Article
Attention
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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
Development
5 min read

Don't patronise: what the R20 means for development

The R20 meeting at the G20 global summit sheds light on development. Christopher Wadibia makes the case for a change in perception.

Chris Wadibia is an academic advising on faith-based challenges. His research includes political Pentecostalism, global Christianity, and development. 

Swami Govinda Dev Giri Maharaj, Dr. Valeria Martano, and Archbishop Henry Ndukuba, are greeted by R20 founder Yahya Cholil Staquf.
G20religion.org

God is dead,' wrote Friedrich Nietzsche in 1882, in an effort to argue that every European imagination, community, and enterprise developed by faith in the Christian God would inevitably degenerate relative to Europe's dwindling commitment to belief in the former. Nietzsche's argument preceded the once popular secularisation thesis. The view that societies would increasingly adopt non-religious values and institutions as they modernise influenced global development discourse in the 20th century following World War II.   

However, in 2023, a year that marks more than 140 years since Nietzsche first popularised the atheistical three-word phrase ‘God is dead’, anyone familiar with the mechanics and forces driving the modern global development project would point out that faith-aligned actors play a pivotal, and even in some cases, unrivalled role. These actors promote growth, progress, and development globally, especially in the Global South.  

Albeit, Nietzsche once argued that Europe's declining belief in the Christian God signaled God's death, the fact that at least 85% of the world's over eight billion people claim some form of faith. Couple that with the reality that faith actors deliver the majority of local development services in many regions across the globe, and the suggestions is that God has risen from the grave and traded European burial clothes for globalised vocational attire. Far from being dead, God is alive and more engaged in developing the earth than ever before.  

Aside from state and private-sector investment, since the second half of the 20th century, the faith sector, comprised of thousands of actors, has become increasingly responsible for developing the modern world. A recent study on faith-aligned impact investment, completed by researchers at Oxford University's Said Business School, showed that four of the world's most influential religious groups (Christianity, Islam, Dharmic, and Judaism) collectively hold at least $5 trillion in net assets. The study linked this $5 trillion in assets to faith-aligned investment in addressing social and climate-oriented challenges globally.  

The study, which analysed over 360 distinctive organisations, attributed over $260 billion to Christian-aligned capital. Given the difficulty of securing accurate data on the total assets and capital held by the world's many thousands of churches and Christian  organisations, it should be acknowledged that this estimate sits far below the real net assets in Christendom that have been invested into global development. However, a key takeaway from this study is that Christian-aligned capital remains a game-changing force in the global development sector. After all, those organisations serve the approximately 2.4bn Christians alive today.  

  

'The R20's mission was grand but straightforward: fill the gap in world leadership that stresses politics and economics rather than faith and spirituality.'

In November 2022, two weeks before the G20 summit in Bali which brought together the leaders of the 20 countries with the world's biggest economies, another gathering took place in Indonesia that attracted less publicity. For the first time ever, the R20 (the G20 Religious Forum) united leaders from the major religions of the G20 countries whose heads of state would flock to Bali a few weeks later. The R20's mission was grand but straightforward: fill the gap in world leadership that stresses politics and economics rather than faith and spirituality as resources to provide solutions to pressing global challenges.  

One of the R20's more high profile speakers was Archbishop Henry Ndukuba, who currently serves as Anglican Primate for the Church of Nigeria. In his speech, Ndukuba cited the violent persecution of Christians and liberal Muslims in the majority Muslim region of Northern Nigeria. The R20's goal of elevating faith and spirituality in the hierarchy of resources that can be enlisted to engage with global issues should be viewed as noble. However, in practice, the concept of the world's major faith communities petitioning global peace and development stakeholders to be recognised as legitimate contributors to the sacred project of redeeming the brokenness of the world reeks of obsequious servility.  

Moreover, this unequal power relation fatefully overlooks the substantial contributions to peace and development made every day across the world by faith actors. Many of the world's major faith traditions share the vision of developing the world into a place devoid of disease, poverty, and suffering. The global faith and spirituality sector is truly not without its imperfections, but for centuries this multi-faith comity has invested immense resources into making earth look more like heaven. It does so by leveraging faith as a conduit to gather assets that aid in the deeply holy process of chiseling away at the degenerative evils and satanic forces plaguing the world until all that remains is the latter's Edenic base.  

The time has come for the world's faith actors to stop begging secular state actors to recognise them as stakeholders committed to promoting global peace and development. Getting on with the heavenly work of building God's cosmos, in anticipation of the New Creation, requires faith that God will provide the right people, ideas, and resources and that secular state actors should be viewed as partners instead of patrons in this divine enterprise.  

'The work we do in the present, then, gains its full significance from the eventual design in which it is meant to belong.'

N.T. Wright

Secular state actors should better understand what is driving those faith actors and the desire to balance the partnership. In his influential book Surprised by Hope, NT Wright argues that continuities will exist between Christian work completed in service to God in the present age and the eternal life that God's people will enjoy in the New Creation. Wright reasons,

'The work we do in the present, then, gains its full significance from the eventual design in which it is meant to belong. Applied to the mission of the church, this means that we must work in the present for the advance signs of that eventual state of affairs when God is ‘all in all’, when his kingdom has come and his will is done ‘on earth as in heaven’.' 

Every day a faith actor funds a school, hospital, or social development project somewhere in the world. They see these projects function in God's ongoing programme of redeeming the world by means of the intellects and imaginations of themselves and those who benefit. In their eyes, all are made in God's own image. In a world where they see sin's footprints manifest by way of suffering, violence, and destruction, every actor inspired by the faith in their heart to challenge the existence of the former should recognise that the impulse to build a better world is a nudge from heaven foreshadowing the New Eden to come.