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Chasing the High: Experiences of Ethylphenidate as Described on International Internet Forums
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies. (Internetdroger)
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies. (Internetdroger)ORCID iD: 0000-0002-5668-0469
2015 (English)In: Substance Abuse: Research and Treatment, ISSN 1178-2218, E-ISSN 1178-2218, no 9, p. 9-16Article in journal (Refereed) Published
Abstract [en]

Ethylphenidate is a novel psychoactive substance with undocumented effects, risks, and motivation for use. In this study, we investigated the experience of ethylphenidate by analyzing self-reports published on Internet forums, which revealed seven overarching themes: (1) compulsive redosing and addiction; (2) impacts on the mental state; (3) bodily agitation; (4) increased sociableness; (5) administration; (6) diverse evaluations based on intention; and (7) safety and precaution. Ethylphenidate appeared as a potent psychostimulant with an imminent abuse potential. It was mainly used for recreational purposes. The effects included not only pleasurable stimulation, euphoria, and cognitive enhancement but also indecisiveness, anxiety, and cognitive frag- mentation. The users reported an increase in body temperature, heart rate, and blood pressure, but they also experienced profuse sweating and muscle ten- sion. Ethylphenidate acted as a social lubricant, enhancing intimacy, communication, and social skills. Two opposing user mentalities were uncovered: (1) pleasure seeking and risk neglecting, and (2) safety-first orientation. This information could be of importance to legislators, public health personnel, and prevention strategists. 

Place, publisher, year, edition, pages
Libertas Academica , 2015. no 9, p. 9-16
Keyword [en]
ethylphenidate, novel psychoactive substance, legal high, research chemical, Internet drug, drug use
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-35773DOI: 10.4137/SART.S22495ISI: 000213885000003OAI: oai:DiVA.org:kau-35773DiVA, id: diva2:800581
Projects
Internetdroger
Funder
Swedish National Institute of Public Health
Available from: 2015-04-07 Created: 2015-04-07 Last updated: 2017-12-18Bibliographically approved
In thesis
1. Novel Psychoactive Substances: Experienced effects, attitudes, and motivations among online drug community users
Open this publication in new window or tab >>Novel Psychoactive Substances: Experienced effects, attitudes, and motivations among online drug community users
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the present research is to contribute to the bridging of the knowledge gap pertaining to the field of Novel Psychoactive Substances (NPS) and its online community of users. The findings demonstrate that the community is characterized by robust group cohesiveness and counter public attitudes. The discussions functioned as a cumulative exchange of peer-to-peer generated knowledge and a social support system in service of harm reduction. The users were experienced drug users generally driven by recreation, novelty, and a range of instrumental purposes. They were also knowledgeable and presented a good degree of well-being. Some of the more conspicuous incentives for NPS use included the seeking of novel and exciting adventures, the enabling of safer drug use circumstances, and the guinea-pig-like self-experimenting in service of the community. Several distinct motivation and risk profiles were found at the level of drug groups. For example, the stimulants, opioids and GABA activating substances were associated with performance enhancement, coping, and high abuse liability, while the hallucinogens were related to self-exploration, spiritual attainment, and significantly lower abuse potential. Three user orientations are outlined: 1) the risk-negligent sensation seeker with an interest in stimulants and enhancement, 2) the self-medicating pursuer of coping with mistrust in public health and proneness for sedative drugs, and 3) the well-informed self-explorer advocating harm reduction and hallucinogens. It is concluded that the field of NPS needs to be approached with more sophistication than the broad brush approach of drugs in general. A one fits all preventive solution is likely to be ineffective at best and counterproductive at worst. We may also benefit from recognizing most drug use as an adaptive function with instrumental value rather than something pathologic, which will run the risk of fueling potentially harmful behaviors like self-medicating and avoidance of health care. Moreover, prohibition not only drives potentially harmful substance displacement but may also serve as the key incentive for engagement in risky behaviors. The current investigations could be a starting point for science based benefit-risk evaluations and the development of more appropriate prevention messages.

Abstract [en]

The unprecedented increase of legally ambiguous and easily available Novel Psychoactive Substances (NPS) constitutes a challenge for legislators, public health agencies, and researchers alike. Therefore, the aim of the present investigations is to contribute to knowledge about the online NPS community, including the users’ experienced effects and motivations for use. The findings demonstrate that the community is characterized by robust group cohesiveness, counter public attitudes, and a focus on harm reduction. A range of diverse reasons for NPS use were revealed and described in more detail than previous accounts. Several distinct motivation and risk profiles were identified at the level of drug groups. The results point to the occurrence of at least three user orientations including the risk-negligent sensation seeker, the self-medicating pursuer of coping, and the well-informed self-explorer. It is concluded that the diverse field of NPS needs to be approached with more sophistication than the broad brush approach of drugs in general. A one fits all preventive solution is likely to be ineffective at best and counterproductive at worst. We may also benefit from recognizing most drug use as an adaptive function with instrumental value rather than something pathologic, which will run the risk of fueling potentially harmful behaviors like self-medicating and drug user stigmatization and alienation. Moreover, prohibition not only drives presumably harmful substance displacement but may also serve as the key incentive for engagement in risky behaviors. The current investigations could be a starting point for science based benefit-risk evaluations, greater appreciation of the users’ views, and the development of more effective prevention.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2018. p. 91
Series
Karlstad University Studies, ISSN 1403-8099 ; 2018:2
Keyword
Novel psychoactive substances, drugs, legal highs, Internet, forum, ethylphenidate, discussions, motivations, harm reduction, substance displacement
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-65430 (URN)978-91-7063-828-2 (ISBN)978-91-7063-923-4 (ISBN)
Public defence
2018-02-16, 1 B 306, Fryxellsalen, Karlstad, 10:00 (English)
Opponent
Supervisors
Available from: 2018-01-19 Created: 2017-12-18 Last updated: 2018-04-03Bibliographically approved

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