The Adderall Assistance: the study drug

By: Diana Elihu

http://www.streetbonersandtvcarnage.com/blog/adderall-doesnt-work/

 

At universities across America, students are becoming increasingly addicted to a popular prescription drug — not because they’re trying to get high, but because they hope to get smarter. The prescription drugs Adderall and Ritalin, which are normally prescribed for children with ADHD (formerly known as ADD), are under heavy abuse by students. Many of the symptoms of ADHD occur from time to time in everyone’s lives, including inattention, hyperactivity, impulsivity, difficulty focusing and frequent conversation shifts to name a few. Any of these actions may occur occasionally in any child and just because a child may show ADHD symptoms frequently does not mean they suffer from it, as other conditions have similar symptoms. Even so, the accessibility of the drug and the perception that it is relatively safe appeals to many students, and UCLA is no exception.

Since the symptoms of ADHD – short attention span, distractibility, and hyperactivity – are easy to feign, many students falsely claim to have ADHD in order to obtain a legal prescription from their physician. While some students have become convinced that Adderall will help them achieve academic success, this notion is purely a myth. Although it’s no secret that the drug can significantly affect one’s academic performance, it by itself does not make an individual smarter. The immediate effects of the drug allow students to concentrate on the task at hand, such as studying for a final or MCAT for long periods of time in complete isolation from trivial noises or stimuli. Adderall works to balance two chemicals in the brain, dopamine and norepinephrine, which allows students to focus better and pull all-nighters.

According to a recent study, which explored the motives for using prescription stimulants among college students, the most commonly reported justification for their illicit use included: to help with concentration (65.2%), to help study (59.8%), to increase alertness (65.2%), to get high (31.0%) and to experiment (29.9%) (Teter, McCabe, LaGrange, Cranford & Boyd, 4). The users of such stimulants fit two different personality types- perfectionists and those seeking to use it for recreational purposes (Low & Gendaszek, 284). This study suggests that students were mostly motivated in some way to perform better in the classroom because they believed Adderall would enhance their immediate, as well as long-term academic performance.

The reliance on prescription stimulants has become almost as commonplace as drinking Red Bull and caffeine, which use to be the customary methods for studying. Alarmingly a number of students who admitted to misusing these stimulants reported that they “were not concerned with the misuse and abuse of prescription stimulants, and a number of students felt they should be more readily available…Also other students have anecdotally reported stockpiling medication and taking a higher dose than prescribed in preparation for an exam or while writing a paper” (White, Becker-Blease & Grace-Bishop, 265). This lack of appreciation of the health risks associated with self-medicating sheds light on an ongoing and heated debate among students.

Analogous to how steroids are barred from use in professional sports, the exploitation of Adderall among college students raises issues of competitiveness and fairness. Is the use of this “study drug” considered cheating? Among those who refuse to dabble in these study drugs, the disapproval and bitterness can be high. Students who decline to partake rightly complain that by not taking them, they are at a disadvantage to everyone else, especially if students are being graded on a bell-curve. However, students who seek out these stimulants argue that the stresses of the current economic downturn, the tightening job market, and the fierce competition to get into grad-schools further compels them to seek short cuts to alleviate this Herculean pressure on their backs. While some report that it is wrong to use the drug for any reason outside of a prescription, others justify it by claiming that “I’m doing it for the right reasons” (DeSantis & Hane, 35). Students rationalize that because they are acting to promote a positive outcome, like improving their grades, their use is morally correct. Thus, the culture at schools with high academic expectations of their students, such as at UCLA, creates a competitive environment that pushes students to seek out these little orange tablets. Rather, colleges need to focus on restoring the practice of education and learning for the sake of learning, rather than for grades. This change could then also decrease the number of students running to their professors’ office hours to argue for a higher grade or for more points on every problem in the hopes that the points would add up.

Given the effectiveness of prescription stimulants, clinicians who prescribe such drugs carry a heavy burden on their shoulders. The difficult task of balancing the medical necessity of drugs with their possible non-medical use reflects the greater call for more education aimed at preventing and reducing illicit behavior among students (McCabe, Knight, Teter, & Wechsler, 104). Although most agree that policies should be in place to deter students from partaking in this kind of activity, they offer no probable suggestions as to what these policies might be. As students are the future doctors, entrepreneurs, lawyers, etc. of our society, the abuse of prescription stimulants to cut corners and get ahead in school does not bode well. The ingredients for academic success are no longer going to class and studying long hours in the library, but rather on the steady flow of prescription stimulants.

 

 

The Values in Sponge Bob Square Pants.

“Who lives in a pineapple under the sea?”

Most people easily pick up on the importance of television programming like Sesame Street and other educational shows for young children. Shows like these embed lessons about letters, manners, multiculturalism and more into their content. For adults, the lessons seem obvious, so we feel good about allowing our children to watch and learn from this kind of television show.

But other shows seem to hold zero promise of learning. One example might be SpongeBob SquarePants, an extremely popular cartoon on the Nickelodeon cable channel. Children, including my 4-year old son, were enthralled with this bizarre show about a sponge and his life under the sea. SpongeBob lives in a pineapple next door to a squid that plays the clarinet. He works for a crab that runs the Crabby Patty Diner and his best friend is a starfish. Besides perhaps fostering an interest in marine biology, it’s hard to understand the show’s ability to fascinate, let alone teach.

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Your Brain on Ads: Ground breaking research by UCLA researchers

Dr. Matt Lieberman and former Psych in Action blogger Dr. Emily Falk are getting a lot of attention for their paper in Psychological Science that found that the specific brain regions that were activated while viewing health related advertisements predicted the ad’s success in the population at large — even though the viewers were not aware of the neural activation and were expressing different opinions about the ads.  Read about the implications of these findings in this Science Daily article and this press release.

What are online-dating sites really selling you?

Many dating sites advertise that they will match you with a partner who is highly compatible. Those signing up for Chemistry.com, eHarmony, or similar other websites, are asked to complete prescreening information about their background and personality, and then are given matches with similar others based on this information. But how much does background and personality really predict successful relationships?

Professor Eli Finkel at Northwestern University and UCLA’s own, Professor Benjamin Karney, discussed the “Dubious Science of Online Dating” in a New York Times Review. Finkel and Karney argue that while similarity on background information, such as race and religion, does predict positive relationship outcomes, most people already do this on their own. As a result, the main appeal of these dating sites is their capacity to match based on similarity in personality. Yet, similarity on the major dimensions of personality (e.g., neuroticism, impulsivity, extroversion) accounts for only 0.5 percent of how satisfied spouses were with their marriages, according to a 2010 study of over 23,000 married couples.

Finkel and Karney point out that relationship-specific interactions (e.g.,  communication patterns, physical attractiveness) and environmental factors (e.g., experiences with stress, financial strain) have been left out of the dating sites’ equations, but are crucial predictors of relationship satisfaction. They do not argue that dating sites are a worse method than traditional methods for seeking new partners, but they do call to question how successful these matching algorithms really are.

To read the full New York Times Review, visit: http://www.nytimes.com/2012/02/12/opinion/sunday/online-dating-sites-dont-match-hype.html.

So, to online date or not? Despite this research, online dating sites have reported having a lot of success in making matches, and are continuing to receive new visitors seeking relationships. If dating sites are successful, but their algorithms questionable, perhaps the main capacity of these websites is not in making “matches.” Rather, they allow visitors to focus their efforts on pursuing eligible partners who are actively looking and motivated to find a long-term partner themselves. This may be better than what one can get in traditional methods for meeting a new partner, such as a visit to the local bar. Maybe online dating sites are selling access to motivated people, not necessarily compatible matches.

Revisit: fMRI and the “lit up” brain

fMRI does not work like viewing a lightbulb

I wrote a post a few months ago about some common misconceptions about functional magnetic resonance imaging (fMRI), and one of my main points was that the term  ’lights up”, which is often used when describing the areas of the brain that respond to a task, is misleading. Here is what I said on the subject:

First, fMRI does not detect electrical changes in the brain, as ‘lights up’ would imply.  Neurons in the brain communicate via electrical and chemical signals; fMRI does not measure either of these.  Rather, fMRI measures changes in the amount of oxygenated blood flowing to an area, which is an indirect measure of the metabolic effort needed for neurons to send those electrical and chemical signals.  fMRI does not tell us what areas are firing, it tells us what areas are active as a result of firing.  Second, the brain is active at all times, doing all sorts of basic cognitive functions, and oxygenated blood is always flowing.  While individual neurons might fire on and off, blood flow to areas of the brain do not turn on and off in such a binary fashion, again, as ‘lights up’ implies.   With fMRI we attempt to detect what areas are more active for a task (what it is more active than is an important part of fMRI design).

The result of this misleading term is that assumptions are made about what fMRI shows us, and when these assumptions are violated, which is inevitable, the validity of the method is called into question.  I have seen both scientist in the field that don’t regularly use fMRI methods and lay people discard fMRI after hearing about studies that highlight aspects of the method that violate the assumptions implied by “lights up”, hence my campaign against this term!  Here is a clear example of how using this term can muddle a conversation about fMRI methods:

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Finding the motivation to stick with goals

Most of us have gotten loyalty cards at one point or another that treated us to a free item after a certain amount of purchases at that particular establishment. Most of us have also tossed more than one of those cards after realizing they weren’t worth the space in our wallets for the amount of time it would take to reach this requisite amount. Stores continue to keep loyalty cards because allowing customers to monitor progress toward their free item goal motivates them to achieve that goal. However, the way that many of them frame goal progress may actually be counterproductive. Similarly, the way we frame progress toward our own goals may be setting us back. Read the rest of this entry »

Are afternoon naps key to enhancing learning?

Maybe cats and kindergartners are on to something: Recent research out of the University of California, Berkeley suggests that taking an afternoon nap might lead to increases in learning ability throughout the day! Research out of the the Sleep & Memory Lab led by Matt Walker up at UCB shows that, in general, our learning abilities decrease over the course of a day. So, when people are asked to memorize a list of words at noon, and then to memorize a different list of words at 6 PM, they perform much worse when attempting to learn the words in the evening compared to midday. However, if people were given the opportunity to take a 90 min. nap in between the sessions, they actually learned MORE at 6 PM compared to at 12 noon! Results like these suggest that sleep is important not just for memory, but also for learning abilities. Of course much more research is needed to determine how long of a nap is ideal (what if you only have 30 min. instead of 90 min. to nap in the middle of the day? will you still learn better? is there such thing as too long of a nap?) and the exact conditions under which naps are beneficial, but maybe a little mid-day shut eye would be beneficial to all of us!

 

Space Invader: Patient with Amygdala Damage Disregards Personal Space

Recent research by Ralph Adolphs, a neuroscientist at Cal Tech, suggests that the amygdala, an almond-shaped brain structure buried deep within the temporal lobes, is important for maintaining a sense of personal space. When walking up to a stranger, most people prefer to keep their distance– while the precise distance depends on the individual, we usually stop about two feet away from someone to make sure they (and we!) feel psychologically comfortable. Interestingly, Dr. Adolphs found that an individual with damage to the amygdala felt perfectly comfortable invading others’ personal space. In fact, in some instances, the patient approached another person so closely that their noses touched! These interesting findings suggest that the amygdala may be important in helping us maintain our social graces and respect others’ personal space.

Is all risk taking bad?

He that is over-cautious will accomplish little.
Friedrich Von Schiller
German poet, philosopher, historian, and playwright

Individuals who psychologists describe as “risk takers” are generally identified as being at-risk for a number of dangerous or maladaptive behaviors, including high risk sex, gambling, substance use disorders. However, frequent or high risk takers may be a heterogeneous group, and as a result, it may be difficult to know whether a tendency to take risks is uniformly associative with negative behavior. In order to avoid confounding factors resulting from simply comparing maladaptive risk takers (e.g., antisocial individuals) to a healthy comparison group, Levenson (1990) examined three different groups of risk takers using discriminant function analysis. This study found that a group of rock climbers had high levels of sensation seeking and moral reasoning, drug unit residents were high on antisocial function (e.g., emotionality, psychopathy), and police and firemen decorated for safety had different profiles than both other groups. These results suggest that differences in risk taking behaviors may be, in part, related to the motivation for risk taking behavior. Some groups of individuals who have taken great risks have done so from an arguably purely altruistic motivation. For example, Jewish individuals who rescued others during the Holocaust were compared to bystanders and individuals who emigrated from Europe prior to World War II (Midlarsky, Fagin Jones, & Corley, 2005). The rescuers scored higher on risk taking than both the bystander and immigrant group. Notably, these individuals not only differed in risk taking, but also social responsibility, empathic concern, and moral reasoning. Thus, risk taking behavior may indeed be a positive act, and one’s tendency to engage in such behavior is likely to be context dependent. Thus, being a risk taker can be both positive and negative, and contextual, personality, and social factors may be tipping factors for how one uses such a proclivity to take risks and explore the boundaries of the environment.

Recent Film Provides Insight into the Terror and Complexity of Prodromal Schizophrenia

 

The promotional poster for the 2011 film "Take Shelter"

[Warning: The following post discusses key plot elements of the 2011 film Take Shelter.  Although the post purposefully does not give away the ending, be advised that potential spoilers abound.]

Portrayals of schizophrenia in film go back to the earliest days of the medium.  Throughout the past century, countless films have shown us individuals who are either in the process of losing touch with reality or are far past the breaking point.  Charles Boyer famously drove Ingrid Bergman to the brink of madness in 1940’s Gaslight.  Hitchcock gave us several iconic examples of delusional characters in masterpieces like Psycho and Vertigo.  Jack Nicholson checked himself into an institution filled to the brim with men suffering from hallucinations and paranoia in One Flew Over the Cuckoo’s Nest.  And in the past 15 years, several biographical films have chronicled the lives of individuals who have been afflicted with schizophrenia, including David Helfgott (the Australian pianist portrayed by Geoffrey Rush in Shine), John Nash (the Nobel Laureate portrayed by Russell Crowe in A Beautiful Mind), and Nathaniel Ayers (the cello prodigy portrayed by Jamie Foxx in The Soloist).   However, no film in recent memory has as disturbingly, accurately, or meticulously characterized the descent into psychosis as last fall’s overlooked gem Take Shelter.

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