I think this is a very serious issue which is largely ignored because it gets the desired results and is socially linked to productivity and achievement. For my part, some might argue that I am part of the problem, as a graduate student and teaching assistant who was aware of these thinly veiled “confessions.” But I am 25 years old which makes me only a few years older than most of my students and this time four years ago I was the undergrad who had close friends doing the same thing. However, it also raises an important ethical issue. This was information I gained from a semester of building rapport with my students and a safe environment for discussion in my classroom. In that moment, I saw my responsibility in guiding my students to think critically about the social and structural pressures that make the need for academic performance drugs and in interrogating the problematic dichotomy between legal prescription drugs and illegal drugs. I pushed them to critically think about any substance they put in their body and I urged them to be accountable for researching these medicines, their purpose and their side effects. In that classroom, I felt that was the extent of my ability to influence the matter.
But as a medical anthropologist, I think this is definitely an issue which merits further investigation and careful attention to potential solutions that address this “inconvenient truth.” Karim’s narratives demonstrate the hidden reality on our campuses. I hope to see more work along these lines in the future.