Study drugs make people worse at problem solving, not better
economist.com
economist.com
I don't find these studies to be convincing. You give people a pill, they don't know what it is. These people don't know what to expect, they've never taken study drugs before. They're solving some random logic puzzle they've never seen before. "Participants had to work out which items to put into a bag."
Compare to how these drugs are used in reality. Someone takes a drug a number of times and performs a mental task that they do frequently. They can get a lot of practice using a drug. Does a new computer make you more productive on day 1, or does it take a while to get used to it, even if you know it'll help in the long run?
The real problems with these drugs are addiction, side effects, and the phenomenon where you have to take higher doses over time to get the same effect. Telling people "don't try study drugs, they don't even work!" backed up by questionable studies reminds me of DARE, telling people that marijuana will kill you.
Maybe one day we will get a drug that enhances mental function, that works effectively and has no real downsides. I think that could be a great boon to society. I don't think it exists yet though, or that we are even really making any progress.
That's a very far-fetched claim. Do you have any evidence other than personal anecdotes?
It doesn't fit with anything I've ever read or experienced with these drugs.
Please don’t buy into any psychological research; there is a reason more than 2/3rd of all their research cannot even be replicated.
I've had alcohol many times, and you know what it's nothing like? Ritalin.
From the article: "Star performers during the placebo session fell to the bottom of the pack when they had taken the drugs."
That directly refutes your assertion they were doing a novel task for the first time.
You’ll have plenty of words to share! Probably a TON the first day, especially.
> The real problems with these drugs are addiction,
Not addictive.
> side effects,
Same as caffeine while active. Irritating comedown after.
> and the phenomenon where you have to take higher doses over time to get the same effect.
Abstaining during weekends helps. The real problem is lack of sleep it can somewhat mask.
> Maybe one day we will get a drug that enhances mental function, that works effectively and has no real downsides.
We already have it. It's called having good company and plenty of rest. The problem is not that we don't perform well in this environment, the problem is that we don't perform well IN THIS ENVIRONMENT.
And then we search for hacks.
What comedown feelings did you experience?
I noticed considerable difference splitting 200mg pills in two and waiting a while before consuming the second half when I used it years back.
Everyone responds differently to these medications. Some can become addicted or suicidal on one med while for others that same med can be a life changer
For about 30% of people these medications have no effect
I'm not saying sleep, exercise, and other psychotherapy aren't options but some people really benefit from medication
How do you propose then to isolate what may be the effect of the drug then vs the participant subconsciously trying to act out what they think the drug is supposed to make them do?
I don't really see the point in this being a lab experiment, just test the results from actual people who use study drugs (not saying naturalistic experiments aren't biased in many ways too, but seems like a better option).
Compare to a less politically contentious human performance question, like, should a point guard do strength training to increase upper body strength? This is a topic where expert thinking has evolved during my lifetime. In the 80's many people thought that strength training would mess up shooting ability. Nowadays the consensus is that strength training is good, and that basically all NBA players should do it.
Nobody did studies where secretly one set of basketball players worked out and got stronger arms, and the other half did "placebo workouts" that didn't make them any stronger. It's just obviously impossible to do that sort of study. I think it's equally impossible to do a good study on Adderall with placebos. But we still learn over time, by having experts try out different things, analyze the results subjectively, and discuss and share the outcomes.
What I would like to see is making study drugs like Adderall and Modafinil legal, and for people to openly share their experiences, positive and negative. I think over time our society would learn from that and grow wiser, even if formal studies never quite worked.
Coffee.
And to your main point, if you took people who’d never drink coffee before and gave them a caffeine pill, guaranteed they’d perform worse.
Long term coffee usage builds dependency and is linked to “chronic insomnia, constant anxiety, depression, and stomach problems.”
Meanwhile tons of people legitimately prescribed ADHD stimulant medication use it every day without developing an addiction or any of the above symptoms.
Long-term coffee usage is just fine. It is actually protective. Same with ADHD meds. Fewer heart problems, actually, on average.
What's the closest we have today to an effective drug with "no real downsides", assuming that nutritional supplements don't count?
If such a drug exists, I want to know why the body hasn't evolved either to produce it by itself or to obtain the same effect in another way. (Possible answers include: it's something that would be very hard to synthesise in the body; the drug is only useful to humans in recent times; it was already present in people's diet until recently - but then I'd call it a "nutritional supplement" rather than a "drug"; it's only useful to people who have passed reproductive age - though such people may still have played a useful role in ancient societies.)
You're assuming evolution is perfect and that we have reached perfection already
Your question is also assuming that each drug impacts everyone the same way
Some people who take a certain psych med won't experience side effects, while others may experience severe side effects
E.g. most people who take Straterra experience benefits but some outliers may become extremely suicidal
I would say overall human science on drugs is primitive. I think to achieve what you are really thinking about will need a different overall approach to psych med development
I wouldn't overlook the potential for naturally found compounds either. Many indigenous peoples have or had vast knowledge on their pharmaceutical effects but often these were destroyed in genocides
General more studying isn't better the more you do it. You need to do it right and that involves having enough brakes to let your brain digest. In turn many situations where study drugs are used are such where the user already doesn't expect high efficiency.
I would argue that any situation where it's not uncommon for pre-university students to take study drugs are a fundamental failure of the education system/society. Often by a mixture of not properly teaching how to learn and also by forcing stupid forms of "homework" or "skill evaluation" which encourage bad learning practices and kill of any efficiency.
For university students the same should hold, the problem is that we have some areas where you will have problems getting around bad learning practices due to their nature. I believe with todays technology we could solve many of such problems (not even considering the new AI stuff) but in practice we have not. Anyway non of this applies to pre-university content.
EDIT: I disagree wrt. the caffein, it does hurt and has negative side effect on learning but as long as you don't compare quite long time periods without _any_ coffeine with coffein usage it's hard to notice.
Adderall (correctly dosed) is precisely this.
Anecdotally, I know several people who regret ever using Adderall. To be fair, I also know a number of people who regret ever using caffeine. Compare to, for example, I don't think I know anyone who regrets taking Aleve for their headaches.
So I would categorize both Adderall and caffeine as "having some downsides". The main reason that I do support caffeine is that I know many people who happily drink coffee as part of their everyday life, and just a few who regret it, and I personally like to drink coffee. For Adderall my anecdotes are more mixed, closer to 70-30 against.
Obviously these are unscientific. I could be wrong. Perhaps in 50 years we will learn more and it will become clear that Adderall is good for the brain, or that caffeine is bad for it. But, right now, to me, the state of the science is such that I find it less convincing than anecdotes from my personal network.
> problems with these drugs are addiction, side effects, and the phenomenon where you have to take higher doses over time to get the same effect
Caffeine is terrible on all these points. I built up such a tolerance in my late teens that I was consuming something like 1000mg/day. The withdrawals were awful when I quit.
Provided it uses all that additional brainpower effectively. Can we honestly say that currently all the smart people are realising their potential?
Also, could well be a curse instead. Imagine society only performing this well thanks to a steady supply of the stuff.
Actually, we already have that in the form of fossil fuels and while they enabled massive progress, their supply hinges on authoritarians having their way in some corners of the world.
Having a good cohort, I think, is also important. A lot of friends of mine got Summa Cum Laude, honors etc., ended up doing PhD work at top universities. We all had a very similar work ethic and we were constantly bouncing shit off each other and debating and going out and having fun. The idea that good work requires suffering is nonsense: good work is joyful and passionate. Good work is doing something you care about and find deeply compelling. Good work is always, in the end, something you think is good for yourself. I think as long as you remember that you'll be happy and satisfied with whatever you choose to do.
I was always a near-top (but not top) student in schools, got a PhD and am now working in a high paying job in a bank. Besides one or two years during my university years, I've always been extremely lazy. On the other hand, in all of these institutions there have been many people who have been very serious hard workers and perhaps even at the time been ahead of me in whatever metrics the institution happened to use to measure success. However, over time I've noticed that these sort of things sort of even out. People who worked very hard in the high school or during my PhD are not more successful than me anymore.
I don't know if it's just that life is so random that the effect of hard work gets washed out by random life choices or what. It's also plausible that working hard just puts you in a very non-creative mindset and creativity is what gets most of the work done in a complex environment in the end.
For many people, hard work often seems to be an end to itself and it matters less to those people where the work is directed at. As a result, people end up working crazy hours doing stuff that could be done in one tenth of a time by using a bit of creativity or just waiting the problem to somehow become irrelevant.
If only I had had that energy to go the extra mile, I could now be in temporary academic position in some city with worse quality of life making one third of the money they pay for coding. Oh well, sometimes you just have to take what life gives you I suppose.
Don't overestimate how much actual work is getting done by "hard working" people. They put in the time, but procrastination doesn't stop just because you work hard. And that certainly includes the types of "productive" procrastination that doesn't look/feel like procrastination, like making Figures/Powerpoints more pretty or doing another rewrite on a piece of text nobody is ever going to do more with than glance at.
Seriously, otherwise intelligent people can spent an hour re-writing a single email.
I was kind of lazy in my studies, and hated being teached several times the same things and most of the stuff we were doing was mostly theoric. Once I ended up in the workplace it felt to me my actual work had more value and I naturally put more energy to it and got more successes. And the same thing happen between different kind of companies. When I work for private companies whose products/services do not mean anything to me and where I feel the main goal is to satisfy shareholders, I have less motivation and energy than for instance when I was working for a public hospital. Some people don't care and their ultimate reward is the paycheck, some people want their work to have a meaning and a real value.
The moment that comes back to me particularly is when I visited a friend who was doing an astrophysics degree at another uni in their 2nd year. I attended the lectures with her and my casual knowledge from reading on the subject had covered what they were learning. I thought it was interesting and followed along just fine. Talking with her and her group of friends afterwards, they were really struggling. Thing is, although she was a really hard worker, she didn't have much interest in the subject. She just chose it because she did well in physics at school. She only did OK, so a middling degree in astrophysics setting up well for a career in admin.
I grew up poor and didn't have access to parents, so I had to figure out things on my own, by trial and error, unfortunately. And, it took me 40 years to figure out that basic lifestyle improvements could help a lot.
Study participants were high.
Slanted reporting by the Economist, not even linking to the paper.
Or even "prescription medication that effects brain not always helpful for people who don't need it"
Anecdotal evidence but my problem solving was good before medication and better now that I have the right medication.
State dependent learning is a legitimate phenomenon.
This study didn’t test those who regularly took cognitive enhancers It just looked at people who were not ADHD and then gave them a drug No time to adjust or adapt Would have liked to see four populations tested.
1. unmedicated ADHD 2. medicated ADHD 3. Unmedicated non-ADHD 4. Medicated Non-ADHD
Then do the tests with placebos and cognitive enhancers
If you study for a test on medication you better take the test on medication.
And if you study unmedicated, you better take the test unmedicated I think they should find “non-ADHD” populations who happen to routinely take cognitive enhancers and then perform the same test.
Would be willing to bet that there is an improvement over placebo group vs medicated group in this population
If coffee and nicotine are effective cognitive enhancers for general populations, regardless of ADHD or not, it’s silly to think that stimulants like amphetamines are ineffective
So the research conclusions are flimsy and incomplete
It would be an interesting study, though.
In my 18 years of in-house software dev experience (several countries, companies of different sizes), not once have I even heard (in the real world, not online) of people using any sort of drugs like the ones mentioned in the article.
I'm not saying that you're wrong. But based on my personal experience, I also could bet the opposite of what you're saying and feel just as confident.
Doubly so if they're taking them illegally
I guess it depends on your environment. Silicon Valley seems particularly prone to it.
I have never met anyone taking such drugs (I'm French, not American) and would put my kids through hell if I ever found out they took anything. I'd rather they drop out of school than do any of this.
That said... does 14% qualify as "commonplace"?
They don't begin to compare in effect.
The study agrees with you =)