By Ross Aikins
Four years ago, I started researching students who used drugs such as Adderall and Ritalin for academic purposes. Maybe you’ve seen my fliers around campus or have friends who were actually brave enough to sit down with me and let me interview them.
This project became my dissertation, which is almost finished, as is my time at UCLA. But if I could summarize the culmination of my graduate education into a bold statement and prediction, it would be that college students really like their drugs and see no compelling reason to stop doing anything that they see as potentially enabling their success.
Before I go any further, I want to apologize in advance to anybody who reads this and was previously unaware of the dilemma of cognitive enhancement. It’s the kind of topic that makes any prevention-oriented research self-defeating, since the idea alone of a drug with academic utility is bound to be very appealing in fiercely competitive climates like UCLA.
In other words, how can I, or any researcher, talk truthfully about cognitive enhancement in the name of prevention or “responsibility” without making these drugs sound appealing to anybody?
It’s not for everybody. Stimulant medications are controlled substances with physiological, psychological and legal risks. But the truth is that many college students feel that the associated risks are far outweighed by the academic benefits of use. What’s even more problematic is that research doesn’t completely disagree.
Concern over collegiate “cognitive enhancement” is nothing new, but higher education has done little since students with Attention Deficit Hyperactivity Disorder first began bringing their renewable Ritalin prescriptions to college in the mid-1990s. Word quickly got out that there was something “better” than coffee.
National databases on collegiate substance abuse put non-medical use of stimulant medications at around 8 percent, which doesn’t include the approximately 7.5 percent of American students diagnosed with ADHD. Independent studies conducted on college campuses report illicit use prevalence at 25 percent and as high as 34 percent, with more than half of upperclassmen and students in Greek life having used prescription stimulants.
From The Beatles and Elvis to former President John F. Kennedy and Hitler, speed scares are not without historical precedent. Desoxyn and Pervitin were used heavily by both Allied and Axis military soldiers in World War II, and Provigil and Adderall are still used today by British forces and Air Force pilots.
Two things separate this generation of stimulant use from the past: medical sophistication and the advent of ADHD. Today’s drugs are better, and we’re vastly more knowledgeable about what they do. Leading clinical researchers and bioethicists have recently started conceding that these drugs may actually work, leading to real gains in concentration, memory and sustained cognitive performance.
ADHD is a different kind of game changer in that it medically legitimizes the everyday use of amphetamines for a relatively broad swath of the population. This separates our current dilemma with prescription amphetamines over controversies in past decades.
ADHD is a real condition with real genetic determinants. It is about 70 percent heritable, which is as much as height or blood pressure. But this doesn’t mean that our diagnostic system isn’t flawed. Many savvy, opportunistic students and parents have been known to feign ADHD symptoms just to seek medications. This is called “doctor shopping.”
I certainly saw some of this in my own research, but it was surprising to see how the situation with unstoppable drug-seeking behavior mirrored the burgeoning medical cannabis scene that erupted throughout Los Angeles over the past several years.
I recruited students who used “any drug” for academic purposes, and to my surprise, many inquired about using marijuana and salvia (which is currently legal) for creative purposes.
Whether you find the premise of creativity-enhancing drug use plausible or not, there is a historical precedent for that, too. Literary greats generally preferred booze, but prolific drug-using artists and intellectuals included the beat poets and bebop jazz generation, Francis Crick, Aldous Huxley and again, The Beatles.
As seen with medical cannabis, some drug policies seem to be in flux, or at least newly reopen to public debate. Distinguishing what’s legal or illegal, however, isn’t as important as what’s “responsible” or “moderate,” and it may be moot if anybody can get what they want, whenever they want. We may be there already.
Aikins is a graduating doctoral student in the School of Education and Information Studies, and a former Viewpoint columnist.