This paper seeks to develop understanding of both clinician-patient encounters within sport and Elias’s sociology of knowledge. Premised on a belief that there is a relatively high degree of consensus between figurational and “non-figurational” research on the social organization of sport medicine, and that such a consensus contrasts with the rather acrimonious relations which have characterized similar perspectival relations in the past, a review of literature is undertaken to highlight aspects of implicit agreement. Using a range of Elias’s concepts, this paper argues that there is broad agreement between researchers that clinician-patient relations are fundamentally structured according to mutually coexisting bodies of knowledge, and that there is cross-theoretical acceptance that such bodies of knowledge are shaped by, and make sense within, the distinct social context in which the respective parties are located. In examining aspects of Elias’s theoretical perspective which have hitherto received relatively little attention in the sociology of sport, this paper invites a revision of readings of this theoretical approach within the subdiscipline.
This case study examines the relationship between the “culture of risk” and the negotiation of treatment between sport medicine clinicians and student-athletes at a large Canadian university. The evidence acknowledges that a “culture of risk” was reinforced under certain circumstances during negotiation, but was also tempered by the existence of a “culture of precaution” that worked to resist those influences. The dialectic between the cultures of risk and precaution reveals some of the tensions inherent in negotiations between clinicians and patient-athletes, and helps to complicate the notion of a “culture of risk.” Another aspect (one that has rarely if ever been examined) of the negotiation of treatment is also considered—the promotion of “sensible risks” by clinicians to injured athletes.
This article addresses clinical practice in sport medicine. Combining notions of medical uncertainty with a figurational sociological emphasis on interdependence, the article illustrates how uncertainty characterizes the medical understanding, clinical treatment, and patient experience of concussion. Faced with uncertainty, the clinician’s desire for recognition and validation through athletes’ dependence on them enables medically based diagnostic and treatment guidelines to be replaced by the understanding and definition of concussion dominant in the sport subculture. Clinicians further invoke strategies that protect their professional status and therefore secure their interdependence with others in the sport club figuration. The study advances our understanding by illuminating the basis on which clinicians and athletes negotiate treatment and the impact of these experiences on clinicians’ actions and beliefs.
This article offers an analysis of the social sources of biomedical interest in women’s sports injuries through a case study of anterior cruciate ligament (ACL) injuries. Although both men and women incur them, there is extensive research interest in women’s ACL injuries. Drawing on interviews with researchers who have contributed to this research, the investigation examines the social sources of this interest. Explanations lie largely in the evolution of the agenda in sport medicine to a concern with injury prevention, which coincides with a movement toward the inclusion of women in health research. The article concludes with a consideration of the political and ideological implications of the interaction of the prevention and inclusion agendas in research on women’s sport injuries.
Cet article propose une analyse des sources sociales de l’intérêt biomédical pour les blessures dans les sports féminins à travers l’étude du cas des blessures au ligament croisé antérieur (LCA). Bien que les hommes et les femmes en soient tous deux victimes, il y a énormément d’intérêt en recherche pour les blessures au LCA chez les femmes. S’appuyant sur des entrevues avec des chercheurs qui ont contribué à ce projet, l’étude examine les sources sociales de cet intérêt. Les explications reposent grandement sur l’évolution de l’agenda en médecine du sport vers un souci de prévention des blessures, ce qui coïncide avec un mouvement vers l’inclusion des femmes dans la recherche sur la santé. L’article conclut par une considération des implications politiques et idéologiques de l’interaction des agendas de prévention et d’inclusion en recherche sur les blessures sportives chez les femmes.
clinician-athlete relations: The management of concussion injuries in rugby union . Sociology of Sport Journal, 26 ( 2 ), 191 – 210 . doi:10.1123/ssj.26.2.191 10.1123/ssj.26.2.191 Malcolm , D. ( 2012 ). Sport and sociology . London, UK : Routledge . Malcolm , D. ( 2014 ). Sport, medicine and
John J. Miller
issues in sport medicine that a sport manager should consider which are sometimes overlooked. Proper administration of a sport medicine program, blood-borne pathogens, planning for catastrophic injuries, and the need for preparticipation physical examinations are issues presented in the first part of the
Matthew A. Masucci
methods, points would be allocated on the basis of age, level of antidoping education one has received, differentiation due to financial resources, and the level of sport-medicine support an athlete receives. Athletes caught using illegal substances would be scored and the rules applied differentially
Michael Gay and Semyon Slobounov
characteristics. Despite these advances and the body of research demonstrating residual physiological abnormality, there remain no changes in the clinical management of athletes recovering from sport-related concussion. More needs to done to bring brain science researchers and sport medicine clinicians together
Tywan G. Martin, Jessica Wallace, Young Ik Suh, Kysha Harriell and Justin Tatman
.S. , Lacroix , V.J. , Leclerc , S. , & Johnston , K.M. ( 2002 ). Concussions among university football and soccer players . Clinical Journal of Sport Medicine, 12, 331 – 338 . PubMed doi:10.1097/00042752-200211000-00003 10.1097/00042752-200211000-00003 Demovsky , R. ( 2015 , September 7