Article

AI - Artificial Intelligence

Attention

Culture

19 February 2025

5 min read

Will AI’s attentions amplify or suffocate us?

Keeping attention on the right things has always been a problem.

Mark Gilbert

Mark is a research mathematician who writes on ethics, human identity and the nature of intelligence.

A cute-looking robot with big eyes stares up at the viewer.

Robots - always cuter than AI.

Alex Knight on Unsplash.

Taking inspiration from human attention has made AI vastly more powerful. Can this focus our minds on why attention really matters?

Artificial intelligence has been developing at a dizzying rate. Chatbots like ChatGPT and Copilot can automate everyday tasks and can effortlessly summarise information. Photorealistic images and videos can be generated from a couple of words and medical AI promises to revolutionise both drug discovery and healthcare. The technology (or at least the hype around it) gives an impression of boundless acceleration.

So far, 2025 has been the year AI has become a real big-ticket political item. The new Trump administration has promised half a trillion dollars for AI infrastructure and UK prime minister Keir Starmer plans to ‘turbocharge’ AI in the UK. Predictions of our future with this new technology range from doom-laden apocalypse to techno-utopian superabundance. The only certainty is that it will lead to dramatic personal and social change.

This technological impact feels even more dramatic given the relative simplicity of its components. Huge volumes of text, image and videos are converted into vast arrays of numbers. These grids are then pushed through repeated processes of addition, multiplication and comparison. As more data is fed into this process, the numbers (or weights) in the system are updated and the AI ‘learns’ from the data. With enough data, meaningful relationships between words are internalised and the model becomes capable of generating useful answers to questions.

So why have these algorithms become so much more powerful over the past few years? One major driver has been to take inspiration from human attention. An ‘attention mechanism’ allows very distant parts of texts or images to be associated together. This means that when processing a passage of conversation in a novel, the system is able to take cues on the mood of the characters from earlier in the chapter. This ability to attend to the broader context of the text has allowed the success of the current wave of ‘large language models’ or ‘generative AI’. In fact, these models with the technical name ‘Transformer’ were developed by removing other features and concentrating only on the attention mechanisms. This was first published in the memorably named ‘Attention is All You Need’ paper written by scientists working at Google in 2017.

If you’re wondering whether this machine replication of human attention has much to do with the real thing, you might be right to be sceptical. That said, this attention-imitating technology has profound effects on how we attend to the world. On the one hand, it has shown the ability to focus and amplify our attention, but on the other, to distract and suffocate it.

Attention is a moral act, directed towards care for others.

A radiologist acts with professional care for her patients. Armed with a lifetime of knowledge and expertise, she diligently checks scans for evidence of malignant tumours. Using new AI tools can amplify her expertise and attention. These can automatically detect suspicious patterns in the image including very fine detail that a human eye could miss. These additional pairs of eyes can free her professional attention to other aspects of the scan or other aspects of the job.

Meanwhile, a government acts with obligations to keep its spending down. It decides to automate welfare claim handling using a “state of the art” AI system. The system flags more claimants as being overpaid than the human employees used to. The politicians and senior bureaucrats congratulate themselves on the system’s efficiency and they resolve to extend it to other types of payments. Meanwhile, hundreds of thousands are being forced to pay non-existent debts. With echoes of the British Post Office Horizon Scandal, the 2017-2020 the Australian Robo-debt scandal was due to flaws in the algorithm used to calculate the debts. To have a properly functioning welfare safety net, there needs to be public scrutiny, and a misplaced deference to machines and algorithms suffocated the attention that was needed.

These examples illustrate the interplay between AI and our attention, but they also show that human attention has a broader meaning than just being the efficient channelling of information. In both cases, attention is a moral act, directed towards care for others. There are many other ways algorithms interact with our attention – how social media is optimised to keep us scrolling, how chatbots are being touted as a solution to loneliness among the elderly, but also how translation apps help break language barriers.

Algorithms are not the first thing to get in the way of our attention, and keeping our attention on the right things has always been a problem. One of the best stories about attention and noticing other people is Jesus’ parable of the Good Samaritan. A man lies badly beaten on the side of the road after a robbery. Several respectable people walk past without attending to the man. A stranger stops. His people and the injured man’s people are bitter enemies. Despite this, he generously attends to the wounded stranger. He risks the danger of stopping – perhaps the injured man will attack him? He then tends the man’s wounds and uses his money to pay for an indefinite stay in a hotel.

This is the true model of attention. Risky, loving “noticing” which is action as much as intellect. A model of attention better than even the best neuroscientist or programmer could come up with, one modelled by God himself. In this story, the stranger, the Good Samaritan, is Jesus, and we all sit wounded and in need of attention.

But not only this, we are born to imitate the Good Samaritan’s attention to others. Just as we can receive God’s love, we can also attend to the needs of others. This mirrors our relationship to artificial intelligence, just as our AI toys are conduits of our attention, we can be conduits of God’s perfect loving attention. This is what our attention is really for, and if we remember this while being prudent about the dangers of technology, then we might succeed in elevating our attention-inspired tools to make AI an amplifier of real attention.

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Article

Care

Culture

Mental Health

Trauma

10 November 2025

5 min read

Stillness is not always peace: how wellness and illness intertwine in silence

Stillness invites clinical insight—and a deeper kind of presence

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

Celine Dion, stiff-person syndrome sufferer.

Celine Dion.

The Global Wellness Institute defines wellness as the active pursuit of activities, choices and lifestyles that lead to a state of holistic health. It includes rest and rejuvenation, through mindfulness, meditation and sleep. As a care home nurse, I am intrigued by the subject of stillness – for patient and nurse - in the pursuit of wellness, and as a sign of illness.

There’s a lot of stillness in illness - from the dense paralysis that can follow stroke or spinal cord injury, to the subtle weakness or stiffness in an arm that might signal the onset of motor neurone disease. Over half of people with Parkinson’s experience ‘freezing’, feeling as if their feet are momentarily glued to the ground. Freezing is also a feature of stiff-person syndrome – the auto-immune neurological condition powerfully documented by Celine Dion in her film I Am. In so-called stone-man syndrome, muscle tissue is replaced by bone, an immobile ‘second skeleton’.

The stillest still is seen in death itself. I’ve stood still with spouses and sons as their loved ones breathe their last. Alone, I’ve watched the hush between heartbeats until there exists only stillness beside sorrow. It’s a stillness like no other, when breath becomes still air, and the only movement is through a window opened to let air in, and souls out, in time-honoured nursing tradition.

In memory of babies born still, a public education and awareness campaign has been launched in the US. “Stillness is an illness” calls for families and healthcare providers to take seriously altered foetal movement in pregnancy, which is reported by 50 per cent of mothers who experience stillbirth. Stillbirth is a tragedy insufficiently addressed in global agendas, policies, and funded programmes, according to the World Health Organization. Mothers in sub-Saharan Africa and Southern Asia are at highest risk, with nearly 1.5 million stillbirths in these regions in 2021.

Sometimes stillness manifests in more muted ways. When dementia robs the recall of person, place and time, residents no longer lift their head in response to their name, nor appear at their chosen place at the breakfast table in the morning. Television presenter Fiona Phillips describes the late stages of dementia for her mother, when she “spent whole chunks of time just sitting and staring ahead, only able to give out a series of sounds.” In care home nursing, I have brought stillness to an agitated mind. Therapeutic touch has relieved tension; creative activities have reduced restless pacing up and down. Music, movement, and medication can also calm a troubled mind.

In the further pursuit of patient wellness, the nurse may need to be still. The “CAREFUL” observation tool has been developed in nursing homes, in which the nurse sits still and discreetly watches a resident for a period of time, assessing their activities and interactions, working out what brings wellbeing, or ill-being, for that individual; residents in this case being our best teachers. Other times in dementia care, the nurse is still as they patiently wait for a resident to explore, enquiring into self-made mysteries solvable only by themselves, examining everything from door handles to another resident’s buttons; or to slowly finish a meal, their swallow also affected by the disease.

Punctuating any frantic nursing shift are other moments of necessary stillness as the nurse performs intricate procedures, carefully inserting catheters, delicately taking blood from fragile veins, or applying prolonged pressure to stem bleeding caused by a catheter during cardiac stenting. In the operating theatre, the scrub nurse stands still awaiting a surgeon’s call; the “honor walk” or walk of respect is a ceremonial procession in which healthcare staff line the corridor, in silent tribute, as a brain-dead patient is taken to theatre for organ donation.

There’s a different stillness sought in nursing, and elsewhere, which runs very deep. Described by missionary and author Elisabeth Elliot as a “perfect stillness…a great gift”, it is, in her words, “not superficial, a mere absence of fidgeting or talking. It is a deliberate and quiet attentiveness—receptive, alert, ready”. It’s an expectant stillness in which we “put ourselves firmly and determinedly in God’s presence, saying ‘I’m here, Lord. I’m listening’.” Writing for the Christian Medical Fellowship, nurse Sherin describes such a seeking during a stressful shift. “Overwhelmed, I stepped away to find a quiet place. I ended up in a washroom. It wasn’t ideal, but there I cried out to God, asking for courage, peace, patience, and above all, love for that patient.” And her prayer was answered. “That, to me, was the quiet, powerful presence of Christ,” she writes.

Her role model was Jesus himself who often stepped away to be still, to seek spiritual sustenance. Just before he fed the five thousand, Jesus said to his tired and hungry disciples, “Come with me by yourselves to a quiet place and get some rest.” When grieving the execution of John the Baptist, he withdrew by boat privately to a solitary place; and in the hours before his arrest, Jesus withdrew about a stone’s throw from his disciples, knelt down and prayed. An angel from heaven appeared to him, and strengthened him. We too are invited, in the book of Psalms, to “Be still and know God” when hard pressed and weary. Here, the words “be still” derive from the Hebrew rapha which means “to be weak, to let go, to release”, or simply to surrender. It’s a theme repeated in many of the great Christian hymns, hinting at an expectant, sustaining stillness, invoking God’s promise of His presence in that stillness. Little-known hymnwriter Katharina von Schlegel, writing in the eighteenth century, captures it perfectly.

Be still, my soul! the Lord is on your side;
Bear patiently the cross of grief or pain;
Leave to your God to order and provide;
In ev'ry change he faithful will remain.
Be still, my soul! your best, your heav’nly friend
Thru' thorny ways leads to a joyful end.

I’ve sought this stillness, and it’s brought me wellness. It’s the reason why, despite some difficult days, I am a nurse. Still.

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