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
Freedom of Belief
3 min read

Where it's dangerous to believe

In the symbolic heart of a liberal democracy, a list is revealed of where it is dangerous to believe. Belle Tindall reports on the annual World Watch List.

Belle is the staff writer at Seen & Unseen and co-host of its Re-enchanting podcast.

A huge communist monument consists of a red flag wall rising from left to right over a column of statues.
Mansu Hill Grand Monument in Pyongyang, North Korea.
Bjørn Christian Tørrissen, CC BY-SA 3.0, via Wikimedia Commons.

Just as they do at the beginning of each new year, this January saw the charity Open Doors descend upon the House of Commons to officially launch its World Watch List for 2023. That is, the list of the fifty most dangerous countries to be a Christian in the world this year.  

As well as producing this list, the advocacy group also revealed a number: 360 million.  

That’s the number of Christians who are living under extreme pressure and persecution because of their religious identity. That’s 1 in every 7 of the 2.4 billion Christians in the world right now. For statistical context, that 360 million is larger than the current population of the USA. The enormity of such numbers can be a challenge to digest, so perhaps it would be more effective to summarise the research this way - 2023 the most dangerous year to be a Christian on record.  

Only a quarter of the story  

It’s a powerful image: there, in the grand epicentre of British government, where a verse from the Bible is literally carved into the floor of the main entrance way, was an evening dedicated to the 360 million people for whom a spiritual alignment to that very same verse exposes them to danger and discrimination.  

When we think of religious groups that are facing daily persecution, it’s likely that Christian communities aren’t at the top of our list of assumptions. And that’s relatively understandable when we’re viewing Christianity through the lens of our own Western contexts. In May, the UK is going to come to a communal standstill as we witness the Archbishop of Canterbury, the figurehead of the Church of England, place a crown on the head of our new King, thus ushering in a new phase of history. It can seem as though, as a society, the scent of Christianity is in the very air we breathe. Many of our most cherished landmarks are sites of religious significance, it’s not unusual for our local schools and hospitals to be named after Christian Saints, while our public calendars are shaped by Christian celebrations.  

And yet – 360 million people.  

While Christianity has a (rather recent) reputation for being a Euro-centric religion, European Christians are actually the minority, making up only one quarter of the global Christian population. We are inclined, because of our own experience of Christianity as enjoying a prominent role in public life, of having a rather narrow understanding of the global Christian reality.    

A more global perspective  

Christians are by no means the only faith group to face the danger of religious persecution, but year after year, they are continuing to face it on the largest scale.  

The World Watch List shows that the global reality for Christians is anything but static. In 2022, Afghanistan was considered the most dangerous country to live as a Christian. However, largely due to the Taliban’s attention being lured away from its Christian population, Afghanistan has dropped to ninth place. North Korea, which is home to approximately 400,000 Christians, has thus regained its position as the most ‘brutally hostile place’ to be.  

Following North Korea, the other top nine countries in the list are: Somalia, Yemen, Eritrea, Libya, Nigeria, Pakistan Iran, Afghanistan and Sudan.  

Not only has this persecution seen a numerical increase, but also a significant increase in the extremity of the danger posed. Violence, imprisonment, and even death, are very real possibilities for Christians living in these countries. However, religious persecution also includes more subtle social segregation, economic discrimination and national isolation. These 360 million people are being exposed to a spectrum of pressures to denounce their Christian identity and cease living out their Christian faith.  

A paradox

And yet, one of the most staggering findings that Open Doors continue to present, is that it is in these places that the Christian church is experiencing its most rapid growth. According to their extensive research, the rising danger surrounding the Christian faith doesn’t seem to be having the desired effect; stories of persistence, faith and courage are unceasing.  

This pattern is not anomalous, As Brother Andrew, the founder of Open Doors, once famously reminded the world, ‘persecution is an enemy the Church has met and mastered many times. Indifference could prove to be a far more dangerous foe’.

A dangerous faith does not equate to a disappearing faith.