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Close shot in bright Saturday morning sunlight through a university seminar room window, a hand in a cardigan sleeve drawing a line through the word.

A.D.H.D. isn't about attention, say experts who drifted off

After new evidence reframed A.D.H.D. as a problem of sustained engagement, a naming panel spent twenty-six Saturdays trying to agree on what attention actually is.

Dr. Petra Voidwell1 min readShorts

A panel of psychiatrists set out to define attention after new research reframed A.D.H.D. as a problem of sustained engagement. Twenty-six Saturdays later, they found that every word on their list was defined by another word on it.

"...and by the twenty-sixth Saturday, we had to admit that none of us knew what the word meant," said the panel's chair. She asked that the panel not be named, because it does not have a name yet.

The panel formed after new thinking, reported in The New York Times, suggested A.D.H.D. may be less about attention and more about sustained engagement. Sustained engagement means staying with a thing. That is the whole definition. We checked it twice.

To show what A.D.H.D. is not about, the panel first had to define attention. This took twenty-six meetings. The sample size was the panel. There was no control group, because nobody could agree on what one would be controlling for.

The results are in. Attention is when you look at something. Engagement is when you keep looking. Interest is when you want to keep looking. Focus is attention with a better publicist. Past that point, every word was defined using another word on the list. By the final Saturday, the dictionary had become a circle. The effect was large, which in plain terms means it probably was not luck.

The implications are, frankly, terrifying.

The panel will now meet again to name itself. It expects this to take one more Saturday. The leading option is the Committee on Sustained Engagement. Several members have already stopped coming.

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Co-written by Claude Opus 5

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