such as Gandhiji’s call for the boycott of imported clothing from Britain in favor of locally produced homespun clothing. The impact of the boycott led to a 20% decline in sales among British clothing exporters and an upsurge in local clothing manufacturing.  

Throughout all this, Kumarappa played a central role in the real-world application of Gandhian economics and was widely considered to be a major figure in the Indian Independence Movement. His activities landed him in prison on more than one occasion with his most notable stint being in 1942 where he penned two of his most famous texts. The first being The Economy of Permanence, which summarized the rationale and principles of Gandhian economics, and the second being the Practice and Precepts of Jesus, which contained his religious views on Christianity and the teachings of Jesus Christ. As his prison sentence progressed Kumarappa developed a severe kidney ailment that led to his premature release. He gradually recovered on the outside and soon resumed his activist duties.  

Kumarappa’s later life 

After India’s independence, in 1947, Kumarappa worked for the Planning Commission of India which sought to develop national policies for agriculture and rural development. During this time, he travelled widely throughout East Asia and Europe to study various rural economic systems. However, a rift between him and the post-independence political establishment quickly began to form.  

Despite the early victories of Gandhian economics, the post-independence Indian establishment came to view the field with extreme skepticism, despite lionizing its early achievements as major victories of the Indian Independence Movement. The Congress Party, with whom Gandhiji was aligned with, adopted a more mainstream attitude to economics viewing industrialization, urbanization and the centralization of decision making through modernized bureaucracies as imperative for India’s development.  

Furthermore, decades as an independence activist made it difficult for Kumarappa to adjust to the conformity and hierarchy of the Indian bureaucracy and he quickly developed a reputation for outspokenness and defiance and did not hesitate to openly criticize his own government’s mismanagement and ineptitude. The Congress government began to view him as a growing irritant but were limited in their ability to control him. The public viewed Kumarappa as an incorruptible advocate for India’s rural poor and a hero of the independence era which meant disciplinary action would likely harm the government’s reputation more than Kumarappa’s. 

Kumarappa grew increasingly disillusioned with the Planning Commission which he believed was staffed by out-of-touch bureaucrats who lacked a personal understanding of the rural poor and the economy of rural India. By 1954, Kumarappa’s declining health forced him to retire from his public duties though he remained as staunchly committed to his Gandhian ideals urging followers that work towards achieving sarvodaya and swadeshi though their own personal and community efforts rather than relying on the “superficial schemes” of the Government. And on January 30, 1960 Kumarappa passed away following a paralytic stroke that had overtaken him four days earlier. The Kumarappa Institute of Gram Swaraj was established in his honour and continues to operate to this day by working to promote economic opportunities for India’s rural poor. 

Conclusion 

As the twentieth-century progressed, Gandhian economics gradually faded into obscurity, often viewed as too naïve for the real world. And maybe it was in some ways. Gandhian attempts at voluntary land redistribution failed almost everywhere, except in Telangana where they succeeded in part because landlords were growing increasingly fearful of the region’s growing Communist insurgency. But the core principle of Gandhian economics, the belief that economic growth can come about through grassroots organizing at the community level remains relevant. In his book Everybody Loves a Good Drought, journalist Palagummi Sainath, documents the dehumanizing poverty hundreds of millions of Indians experience and how the Indian state frequently exacerbates their situation through social, economic and political disenfranchisement. Villagers who find their public schools and clinics mismanaged by apathetic officials, entire communities are branded as born criminals and treated as such, and a Kafkaesque bureaucracy consistently drags progress to a near standstill.  

Yet Sainath also describes hopeful tales of what happens when the poor are given the opportunity to take matters into their own hands. In one of his most inspiring case studies, Sainath describes what happens when illiterate, landless, female stone quarry workers are given the opportunity to form a cooperative society entirely managed by them. Within a few short years these women establish a system that boosted productivity, wages for themselves and even taxes collected by the state. Health and safety were improved, adult education classes instituted. The women even began publishing their own newsletter. The improvements contrast greatly with a similar quarry which decided to join a professionally managed cooperative society only to end up with half their income deducted to fund the salaries of the white-collar professionals now tasked with their supposed wellbeing. Likewise, across India, the fight for environmental protection and regeneration is often being led by local communities. One notable example being how the village of Lapodiya in India’s arid Rajasthan state came together to transform their communities water table and is now seen as a role model for water conservation across the country. Watch the video below.

The successful self-organization of both these communities is exactly what Kumarappa believed would happen when we as a society respect the personal and economic autonomy of individuals and communities and shift decision making power from the top of the pyramid to its bottom. Too often, in India and across the world, the poor are infantilized as being incapable of improving their own lives without the outside intervention of the state, private enterprise or professionally managed not-for-profits. Maybe Gandhian economics can help us revisit this harmful assumption and reassess how it has been used to inadvertently disenfranchise the poor across the world.