BioSocieties

, Volume 12, Issue 4, pp 588–610 | Cite as

Young brains at risk: Co-constituting youth and addiction in neuroscience-informed Australian drug education

Original Article

Abstract

This article explores the developing relationship between neuroscientific understandings of ‘addiction’ and ‘youth’. Drawing on science and technology studies theory and social scientific analyses of both these concepts, it identifies a co-constitutive relationship between notions of addiction as a brain disease and of youth as a stage of brain development. These two concepts are then tracked in a series of drug education documents concerned with alcohol and other drug (AOD) use and addiction among young people, and their implications and effects and analysed together. The aim is to investigate the impact on drug education of neuroscientific approaches to youth and addiction. Are new concepts and directions for harm reduction created in the encounters between neuroscience, youth and addiction, or do they simply reinstate and reinforce existing assumptions and judgments? Is drug education shaped by these concepts likely to achieve its aim, that is, to increase young people’s sensitivity to harm and safety? The article begins by introducing neuroscientific accounts of youth and addiction, arguing that the two concepts share three key assumptions. First, both emphasise biology and sideline social context in the making of drug use practices and outcomes. Second, both reproduce uncritical treatments of brain scans (PET and fMRI images) as windows into minds and subjects. Third, both understand the brain as ontologically separate from its environment. These assumptions and their implications are then tracked through an analysis of Australian drug education resources, focusing on how drug education constitutes youthfulness and addiction as pathological disorders. In its reliance on neuroscientific understandings of youth and addiction, we conclude, drug education is unlikely to achieve its goal of reducing drug-related harm.

Keywords

addiction youth drug education neuroscience Bruno Latour Annemarie Mol and John Law 

Notes

Acknowledgements

The National Drug Research Institute at Curtin University is supported by funding from the Australian Government under the Substance Misuse Prevention and Service Improvement Grants Fund. Suzanne Fraser’s research is supported by Australian Research Council Future Fellowship (FT120100215). The authors state that this manuscript comprises original material that is not under review elsewhere, and that the study on which the research is based has been subject to appropriate ethical review.

References

  1. AIHW. (2014) National Drug Strategy Household Survey detailed report 2013. Drug statistics series no. 28. Cat. no. PHE 183. Canberra: Australian Institute of Health and Welfare. 1–162.Google Scholar
  2. Alcohol and Drug Foundation (formally the Australian Drug Foundation). (2008) Teenage Drinking: The Facts and Issues. Melbourne: Australian Drug Foundation.Google Scholar
  3. Alexander, B. (2008) The Globalization of Addiction: A Study in Poverty of the Spirit. Oxford: Oxford University Press.Google Scholar
  4. Ayman-Nolley, S. and Taira, L. (2000) Obsession with the dark side of adolescence: A decade of psychological studies. Journal of Youth Studies 3(1): 35–48.CrossRefGoogle Scholar
  5. Barad, K. (2007). Meeting the Universe Halfway: Quantum Physics and the Entanglement of Matter and Meaning. Durham and London, Duke University Press.CrossRefGoogle Scholar
  6. Beck, J. (1998) 100 Years of “just say no” versus “just say know”: Re-evaluating drug education goals for the coming century. Evaluation Review 22(1): 15–45.CrossRefGoogle Scholar
  7. Bessant, J. (2008) Hard wired for risk: neurological science, ‘the adolescent brain’ and developmental theory. Journal of Youth Studies 11(3): 347–360.CrossRefGoogle Scholar
  8. Bessant, J. and Watts, R. (2012) The mismeasurement of youth: Why adolescent brain science is bad science. Contemporary Social Science 7(2): 181–196.CrossRefGoogle Scholar
  9. Blackman, S. (2004) “Chilling Out”: The Cultural Politics of Substance Consumption, Youth and Drug Policy. New York: Open University Press.Google Scholar
  10. Butler, J. (1990) Gender Trouble: Feminism and the Subversion of Identity. New York and London: Routledge.Google Scholar
  11. Brown, R. and Gregg M (2012) The pedagogy of regret: Facebook, binge drinking and young women. Continuum: Journal of Media and Cultural Studies 26(3): 357–369.CrossRefGoogle Scholar
  12. Campbell, N. (2007) Discovering Addiction: The Science and Politics of Substance Abuse Research. Ann Arbor, University of Michigan Press.CrossRefGoogle Scholar
  13. Campbell, N. (2010) Toward a critical neuroscience of “addiction”. BioSocieties 5(1): 89–104.CrossRefGoogle Scholar
  14. Campbell, N. (2012) Medicalization and biomedicalization: Does the diseasing of addiction fit the frame? In: Netherland, J. (eds.) Critical Perspectives on Addiction (Advances in Medical Sociology, Volume 14). New York: Emerald Group Publishing Limited, pp. 3–25.Google Scholar
  15. Carhart-Harris, R., Muthukumaraswamy, S., Roseman, L., Kaelen, M., Droog, W., Murphy, K., et al. (2016) Neural correlates of the LSD experience revealed by multimodal neuroimaging. Proceedings of the National Academy of Sciences 113(17): 4853–4858.CrossRefGoogle Scholar
  16. Courtwright, D. (2010) The NIDA brain disease paradigm: History, resistance and spinoffs. BioSocieties 5(1): 137–147.CrossRefGoogle Scholar
  17. Department of Education and Early Childhood Development (DEECD), Victoria (2013) Get Ready. Melbourne: State of Victoria Department of Education and Early Childhood Development.Google Scholar
  18. Department of Health and Ageing Commonwealth of Australia. (undated) Drugs: The Real Facts. National Drugs Strategy 2010–2015. Canberra: Australian government. Available online: http://www.drugs.health.gov.au/internet/drugs/publishing.nsf/content/campaign/$file/bkFact.pdf, accessed 20 April 2017.
  19. Duff, C. (2015) Governing drug use otherwise: For an ethics of care. Journal of Sociology 51(1): 81–96.CrossRefGoogle Scholar
  20. Dumit, J. (2004) Picturing Personhood: Brain Scans and Biomedical Identity. Princeton, Princeton University Press.Google Scholar
  21. Dumit, J. (2012) Critically producing brain images of mind. In: Choudhury, S. and Slaby, J. (eds.) Critical Neuroscience: A Handbook of the Social and Cultural Contexts of Neuroscience. New York: Blackwell Publishing, 195–224.Google Scholar
  22. Dwyer, R. and Moore, D. (2013) Enacting multiple methamphetamines: The ontological politics of public discourse and consumer accounts of a drug and its effects. International Journal of Drug Policy 24(3): 203–211.CrossRefGoogle Scholar
  23. Farrugia, A. (2014) Assembling the dominant accounts of youth drug use in Australian harm reduction drug education. International Journal of Drug Policy 25(4): 663–672.CrossRefGoogle Scholar
  24. Farrugia, A. (2017) Gender, reputation and regret: The ontological politics of Australian drug education. Gender and Education 29(3): 281–298.CrossRefGoogle Scholar
  25. Farrugia, A. (2015) “You can’t just give your best mate a massive hug every day”: Young men, play and MDMA. Contemporary Drug Problems 42(3): 240–256.CrossRefGoogle Scholar
  26. Farrugia, A. and Fraser, S. (2016) Science and scepticism: Drug information, young men and counterpublic health. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. Google Scholar
  27. Fitzgerald, J. (2015) Framing Drug Use: Space, Economy and Crime. England: Palgrave Macmillan.CrossRefGoogle Scholar
  28. Fraser, S. (2010) More than one less than many: Materialising hepatitis C and injecting drug use in self-help literature and beyond. Health Sociology Review 19(2): 230–244.CrossRefGoogle Scholar
  29. Fraser, S. (2013) The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships. International Journal of Drug Policy 24(3): 212–219.CrossRefGoogle Scholar
  30. Fraser, S and Moore, D. (2008) Dazzled by unity? Order and chaos in public discourse on illicit drug use. Social Science and Medicine 66(3): 740–752.CrossRefGoogle Scholar
  31. Fraser, S. and Moore, D. (Eds.) (2011) The Drug Effect: Health, Crime and Society. Melbourne: Cambridge University Press.Google Scholar
  32. Fraser, S., Moore, D. and Keane, H. (2014) Habits: Remaking Addiction. Hampshire: Palgrave Macmillan.CrossRefGoogle Scholar
  33. Gabriel, F. (2013) Deconstructing youth: Youth discourses and the limits of sense. Hampshire: Palgrave Macmillan.CrossRefGoogle Scholar
  34. Gaten, M. (1996) Imaginary Bodies: Ethics, Power and Corporeality. London and New York: Routledge.Google Scholar
  35. Goldstein, R. and Volkow, N. (2011) Dysfunction of the prefrontal cortex in addiction: Neuroimaging findings and clinical implications. Nature 12: 652–669.Google Scholar
  36. Gomart, E. (2002) Six effects in search of a substance. Social Studies of Science 32(1): 93–135.CrossRefGoogle Scholar
  37. Grosbras, M., Jansen, M., Leonard, G., McIntosh, A., Osswald, K., Poulsen, C., Steingerg, L., Toro, R. and Paus, T. (2007) Neural mechanisms of resistance to peer influence in early adolescence. The Journal of Neuroscience 27(30): 8040–8045.CrossRefGoogle Scholar
  38. Grosz, E. (1994) Volatile Bodies, Toward a Corporeal Feminism. Sydney: Allen and Unwin.Google Scholar
  39. Hall, S. (1904) Adolescence: Its Psychology and Its Relations to Physiology, Anthropology, Sociology, Sex, Crime, Religion and Education. London: Appleton.Google Scholar
  40. Hart, A. and Moore, D. (2014) Alcohol and alcohol effects: Constituting causality in alcohol epidemiology. Contemporary Drug Problems 41(3): 393–416.CrossRefGoogle Scholar
  41. Hyman, S. (2005) Addiction: A disease of learning and memory. The American Journal of Psychiatry 162(8): 1414–1422.CrossRefGoogle Scholar
  42. IGCD (2015) National Drug Strategy 2016–2025 Draft: FOR Public Consultation. Canberra: Intergovernmental Committee on Drugs, pp. 1–37.Google Scholar
  43. Keane, H. (2002) What’s Wrong with Addiction? Melbourne University Press: Melbourne.Google Scholar
  44. Kelly, P. (2012) The brain in the jar: A critique of discourses of adolescent brain development. Journal of Youth Studies 15(7): 944–959.CrossRefGoogle Scholar
  45. Latour, B. (2004) How to talk about the body? The normative dimension of science studies. Body and Society 10(2–3): 205–229.CrossRefGoogle Scholar
  46. Law, J. (2004) After Method: Mess in Social Science Research. New York: Routledge.Google Scholar
  47. Law, J. (2011) Collateral realities. In: Fernando Domingues Rubio and Patrick Baert (eds.) The Politics of Knowledge. London: Routledge, pp. 156–178.Google Scholar
  48. Lesko, N. (2001) Act Your Age! A Cultural Construction of Adolescence. New York: Routledge Falmer.Google Scholar
  49. MacLean, K., Johnson, M., & Griffiths, R. (2011) Mystical experiences occasioned by the hallucinogen psilocybin lead to increases in the personality domain of openness. Journal of Psychopharmacology 25(11): 1453–1461.CrossRefGoogle Scholar
  50. Males M. (2009) Does the adolescent brain make risk-taking inevitable? A sceptical appraisal. Journal of Adolescent Research 24(1): 3–20.CrossRefGoogle Scholar
  51. McLeod, K. (2014) The missing work of collaboration: Using assemblages to rethink antidepressant action. Contemporary Drug Problems 41(1): 109–142.CrossRefGoogle Scholar
  52. Midford, R. (2010) Drug prevention programmes for young people: Where have we been and where should we be going? Addiction 105(10): 1688–1695.CrossRefGoogle Scholar
  53. Mol, A. (1999) Ontological politics: A word and some questions. In: J. Law and J. Hassard (eds.) Actor Network Theory and After. Blackwell/The Sociological Review: Oxford/Keele, pp. 74–89.Google Scholar
  54. Mol, A. (2002) The Body Multiple: Ontology in Medical Practice. Durham and London: Duke University Press.CrossRefGoogle Scholar
  55. Mol, A. and Law, J. (2002) Complexities: An introduction. In: J. Law and A. Mol (eds.) Complexities: Social Studies of Knowledge Practices. Durham and London: Duke University Press.CrossRefGoogle Scholar
  56. National Cannabis Prevention and Information Centre (NCPIC). (2011) Cannabis and Consequences II. Sydney: National Cannabis Prevention and Information Centre, University of New South Wales.Google Scholar
  57. National Cannabis Prevention and Information Centre (NCPIC). (2012) Making the Link: Promoting Help Seeking for Cannabis Use and Mental Health. Sydney: National Cannabis Prevention and Information Centre, University of New South Wales.Google Scholar
  58. National Drug and Alcohol Research Centre. (2014) CLIMATE Schools: Online Prevention. Sydney: University of New South Wales.Google Scholar
  59. New South Wales Department of Health (2006) Drug Smart. Sydney: NSW Ministry of Health.Google Scholar
  60. Nicholson, T., Duncan, D., White, J. & Stickle, F. (2013) Focusing on abuse, not use, in drug education. Journal of Substance Use 18(6): 431–439.CrossRefGoogle Scholar
  61. Osorio, F., Sanches, R., Macedo, L., dos Santos, R., Maia-De-Oliveira, J. & Wichert-Ana, L. et al. (2015) Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: A preliminary report. Revista Brasileira de Psiquiatria 15(37): 13–20.CrossRefGoogle Scholar
  62. Pennay, A. (2012) Carnal pleasures and grotesque bodies: Regulating the body during a “big night out” of alcohol and party drug use. Contemporary Drug Problems 39(3): 397–428.CrossRefGoogle Scholar
  63. Race, K. (2015) “Party and play”: Online hook-up devices and the emergence of PNP practices among gay men. Sexualities 18(3): 253–275.CrossRefGoogle Scholar
  64. Sedgwick, E. (1993) Tendencies. London: Duke University Press.CrossRefGoogle Scholar
  65. Sercombe, H. (2010) The gift and the trap: Working the “teen brain” into our concept of youth. Journal of Adolescent Research 25(1): 31–47.CrossRefGoogle Scholar
  66. Soler, J., Elices, M., Franquesa, A., Barker, S., Friedlander, P., Feilding, A., et al. (2016) Exploring the therapeutic potential of Ayahuasca: Acute intake increases mindfulness-related capacities. Psychopharmacology 233 (5): 823–829.CrossRefGoogle Scholar
  67. Steinberg, L. (2009) Should the science of the adolescent brain development inform public policy? American Psychologist 64: 737–750.CrossRefGoogle Scholar
  68. Teesson, M., Newton, N. and Barrett, E. (2012) Australian school-based prevention programs for alcohol and other drugs: A systematic review. Drug and Alcohol Review 31(6): 731–736.CrossRefGoogle Scholar
  69. Tupper, K. (2003) Entheogens & education: Exploring the potential of psychoactives as educational tools. Journal of Drug Education and Awareness 1(2): 145–161.Google Scholar
  70. Tupper, K. (2008). Teaching teachers to just say “know”: Reflections on drug education. Teaching and Teacher Education 24(2): 356–367.CrossRefGoogle Scholar
  71. Tupper, K. (2014) Sex, drugs and the honour roll: The perennial challenges of addressing moral purity issues in schools. Critical Public Health 24(2): 115–131.CrossRefGoogle Scholar
  72. Volkow, N and Li, T. (2004) Drug addiction: The neurobiology of behaviour gone awry. Nature Reviews Neuroscience 5(12): 963–970.CrossRefGoogle Scholar
  73. Vrecko, S. (2010) “Civilizing technologies” and the control of deviance. BioSocieties 5(1): 36–51.CrossRefGoogle Scholar
  74. Wyn, J. and White, R. (1997) Rethinking Youth. Sydney: Allen and Unwin.Google Scholar
  75. Zinberg, N. (1984) Drug, Set and Setting: The Basis for Controlled Intoxicant Use. New Haven: Yale University Press.Google Scholar

Copyright information

© Macmillan Publishers Ltd 2017

Authors and Affiliations

  1. 1.National Drug Research InstituteCurtin UniversityFitzroyAustralia

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