ADHD ADaptation
The article I read was "Grappling with the medicated self: The case of ADHD College Students," by Meika Loe and Leigh Cuttino.
The purpose of the study was to determine the effect of ADHD medication on the concept of self among college students diagnosed with ADHD. The study was conducted by interview, during which the interviewer asked questions about "experiences with diagnosis and treatment for ADHD, as well as on their educational background and understanding of success" (Loe & Cuttino, 2008, p. 305). Transcripts of tape-recorded sessions were coded for "symbols and themes" (Loe & Cuttino, 2008, p. 305). Common themes included discussing "'authenticity'" of a sense of self without medication and "'academic performance'" (Loe & Cuttino, 2008, p. 306). The researchers discuss their concern with a certain discrepancy between a student's sense of self while under the influence of medication and while not under that influence.
The interviews also touch on the subject of self dosing, and the range of dosing behaviors described by the students. Some students take the medication on a very consistent basis, others use the medication only when they feel they need it, suggesting a dual sense of self. Several students who were interviewed described a desire to cease medication after college and pursue a career that accentuated their behavior without medication, such as an Emergency Room Doctor.
With regard to academic performance, several students described a pressure by society to perform at an academic level only achievable for them with the help of medication. A very interesting statement from the discussion section of the article suggests that "academic rewards aside, accepting the ADHD identity usually requires acknowledging deficiency or limitation and managing a medicated identity" (Loe & Cuttino, 2008, p. 319). The article projects questions about the success of these students after they drop this medicated identity and want to join the workforce.
The main idea that I came away with from this article was that students with ADHD are struggling for control in an academic rat race and are adapting in varying ways. The means of adaptation I find most interesting is the plan to use medication to optimize academic performance, but ceasing medication upon graduation and finding a job that utilizes the positive characteristics of ADHD. It made a lot of sense to me to harvest one student's "overly ambitious" personality and desire "to do a billion things at once" to channel her skills into the career of ER doctor (Loe & Cuttino, 2008, p. 317). It seems unfortunate that she has to compromise these skills to succeed in the college that is supposed to prepare her for this career, but I like the idea of channeling the unique characteristics of ADHD instead of suppressing them. I understand that this may not be feasible for severe cases of ADHD, but it encourages me to pursue treatments other than medication for ADHD and to look into the classrooms and "academic ethic" that Loe and Cuttino suggest our society has created. If the results of future studies, perhaps including my comp, could suggest means of altering the educational system to channel the skills of ADHD students to help them learn instead of suppressing their "symptoms" with medication and labeling them with a diagnosis that suggests society finds them deficient, I would feel I had succeeded in helping the growing population of students with ADHD struggling to come to terms with a medicated self.
This article relates to my ideas for a comp project because if I am not able to secure a sample of children for my experiment, my back-up plan is to conduct the experiment with college students, so I am also interested in the effects of ADHD medication on my peers. This particular study is relevant because it was conducted using a sample of students in an environment very similar to that of Allegheny College. The school was a "selective private liberal arts college in the Northeast" (Loe & Cuttino, 2008, p. 305). This suggests that if I were to conduct a study using Allegheny students, this would be a very important source of information to base my experiment on.
I found this article on the PsycINFO database and had to order it from the Illiad service, but the abstract can be found here, or by logging in to the database and searching for the article's title.
Loe, M., & Cuttino, L. (2008). Grappling with the medicated self: The case of ADHD college students. Symbolic Interaction, 31(3), 303-323. Retrieved February 24, 2009, from PsycINFO database.



