Tag Archives: medication

Shifting Expectations and Adding Prescriptions

It is completely undeniable that the life of a student in the past twenty years has changed drastically. Students are expected from a young age to be receiving perfect scores, excelling creatively and athletically while holding leadership positions. Majority of children are expected to attend a four-year university and graduate with a “stable” respectable job. The only way to obtain this job, as socially preached, is to get above average grades while balancing a social and extracurricular life. Quite simply stated, the expectations for a student of any age have changed.

Dr. Diller, author of Running on Ritalin, claims that the rise to the use of Ritalin can be attributed to a variety of non-medical factors. During an interview with PBS, Diller explains how the shifting culture surrounding young people has changed the understanding of managing behavior. He attributes the increasing pressure to be above average as a young person, matched by parents working full-time and a decrease in parental discipline with the rise of Ritalin prescriptions.  Next he discusses the flaw in diagnoses, as there is no concrete test for ADHD but rather a series of rather subjective tests usually administered by a general physician. He additionally attributes the rise in Ritalin usage to general awareness. ADHD is an easily identifiable disorder. As diagnosis increase and education law changed to include services for those with ADHD simply checking for ADHD has become more popular.

Throughout the interview Diller touches on the moral aspect of Ritalin usage. He talks about how naturally any parent would want the best for their child. At times there may be a child who is excelling outside of school but simply cannot focus. Other times children can be seen as hyper or unable to pay attention. However, parents want to do all they can to help their children excel and many times this includes the addition of Ritalin. He ends the discussion by stating the ethical dilemma he faces as a doctor. For certain patients he understands that possibly changing classroom size, disciplining methods or family habits could address some of the concerns that parents have however, the solution quickly shifts to medication. Family life, parenting, temperament and learning environment are not typically taken into account before prescribing Ritalin to improve concentration.

The stigma surrounding Ritalin, I feel (especially in college) is quite small. Partially because many who take Ritalin take it for purely medical reasons but also because it is so frequently used. Many college students take Ritalin when they simply cannot concentrate, or seek a specific diagnosis to gain regular access to this type of drug.

I question this on a deeply ethical level, for isn’t this use (and possibly abuse) shockingly similar to the use of steroids? Why are athletes so widely criticized for using performance enhancement drugs when it is acceptable for college students to use similar aids? Is there a difference between the two? Should one usage be more criticized than the other? Do we deem the use of Ritalin (or Adderall)  as cheating or taking the easy route?

I personally see difficultly in drawing the line between the two. While I don’t feel as strongly about the usage of Ritalin or Adderall in relation to a performance enhancement drug, I also can’t articulate and argue the difference.

Sources:

“Interview with Dr. Diller.” PBS. PBS, n.d. Web. 09 Feb. 2014.

Parker, Harvey. “The Ritalin Explosion.” PBS. PBS, n.d. Web. 09 Feb. 2014.

Trudeau, Michelle. “More Students Turning Illegally To ‘Smart’ Drugs.” NPR. NPR, 5 Feb. 2009. Web. 06 Feb. 2014.