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Clinical Sports Psychiatry: An International Perspective

Clinical Sports Psychiatry: An International Perspective

9781118404881
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Description
This book has it all - written by national and international experts and edited by world authorities, it is the first book on sport psychiatry in over a decade. Dealing with psychopathology, mental health problems and clinical management, it differs markedly from sports psychology books that focus on performance issues. Eating disorders, exercise addiction, drug abuse are all problems that are seen in everyday athletes, not just elite performers. This book shows how to help.

This text covers the most important topics in contemporary sports psychiatry/psychology from an international perspective. Chapter authors are experts in the field and global leaders in the related professional organizations, including current and past Presidents/Chairs of the International Society for Sports Psychiatry and of the World Psychiatric Association Section on Exercise and Sports Psychiatry. Authors are mainly psychiatrists:: the rest are PhD sport psychologists.

The book comprises representative chapter authors from around the world, to an extent unprecedented in this topic. The authors and editors are well-informed in global perspectives, e.g., having served as consultants to numerous Olympic teams, in addition to service on the International Society for Sports Psychiatrys Board of Directors.

Specifically, this book covers four main categories of topics::

1) mental health challenges faced by athletes (including substance use disorders, exercise addiction, eating disorders, depression, suicide, and concussion),

2) treatment approaches and therapeutic issues with athletes (including different types of psychotherapy for psychiatric disorders, psychotherapeutic performance enhancement approaches, transference and countertransference issues, achievement by proxy, psychotherapeutic issues as applied to a couple of sports that are played around the world, and use of psychiatric medications in athletes),

3) psychosocial issues affecting athletes (including sexual harassment and abuse, cultural issues, and ethics issues), and

4) the field of sports psychiatry (including work within one common sports psychiatry practice setting, and current status of and challenges in the field of sports psychiatry).

There is a growing need for this book. Performance-enhancing drugs, use of psychotropics in impaired athletes, head trauma, sexual abuse, eating disorders, ethics, and depression and suicide in athletes, are just a few of the timely subjects addressed in this text. This is the only comprehensive reference available for those working in the field (or merely interested in it) to consult for current information on these topics. The existing sports psychology texts all focus on performance issues, with little, if any, attention paid to these areas of clinical significance. The book addresses the core differences between sports psychiatry and sports psychology, as well as the areas of overlap. Emphasis is placed on how the disciplines should work together in diagnosing and treating athletes dealing with emotional stress and psychopathology.

Chapters include case examples and specific goals listed at the beginning, along with tables and graphs to highlight key concepts.

Product Details
John Wiley and Sons
78902
9781118404881
9781118404881

Data sheet

Publication date
2013
Issue number
1
Cover
hard cover
Pages count
246
Dimensions (mm)
185.00 x 252.00
Weight (g)
554
  • Contributors xi

    Foreword by Steve Peters xiv

    Foreword by Thomas Newmark xvi

    Acknowledgments xviii

    Preface xix

    PART ONE: MENTAL HEALTH CHALLENGES FACED BY ATHLETES 1

    1 Substance Use in Athletes 3
    Eric D. Morse

    Background and Scope of Problem 3

    Reasons for Use 4

    Traumatic Brain Injury 5

    Recognizing Substance Use 6

    Treatment 7

    College versus Professional 8

    Specific Substances 8

    Conclusions 11

    2 Addiction in Retired Athletes 13
    Pavel A. Ponizovskiy

    Background 13

    Athletic Retirement – Always Traumatic? 13

    A Model of Adaptation to Athletic Retirement 14

    Substance Abuse and Addiction in Retired Athletes 16

    Preretirement Predispositions to Addictions 17

    Painkillers Misuse 17

    Smoking 17

    Drinking 18

    Conclusion 18

    3 Doping in Sport 21
    David A. Baron, Claudia L. Reardon, and Steven H. Baron

    Introduction 21

    History of Doping in Sport 22

    The Current State of Doping in Sports 23

    Controversies of Positive Drug Tests 26

    Financial and Business Implications 26

    Short- and Long-Term Effects of Doping 27

    Gene Doping 29

    Cultural Issues Associated with Doping 29

    Case Studies 29

    Summary 30

    4 Exercise Addiction: The Dark Side of Sports and Exercise 33
    Tamás Kurimay, Mark D. Griffiths, Krisztina Berczik, and Zsolt Demetrovics

    Definitions, Symptomology, and Classification 33

    Assessment of Exercise Addiction 35

    Epidemiology 35

    Comorbidity 35

    Etiology 37

    Conclusion and Implications 40

    Acknowledgments 40

    5 Eating Disorders in Athletes 44
    Antonia L. Baum

    Introduction 44

    Epidemiology 45

    The Role of Sports in the Genesis of Eating Disorders and Sports-Specific Eating Disorders 46

    Eating Disorders in the Male Athlete 48

    The Female Athlete Triad 49

    Treatment 49

    Future Research 51

    6 Personality and Personality Disorders in Athletes 53
    Heba M. Fakher M. Hendawy and Ezzat Abdelazeem A. Awad

    Introduction 53

    Personality Traits in Athletes 54

    Perfectionism 56

    Anger and Aggression 57

    Athletic Identity 57

    Personality Disorders in Athletes 58

    Case Studies 60

    Summary 62

    7 Assessing and Treating Depression in Athletes 65
    David A. Baron, Steven H. Baron, Joshua Tompkins, and Aslihan Polat

    Introduction 65

    Defining Depression 66

    Symptoms and Presentation 66

    Diagnostic Issues 67

    Diagnostic Tools 68

    Treatment 69

    Special Considerations 71

    Conclusion 76

    8 Suicide in Athletes 79
    Antonia L. Baum

    Introduction 79

    Etiology 80

    Retirement 81

    Psychological Traits 81

    Substance Abuse/Anabolic Steroid Abuse 82

    Axis I Psychopathology 83

    Pressure to Win 84

    Sexual Abuse 85

    Homosexuality 85

    Firearms 85

    Cultural Influences 85

    Prevention 86

    Sports as Therapy 86

    Future Research 86

    9 Concussion in Sports 89
    David A. Baron, Claudia L. Reardon, Jeremy DeFranco, and Steven H. Baron

    Introduction 89

    What is Concussion and Traumatic Brain Injury? 90

    Pathophysiology of Concussion 91

    Diagnosis of Concussion 91

    Epidemiology and Etiology of Concussion 93

    Prevention of Concussion 93

    Post-concussion Syndrome 94

    Second Impact Syndrome 94

    Chronic Traumatic Encephalopathy 95

    Future Research 98

    10 Posttraumatic Stress in Athletes 102
    Thomas Wenzel and Li Jing Zhu

    General Aspects 102

    Risk Factors 105

    Other Research on Diagnosis of Posttraumatic Stress Symptoms in Athletes 107

    Further Specific Reactions to Extreme Stress in Sport 107

    Relevance 109

    Clinical Considerations and Interventions 110

    Conclusions 111

    PART TWO: TREATMENT APPROACHES AND THERAPEUTIC ISSUES WITH ATHLETES 115

    11 Psychotherapeutic Treatment of Athletes and Their Significant Others 117
    Mark A. Stillman, Eva C. Ritvo, and Ira D. Glick

    Introduction 117

    The Athlete-Patient 118

    Psychotherapy with the Athlete-Patient: Unique Challenges 121

    Conclusion 122

    12 Mindfulness, Attention, and Flow in the Treatment of Affective Disorders in Athletes 124
    Brandon J. Cornejo

    Introduction 124

    Mindfulness 125

    Flow 126

    Attention in Sports 127

    Mindfulness, Exercise, and Mental Health 128

    Bridging the Gap between Flow and Mindfulness – Developing a Treatment Approach 128

    Conclusions 129

    13 Performance Enhancement and the Sports Psychiatrist 132
    Michael T. Lardon and Michael W. Fitzgerald

    Introduction 132

    Motivation and Goal Setting 133

    Maximizing Cognition and Emotion in Competitive Environments 136

    Attentional Focus and Mental Imagery 139

    Positive Psychology, Peak Performance, and the Athletic Zone 140

    Summary 145

    14 Applied Sports Psychology in Worldwide Sport: Table Tennis and Tennis 147
    Kathy Toon, Dora Kurimay, and Tamás Kurimay

    Introduction 147

    Tennis and Table Tennis: Examples of Worldwide Sports 148

    The Game Face Routine 149

    The Game Face Pyramid 153

    Recommendations and Conclusions 155

    15 The Use of Psychiatric Medication by Athletes 157
    Claudia L. Reardon and Robert M. Factor

    Introduction 157

    Antidepressants 158

    Anxiolytics and Sedative-Hypnotics 159

    Stimulants 161

    Mood Stabilizers and Antipsychotics 162

    Recommendations and Conclusions 162

    PART THREE: PSYCHOSOCIAL ISSUES AFFECTING ATHLETES 167

    16 Sexual Harassment and Abuse in Sport 169
    Saul I. Marks

    What is Sexual Harassment and Abuse in Sport? 169

    Prevalence of Sexual Harassment and Abuse in Sport 170

    Perpetrators of Sexual Harassment and Abuse in Sport 170

    Risk Factors for Sexual Harassment and Abuse in Sport 170

    Physical and Psychological Consequences of Sexual Harassment and Abuse in Sport 173

    Physical Consequences and Medical Presentations of Sexual Harassment and Abuse in Sport 173

    Psychological Consequences of SHA in Sport 174

    Specific Psychological Consequences and Medical Presentations Seen in Sport in General 175

    Prevention by Understanding the Coach–Athlete Relationship 175

    The Team Doctor’s Role in Prevention of SHA 176

    Leadership from the International Olympic Committee 176

    Clinical Approach to Disclosure 176

    Conclusion 177

    17 The Role of Culture in Sport 179
    Claudia L. Reardon, David A. Baron, Steven H. Baron, Bulent Coskun, and Ugur Cakir

    Multiculturalism 181

    Specific Examples of Important Cultural Issues in Sport 181

    Stigma and Access to Psychiatric Treatment Around the World 182

    Epidemiology of Mental Illness in Athletes Across Different Cultures 183

    Women, Sport, and Culture 184

    Conclusions 186

    18 Ethical Issues in Sports Psychiatry 188
    David A. Baron, Joshua Tompkins, Sally Mohamed, and Samir Abolmagd

    Introduction: The Evolution of Medical Ethics 188

    Modern Medical Ethics 189

    Medical Ethics Around the World 190

    Ethical Issues in Psychiatry 191

    Mental Health in the Athletic Arena 192

    Sports Psychiatry: A Newcomer to the Field 193

    Ethics of other Sports Health-Care Professions 193

    Ethical Challenges for the Sports Psychiatrist 195

    Conclusion 197

    PART FOUR: THE FIELD OF SPORTS PSYCHIATRY 201

    19 Sports Psychiatrists Working in College Athletic Departments 203
    Eric D. Morse

    Background 203

    Design 204

    Budget 204

    Who is Being Served 205

    Confidentiality 205

    Boundaries 205

    Improving Utilization with a Team Assistance Program Model 206

    Treatment Issues 209

    Part of the Sports Medicine Team 211

    Location 211

    Conclusion 213

    20 Sports Psychiatry: Current Status and Challenges 215
    Ira D. Glick, Thomas Newmark, and Claudia L. Reardon Background 215

    Evolution of the Field 216

    Challenges for the Field 216

    The Role of Professional Sports Psychiatry Organizations 217

    Index 219

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