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.  

Explainer
Creed
Psychology
4 min read

The selfish desire of hopeful prayer

While waiting for a bus, Henna Cundill contemplates how prayer transforms the uncomfortable into imaginative hope.
A woman leans against the glass of a bus shelter while waiting, she clasps a bag.

“Try praying” suggests the bus as it pulls up. Ironic, really, given how much of my life I’ve spent in this draughty shelter, earnestly praying that a late bus would just turn up. Well, here is a bus, but it is not the one I’m waiting for. However, its slogan has lodged in my mind. Perhaps I should pray anyway, just to pass the time? What would I pray for right now, beyond the bus I want? Are any of my other prayer requests something that God is likely to countenance? I’m all too well aware that there are some things on my personal wish-list that the Almighty is definitely not going to grant.  

In 2022 a Church of England survey found that nearly half the population (48 per cent) claims to pray, and the numbers are apparently even higher among the 18-24 age bracket. In the breakdown of the statistics, it can be seen that the poll respondents prayed for all the ‘right’ things – for peace, forgiveness, guidance, and for those in need. So far, so pious. Would any of us really admit to a pollster that we pray for the other, slightly more selfish things – a convenient parking space, good weather on a holiday? Such prayers are suitably benign, but probably also pointless. God, surely, has better things to do. We still pray them though. Well, I do anyway. Maybe you are better than me, but I’ll go ahead and admit to all those little, probably pointless prayers – prayers revealing that inwardly I’m quite selfish, and a bit of a narcissist, a girl who just wants an easy life and an on-time bus.  

Perhaps the uncomfortable truth here is that a lot of prayer is born out of a desire for ease and comfort. Prayers for peace, forgiveness, guidance, and even prayers for others in need can be no less a response to a sense of discomfort or discontent than the prayers to get me out of this draughty bus shelter. But such desires are entirely natural. After all, as humans we are programmed to maintain homeostasis. Within that, most functions can happen internally – so when the individual body is too hot, it sweats; when the body is too cold, it shivers (like me in this shelter right now). It’s all about control.  

But sometimes the discomforts are emotional, and we are dependent on external factors to maintain or regain our homeostatic sense of peace – factors that are out of our (or any person’s) control. To pray is to make a cognitive response to that realisation, to seek some input from a higher power. There is nothing I can do to make the bus come on time, and in the absence of peace, forgiveness, guidance, or when contemplating the multifarious sicknesses and struggles of my fellow human beings – well, I realise that maybe damn near everything is out of my control. God, can you do something about this? It’s making me uncomfortable.  

Oddly enough, even the most well-known of Christian prayers, the so-called “Lord’s Prayer” (Our Father, who art in Heaven… etc. etc.) makes no bones about acknowledging this. Part way through, like hungry children who loiter in the kitchen whilst mother is cooking dinner, unashamed the pray-ers cry out: “Give us this day our daily bread.” It is a daily moment of divinely sanctioned gimme, gimme, gimme. My selfish inner narcissist loves that bit.  

I’m not generally praying for bread; I have bread. But to me the bread is a metaphor for all my inner needs and appetites. I think one of the early Christian writers, Augustine of Hippo, grasped this uncomfortable truth also. Reflecting on the brutal honesty of the prayers which are found in the Bible’s Book of Psalms, he wrote: “Your desire is your prayer, your prayer is your desire.”  Augustine was not advocating that such desires should be uncritically indulged, but that pray-ers should be honest enough to verbalise their desires, to acknowledge them before God, and in that way allow sunshine to become the best disinfectant.   

There is, perhaps, no bleaker statement than the words, “I haven’t got a prayer.” Where there is prayer, there is imagination, and imagination is a sign of hope. 

How interesting that the Lord’s Prayer acknowledges this basic human need – this need to say, “God, life is uncomfortable, and I don’t like this feeling.” I wonder about the other 52 per cent of the poll respondents, the ones who said that they didn’t pray. What on earth do they do with their appetites, with their difficulties, or with their sense of malaise? Because I think Augustine was right: prayer is all about desire, and desire is about hope for satiety – be it physical, emotional, or cognitive. Prayer is anticipating that our desires can or might be met by someone or something, out there somewhere, and allowing ourselves to imagine how that might come to be. There is, perhaps, no bleaker statement than the words, “I haven’t got a prayer.” Where there is prayer, there is imagination, and imagination is a sign of hope. 

It takes a bit of courage, sometimes, to admit to what we imagine, what we secretly hope for. It might be a world of peace and prosperity for all, but it might also be for the demise of an enemy or for a successful and stress-free life. Psychologists Ann and Barry Ulanov observe that in this way, all prayer is confession, even the prayers where we are asking for stuff. By coming face-to-face with God, we also have to come face-to-face with ourselves, including our selfishness and narcissistic longing.  

So, have I got the courage to verbalise my personal wish-list? To take this idle moment and allow my imagination to present God with all my deepest, darkest desires? Well, it sounds like it might be good for me, whether God is listening or not. Prayer, it seems, is an opportunity for some gritty self-reflection and deep personal growth. So why not? Here goes:  

“Dear Heavenly Father… 

…Oh, never mind, my bus is here.  

Amen.”