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HR Soapbox Blog

Gaining A Competitive Edge: How Far Is Too Far?

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(Published February 17, 2009)

 

Like it or not, performance-enhancing drugs may be the wave of the future. Not just for professional athletes…but for the average employee.

All heck broke loose last week when the Yankees' Alex Rodriguez admitted that he'd taken performance-enhancing drugs in the past. He wasn't the first MLB superstar to do so, and he won't be the last. But whatever your opinion is of A-Rod and his doping, the fact is that performance enhancers are expressly prohibited in the MLB.

Not so on college campuses. Prescription drugs such as Adderall and Ritalin (stimulants used for the treatment of Attention Deficit Disorder) and Provigil (a stimulant used for the treatment of narcolepsy) are being sought by perfectly healthy students for a well-documented off-label use: keeping the user mentally sharp. Like caffeine (a less potent cognitive-enhancing stimulant), these drugs can't actually make a person smarter. But they can enable the user to do mental calculations a little quicker, to concentrate longer and harder, to remain mentally sharp after too much work or too little sleep.

Use of these drugs is perfectly legal, as long as it's by the prescription-holder. (They are often bought and sold on the black market, however, which is illegal.)

An article published in the December 2008 issue of the scientific journal Nature caused a stir when it advocated this kind of "responsible use of cognitive-enhancing drugs by the healthy" and urged society to reject the idea that "enhancement" is a dirty word. The article cited a survey that estimated that almost 7% of students in U.S. colleges have used prescription stimulants in this way, and that on certain campuses, up to 25% of students had done so in the past year.

So what's going to happen when all these artificially enhanced students graduate and wind up in the workplace as artificially enhanced employees? An episode of NBC-TV's "ER" addressed this possibility a few seasons back — a medical student who'd been prescribed Ritalin for ADD as a child was still dependent on it to give her a mental edge, much to the disapproval of her supervising medical resident. Yet when she tried weaning herself off, her supervisor scolded her for being too slow, too disorganized, not "on the ball."

Whether an employee takes a legally prescribed drug in the workplace is generally none of their employer's concern. But what happens to co-workers who are relying on their own unenhanced brains and brawn to get their work done? Will managers' expectations become skewed by the results produced by enhanced workers, putting "natural" employees at a disadvantage? Or is it akin to some employees choosing to chug caffeine-packed Red Bulls every couple of hours for extra energy while others abstain?

And what about the hiring process? Will you start to wonder whether an applicant's stellar college transcript is attributable to a prescription? And what if the applicant confirms that he/she was helped by cognitive enhancers? Would disqualifying them from the position on that basis be an illegally discriminatory act?

It's a slippery slope. Just some food for thought! (Now, where's my steaming hot cup of caffeine…I mean, coffee...)


Eileen Mager
Writer


It's not just the stimulents you need to look at. I started a new job while still on a daily dose of Prozac (thanks to my previous Job-From-Hades). Within 6 months I was weaned off the drug altogether, but then I started getting comments about not being as "cheerful" and "happy" as I was when I started. Fortunately, my boss had her own experiences with anti-depressants, and understood the difference between a happy Dragon and a happy Dragon on Prozac. But I could see where this could cause problems with a less understanding boss.
Posted by: Dragon Lady at 2/18/2009 11:02 AM


Just to clarify the reference to the situation on ER, the med student was not taking a medication for which she did not have a current diagnosis. Lucy (played by Kellie Martin) had a current valid ADHD diagnosis that was being treated with stimulant medication. Most children with ADHD grow up to be adults with ADHD. Just because an employee is taking a stimulant medication does not mean he or she is taking it as performance enhancer, it is probably being prescribed to "level the playing field" for an individual with a truly disabling condition.
Posted by: ADDult at 2/18/2009 2:15 PM


Also, my physician recently told me that ADD medications are now being prescribed "off-label" for women experiencing cognitive difficulties due to menopause. I would think that an employer benefits from having an employee at the top of their game rather than suffering through each day.
Posted by: Peri-menopausal at 2/18/2009 7:07 PM


I read that "Nature" article; it made excellent points about re-thinking our definition of cognitive enhancement.

As you say, these are very murky lines. For example, if an employee did an aerobic workout each morning before work (which we know boosts cognitive function), would that employee be judged as exploiting an cognitive enhancer?

How about employees who wear eyeglasses -- should they go without just so they can fairly compete with their non-lens-wearing colleagues?

I could go on.

But to your question, "Will you start to wonder whether an applicant's stellar college transcript is attributable to a prescription?," I must protest.

For starters, there is no evidence whatsoever that the majority of students taking unprescribed stimulants do NOT have ADHD and just lack the diagnosis (or their parents' approval).

Moreover, I daresay that a student who habitually takes an unnecessary stimulant would start suffering the fallout pretty quickly. For the non-ADHD student, taking a stimulant is a short-term, episodic strategy at best -- and not a career plan.

I would sincerely hope that HR managers get the facts about ADHD before making hiring decisions.

And, pssstt, caffeine is actually a vaso-constrictor (slows blood flow to the brain). So, while you might think it's enhancing cognition, it can actually impair it. :-)

Gina Pera, author
Is It You, Me, or Adult A.D.D.?
http//www.ADHDRollerCoaster.org
Posted by: Gina Pera( Visit ) at 2/26/2009 9:28 PM


New York Times article posing the question: Should caffeine be considered a performance enhancing drug and banned by sports leagues? http://www.nytimes.com/2009/03/26/health/nutrition/26best.html
Posted by: Eileen Mager at 3/26/2009 2:38 PM


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