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David Sack, M.D.

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Do 'Study Drugs' Breed a Nation of Winners -- or Cheaters?

Posted: 07/19/2012 11:20 am

America is a nation obsessed with winning. We're so afraid that our kids won't be prepared for jobs when they finish school -- which could ultimately cost us our tenuous competitive edge in the global economy -- that we pile on the homework and make getting into college the focal point of life from middle school on.

Is this obsession with achievement equipping our children for real life? Or are they simply getting the message that it's no longer about how they play the game, but about winning at all costs? Recent trends suggest that kids aren't working harder but "smarter," often with the aid of dangerous prescription drugs.

"Smart Pills" Invade the Classroom

Performance-enhancing drugs used to be a "sports" problem. Now they are an issue for anyone who wants to stay competitive in school. Disproportionately, it is the teens earning As and Bs, striving to get into the nation's top universities -- not the stereotypical druggies -- who are finding themselves sidelined by a stint in drug rehab for prescription drug abuse.

Children are learning that success comes not by training, practice and hard work, but by taking shortcuts. We tell young people, "Don't use drugs," but our beliefs and actions encourage them to win at all costs. There's a whole group of scientists who, in a 2008 editorial in Nature, welcomed the use of "cognitive enhancers" to produce a nation of people performing at their best. They have been joined by a contingency of parents who are willing to overlook, or even encourage, their children to boost their academic performance using prescription drugs.

Not surprisingly, young people are less likely to view study drugs as cheating than steroid use in sports. More youth are asking, "Why work hard, stay up all night studying and still risk not doing well when you can pop a pill, get good grades, and make teachers, parents and coaches happy?" The question some have asked is, how is using performance-enhancing drugs to improve grades any more fair than using steroids to play better baseball?

To the Head of the Class, But at What Price?

One in 10 teens has used Adderall or Ritalin without a doctor's prescription, reports The Partnership at Drugfree.org. Studies show 1 in 4 college students have misused ADHD medications. And there's no reason to assume prescription drug abuse ends after college. Researchers have reported that professors, scientists and academics also misuse prescription drugs to improve their professional standing.

Students use prescription stimulants to enhance their focus and boost their energy, which reportedly allows them to study faster, remember more and earn the grades expected by the nation's elite universities. The drugs are relatively cheap and easy to get, usually from friends, student dealers or by faking ADHD symptoms to get a prescription.

What few teens (and apparently, few adults) realize is that misusing prescription drugs has consequences. Studies show that abusing ADHD drugs can lead to depression, mood swings, exhaustion, heart rate and blood pressure irregularities, and psychosis. In large doses, users may experience convulsions and hallucinations.These risks are particularly worrisome among adolescents and young adults whose brains and bodies are still developing at a rapid rate.

One of the most severe, yet often overlooked, risks is addiction. "Study drugs," which include Adderall, Vyvanse, Ritalin and Focalin, have been classified as Schedule II controlled substances (in the same class as cocaine) by the Drug Enforcement Administration because they have high potential for abuse. Teens who abuse ADHD meds are also more likely to abuse prescription painkillers, sleep aids and illicit drugs like cocaine, meth or heroin.

Cooperation Over Competition

A shift away from performance-enhancing drugs won't happen until we teach our children the value of cooperation over competition. Human beings are not inherently competitive, research suggests, but rather learn to compete as a result of cultural norms and social training. A more natural -- and more productive -- approach requires going against the "scarcity" mindset that says my success requires your failure.

It not only feels better to live, play and work in an environment where no one loses, but it is more likely to breed achievement, research suggests. Studies show that stress, depression and low self-esteem result from competition, whereas cooperation has been linked to emotional maturity and a strong sense of self. When other people are viewed as opponents rather than friends or collaborators, there is a lack of trust that prohibits creative problem-solving and full utilization of every individual's unique talents and skills.

Parents hope that competition will help their kids "toughen up" for the inevitable hardships of life. And while there is some benefit in challenging ourselves to find out what we're capable of, competition often has the opposite effect. The humiliation of losing can leave lasting scars, while the euphoria of victory fades quickly because it is based on a shaky sense of self-worth. Somewhere down the line, every winner will lose. Someone will always be better, smarter, faster.

A New Definition of Success

Competition can produce great accomplishments, but is it teaching our children the kind of lessons that will matter 10 or 20 years down the line? Even for those who go on to receive top honors from the nation's best universities and land prestigious jobs with impressive salaries, have they learned anything about the type of person they want to be? Are they content?

We need a new definition of intelligence based not only on academic prowess but also emotional intelligence, life skills and other abilities -- and a new definition of success based on a young person's health and satisfaction rather than the name of the college they'll be attending. Having goals and going after them is admirable, but living someone else's dream is a waste of a child's unique talents. Genuine confidence isn't built on achievement alone but also who each child is as a human being, regardless of how they stack up to anyone else.

David Sack, M.D., is board certified in psychiatry, addiction psychiatry and addiction medicine. He is CEO of Elements Behavioral Health, a network of addiction treatment programs that includes Promises Treatment Centers, The Ranch outside Nashville, The Sexual Recovery Institute, and The Recovery Place.

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America is a nation obsessed with winning. We're so afraid that our kids won't be prepared for jobs when they finish school -- which could ultimately cost us our tenuous competitive edge in the global...
America is a nation obsessed with winning. We're so afraid that our kids won't be prepared for jobs when they finish school -- which could ultimately cost us our tenuous competitive edge in the global...
 
 
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12:32 PM on 07/23/2012
We need a science-based, holistic approach to drug education that teaches kids from an early age (and their parents) about the way their brains develop and how all drugs -- alcohol, prescription drugs, illegal drugs, "designer drugs," etc. -- affect that development negatively and in a way that can last a lifetime, including how addiction develops. The message to kids should be to protect their brains' healthy growth into their early 20s when their brains mature, particular their frontal cortex, which is key to decision making.

Unfortunately, current drug education is largely inadequate and too often focuses on particular drugs rather than on the brain. Furthermore, kids get mixed messages about drugs, what with the ubiquitous advertising they see that equates alcohol with sex and fun and avoids discussing the consequences, and to a lesser extent the "silver bullet" solution message of most prescription drug advertising.

Education is key. For a not-for-profit website that discusses the science of substance use and abuse in accessible English (how alcohol and drugs work in the brain; how addiction develops; why addiction is a chronic, progressive brain disease; what parts of the brain malfunction as a result of substance abuse; how that malfunction skews decision-making and motivation, resulting in addict behaviors; why some get addicted while others don't; how treatment works; how well treatment works; why relapse is common; what family and friends can do; etc.) please click on www.AddictScience.com.

Steve Castleman
AddictScience.com
03:32 PM on 07/20/2012
Dr. Sacks writes, "We need a new definition of intelligence based not only on academic prowess but also emotional intelligence, life skills and other abilities -- and a new definition of success based on a young person's health and satisfaction rather than the name of the college they'll be attending."

I wholeheartedly agree; there is more to success than grades, GPA, what was your major, and what honors you received. But has anyone told this to our universities, our colleges, our graduate programs, our employers?

Too many colleges still focus on GPA, SAT scores, and honors received as an indicator of admission.

To many graduate programs do likewise, with the GRE, GPA, and projects and awards.

Dr. Sacks, would you have gotten in to medical school based on your " emotional intelligence, life skills and other abilities" and not your grades. Based on current wisdom, I think not.

Wishful thinking about how things could be does little good unless the arbiters and gatekeepers of the academic and practical worlds change their own thinking and expectations to stop focusing on grades and start looking at other factors. Unfortunately, many of those are less tangible and more subjective and, therefore, harder to judge and quantify for admissions.
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iskra
Natural enemy of sharks and tro//s
09:28 AM on 07/20/2012
It's always fascinating to me that with most of these substances the stance is that if you have a 'prescription' these drugs cause no harm but if you take them without one, suddenly they're addictive and harmful.

The real story of course is that these substances are highly addictive, have massive withdrawal associated with them and nobody really understands the long term effects. 

Better living through chemistry...
03:09 PM on 07/20/2012
Your point about drugs used under a prescription are less harmful than those gotten without one: Drug companies have to make money somehow. Because of universal health care in other industrialized countries, drug makers cannot make much money in those places, so they stick it to the U.S. consumer with their high drug prices.
08:44 AM on 07/20/2012
Brave New World's ironic title derives from Miranda's speech in William Shakespeare's The Tempest, Act V, Scene I
O wonder!
How many goodly creatures are there here!
How beauteous mankind is! O brave new world,
That has such people in't.
—William Shakespeare, The Tempest, Act V, Scene I, ll. 203—6
This line itself is ironic; Miranda was raised for most of her life on an isolated island, and the only people she ever knew were her father and his servants, an enslaved savage and spirits, namely Ariel. When she sees other people for the first time, she is understandably overcome with excitement, and utters, among other praise, the famous line above. However, what she is actually observing is not men acting in a refined or civilized manner, but rather drunken sailors staggering off the wreckage of their ship. Huxley employs the same irony when the "savage" John refers to what he sees as a "brave new world."
http://en.wikipedia.org/wiki/Brave_New_World
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Christopher Stahnke
06:45 AM on 07/20/2012
Since we do not, collectively, understand the concept of wisdom education becomes something to game like so many things in this culture. Values matter and we don't have cultural leaders who have coherent values other than winning and a few sentimental notions that have an appearance of morality. Don't blame kids or parents for reacting to what cultural values have emerged by our complete acceptance of what corporations want--and what they want is to weaken and exploit us to be obedient servants; sadly, this is what most Americans want to do because it enables them to purchase fantasies and live in the Matrix.
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Droid Noir
Graphic Designer, Writer.
05:28 AM on 07/20/2012
As a student I actually sympathize with my peers who use 'drugs' to enhance their performance. Between extracurricular activities and school there isn't much time left to hit the books. The demands placed on us to succeed, at times seem insurmountable and surely you would not fault us for taking advantage of all opportunities and resources necessary for success. As for the cost to your health, it takes second-place when you think about getting that internship or even a job in an economy with grim prospects. At this point it seems as if only a super-student can really triumph in the rat race - you may disagree with this sort of attitude but money is the supreme currency and if you have none, prepare for a life of misery.
07:51 AM on 07/20/2012
That is a quite a sad and grim outlook. I understand that school, work, and expectations can overburden students (I am one, a grad. student), but with simply prioritizing out your day, week, etc. you can diminish some of that strain.
Also if you dont have your health you wont have your money, given high healthcare expenses and the fact you need to be healthy to work, putting in jeopardy your health both in the short term and long term will not yield you significant monetary gains.
But all in all money shouldnt define who you are and doesnt prepare you for a life of happiness, however cliche that may sound.
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Droid Noir
Graphic Designer, Writer.
10:58 PM on 07/20/2012
Charles, maybe this is my fault but I actually do not take drugs like Adderall etc, although I know people who do. I and arguably, they, know the dangers that these drugs will and do do to their bodies and yes, in this case, short-term gain overruns long-term considerations. Its mostly the 'cram for the test' mentality. In fact, most of my experience with American education has been just that, 'cram for the test'. In any case, there are dangers but we would trade those at least for the prospect of living out our version of the best life in future.

And why wouldn't money define who I am, I'm very skeptical about the idea that human beings are inherently sacred or at least above, in some way, the material world. In this life, no matter how short it is, material wealth can increase your level of comfort and I dare say, happiness. I've spent a great deal of time thinking about the sort of life that I would like to live and to say something cliche myself, my model of the good life looks somewhat like the Hollywood model of a good life. I'm not saying that its perfect but compared to the nameless and forgettable existence given to the bulk of us I would like more, and it seems to me that money paves the way.
03:14 PM on 07/20/2012
Two points:
1. One does not have to be a super-student to succeed in life. Not even to go to a decent school.
2. Money may be the supreme currency, but one can get by with less than we are led to believe. Our modern economic system demands that people buy goods and use services (all requiring money to do so), in order to generate revenue that companies use to pay their employees and shareholders, and other costs. But this demand is just that: a demand, not a requirement. There are lots of things one can do to get out of the "rat race" and be less dependent on money. Not all of us are in situations where we can grow our own food, and make our own products for self-consumption, but we can simply cut down on buying things just for the sake of ownership. Check out National Buy Nothing Day.
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Droid Noir
Graphic Designer, Writer.
11:03 PM on 07/20/2012
Nahani, I agree with you but I think that if you want to live in the mainstream and indeed succeed in the mainstream you need to consider how important money is. I myself wish that we weren't so beholden to money and that we didn't have to struggle so much, but we do. I feel as though we're in this system and that fighting it is futile - it would not be futile, though, if there was chance of destroying the system and replacing it with a more human one that didn't brutalize our lives so much. Since both you and I are within the system I think we should co-opt its rules to prosper even though that perpetuates the very suffering onto ourselves and others that I'm talking about. I think that in this case there's a fighting chance of a life, though within the rules of the system, than one where, as you said, we try to escape the rat race. It doesn't seem feasible to escape it.
04:55 AM on 07/20/2012
Yes taking smart drugs can abolish the losers, but to keep on the smart side you got to take more drugs
Abolishing your health, always gets a cheer or sneer from the losing section.
This equals out to I wish I had = Baboons to Chimps = Violence and Anger/ don't care, of not quite known.
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Charlotte Bonnie
Agnostic. Turkish-American. Classical liberal. Gay
04:44 AM on 07/20/2012
Kids using drugs so that they can choose more accurately between A, B, C and D, the only options that are given to them by their authoritarian faculty, the only options they THINK exist. No wonder America is going down the tubes. Don't you think there is a correlation between getting used to choosing between A, B, C and D and choosing between party D and party R? There is.
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PalaceOfWisdom
Want gun control? End the MIC
11:56 AM on 07/20/2012
Thank you! Every time I make a political point and am met with the response "Well what are you going to do, vote for the other guy?", I'm horrified by the average person's refusal to think beyond the choices offered.
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dsws
No owning ideas. Limit only commercial use.
03:52 AM on 07/20/2012
How is using performance-enhancing drugs to improve grades any more fair than using steroids to play better baseball? With steroids, you're violating a clearly-established norm (albeit one that is all too often honored in the breach), whereas with study drugs the substances are newer so the norms are less clear. To some extent, at least as far as the competition goes, either allowing or disallowing the drugs would be acceptable as long as everyone is playing by the same rules. Also, intellectual achievement has inherent value regardless of competition, whereas hitting a ball is noteworthy only as part of a competitive sport. Finally, using a performance-enhancing drug erodes the norm against its use: the ethical significance of that effect depends on the (real and perceived) side effects are.

Ideally, competition is not about self-esteem. It's about achievement. Would you rather be a tortured genius, or a contented second-rate performer? If you chose tortured, competition has a place. You never know what you can do until you try, but that begs the question of _what_ to try. If you know approximately what the greatest achievement you're capable of is, you can try to do that and see whether you succeed. But if you can't even tell what achievement represents complacent underperformance and what self-destructive ambition, competition will set a standard to strive for.
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realitytrumpsbull
Two 'alves of coconut!
02:02 AM on 07/20/2012
ADDERALL! WOOHOO!!!!!!!!
been2there
Facts have a liberal bias.
12:19 AM on 07/20/2012
It rather depends on whether or not the student has a real disability. ADHD, which afflicts my entire family is a real disability; so is dyslexia. Medication to control ADHD permits the student to put in the rigorous work.
Those who try to use drugs in place of study will not do well--and they are likely to cheat.
03:16 PM on 07/20/2012
And, don't forget, many of these drugs do NOT work in everybody, even for "legitimate" (ADHD, ADD) reasons.
been2there
Facts have a liberal bias.
06:42 PM on 07/20/2012
Too painfully true.  We had a child who became allergic to her meds--thank God we found a neurofeedback center that could help her.  There are online sites to offer feedback now, and I recommend people try that before drugs.
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parlimentMike
Terrorists keep you in fear
10:55 PM on 07/19/2012
Until America considers winning less important than not cheating it just doesn't matter. We forgive obvious criminal activity at the very top of our societal structure in every endeavor. We need a philosophy to replace our failed religions to drive betterment of the human condition.
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Holly Smoke
Humor is the best defense for absurdity.
10:47 PM on 07/19/2012
Damm the addiction full stream ahead to the drug culture !!!
Have drug will travel, prligram...
09:33 PM on 07/19/2012
WE should be concerned. The law should not. But the law is because we largely do not fulfill our responsibilities to our communities in countless ways. We do not even take responsibility for our own safety and security. So guess who does. . . you got it, Big Brother and its 'national security' propaganda. I would sell, no, GIVE AWAY all my state endorsed security for a bit of personal liberty.

Wouldn't it be nice to be involved in our own governance again? To stop having the almighty dollar and standardized testing run our lives would be so beautifully alleviating of most of our stresses. We simply have to start being responsible for ourselves and our children, but law interferes with even the possibility of such a thing. Until we 'secure' ourselves and our communities, we will never have the chance to fix our own problems and Big Brother will gladly continue to do so for us. From kids on drugs, to multi-national fraud cartels, nothing significant will be done about any of it unless we hold ourselves and our leaders accountable for their actions.
been2there
Facts have a liberal bias.
12:20 AM on 07/20/2012
Well, your reality is indeed vague! You have considerable personal liberty--and yes, the people need to vote with their minds, not simply follow the dollar signs.
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PalaceOfWisdom
Want gun control? End the MIC
02:06 PM on 07/20/2012
"You have considerable personal liberty"

We have the false comfort that our every move is merely being monitored and manipulated rather than seeing American citizens snatched and thrown in military prisons... so far. If the oligarchs wanted one of us to disappear, the legal means are already in place now.
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fumes
Midnight Toker
09:07 PM on 07/19/2012
athletes..

are going to pot:

Smoking Marijuana GOOD For Lungs

10 Jan 2012

Journal of the American Medical Association put a dent in the arguments against Marijuana smoking today, with release of a new report showing casual pot smokers might even have stronger lungs than non smokers.

Researchers say that there is good evidence that occasional marijuana use can cause an increase in lung airflow rates and lung volume. Volume is measured as the total amount of air a person can blow out after taking the deepest breath they can.

The study, which was carried out by The University of California, San Francisco, and The University of Alabama at Birmingham, spans over more than two decades and involves more than 5000 men and women, in four American cities : Birmingham, Chicago, Oakland, Calif., and Minneapolis.

http://www.medicalnewstoday.com/printerfriendlynews.php?newsid=240146