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Michael J. McNamee, Bradley Partridge, and Lynley Anderson

The issue of concussion in sport is a matter of global public interest that is currently under dispute by educational, legal, and medical professionals and scientists. In this article we discuss the problem from philosophical, bioethical, and sports ethical perspectives. We articulate conceptual differences in approaches to definition and therefore diagnosis of concussion. We critically review similarities and differences in the leading consensus statements that guide the treatment of concussion diagnosis and treatment in sports. We then present a series of ethical problems including issues that relate to paternalistic intervention in the lives of athletes in order to prevent harm to athletes, conflicting and competing interests, and confidentiality.

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Carl G. Maaasola and Gregoq A. Mattacola

Column-editor : Michael G. Dolan

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Alison Gardiner

Column-editor : James M. Mensch

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Sarah A. McGraw, Christopher R. Deubert, Holly Fernandez Lynch, Alixandra Nozzolillo, Lauren Taylor, and I. Glenn Cohen

sent a $100 gift card following the interview. The Harvard University Committee on the Use of Human Subjects, the University’s Institutional Review Board, approved the research. To further protect the research participants’ identities, we obtained a Certificate of Confidentiality from the National

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Graig M. Chow, Lindsay M. Garinger, Jaison Freeman, Savanna K. Ward, and Matthew D. Bird

limits of confidentiality in a professional relationship should occur before or during the first session ( Brown & Cogan, 2006 ; Watson et al., 2020 ). Andersen ( 2000 ) recognized the importance of following the athlete in the first session, rather than sticking to a rigid protocol. Much of the sport

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Samuel Porter, Noora Ronkainen, Richard Sille, and Martin Eubank

confidentiality is maintained. Hannah granted consent prior to publication. To understand the client’s challenges, it is important to frame the current landscape in women’s football—a sport that has recently experienced several collective critical moments ( Nesti et al., 2012 ; Sleeman & Ronkainen, 2020 ). In

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Jack S. Benton, James Evans, Miranda Mourby, Mark J. Elliot, Jamie Anderson, J. Aaron Hipp, and David P. French

confidentiality ( Clark, 2020 ). As of 2021, 145 countries had implemented some form of international data protection law to ensure that their citizens’ personal data are collected, used, archived, shared, and deleted in a way that presents the least amount of interference with their fundamental rights. Regarding

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Niels Boysen Feddersen

concerning confidentiality and its limits. In some cases, informed consent may be obtained verbally, employing an appropriate written record confirming that informed consent was obtained. ( European Federation of Sport Psychology, 2011 , p. 3) Professional practice guidelines ( American Psychological

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Nick Wadsworth, Ben Paszkowec, and Martin Eubank

times for the first team. Due to the unique circumstances of the client involved in this particular case study, an array of identifiable information has been omitted to ensure that complete confidentiality is maintained. This case study provides a snapshot into the 12-month consultancy process with C