Clinical Sports Psychiatry: An International Perspective -- Copyright -- Contents -- Contributors -- Foreword by Steve Peters -- Foreword by Thomas Newmark -- Acknowledgments -- Preface -- Part 1 Mental Health Challenges Faced by Athletes -- 1 Substance Use in Athletes -- Background and Scope of Problem -- Reasons for Use -- Traumatic Brain Injury -- Recognizing Substance Use -- Treatment -- College versus Professional -- Specific Substances -- Conclusions -- References -- 2 Addiction in Retired Athletes -- Background -- Athletic Retirement - Always Traumatic? -- A Model of Adaptation to Athletic Retirement -- Substance Abuse and Addiction in Retired Athletes -- Preretirement Predispositions to Addictions -- Painkillers Misuse -- Smoking -- Drinking -- Conclusion -- References -- 3 Doping in Sport -- Introduction -- History of Doping in Sport -- The Current State of Doping in Sports -- Controversies of Positive Drug Tests -- Financial and Business Implications -- Short- and Long-Term Effects of Doping -- Gene Doping -- Cultural Issues Associated with Doping -- Case Studies -- Summary -- References -- 4 Exercise Addiction: The Dark Side of Sports and Exercise -- Definitions, Symptomology, and Classification -- Assessment of Exercise Addiction -- Epidemiology -- Comorbidity -- Etiology -- Conclusion and Implications -- Acknowledgments -- References -- 5 Eating Disorders in Athletes -- Introduction -- Epidemiology -- The Role of Sports in the Genesis of Eating Disorders and Sports-Specific Eating Disorders -- Eating Disorders in the Male Athlete -- The Female Athlete Triad -- Treatment -- Future Research -- References -- 6 Personality and Personality Disorders in Athletes -- Introduction -- Personality Traits in Athletes -- Perfectionism -- Anger and Aggression -- Athletic Identity -- Personality Disorders in Athletes -- Case Studies -- Summary.

References -- 7 Assessing and Treating Depression in Athletes -- Introduction -- Defining Depression -- Symptoms and Presentation -- Diagnostic Issues -- Diagnostic Tools -- Treatment -- Special Considerations -- Conclusion -- References -- 8 Suicide in Athletes -- Introduction -- Etiology -- Retirement -- Psychological Traits -- Substance Abuse/Anabolic Steroid Abuse -- Axis I Psychopathology -- Pressure to Win -- Sexual Abuse -- Homosexuality -- Firearms -- Cultural Influences -- Prevention -- Sports as Therapy -- Future Research -- References -- 9 Concussion in Sports -- Introduction -- What is Concussion and Traumatic Brain Injury? -- Pathophysiology of Concussion -- Diagnosis of Concussion -- Epidemiology and Etiology of Concussion -- Prevention of Concussion -- Post-concussion Syndrome -- Second Impact Syndrome -- Chronic Traumatic Encephalopathy -- Future Research -- References -- 10 Posttraumatic Stress in Athletes -- General Aspects -- Risk Factors -- Other Research on Diagnosis of Posttraumatic Stress Symptoms in Athletes -- Further Specific Reactions to Extreme Stress in Sport -- Relevance -- Clinical Considerations and Interventions -- Conclusions -- References -- Part 2 Treatment Approaches and Therapeutic Issues with Athletes -- 11 Psychotherapeutic Treatment of Athletes and Their Significant Others -- Introduction -- The Athlete-Patient -- Psychotherapy with the Athlete-Patient: Unique Challenges -- Conclusion -- References -- 12 Mindfulness, Attention, and Flow in the Treatment of Affective Disorders in Athletes -- Introduction -- Mindfulness -- Flow -- Attention in Sports -- Mindfulness, Exercise, and Mental Health -- Bridging the Gap between Flow and Mindfulness - Developing a Treatment Approach -- Conclusions -- References -- 13 Performance Enhancement and the Sports Psychiatrist -- Introduction -- Motivation and Goal Setting.

Maximizing Cognition and Emotion in Competitive Environments -- Attentional Focus and Mental Imagery -- Positive Psychology, Peak Performance, and the Athletic Zone -- Summary -- References -- 14 Applied Sports Psychology in Worldwide Sport: Table Tennis and Tennis -- Introduction -- Tennis and Table Tennis: Examples of Worldwide Sports -- The Game Face Routine -- The Game Face Pyramid -- Recommendations and Conclusions -- References -- 15 The Use of Psychiatric Medication by Athletes -- Introduction -- Antidepressants -- Anxiolytics and Sedative-Hypnotics -- Stimulants -- Mood Stabilizers and Antipsychotics -- Recommendations and Conclusions -- References -- Part 3 Psychosocial Issues Affecting Athletes -- 16 Sexual Harassment and Abuse in Sport -- What is Sexual Harassment and Abuse in Sport? -- Prevalence of Sexual Harassment and Abuse in Sport -- Perpetrators of Sexual Harassment and Abuse in Sport -- Risk Factors for Sexual Harassment and Abuse in Sport -- Physical and Psychological Consequences of Sexual Harassment and Abuse in Sport -- Physical Consequences and Medical Presentations of Sexual Harassment and Abuse in Sport -- Psychological Consequences of SHA in Sport -- Specific Psychological Consequences and Medical Presentations Seen in Sport in General -- Prevention by Understanding the Coach-Athlete Relationship -- The Team Doctor's Role in Prevention of SHA -- Leadership from the International Olympic Committee -- Clinical Approach to Disclosure -- Conclusion -- References -- 17 The Role of Culture in Sport -- Multiculturalism -- Specific Examples of Important Cultural Issues in Sport -- Stigma and Access to Psychiatric Treatment Around the World -- Epidemiology of Mental Illness in Athletes Across Different Cultures -- Women, Sport, and Culture -- Conclusions -- References -- 18 Ethical Issues in Sports Psychiatry.

Introduction: The Evolution of Medical Ethics -- Modern Medical Ethics -- Medical Ethics Around the World -- Ethical Issues in Psychiatry -- Mental Health in the Athletic Arena -- Sports Psychiatry: A Newcomer to the Field -- Ethics of other Sports Health-Care Professions -- Ethical Challenges for the Sports Psychiatrist -- Conclusion -- References -- Part 4 The Field of Sports Psychiatry -- 19 Sports Psychiatrists Working in College Athletic Departments -- Background -- Design -- Budget -- Who is Being Served -- Confidentiality -- Boundaries -- Improving Utilization with a Team Assistance Program Model -- Treatment Issues -- Part of the Sports Medicine Team -- Location -- Conclusion -- References -- 20 Sports Psychiatry: Current Status and Challenges -- Background -- Evolution of the Field -- Challenges for the Field -- The Role of Professional Sports Psychiatry Organizations -- References -- Index.