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.  

Weekend essay
Comment
Royalty
8 min read

Fanfare for the familial: what the coronation really showcases

The culmination of family saga or a snapshot of the universal family? John Milbank analyses the wider meaning of the coronation.

John Milbank is a theologian, philosopher and poet. A co-founder of the Radical Orthodoxy movement, he is an Emeritus Professor of the University of Nottingham.

King Charles and Prince William hold a tree sapling upright.
The family tree. King Charles and Prince William with a Queen’s Green Canopy sapling.
The Royal Family.

Nothing rivets our attention more than a family drama played out in public. Currently we are fascinated, either avidly or guiltily, by the tensions surrounding Harry’s attendance and Meghan’s absence at the coronation of King Charles III.  

Monarchy is popular and comprehensible in a way that law, finance, mercantile logistics and military strategy are not, just because it involves real persons and their relationships. This translates great matters of state into terms which resonate with the ordinary person - however terrible, besides consoling, those matters may turn out to be.  

Yet for many of the more formally educated this is not right at all. We should not be confusing the private with the public, the intimate with the objectively open.  

Familiarity, and still more the familial, is thought to contaminate the ethical.

Fairness is, today, supposed to require a lack of association with the parties involved, such that increasingly the interviewers of a candidate for a job are not allowed to have any previous knowledge about her. Familiarity, and still more the familial, is thought to contaminate the ethical, which suggests that ideally appointments should be made by artificial intelligence and all judgements be systematically computed.  

Already our individual assessments are no longer trusted, along with the quirkiness of intuition and all tacit knowledge acquired by direct acquaintance. Instead, we are expected to act as much like robots as possible and to reach verdicts only by box-ticking according to pre-assigned criteria.  

For such an outlook, monarchy is a supreme anomaly: the subversion of public process by private whim rendered hereditary. It surely enthrones not just a man but corruption and forms the capstone for the continuing operation of a decadent inherited establishment.  

Yet there is another way of looking at all this. Is it any accident that King Charles, who has not arrived at his position by following due process or pandering to the needs of faction and fashion, has consistently been able to argue for and to promote more serious long-term concerns of the common good than have most politicians? Our built environment, the stability of nature, the sustaining of craft-skills and the training in disciplined virtue of the young, whatever their class origins, all matter supremely, and yet it is the Crown and not Parliament that has been most freely able to point to these things and to do something about them.  

Where do any of us first learn to obey, to share and to sacrifice, besides how to exercise our positive creative talents? Always within the bosom of the family, in whatever conventional or unconventional way this may be constituted.

More fundamentally, there are reasons to doubt the simple association of the private with interested corruption, and the publicly abstract and objective with ethical disinterest. Where do any of us first learn to obey, to share and to sacrifice, besides how to exercise our positive creative talents? Always within the bosom of the family, in whatever conventional or unconventional way this may be constituted. Moreover, within this bosom, rivalry and even competition are actually discouraged, even though they inevitably arise. Our parents want us to succeed, but not at the expense of our siblings. Self-expression and self-realisation are fostered rather than suppressed and yet they are not permitted to overrule cooperation.  

Within the family we learn that nothing is possible for us alone and that we have a part to play in a greater whole. School expands this vision and yet to some degree it already undermines it. We are now openly and almost shockingly encouraged to compete and to outperform; the less successful children are effectively abandoned by their new surrogate parents. The Victorians deliberately tried to counteract this by encouraging also house and school loyalty and a genial competition in sports and debating with other schools and colleges.  

Yet when we leave school and university and join a workplace of whatever kind this geniality starts to vanish, and the competition becomes more cut-throat. We now need to help undercut rival operations and even systematically to exploit our clients or customers. In consequence, evil gets ever more reduced to crime: we are allowed to do some pretty bad things so long as they stay within the rules and we, and above all our employers, stay out of jail.  

Some of us will go on to become politicians or will have pursued that career from the outset. Now things get worse: in the international context even the rule of law becomes patchy and shaky. Even where the international rules are followed, it is understood that national self-interest prevails and is wholly legitimate. It would be beyond shocking for a parent to tell their children that they must pursue selfish family interests at school, and work to sustain that at the expense of all other people, by whatever means possible. It’s just such an attitude that defines the mafiosi or the camorra. And it would still be shocking for a businessperson to tell their employees that they must pursue profit at the expense of their own town or country, even if this is often what covertly pertains.  

Yet a politician can readily get up and say that the interests of Britain or whatever other country come, for her, first and last. Even the claim to be fighting for freedom and democracy (or some such) cannot survive if it is seen to clash with the interests of the nation: despite everything Biden has had to concede to Trump on this one.  

The very selfishness and ruthlessness that is excoriated at the domestic hearth is ultimately encouraged in the public citadel.

There thus results something that has perplexed me ever since I was a child. The very selfishness and ruthlessness that is excoriated at the domestic hearth is ultimately encouraged in the public citadel. Does this mean, as the French philosopher Henri Bergson suggested, that most ethics really exists just to ensure the solidarity and efficiency of a war-machine; that what we take to be ‘moral’ is little more than an ethnic survival mechanism? 

Bergson accordingly suggested that real ethics must be global and universal. But as we are discovering today, that seems too abstract and unrooted for most people. We cannot really love everyone effectively and equally. That is why Augustine suggested instead an ‘order of love’ whereby we extend our love in ever-widening circles from the closest to the most far-off, while allowing that our sympathy with remote people has to take the form of some support for those who are truly close to them.  

The only way, therefore, to counteract the tendency of morality to mutate into disguised crime the nearer one reaches the boundaries and the margin of society is to extend the familial principle, such that all are variously sisters and brothers, mothers and fathers, daughters and sons (as indeed we truly are as constituting a single race). At the same time, one big human family can only be an effective family if it is also a family of cooperating families – a vast extended family if you like, on a principle of covenanting cousinship.  

The world religions, and especially the Christian religion, have exactly operated this principle of an extension of the familial across all borders which can alone ensure that ethical action is both immediate and real, and yet not the mask of a collective egoism. Beyond the merely political community, the Church like the family is all-inclusive in its purpose: it offers at once citizenship, educational formation, reconciling process and collective cult, linking us to the divine.  

At the most ultimate boundary of the human race it can also ensure that humans respect other natural creatures. And at the most ultimate boundary of all, that of finite reality as such, it can ensure that the principle that reigns is not mere utility or survival but our love of God who is in himself inner loving relation.  

The aim of the ethical as love is itself relational connection and it is only the latter that puts a break on our worst instincts which we cannot always for ourselves override. 

Such covenanting cousinship, or dividing only in order to link, always puts relationality at the centre, instead of mere self or collectivity. The aim of the ethical as love is itself relational connection and it is only the latter that puts a break on our worst instincts which we cannot always for ourselves override. Family members check each other, as do citizens, and as also should corporate bodies, if they seek finally organic cooperation rather than unlimited competition.  

It not only should be but also actually is the same with nations. As the German philosopher Friedrich Schelling declared, it is in the end nations interacting with other nations that put a brake on tyranny arising within nations -- something that no mere constitution or inner balance of power can curb forever. For a nation thinking of itself alone always risks descending into a shared ruthlessness that will typically be exercised both within and without.  

The Church as an extended family is not a democracy but a ‘mixed constitution’ involving single headship, the wise advice of a few and the popular consent and modification of proffered norms by the many.  From a Christian perspective a good social order, as familial, should echo this, and that is why constitutional monarchy would appear to be a suitable, though by no means the only possible form, for a Christian country to take.  

An aristocracy ought in theory to be the opposite of a mafia: not the subordination of public interest to family but a particularly strong and sacrificial association of person and family with public interest

Its mixed constitution involves some role for ‘aristocracy’ or wise leadership in the widest sense. An aristocracy ought in theory to be the opposite of a mafia: not the subordination of public interest to family but a particularly strong and sacrificial association of person and family with public interest. This is one crucial and political way in which the familial principle of the order of love can be constituted and rendered real. Of course, today, what we have instead is rather the covert extension of the rule of the mafiosi as big moneyed crime undercuts law and even operates outside its sway altogether. 

As a seeming anachronism, monarchy stands at the apex of the aristocracy and yet also transcends its concerns by a more direct linkage to the whole population, to whose attitudes and needs it needs to be especially alert. I have already mentioned just why and how King Charles performs this role effectively and in such a way as to counteract existing trends which more and more make a mockery of ordinary morality and decency, reducing it indeed to discipline for the mass troops, corralled into the service of armed power.  

Charles instead continues to serve the religious (and not just Christian) principles of the extended familial, of the order of love and covenanted cousinship, upon which alone the survival of ethics depends. Not only is there no salvation outside the Church (thus understood) -- there can be no genuine moral life either.  

For these reasons the coronation, which we eagerly await, will be indeed a truly Christian event and sacrament: an influx of grace in these unprecedentedly darkening times.