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.  

Essay
Comment
Royalty
5 min read

Coronation vows and the relationships they make

The coronation contains significant words that are cornerstones for the state and much more. M. Ciftci explores their implications.

Mehmet Ciftci has a PhD in political theology from the University of Oxford. His research focuses on bioethics, faith and politics.

A painting shows a young Queen Victoria, in her coronation dress, resting one hand on the bible, taking her oaths
Queen Victoria taking the coronation oath, by George Hayter..
George Hayter, Public domain, via Wikimedia Commons

What is the point of the coronation ceremony? Many, such as Orwell, have praised the monarchy for absorbing our desire to exult those who rule us, so that we do not fawn over the politicians who hold real power, as they do in some presidential regimes. Instead, we treat politicians with no fanfare, but as mere ministers of the Crown, and hence as ministers of the good of the entire country. But why do we need an explicitly Christian coronation ceremony, taking place in the middle of an Anglican service of Holy Communion?  

We can find an answer in The Meaning of the Coronation, an appreciative essay written after the last coronation by two left-leaning sociologists, Edmund Shils and Michael Young. Every society, they claim, relies on an implicit consensus around certain moral values. “What are these moral values which restrain men’s egotism and which enables society to hold itself together? A few can be listed illustratively: generosity, charity, loyalty, justice in the distribution of opportunities and rewards, reasonable respect for authority, the dignity of the individual and his right to freedom.” 

 The apparently ordinary nature of these values should not deceive us.  

“The sacredness of society is at bottom the sacredness of its moral rules, which itself derives from the presumed relationship between these rules in their deepest significance and the forces and agents which men regard as having the power to influence their destiny for better or for worse.”  

Our sense that moral rules and values ought to be respected calls us to use all the power of rite and ritual to invest them with the authority of the sacred. The monarchy is eminently suited to serve this purpose, since “the monarchy has its roots in man's beliefs and sentiments about what he regards as sacred,” albeit in a vague, and hence more inclusive, way that can be appreciated without membership of the Church of England (to which I do not belong either), or Christian belief of any defined sort. Therefore, Shils and Young argue, the

“Coronation is exactly this kind of ceremonial in which the society reaffirms the moral values which constitute it as a society and renews its devotion to those values by an act of communion.” 

We can better appreciate how the Coronation reaffirms various political and moral principles by considering some key parts of the ceremony. One of them is the taking of the Oath to “solemnly promise and swear to govern … according to their respective laws and customs” the UK and Commonwealth Realms. These words are the cornerstone of our tradition of common-law constitutionalism. As the Queen takes the Oath, according to Shils and Young, she “acknowledges that the moral standards embodied in the laws and customs are superior to her own personal will.” Historically, as H.L. Morton wrote,  

“The king’s task was to uphold the law, not to make law, still less to govern by personal will as an autocrat.”  

The Oath, then, stands in judgement over the ministers of the Crown: have they acted in accordance with existing laws, or did ministers rule by personal decree? A question always worth asking, as Lord Sumption reminded us during the pandemic. 

Another key moment is the presentation of the regalia, the symbols of how the monarch should reign. The most important regalia to be handed to the King by the Archbishop are the Sceptre with Cross and the Sceptre with Dove. The Archbishop will then say a new and somewhat clumsy prayer to ask: 

“that you might exercise authority with wisdom, and direct your counsels with grace; that by your service and ministry to all your people, justice and mercy may be seen in all the earth.”  

By contrast, in 1953, the Archbishop said:  

“Receive the Rod of equity and mercy. Be so merciful that you be not too remiss; so execute justice that you forget not mercy. Punish the wicked, protect and cherish the just, and lead your people in the way wherein they should go.”  

This conveys more clearly and artfully the significance of the Sceptre and Rod, which is to circumscribe the purpose of the state, defined simply as that of upholding justice and public order. All those who act in the King’s name, such as parliamentarians, judges, magistrates, and members of the armed forces or police, are thus entrusted with authority to carry out the King’s Oath to “cause Law and Justice, in Mercy, to be executed”. By implication, if they do or desire anything that does not strictly serve this purpose, such as gaining power and influence for its own sake, or interfering with society arbitrarily, then they go beyond their commission.  

But law is also meant to be tempered with mercy. Hence one of the ceremonial swords, the curtana, carried into the Abbey at the beginning of the ceremony has a blunt tip. The ceremony is embedded with the Christian belief that we must be humbled by knowing we are sinners presuming to judge others. Our sense of justice is imperfect. What fallible judgements we mete out to others should, where possible, be open to reintegrating the wrongdoer back into society.    

Finally, there is the anointing itself, the central act following the taking of the Oath and before the presentation of the regalia. This is the most archaic part of the rite, hearkening back to prophets, priests, and kings of Israel who, according to scripture, were anointed with oil to signify that God had dedicated them to perform a role for the good of the whole people.  

The anointing was one of two moments in the ceremony that were not televised in 1953, a precedent that will be followed again this year. For the anointing is an act that is really a prayer – and who likes to have people gawping at them when praying? The King removes his Robes of State before the anointing because this is the moment when he asks humbly to be given divine aid to dedicate himself to the service of his people.  

There are too many examples of failed and collapsed states to make us doubt that the continued existence of any state is not something we can guarantee by our ingenuity.

The Sovereign’s dedication to public service is one side to the covenant that binds the country together. Rather than a social contract between individuals to protect their self-interest, in our Constitution there is an exchange of vows, binding one to another with rights and obligations. The monarch and those acting on his behalf swear to serve us (and condemn themselves when they fail to do so), and we swear to bear true allegiance in return.  

Whether those promises will be kept is not a matter of effort and skill alone. Just as in a marriage, the weightiness of the promises makes us naturally feel unequal to the task and in need of strength greater than we can muster. There are too many examples of failed and collapsed states to make us doubt that the continued existence of any state is not something we can guarantee by our ingenuity. Hence, at the heart of the Coronation is the unfashionable but humbling idea that to remain faithful to the vows pledged, and for there still to be a United Kingdom in future generations, are gifts given by something above us and beyond our ability to control.