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Attention

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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.

Article

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War & peace

23 March 2023

6 min read

On war fighting

Why do soldiers go to war? There are a thousand different answers writes Owen, a serving soldier.

Owen

Owen is an officer in the British Army.

Soldiers silhouetted by dust and sunshine work at a fence with tools.

British soldiers dismantle a fence line in Afghanistan.

Jamie Peters RLC/MOD via Wikimedia Commons.

The car bomb went off at 0630, rudely awakening me from a deep sleep. The noise, big and bassy, was followed by silence, followed by the wailing of the camp attack alarm. I felt a range of emotions in those moments, but definitely present was a sense of relief. “So that’s what it sounds like…”. I had been in Kabul for two or three months by that point, and had always been slightly on edge whenever I walked between buildings, knowing that an explosion was inevitable at some point, but not knowing how loud it would really be. Afghanistan was my first operational tour – it was 2014 and the British presence in country was shrinking rapidly, and my reward for a good performance on my intelligence officer’s course was assignment to a unit deploying to the Afghan capital. It might seem a strange reward, but it was sincerely meant, and gratefully received.

A security camera high angle over an Afghan townscape showing an explosion on a street.

“So that’s what it sounds like…”. Security video captured the car bomb that exploded near the author's military base.

Why does a soldier go to war? You could ask a thousand men and women in the armed forces and get a thousand different answers. The most straightforward (and superficial) answer is “Because I was ordered to”, but delve below the surface and you find all manner of motivations and justifications. All I can offer you is why I think I wanted to join the British Army and fight (there are reasons that are probably hidden even to me) and how as Christian I make sense of war.

I joined the Army at a time when what were known as Blair's Wars were stuttering to an unsatisfactory conclusion. We had withdrawn from Iraq, leaving behind a broken country and unwittingly paving the way for Islamic State, and soldiers were still fighting and dying in Helmand Province, Afghanistan. While I was going through the selection process for the Royal Military Academy Sandhurst there were a plethora of war documentaries on television that had been filmed using helmet cameras, giving an unprecedented first-person view of conflict. A normal person might have watched those programmes and thought they wanted no part on it whatsoever. I saw them and wanted in. Why?

What appealed to me most was the responsibility; of deploying to a dangerous place with your fellow soldiers and doing everything in your power to keep them alive.

I look back and think there were all sorts of reasons floating round my head. There was undoubtedly a slightly boyish sense of adventure – it seemed like most of my peers at university were off to be bankers, lawyers or management consultants, and I wanted to do something a bit less grey. There was a desire to challenge myself too – a worthier reason, but still not the full story. What appealed to me most was the responsibility; of deploying to a dangerous place with your fellow soldiers and doing everything in your power to keep them alive and to complete your mission. I saw soldiering as less a job than a calling.

Throughout my career much has changed but that sense of responsibility is still there. It is at the heart of how I understand being a Christian in conflict zones, my personal ‘theology of war’, if you like. When I came home from Afghanistan, I was asked by a friend whether I had killed anyone. I said I hadn’t. He then asked if I thought I could bring myself to do so should the situation arise. I said that I hoped so, because I had been on armed sentry duty multiple times and so was the only person standing between my colleagues and the enemy. If I had identified a suicide bomber but decided not to shoot in that moment, then I would have been betraying the responsibility I had to my friends. Indeed, I doubt that any suicide bomber would have thought worse of me had I shot him – he would have recognised that I had my job to do, just as he had his.

Who is anyone to judge between us, and who am I to claim the morality of what I do for a living?

Of course, this line of thinking is problematic. If I am just doing my job and the suicide bomber is doing his, then in moral terms we are surely are only as good, or as bad, as each other. His God calls him to do his duty and look after his brothers and sisters, and so does mine, and we are therefore equally right or equally wrong. Who is anyone to judge between us, and who am I to claim the morality of what I do for a living?

And yet sincerely holding a belief does not make you right. The failings of moral relativism are well-documented, yet too often we act as the sort of people who treat Pilate’s question “What is truth?” as a viable philosophical position rather than as the moral evasion that it is. We in the West are jaded by complex and bloody counterinsurgencies with no clear end state, affirming Bart Simpson’s dictum that “There are no good wars, with the following exceptions: the American Revolution, World War II, and the Star Wars Trilogy”. But the conflict in Ukraine has shown that binary wars between an obvious aggressor and a nation defending their homeland are not merely history, and that today people can still take up arms for justifiable reason.

I'm a Christian so I am a pacifist in the sense that peace is vastly preferable to war, and I have seen first-hand the suffering and misery it causes. Yet as a Christian too I cannot affirm peace at all costs when it means that rights and lives of innocent people can be callously disregarded by an oppressor who can only be resisted by force. I look at pictures of bombed-out apartment blocks in Ukraine, of kidnapped schoolgirls in Nigeria, of civilians murdered in Afghanistan and cannot affirm anything less than this, that there are things in this world worth fighting for.

I would reflect too that both my calling as a soldier and my faith have given me a sense of the value of life not as something not to be clung too at all costs, but as a gift to be made the most of. One of the things we did in our first week of Sandhurst was to make a will. There I was, fresh out of university, deciding who should inherit my meagre possessions (I didn’t even have a car), and asking the bloke next to me, who I’d only met 24 hours ago, to witness my signature. To be honest, it didn’t really feel real. What felt much more real was posing for a photo in the unit sports hall two years later, arms crossed, Union Jack and regimental flag behind me, knowing that it was the photo that would be used in the newspapers if I was blown up in Afghanistan.

You see that mutual love in tight-knit units where one soldier is prepared to die for another.

When you’re forced to confront the fact that you might die, you start to realise what it is that you are living for. I believe in the sacredness of life as a God-given gift, which makes the idea of sacrifice which lies at the heart of the Christian faith all the more powerful. “Greater love has no one than this” Jesus says in John’s Gospel, "to lay down one’s life for one’s friends”, and you see that mutual love in tight-knit units where one soldier is prepared to die for another. I think it’s that idea of living and possibly dying for something or someone more than just me is what keeps in the Army, when many of those who made their wills in that room at Sandhurst have left for civilian jobs.

Which brings me back to my initial reflection, that there are myriad different reasons why people join the armed forces and go to war. My Christian faith is at the heart of my reason(s), but I'm realistic to know that many of my colleagues do not share that faith and so would have a different motivation (though perhaps not quite as different as one might think). We all have stories to tell about why things matter to us, and matter to us so much that we think they are worth fighting for, in whatever guise 'fighting' takes. You have heard my story. What’s yours?