Article

Attention

Comment

Psychology

2 February 2024

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.

Henna Cundill

Henna is a researcher with the Centre for Autism and Theology at the University of Aberdeen.

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

Comment

Economics

24 April 2023

6 min read

Paying for dignity lets life flourish

The Real Living Wage is the pragmatic way to safeguard the dignity of workers. Campaigner Ryan Gilfeather explains how it takes away the barriers to flourishing lives.

Ryan Gilfeather

Ryan Gilfeather explores social issues through the lens of philosophy, theology, and history. He is a Research Associate at the Joseph Centre for Dignified Work.

At twlight, the lit office windows of two tower blocks contrast with a darkening sky

Night in London's financial district. when many cleaners work.

CGPGrey, CC BY 2.0, via Wikimedia Commons.

Christians have been at the heart of the campaign for the Real Living Wage since the movement began in 2001. Alongside other faith and community groups, Christian leaders in East London noticed that so many people in their communities were paid so little that they had to work two jobs just to get by. These workers had to choose between feeding their children and seeing them. They did not even have time to go to church or pray. Christians have objected to poverty wages ever since because these wages deny the inextinguishable dignity of each person; their faith drives them to campaign for wages sufficient for the means of life

The Real Living Wage is the minimum hourly pay rate someone needs to earn to be able to afford the means of life if they work full time. That’s £11.95 in London; £10.90 everywhere else. It’s calculated by the Resolution Foundation; a policy think tank that focuses on improving outcomes for people on low and modest incomes.

A campaign run by The Living Wage Foundation encourages employers to agree to pay all their workers this amount.

It is not to be confused with the so-called National Living Wage, which mandates by law that all workers 23 and older be paid £10.42 an hour.

Since we are all fundamentally equal, we all deserve the same dignity. This dignity involves allowing all to flourish in the ways a human being should.

Many Christians support the Real Living Wage because the Bible leads them to believe that every single human being shares the same fundamental dignity and value. As the story of creation says, everyone is made in ‘the image of God.’ Nothing is of greater value than God, so no thing in this world is more valuable than the image of God. Since we are all fundamentally equal, we all deserve the same dignity. This dignity involves allowing all to flourish in the ways a human being should, for example health, faith, family relationships and opportunities for children.

As each year passes, the way to safeguard the dignity of all in relation to work changes. Wages and working conditions change over time. When positive patterns emerge Christians praise and support them, but when insidious structures emerge, they challenge them. Safeguarding the inherent dignity of all human beings requires moral pragmatism. It demands that Christians always consider which changeable means can help attain the unchanging goal of human dignity. They see the Real Living Wage as a pragmatic way of safeguarding what the Bible teaches about human dignity, because poverty wages compromise it.

Poverty wages undermine workers’ ability to flouring in faith, health, family relationships, and opportunity for their children.

Voices of those on poverty wages reveal its damaging effects. In December 2022, a church in the heart of London’s financial district,, St Katherine Cree, hosted a carol service in English, Spanish and Portuguese. The intended congregation were not financiers but cleaners. Alongside singing carols and listening to bible readings, the service included testimonies from cleaners and their families, expressing their sense of life and faith. These testimonies exposed how poverty wages undermine workers’ ability to flouring in faith, health, family relationships, and opportunity for their children.

The root of the problem is that poverty wages cause severe overwork. Maritza, a one-time cleaner earning poverty wages and now a manager at Clean for Good, a cleaning company which pays the Real Living Wage, recalls:

"I went through a very difficult time in my life – having to bring up my children on my own, and earning so little money. I had to work such long hours."

Whilst Toyin, a community organiser and child of a cleaner earning below the living wage, speaks of how their mother ‘worked two jobs, seven days a week’ simply because her ‘job does not pay enough.’ Low paid workers often work incredibly long hours to earn enough to feed their children. These long hours and overwork then get in the way of these workers flourishing in other aspects of their life.

Such overwork compromises faith. Maritza explains that: “In this time of hardship, I lost my faith.” Toyin’s account expands on why Maritza and others have this experience.

“The people that I work with are affected because having more than one job does not allow them to find the time to go to church or even pray.”

For Christians, going to Church and praying underpin an individual’s faith. When poverty wages necessitate long and often unpredictable hours, they prevent people from exercising their religious belief and identity in these ways. Hence, one of the experiences of workers which led to the real living wage campaign was that overwork and Sunday working meant there was little time left for churchgoing or the other practices of faith. Aspects of life that having discretionary free times allows us to do.

Severe overwork damages the mental health of cleaners. Toyin suggests that an inability to spend time with family and practice their religious beliefs “has affected their mental health and well-being.” Research shows how widespread this phenomenon is. 69 per cent of below living wage workers report that their pay negatively affects their anxiety. Thus, poverty wages force conditions which damage workers’ health.

Under these conditions, workers find it difficult to make advance plans, even for events as important as their children’s birthday parties.

Conditions of poverty and overwork undermine family relationships. Maritza explains that,

‘‘I had to work such long hours that my children saw very little of me."

Toyin fleshes this point out.

"My mother was not paid a real living wage which meant I missed out on time with my mother which I resented as I didn’t understand her sacrifice at the time… The people that I work with are affected because having more than one job does not allow them to find the time to… provide the time, love and support to their families."

Cleaners often work such long hours at inconvenient times of the day that they are simply unable to see their children enough to nurture that relationship. To make matters worse, these hours are often highly unpredictable. 50 per cent of workers earning less than the real living wage receive less than a week’s notice for shifts, and 33 per cent have experienced unexpected cancellations. Under these conditions, workers find it difficult to make advance plans, even for events as important as their children’s birthday parties. It is no surprise, therefore, that 48 percent of workers earning less than the real living wage say that their wage has negatively affected their relationship with their children. Poverty wages force workers to choose between spending enough time with their children and having enough money to provide for them.

Poverty wages erode educational outcomes for children. Toyin explains that some parents find it harder to support children in their education.

"When I was younger, my mother worked two jobs, seven days a week which meant she was not able to help me with my schoolwork, come to school assemblies and other family needs."

Since parental support increases the child’s educational attainment, these children are left vulnerable to worse educational outcomes. Furthermore, it forces children into unofficial caring roles.

"There are also families where children have to care for their younger siblings, cook, clean and play the role of the parent due to their parent not being paid a living wage."

The pressures of this role distract from a child’s education and compromises their ability to reach their full potential. Poorer educational outcomes for children living in poverty is well documented. According to the National Education Union, ‘Children accessing Free School Meals are 8% less likely to leave school with 5 A*-C GCSE grades than their wealthier peers.’ A lack of parental support and the burden of caring responsibilities are likely a contributing factor.

Christians see how poverty wages compromise the inherent dignity of these workers by restricting their ability to flourish in faith, health, family relationships and opportunities for children. They also notice that these problems are widespread: the Resolution Foundation found in 2021 that about one in five jobs in the UK pay below the Real Living Wage. They believe that the Real Living Wage is the pragmatic way to safeguard the dignity of these workers, because it will take away the barriers to their flourishing. That is why Christians continue to campaign for the Real Living Wage, and why increasing numbers of Christian employers insist on paying fair wages. In this way, the belief that all are made in the image of God leads Christians pursue a world in which safeguards every person’s dignity and worth.