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Strong Evidence

Attention Systems

Attention isn't a single thing - it's multiple systems working together. Understanding this helps explain why someone can focus intensely on one thing but not another.

Attention is not one thing

The term "attention deficit" in ADHD is misleading. People with ADHD don't have less attention - they have difficulty regulating attention.

Neuroscientists identify at least three distinct attention networks, each with different functions. Understanding these helps explain why attention problems look different in different contexts.

The three attention networks

Alerting Network
Achieving and maintaining a state of readiness

Examples:

  • Being ready to respond when needed
  • Staying awake and alert during class
  • Noticing when something requires attention

In ADHD:

Inconsistent alertness. May be under-aroused (zoning out) or over-aroused (hyperactive). Struggles to maintain optimal alertness.

In Autism:

May be constantly on high alert (always scanning for threats) or have difficulty achieving alertness. Often affected by sensory input.

Orienting Network
Selecting and focusing on specific information

Examples:

  • Turning toward a sound
  • Finding a friend in a crowd
  • Focusing on relevant information

In ADHD:

Easily captured by novel or interesting stimuli. Difficulty maintaining focus on chosen target. Shifts attention impulsively.

In Autism:

May orient strongly to areas of interest but have difficulty shifting. Can miss social cues while focused elsewhere.

Executive Attention
Resolving conflict, making decisions, error monitoring

Examples:

  • Choosing what to focus on despite distractions
  • Switching between tasks intentionally
  • Monitoring for errors

In ADHD:

Core area of difficulty. Struggles to direct attention voluntarily, especially for non-preferred tasks. Difficulty choosing what to focus on when there are competing demands.

In Autism:

May have difficulty flexibly shifting attention. Executive control often intact for preferred activities.

Attention states

Hyperfocus
Intense, absorbed attention on engaging tasks

+ Can produce excellent work; feels rewarding

- Difficult to break; may neglect other needs; not volitional

Noted in: Both ADHD and autism

Scattered attention
Rapidly shifting between stimuli

+ May notice many things others miss

- Difficulty completing tasks; appears distracted

Noted in: Primarily ADHD

Deep focus attention
Intense focus on a single interest or activity

+ Builds expertise, feels absorbing and satisfying

- Difficulty shifting; may miss other information

Noted in: Primarily autism

Overwhelm
Too much input to process

+ None - this is a distress state

- Shutdown or meltdown; cognitive functioning impaired

Noted in: Both, especially with sensory overload

Context matters

Attention varies dramatically depending on context. This variability is often misunderstood as "they can focus when they want to".

ContextTypical attention pattern
Task is interestingOften excellent, may hyperfocus
Task is novelInitially good, may fade as novelty wears off
Task is boringVery difficult, regardless of importance
One-on-one settingOften much better than groups
Classroom of 30Many distractions compete for attention
High stakes (exam)Adrenaline may help focus temporarily
Tired or stressedSignificantly worse across the board
After schoolOften depleted; homework is hardest time
The key insight

Attention is state-dependent, not character-dependent. The same child can have excellent attention in one context and terrible attention in another - not because of effort or caring, but because of how the brain responds to different situations.

Instead of asking "why won't they pay attention?", ask "what does this context need to support their attention?"