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
Freedom
Trust
9 min read

Reviving post-liberal society

There’s a crisis of trust, anxiety, and relationship in post-liberal society. Graham Tomlin looks into what might revive it.

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

A loose rabble of a protest in the street is siluhetted against light and a shower of rain
A protest in Santiago, Chile.
Ignacio Amenábar on Unsplash.

Much has been made in recent times of the alleged demise of liberalism. From the heady heights of 1989, when Francis Fukuyama’s famous essay announced ‘The End of History’ and it seemed that liberal democracy was the only game in town, things don’t look so auspicious now. Back then, it seemed that of the three great twentieth-century political creeds, fascism had met its ugly end in the Second World War, communism had crumbled in the ruins of the Berlin Wall in 1989, and so western, free market, secular liberalism was the last one standing, the only realistic political and philosophical option for the future of the world.

Then a whole series of events challenged that narrative. The attack on the twin towers in 2001 announced that religion was not a spent force in the modern world but a powerful motivator outside the western European and American bubble, for better or worse. Throughout the twentieth century, Christianity had been quietly growing in Africa from just 9% of the continent’s population in 1900 to 48% a century later, and it continues to grow. The remarkable rise of Chinese Christianity after the devastation of the Cultural Revolution, the resurgence of Islam worldwide and the prediction that in coming decades, atheists, agnostics and others who do not affiliate with any religion will make up a declining share of the world’s total population, made the prediction of a secular future suddenly seem foolish. The financial crash of 2008 put paid to the hope of gradual economic growth in the trusted hands of the market, and then the rise of Trump, Bolsonaro, Erdogan and, of course, the political and social earthquake of Brexit placed a huge question mark over the assumption of a globalised, liberal order gradually taking over the world.

In the wake of these events, a growing number of voices started to call attention to the travails of liberalism. Patrick Deneen’s 2018 book Why Liberalism Failed argued that liberalism had failed to achieve its lofty goals:

“A political philosophy that was launched to foster greater equality, defend a pluralist tapestry of different cultures and beliefs, protect human dignity and, of course, expand human liberty, in practice generates titanic inequality, enforces uniformity and homogeneity, fosters material and spiritual degradation, and undermines freedom.”

The crisis in liberalism is a theme that runs through the worried pages of many political broadsheets or cultural commentaries. Is liberalism dying, or is just going through a period of sickness before recovering in new forms? Most people think it’s not on its last legs yet, and yet the crisis in liberalism have led us into a number of crises in modern life, many of which can be traced to the flaws which lie alongside the strengths of the liberal project.

A crisis in trust

First, we have a crisis of Trust. Liberalism presented itself as a rejection of the tyrannical and stifling control of social, religious and political convention. The controlling eye of Church, school, family and government was seen as oppressive, contravening the rights of the individual. Throwing off the yoke of such supposed authorities was essential to living an authentic life. John Stuart Mill, one of the great pioneers of liberalism, wrote of the ‘despotism of custom’. And while Mill’s rejection of starched Victorian conformity may be understandable, the result of the revolt he helped to unleash was to undermine trust in authority and government.

A society full of mutual suspicion cannot function well, and is not good for us.

Examples abound. A recent one was Baroness Casey’s recent report on the Metropolitan Police, that accused it of being institutionally racist, misogynistic and homophobic. Before that, the abuse of expenses trashed the reputation of MPs; the financial crash taught us bankers couldn’t be trusted; and the phone-tapping scandal bersmirched the reputation of journalists. In addition, a number of studies suggest that the length of tenure of CEO’s has decreased in recent years as they struggle to maintain legitimacy, while here in the UK, we have gone through Prime Ministers as quickly as football managers. The Church is no different – the many stories of child abuse, the betrayal of vulnerable adults, the prejudice against minorities have all eroded levels of trust in the clergy.  Whether you look at business leaders, bishops, local politicians, estate agents – levels of trust in sectors of our society that are crucial for the good functioning of social life are at a very low ebb.

It's hard to tell whether the crisis stems from our increasing scepticism that truth-claims are only ever power-plays, or because the rise of movements like #MeToo or Black Lives Matter have led to our leaders being held to a higher sense of accountability. Have standards in public life diminished? Have our leaders become less trustworthy? Are our institutions more systemically corrupted? Or is it that we now expect far more of our public figures than we used to and therefore constantly find them wanting? Whatever the answer, the overall result is catastrophic. Trust is essential for the good functioning of any human community. A society full of mutual suspicion cannot function well, and is not good for us. As Graham Greene once put it:

“it is impossible to go through life without trust; that is to be imprisoned in the worst cell of all: oneself.”

Liberalism's tendency to challenge past authorities may been justified. Taken to the extreme it has been, however, has bred a society in which it’s hard to put your faith in anyone.

A crisis of anxiety

As well as a crisis of trust, we have a crisis of anxiety. Economic liberalism valorized free markets, liberating individuals to benefit from the mutual exchange of goods and releasing human enterprise from the shackles of convention and control. Deregulation would liberate the human spirit of adventure to develop a future shaped by progress. Rather than accepting to live within the limits and rhythms of the natural world and the givenness of a broader cosmic order, the liberal instinct was to declare the freedom of the individual to self-create, to forge individual identities in the search for autonomy and self-realisation.

Yet today, Generation Z perceive climate change as the number one threat to their future. Climate Change Anxiety is an increasingly recognised syndrome, leading people to forego – out of despair - bringing children into such a damaging world, and fuelling high levels of mental health problems especially amongst young people. Add in a global pandemic, spread rapidly around the world by our fondness for limitless travel, that saw levels of anxiety rocket. We now have war within the borders of Europe, for the first time since 1945, with the added prospect of China being drawn into the war on the side of Russia. And as a result of this, and never quite learning the lessons of the 2008 financial crash, we have a cost of living crisis more severe than has been known for decades. The progress of the sophisticated algorithmic technology of social media fuel increases levels of anxiety and mental health problems for those addicted to clickbait or the desire for likes, and talk of an epidemic of mental health problems doesn’t seem an exaggeration.

A crisis of relationship

Third, we have a crisis of relationship. At liberalism’s core is the idea of the freedom of the individual from societal expectations and strictures. Michael Freeden, Professor of Political Theory of Nottingham University, summarised the heart of liberalism as “a rallying cry for individuals desiring space to be free from unjustifiable limitations." Theorists such as Ronald Dworkin argued that the individual is best placed to choose their own vision of the good (and therefore the state must remain neutral on such notion), leaving the playing field open to myriad definitions of what people ought to aspire to – almost as many as there are people.

If that is our central moral ideal – that the individual should be free from obligation or restriction from everyone else, should we be surprised that we end up more distant from each other?

The liberal ideal of individual freedom – that each person should be free of interference from their neighbour in their choice of the good life as long as they don’t harm others – is superficially attractive. Attractive, that is, until we realise that it gives us no good reason to care for one another, and in fact encourages us to think of our neighbours as potential infringements on our freedom to do as we choose. The result has been a slow erosion of the social bonds that tie us to each other. If that is our central moral ideal – that the individual should be free from obligation or restriction from everyone else, should we be surprised that we end up more distant from each other? Should we be surprised that we treat each other as enemies on social media? Or that we refuse to have contact with those of another political tribe? Or that we abandon those older ties, those social institutions that bound us to each other - family, parish, church, local voluntary societies?

Now, a crisis of trust, anxiety and relationships is, in fact, a crisis of Faith, Hope and Love.

This trio has a long history in Christian life and thinking ever since St Paul coined it in a letter to the fledgling church in Corinth in the first century, in words that echo in many a wedding service today: “Now these three remain: faith, hope and love. But the greatest of these is love.”

Christianity focusses attention on these three ‘theological virtues’ as they are known, and the Church, with all its flaws and failures, has continued to be a school in which they can be learnt, though a number of distinct practices.

Trust is built when people keep their promises.

First, faith. The creeds begin with the simple word ‘Credo’ – I believe. It’s the first thing you do as a Christian, to put your trust in something - or better, someone - who you cannot see, cannot prove, and yet you are invited to do exactly that – take the risk of faith. Trust is built when people keep their promises. The God that the writers of the Bible speak of describe him with exactly that idea: that he is faithful to his promises, like a marriage partner who does not give up on the other, no matter how wayward they might be. Being a Christian starts to teach you to trust God, in a way than might even lead to learning to trust people again. That doesn’t mean accepting deeply flawed and abusive institutions, but it does mean giving people the benefit of the doubt - the assumption of trust rather than mistrust – that tends to bring the best out of most people.

If our hope is in our political leaders to deliver radical solutions to combat mental wellbeing, it’s unsurprising Generation Z despairs.

Second hope. In politics false dawns are as predictable as taxes. If our hope is in our political leaders to deliver radical solutions to combat mental wellbeing, it’s unsurprising Generation Z despairs. Christian hope on the other hand, rests not on any human promise or expertise, not (thank God) on the superior qualities of bishops or popes, but on something entirely outside human capacity – the story of the Resurrection of Jesus, the conviction of a divine break-in to the order of the universe that has always had the capacity to bring a sense of hope in the darkest moments of an individual’s or a community’s life.

When I look into the eyes of my neighbour I see not a potential threat to my personal autonomy, but a person of infinite value.

Last, love. At the heart of the Christian faith is the conviction that each person (whatever his or her qualities, background or even character) is infinitely valuable because loved by the God who made them. The outworking of this idea in history is to make love, not suspicion or even tolerance the ideal bedrock of social life. This is the tie that binds. When I look into the eyes of my enemy I see my brother. When I look into the eyes of my neighbour I see not a potential threat to my personal autonomy, but a person of infinite value, whom I am bound to love as God does, however annoying, contrary or wrong their personality or political opinions.

These three qualities – faith, hope and love, are like muscles. The more you exercise them, the more they grow stronger. A life, or a society that chooses to root itself in Christian faith tends to grow in its capacity for faith, hope and love.