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
Comment
War & peace
4 min read

When to stand up in an increasingly insecure world

When war is ‘othering’ by other means, the brutal realities of our world can be overwhelming. Ziya Meral contemplates what it means to take a stand.

Dr Ziya Meral is a researcher, advisor and programmes director specialising on global trends shaping defence and security, politics and foreign policies. He is a Senior Associate Fellow of the Royal United Services Institute.

Anti-aircraft shells firing out of gun

Recently, I found myself sitting quietly at a cathedral buzzing with tourists, reflecting on demanding global developments and uttering a few words of prayers, not for world peace, but for guidance on how I should live my own life amidst all these.  

Today’s world is a brutal reminder of timeless truths about the human condition, about continuum of violence and aggression in human affairs, about exclusion and marginalisation of the ‘other’ amidst economic downturns, about how fragile peace and prosperity are, and how the future might not always be better than the past.  

There is a bitter realisation that there is no clear end ahead of us in the near future to this war of choice by Russia. 

As I write these lines, Russian forces continue their brutal invasion of Ukraine, killing tens of thousands, forcing millions out of their homes, destroying town after town, and intentionally pursuing a scourge earth policy to destroy the habitability of towns and cities and sustainability of life. Ukrainians continue to bravely advance their counter offensive to push Russian forces as much as possible, while NATO leaders gear up for a summit in Lithuania in July, which will assess and discuss future support to Ukraine. There is a bitter realisation that there is no clear end ahead of us in the near future to this war of choice by Russia. Some sort of ‘frozen’ peace might be achieved by stopping or reducing violence, but no matter what Ukraine needs our prolonged support to ensure it does not face yet another wave of invasion a few years down the line. This is why even President Macron, who has been cynical about NATO, is now talking about Ukraine’s membership to the alliance as lesser of all of the risks ahead of us.  

We have entered a new era, that is not simply just about Ukraine. For the last decade we have seen a major shift in global affairs as not only world’s two major powers, US and China, increasingly saw each other as a competitor and threat against national interests, a long list of medium-sized powers actively used force in invading other countries, or pursuing proxy wars and meddling into politics of other countries. From cyberwarfare to a new era of espionage to attempts at influencing other nations and altering trajectories of their politics, investments into a new generation of nuclear weapons and increasing of nuclear stocks to major investments into defence, most states in the world are gearing towards a decade of instability ahead of us.  

Thus, it is not surprising that Sweden and Finland gave up historic policies of neutrality and decided to join NATO, or that Japan is pursuing a historic investment into its defence in a break away from its historic stand, or that China is going to double (or more) its nuclear stocks by 2030, or that even France is about to undertake a historic level of investment in its defence. The list goes on. All of these happen within a context of genuine existential risks to our existence. Like climate change, there are the domino effects of conflicts into our lives from faraway places. From energy prices, to food shortages, to disruption of trade and electronic parts, to new technologies like AI raising all sorts of ethical and practical questions and risks. There are hundreds of millions of human beings living in geographies and countries that are not able to care, provide and protect and give them a sustainable and meaningful life. Irregular migration, named ‘illegal’ in today’s tabloid language, is only increasing across the world, with only a small percentage ever making it to UK or Europe. Human beings do not simply leave their lives behind and take clear risks if they do not feel they have to.  

We are far from being the first-generation processing news of wars and conflicts. 

All of these are overwhelming realities, ones that we cannot simply ignore. It is normal for us to feel guilty as our daily lives continue in relative peace and property compared to millions of others out there, and it is normal for us to feel helpless and at times despair about all these developments that are clearly out of anyone’s control.  

But as I sat there in the cathedral, I could not help but think that this is not the first time the world has gone through such a convergence of insecurities, and unlikely to be the last time, and that we are far from being the first-generation processing news of wars and conflicts and seeing nations take aggressive postures against one another. I thought about so many heroic figures across history that stood up for truth, for peace, for reconciliation, for justice in such moments and so many heroes that gave their lives to defend us against those seeking to harm us. Their legacies remind us that we all have a decision to make, a stand to take and a role to play in such historic moments. On my part, I am all aware of my limitations, and at times feeble attempts to be part of conversations that point towards solutions. I am also all aware of the deep darkness out there, but also as a Christian, a gentle hope that lies within it. The light shines into the darkness, and the darkness has not overcome it. The promise I find in the figure of Christ on the Cross is not an escape to another world, but embracing of the only one we have here and now, in prayer that all of our efforts could together amount to something much bigger than we realise. As TS Eliot put it, for us there is only trying, the rest is not our business!