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 Psychiatry's 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.
Recenzijos
While there are other books about sports psychiatry, this one provides a panorama of the field. It is unprecedented in its scope and organization. Because sports are universal, this book has particularly broad appeal given the diverse backgrounds of its contributors and its attention to cultural attributespective. (Doody s, 15 November 2013)
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 Tamas 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 Tamas 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
David Baron, MSEd, DO, DFAPA, FACP, FACN is Professor and Vice Chair of the Dept. of Psychiatry at the Keck School of Medicine of the University of Southern California, and Psychiatrist-in-Chief of Keck University Hospitals of USC. He is the founder and Chair of the Section on Exercise, Psychiatry, and Sport of the World Psychiatric Association, Board member of the International Society of Sports Psychiatrists, and Director of the Center for Psychiatry and Sports at USC. Prof. Baron has published 5 books, over 20 chapters, over 85 papers, and is the executive producer on 2 films related to mental health in youth sports. He has won numerous national and international awards for his work in sports psychiatry over the past 3 decades. Claudia L. Reardon, MD is a Board-Certified psychiatrist and faculty member at the University of Wisconsin School of Medicine and Public Health. She completed her college, medical school, and residency training at the University of Wisconsin. She has special expertise in the diagnosis and treatment of psychiatric disorders in athletes, and in the use of exercise to prevent and treat mental illness. Dr. Reardon writes and speaks widely on these topics. She serves on the Board of Directors of the International Society for Sports Psychiatry and is the American Psychiatric Association Member Expert on sports psychiatry. She is an avid runner and comes from a family of accomplished athletes, including her Olympic gold medalist brother Andrew Rock.
