Pursuing Pleasures of Productivity: University Students’ Use of Prescription Stimulants for Enhancement and the Moral Uncertainty of Making Work Fun

Abstract

This article presents ethnographic data on the use of prescription stimulants for enhancement purposes by university students in New York City. The study shows that students find stimulants a helpful tool in preventing procrastination, particularly in relation to feeling disinterested, overloaded, or insecure. Using stimulants, students seek pleasure in the study situation, for example, to get rid of unpleasant states of mind or intensify an already existing excitement. The article illustrates the notion that enhancement strategies do not only concern productivity in the quantitative sense of bettering results, performances, and opportunities. Students also measure their own success in terms of the qualitative experience of working hard. The article further argues that taking an ethnographic approach facilitates the study of norms in the making, as students experience moral uncertainty—not because they improve study skills and results—but because they enhance the study experience, making work fun. The article thereby seeks to nuance simplistic neoliberal ideas of personhood.

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References

  1. Anderson, E.N 2011 Emotions, Motivation, and Behavior in Cognitive Anthropology. In A Companion to Cognitive Anthropology. D. B. Kronenfeld, G. Bennardo, V. C. d. Munck, and M. D. Fischer, eds. Blackwell Publishing Ltd.

  2. Brinkman, Svend, & Eriksen, Cecilie (Eds.). (2010). Selvrealisering - Kritiske diskussioner af en grænseløs udviklingskultur. Århus: Klim.

    Google Scholar 

  3. Coveney, Catherine 2012 Cognitive Enhancement? Exploring Modafinil Use in Social Context. In Sociological Reflections on the Neurosciences (Vol. Advances in Medical Sociology 13). M. Pickersgill and I. V. Keulen, eds., pp. 203–228. Bingley: Emerald Group Publishing Limited.

  4. Jongh, Reinoud de, Bolt, Ineke, Schermer, Maartje, & Olivier, Berend. (2008). Botox for the brain: enhancement of cognition, mood and pro-social behavior and blunting of unwanted memories. Neuroscience and Biobehavioral Reviews, 32(4), 760-776.

    Article  Google Scholar 

  5. DeSantis, Alan D., & Hane, Audrey Curtis. (2010). “Adderall is Definitely Not a Drug”: Justifications for the Illegal Use of ADHD Stimulants. Substance Use & Misuse, 45, 31-46.

    Article  Google Scholar 

  6. Ehrenberg, Alain. (2010). Weariness of the Self: Diagnosing the History of Depression in the Contemporary Age. Montreal, Kingston: McGill-Queen’s Press.

    Google Scholar 

  7. Elliot, Carl. (2003). Better than well - American medicine meets the american dream. New York and London: W.W. Norton and Company.

    Google Scholar 

  8. Farah, Martha J., Illes, Judy, Cook-Deegan, Robert, Gardner, Howard, Kandel, Eric, King, Patricia,… Wolpe, Paul Root. (2004). Neurocognitive enhancement: what can we do and what should we do? Nature Reviews, 5, 421-425.

    Article  Google Scholar 

  9. FDA 2007 FDA’s Summary of Product Characterstics for Adderall. http://www.accessdata.fda.gov/drugsatfda_docs/label/2007/011522s040lbl.pdf.

  10. Foucault, Michel 1988 Technologies of the Self. In Technologies of the Self. A Seminar with Michel Foucault. L.H. Martin, H. Gutman, and P.H. Hutton, eds., pp. 16–49. London: Tavistock Publications.

  11. Gershon, Ilana. (2011). “Neoliberal Agency”. Current Anthropology, 52(4), 537-555.

    Article  Google Scholar 

  12. Greely, Henry, Sahakian, Barbara, Harris, John, Kessler, Ronald C., Gazzaniga, Michael, Campbell, Philip, & Farah, Martha J. (2008). Towards resonsible use of cognitive-enhancing drugs by the healthy. Nature, 456, 702-705.

    Article  Google Scholar 

  13. Harvey, David. (2005). A brief history of neoliberalism. Oxford: Oxford University Press.

    Google Scholar 

  14. Healy, David. (2002). The Creation of Psychopharmacology. Cambridge, Massachusetts: Harvard University Press.

    Book  Google Scholar 

  15. Hibbert, Katharine 2007 Ways to Make You Think Better. The Guardian.

  16. Hoeyer, Klaus, Jensen, Anja Marie Bornø, and Sebastian Mohr 2011 På rejse ud i etikkens farlige vådområder. Nordiske Udkast 39(1 & 2): 104–107.

  17. Horne, Alex 2014 Will ‘Smart Drugs’ Really Make Us Smarter, or Just Ruin Our Lives? Vice.

  18. Ilieva, Irena P, and Martha J. Farah 2013 Enhancement Stimulants: Perceived Motivational and Cognitive Advantages. Frontiers in Neuroscience 7(198).

  19. Kristensen, Dorthe Brogård, and Matthias Bode forthcoming In The Digital Doppelgänger Within. A Study on Self-tracking and the Quantified Self Movement. D. Bajde and R. Canniford, eds., Assembling Consumption. Oxford & New York: Routledge.

  20. Martin, Emily. (2000). Mind-Body Problems. American Ethnologist, 27(3), 569-590. doi: 10.1525/ae.2000.27.3.569.

    Article  Google Scholar 

  21. Martin, Emily. (2006). The Pharmaceutical Person. BioSocieties, 1(3), 273-287.

    Article  Google Scholar 

  22. Martin, Emily (2007). Bipolar Expiditions - Mania and Depression in American Culture. Princeton, New Jersey: Princeton University Press.

    Google Scholar 

  23. McCabe, Sean Esteban, Knight, John R., Teter, Christian J., & Wechsler, Henry. (2005). Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national survey. Addiction, 100(1), 96-106.

    Article  Google Scholar 

  24. McCabe, Sean Esteban, West, Brady T., Teter, Christian J., & Boyd, Carol J. (2014). Trends in medical use, diversion, and nonmedical use of prescription medications among college students from 2003 to 2013: Connecting the dots. Addictive Behaviors, 39(7), 1176-1182.

    Article  Google Scholar 

  25. McKinney, Kelly A., & Greenfield, Brian G. (2010). Self-Compliance at Prozac campus. Anthropology and Medicine, 17(2), 173-185.

    Article  Google Scholar 

  26. Miller, Peter. (2004). Governing by Numbers: Why Calculative Practices Matter. In A. Amin & N. Thrift (Eds.), The Blackwell Cultural Economy Reader (pp. 179-189). Oxford: Black Publishing.

    Chapter  Google Scholar 

  27. Noy, Chaim. (2008). Sampling Knowlegde: The Hermeneutics of Snowball Sampling in Qualitative Research. International Journal of Social Research Methodology, 11(4), 327-344.

    Article  Google Scholar 

  28. Oldani, Michael. (2014). Deep Pharma: Psychiatry, Anthropology and Pharmaceutical Detox. Culture, Medicine & Psychiatry, 38, 255-278.

    Article  Google Scholar 

  29. Oldani, Michael, Ecks, Stefan, & Basu, Soumita. (2014). Anthropological Engagements with Modern Psychotropy. Culture, Medicine & Psychiatry, 38, 174-181.

    Article  Google Scholar 

  30. Petersen, Margit Anne, Nørgaard, Lotte S., & Traulsen, Janine M 2014 Going to the Doctor with Enhancement in Mind - An ethnographic study of university students’ use of prescription stimulants and their moral ambivalence. Drugs: Education, Prevention, and Policy.

  31. Quednow, Boris B. (2010). Ethics of neuroenhancement: A phantom debate. BioSocieties, 5(1), 149-156.

    Article  Google Scholar 

  32. Rabiner, David L., Anasopoulos, Arthur D., Costello, E. Jane, Hoyle, Rick H., & Swartzwelder, H. Scott. (2010). Predictors of nonmedical ADHD Medication Use by College Students. Journal of Attention Disorders, 13(6), 640-648.

    Article  Google Scholar 

  33. Rasmussen, Nicolas. (2008). On Speed: The many Lives of Amphetamine. New York and London: New York University Press.

    Google Scholar 

  34. Rosa, Hartmut, & Scheuerman, William E. (Eds.). (2009). High-speed Society: Social acceleration, power and modernity. University Park, PA: The Pennsylvania State University Press.

    Google Scholar 

  35. Rose, Nikolas (2003). Neurochemical Selves. Society, 41(1), 46-59.

    Article  Google Scholar 

  36. Rose, NIkolas 2007 The Politics of Life Itself. Biomedicine, Power and Subjectivity in the 21st Century. Princeton, NJ: Princeton University Press.

  37. Rouse, Carolyn M. (2014). Cultural Scripts: The Elusive Role of Psychotropic Drugs in Treatment. Culture, Medicine & Psychiatry, 38, 279-282.

    Article  Google Scholar 

  38. Salamon, Karen Lisa 2005 Possessed by Enterprise. Values and Value creation in Mandrake Management. In Magic, Culture and the New Economy, O. Löfgren and R. Willim eds., London: Berg.

  39. Salamon, Karen Lisa 2007 Selvmål [Self-measurement]: Gyldendal.

  40. Schwarz, Alan 2012 June 9. Riske Rise of the Good-Grade Pill, The New York Times.

  41. Talbot, Margaret 2009 April 27. Brain Gain—The Underground World of ‘Neuroenhancing’ Drugs, The NewYorker.

  42. Upadhyaya, Himanshu P., Kroutil, Larry A., Deas, Deborah, Durell, Todd M., Brunt, David L. Van, & Novak, Scott P. (2010). Stimulant Formulation and Motivation for Nonmedical Use of Prescription Attention-Deficit/Hyperactivity Disorder Medications in a College-Aged Population. The American Journal on Addictions, 19(6), 569-577.

    Article  Google Scholar 

  43. van der Geest, Sjaak, Whyte, Susan Reynolds, & Hardon, Anita. (1996). The Anthropology of Pharmaceuticals: A Biographical Approach. Annual Review of Anthropology, 25, 153-178.

    Article  Google Scholar 

  44. Vrecko, Scott. (2013). Just how Cognitive is “Cognitive Enhancement”? On the Significance of Emotions in University Students’ Experiences with Study Drugs. AJOB Neuroscience, 4(1), 4-12.

    Article  Google Scholar 

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Correspondence to Margit Anne Petersen.

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Petersen, M.A., Nørgaard, L.S. & Traulsen, J.M. Pursuing Pleasures of Productivity: University Students’ Use of Prescription Stimulants for Enhancement and the Moral Uncertainty of Making Work Fun. Cult Med Psychiatry 39, 665–679 (2015). https://doi.org/10.1007/s11013-015-9457-4

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Keywords

  • Prescription stimulants
  • Enhancement
  • University students
  • Pleasure
  • Moral uncertainty