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
Addiction
Comment
Football
Sport
6 min read

An irresponsible gamble

Out-of-date law and human nature mean sports betting is more than harmless fun – it ruins lives, argues Sam Tomlin.

Sam Tomlin is a Salvation Army officer, leading a local church in Liverpool where he lives with his wife and children.

The edge of a football pitch showing an advertising hoarding with a betting brand name on it.
Lars Schmidt, via Wikimedia Commons.

On 21st April 2021 husband and father of two young children Luke Ashton took his own life. Suicide is the biggest cause of death for men under 50 in the UK, but this suicide had a particular source. As recounted by his widow and now anti-gambling campaigner Annie, Luke developed a gambling disorder linked to his support of Leicester City and football gambling more generally. Getting furloughed in the pandemic exacerbated the problem and he succumbed to aggressive advertising on his smart phone, losing more and more money to the point of despair and no return. 

I am not surprised to hear of stories like Luke’s. That’s because I am a Salvation Army officer. Some may view the pledge to give up all forms of gambling when you join its ranks as archaic and over-the-top, but this insistence by the Salvation Army, which was founded in the 1800’s, was a response to the devastation to lives addiction can cause. Far from being a thing of the past, gambling continues to wreak havoc, especially in poor communities like the one I live and serve in today. I have had personal items stolen and pawned to fund gambling addictions and have heard of people losing thousands of pounds in a few hours.  

Recently our church was part of a local campaign to stop an iconic building from being turned into a cashino, something which we and others in our community knew could have a devastating impact. Thankfully the company withdrew the application, probably because of local opposition, but areas of high socio-economic deprivation like ours are always under such threat. 

If you force young people to endorse addictive products, don’t be surprised if they use them.

I have friends who gamble on sport and tell me it is just harmless fun. It makes the experience more exciting when you have money on it, they say, something sports betting companies focus on in their advertising. While not every gambler is a problem gambler (Public Health England estimates there are 2.2 million who either are problem gamblers or are at risk of addiction), I am not convinced that it is harmless fun for two main reasons. 

Firstly, the risk of ‘harmless’ gambling turning into problem gambling is not adequately managed by UK legislation. The 2005 Gambling Act refers more to gambling by post than online gambling and was passed at a time before smart phones. This legislation, intended to boost the economy through liberalising gambling laws, has allowed sports gambling to spiral out of control; 40% of Premier League clubs are sponsored by a betting company with many more in lower divisions. Concerns have been raised about transparency on behalf of these betting companies and it seems clear that these companies exploit the Premier League’s global profile to reach potential customers in countries like China where gambling advertising is banned. Aston Villa recently responded to a supporter backlash against a new sponsorship deal but made it clear that money talks: for clubs outside the top six (who can attract significantly greater deals), betting firms offer ‘twice as much financially as non-gambling companies.’ 

My team, Bristol City, had a gambling sponsor for many years until this season – although ironically children’s shirts had the sponsor changed in a tacit acknowledgement of potential harm. Hypocrisy in football betting runs much deeper though. Ivan Toney the Brentford striker currently faces a lengthy ban for a breach of the FA’s betting rules, but as The Big Step campaign (led by people harmed by gambling) pointed out – with various pictures of Toney receiving awards and shirts with gambling sponsors on them - ‘If you force young people to endorse addictive products, don’t be surprised if they use them.’ 

It is almost impossible to watch a match on TV without being bombarded with free bet offers and the latest deals with former players enticing fans to gamble their money with a few simple clicks on their phones. One recent study questions whether it is possible to gamble responsibly in an age of smart phones, and outlines significant potential harm even for ‘low and moderate risk gamblers — including relationship problems, being distracted, lost opportunities across work and personal life, secretive behaviours, and a compulsion to open and continually re-engage with the app.’ 

A review of the Gambling Act is currently being carried out, but frustration is growing as publication is delayed. While a blanket prohibition on gambling would neither be practical or desirable, campaigners hope that steps will be taken to restrict gambling advertising in much the same way that advertising for smoking has been banned. The gambling industry cite the contribution gambling brings to the economy, but a report by the Social Market Foundation suggested that tighter regulation could actually boost the economy and in 2016 it was estimated that gambling addiction cost the economy £1.2bn a year. For a society built on an understanding of ‘freedom,’ however, as defined by challenging anything that might hinder our individual wills, gambling may constitute the example par excellence of the confluence of social and economic liberalism. Any significant change to legislation will be hard-won. 

The second reason is that gambling promises more than it can ever actually deliver. This is why it so often ends in harmful addiction – it can never truly satisfy what are ultimately spiritual needs, so it continues to draw you further and further in until you are no longer in control but it controls you. 

There are perhaps three main reasons people gamble: the desire to win money, the social aspect and the thrill or excitement. There is no doubt that gambling offers the possibility of fulfilment, to some degree, for all these things: occasionally people win large sums of money, it can make sport more exciting and help make the social experience more fun. 

We are indeed made for community and the communal enjoyment of sport.

As Christians see it, however, gambling offers an unreliable and ultimately unsatisfying route to fulfilling these desires. The Bible warns us about the love of money and encourages honest work as opposed to chance for earning what we need to live It also points to the importance of charity and justice for those who do not have enough. We are made for community and the communal enjoyment of sport is a gift from God (as I have written about in the past). It is perfectly possible, however, to enjoy sport without gambling – really supporting and following a team or player comes with enough ups and downs to produce a wide range of emotions; I have cried, bitten my nails, hidden my head in my hands and hugged random strangers often during one single game. It could be argued that even non-problem gambling contributes to fund an industry that demonstrably preys on vulnerable people, failing the command to love our neighbour. 

We are also created to experience thrill and excitement beyond the mundane aspects of everyday life, but the greatest drama according to the Christian faith is found in being caught up in God’s redemption of the world, ‘reconciling all things to himself’ as we read in the New Testament. As many Christians will testify – even the most exciting Hollywood film is a pale imitation of the excitement and drama of giving up your life to follow the way of Jesus, and this is certainly true of the fleeting and temporary thrills experienced through gambling. 

Unlike some religions which want to supress desire, the Christian faith affirms desire as a good thing. The question is, what our desire is aimed at. Augustine once said that our hearts are restless until they find rest in God. Created things or activities like sex, possessions, money or experiences are good when enjoyed in the right context, but when – like with gambling - they promise more than they can deliver, more often than not it ends in dissatisfaction and potentially even disaster as Luke Ashton’s story tragically demonstrates.