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Attention
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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.  

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Attention
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6 min read

Why bother with podcasts if nobody is listening?

As critics snipe at the popularity of podcasting, podcaster James Cary explores the medium and how we should listen to them.

James is a writer of sit coms for TV and radio.

Two people sit cross-legged at a low table on which two microphones stand. One press a key on a laptop on the floor.
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During the pandemic, an Australian comedy show, At Home Alone Together on ABC, made a sketch that was widely shared on the internet, especially among podcasters. For those wondering what to do with their time, they had one clear, simple message given with typical Australian honesty: Do not start a f***ing podcast. 

I’ve encountered hostility to the idea of podcasts since I started listening to them fifteen years ago, when the main options were This American Life and Kermode and Mayo talking about movies. Both were podcast versions of existing excellent radio programmes. 

With every passing year, podcasts have become more popular, a huge boost coming in 2014 with the Serial podcast, which was a spin-off This American Life. People with iPhones were realising what the purple icon was, and they weren’t afraid to use it. 

 

Attention a zero-sum game. If you’re listening to something, you’re not listening to something else. Nobody wants their time wasted.

Many resisted. They didn’t really understand what podcasts were, where they came from, how to find them and what made them different from radio programmes. Merely mentioning podcasts would make people either roll their eyes, or far worse, causing what I would call “Podcast Derangement Syndrome”. We see that, albeit humorously, in the ABC sketch, urging people not to start a podcast. 

It’s a fair point. Don’t start a podcast out of boredom. It won’t last more than a few episodes (that’s called ‘podfading’), it won’t be any good and no one will listen as it’s not offering anything substantial or insightful.  

We live in an attention economy. Attention a zero-sum game. If you’re listening to something, you’re not listening to something else. Nobody wants their time wasted. Like a book proposal or an article, you need a clear offer to your listener or reader. 

For example, my own Sitcom Geeks podcast - which ended this month after 222 episodes over eight years – was all about helping people write better sitcom scripts. Yes, that’s a niche interest, but tens of thousands of people want to write sitcoms. 

Many podcasters never identify what they’re offering. They make the mistake of the first crop of bloggers twenty years ago, who started hammering out their error-strewn opinions on everything from politics to dieting. Most of these blogs were read by almost no one, and even the more popular ones didn’t have large numbers. Every medium is the same. Most books don’t sell more than a few dozen copies, particularly self-published ones. Most shows at this year’s Edinburgh Fringe will have an audience in the single digits. 

Podcasting is the same. My other podcast, Cooper and Cary Have Words, deals in lightly comic, theological conversation. Now on Episode 157, we have a fairly devoted listenership, but it’s small. I mention it not because I’m a tiresome podcaster who is forever promoting their podcast. Okay, it’s partly that. But I’m going to do the one thing podcasters never do, which is talk about how many people actually listen. And the numbers here might surprise you. 

Each episode of Cooper and Cary Have Words is usually downloaded by about 1,100 people within a week of dropping, and then another 1,100 within 90 days. So that 2,200 listeners, creeping up another few hundred over the following month. That’s not many, is it? Even late-night shows on BBC local radio playing outré jazz get more listeners by a factor of ten. 

Here’s the next surprise: these figures put Cooper and Cary Have Words into the top 5% of all podcasts in terms of listeners. The 4,500 downloads in the first seven days would put us in the top 1% which again, seems low. The two Seen & Unseen podcasts, Re-enchanting and Seen & Unseen Aloud, are doing well but everyone is dwarfed by the Joe Rogan Experience, which, according to Time Magazine, is experienced by 11 million people. 

But here’s the big statistic to keep in mind: 50% of podcast episodes get fewer than 30 downloads in the first week. 

This would give some justification, then, for a recent article in The Spectator by Sam Kriss who has the most chronic case of Podcast Derangement Syndrome I’ve encountered for a while. He begins by making curious comments about how podcasts are fake, including real ones, but his point is this: “nobody actually listens to any of them.” 

I understand the rage against a phenomenon. The media often confects a craze. When everyone was talking about Game of Thrones, it was fair to point out that this premium show on pay-TV was being watched by a truly tiny number of people. It’s just some of those people were people like TV critics for The Spectator or the BBC. 

Kriss then rather undermines his claim that no-one listens by saying “Sometimes people ask me which podcasts I listen to, and when I reply that these days I don’t really listen to any they react as if I’d said I don’t eat food or breathe air.” So, are those people lying about listening to podcasts? The Spectator has several podcasts. Are they a waste of time and money? 

“Podcasts are also, objectively, crap. I don’t say this lightly.” I think you do, Sam, but let’s take it at face value. The charge that many podcasts are acts of inane vanity is undoubtedly fair. Many others are well-meaning, but poorly recorded and unfocussed. 

This isn’t the 1930s when families might huddle around the wireless and give the BBC their undivided attention. 

But let us also remember that an awful lot of broadcast radio is highly disposable, being either inane links between songs on commercial radio, or punditry for the sake of it on talk radio, whether it’s BBC Radio 4 or TalkSport.  

There are some good podcasts, thought. What about them, Kriss? He says they’re not worth listening to unless you give them your undivided attention, explaining that if you’re listening to a podcast while doing something else, you’re not really taking in the content. This is not educating yourself, but merely acquiring an illusion of knowledge. 

But surely all audio works the same way? We’re listening to the radio or podcasts while we’re cooking, washing up or driving. This isn’t the 1930s when families might huddle around the wireless and give the BBC their undivided attention. 

Then comes a sentence which is revealing. Kriss has just told us that podcasts aren’t real, we don’t listen to podcasts anyway, and that we’re lying about it and when we do listen, we’re not learning anything when we do. We’re all idiots. He then writes,

“The people who make podcasts usually have a very dim view of their public.”

Oh, Sam. Thou dost project too much, methinks. 

We all like a rant. And we often like reading polemical pieces. We love a Clarkson, a Cowell and a Boycott sounding off. But I wonder if Sam Kriss, an established writer for a well-regarded publication has succumbed to the elitist mindset. It is tempting to disparage the voices of those from the outside who wish to speak, whether or not anyone wishes to listen. Thanks to smartphones and RSS feeds, they can, just as the blogs did two decades ago. 

The medium is new but the lesson is old. To whom do we listen? If you look at the life of Jesus it is striking how often he listened to the voices of the excluded, even when his own disciples and henchmen tried to bundle the blind and the embarrassing out of the way. Moreover, those that sought to control the flow of information were, to use theological jargon, ‘the baddies’. We live in age where all kinds of voices can be heard. The question is whether we wish to listen.