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
Politics
4 min read

Why governments need to Do God

A new review has a positive answer to the question should governments ‘do God’. Bex Chapman assesses the Bloom Review and its recommendations.

Bex is a freelance journalist and consultant who writes about culture, the church, and both government and governance.

Prime minister Rishi Sunak leans forward out a lounge chair while the Archbishop of Canterbury talks and gestures while sitting on a sofa.
The Prime Minister Rishi Sunak meets with the Archbishop of Canterbury Justin Welby in 10 Downing Street.
Number 10, CC BY 2.0, via Wikimedia Commons.

The former Downing Street spin doctor Alastair Campbell once notoriously interrupted a journalist interviewing his boss, the then-Prime Minister Tony Blair, to prevent him speaking about his faith, saying ‘We don’t do God’.   

But we know that many of our politicians do indeed ‘do God’; Gordon Brown was famously a son of the manse, who promised to lead a government with a ‘moral compass’. David Cameron declared that his Christianity existed, albeit that it ‘comes and goes’ like the Magic FM reception in the Chilterns, while Theresa May, also the child of a clergyman, described how her faith in God made her convinced she was ‘doing the right thing’ as Prime Minister.   

And Boris Johnson, originally baptised as a Roman Catholic as a baby, went Anglican while at Eton, and then re-crossed the Tiber to become Britain’s first Catholic Prime Minister. Before he left office, he commissioned an independent review to look at how the government should engage with faith groups. Four years later, based on conversations with over 20,000 people, ‘Does government do God?’ has been published. Has the government now admitted it does in fact do God? Or at least, that it would like to?   

The review is clear that faith makes a massive contribution to the life of our country. It examines the role of people of faith and places of worship in many areas of society - education, prisons and the probation service, the UK Armed Forces. It does not shy away from showing us that alongside those of real faith seeking to serve their communities there are those who abuse what they call ‘faith’ for their own ends; it looks at faith-based extremism, financial and social exploitation, and forced marriage. Review author Colin Bloom was clear that the issue of forced and coercive marriages should be a top priority for the government, calling it a ‘burning injustice’ that must not be consigned to what he called the government’s ‘too difficult box’.

Public servants currently receive training on the protected characteristics, but Bloom describes faith as ‘the Cinderella protected characteristic’. 

He recommends faith literacy in the public sector be improved as it is key to allowing the government to tackle these issues. Public servants currently receive training on the protected characteristics, but Bloom describes faith as ‘the Cinderella protected characteristic’. His report suggests that faith literacy is low across not just across the public sector, but across the country, including the media. Religious literacy training and a new Independent Faith Champion are just two of the 22 recommendations of the review, that go right across government, which government will consider and respond to in due course. At a briefing on the review, Bloom noted that there had been many previous reports with similar recommendations, but that these had not been followed through, adding ‘I just wish that either this Government, or whatever comes next, will be the Prince Charming that will take this Cinderella to the ball’.   

So why does government need to be more aware of, and more willing to engage with, people with faith? This report’s key message is that faith is an ‘overriding force for good’. One respondent told the review:  

‘Imagine if churches and other places of worship removed their time, money, creativity and energy from public life… What would happen to the army of volunteer chaplains in prisons, universities and hospitals?’.  

From over 21,000 responses, the majority of people who contributed to the review research were clear that faith and religion are beneficial for society. Over half of respondents gave faith and religion a 10 out of 10 rating for contribution to society, and over 84 per cent scored the social contribution as positive.   

The priest and psychologist Henri Nouwen spoke about how, for Christians, action is a grateful response that flows from our awareness of God’s presence in this world. Jesus’s whole ministry was a great act of thanksgiving to his heavenly Father. Nouwen observed that:  

‘Teresa of Avila built convents as if she would never get tired; Martin Luther King, Jr., preached, planned, and organized with an unquenchable zeal; and Mother Teresa of Calcutta is fearlessly hastening the coming of the Lord with her care for the poorest of the poor’.  

There are thousands of examples of how faith has motivated people to change the world around them for the better. The Bloom review cites the Mildmay Mission Hospital in London as just one example. Established as a Christian response to the cholera outbreak in the 1860s, it became one of the world’s leading centres in care for people living with HIV and AIDS and continues to be ‘an organisation that derives inspiration from its faith-based values’.   

Faith that changes lives is not just something from the past. The recent census showed us that there are still more people in the UK who have a faith than not. The religious landscape of the UK may have changed hugely since Alastair Campbell declared that ‘We don’t do God’. It is now far more diverse, arguably now even more exciting. Faith still makes a difference, changes lives, builds communities. Mr Bloom concludes that ‘without faith, places of worship and people of faith, this country would be poorer, blander, and less dynamic’. Faith, he says, is a force for good that government should do more to understand. The government should indeed do God. And this review and its recommendations suggest there is lots of room for improvement in just how they do it.