Sports Medicine, Performance Enhancement and Doping

Tracing the history of sports medicine from the ancient world through to the present day, this book shines new light on the embedded relationship between physicians, performance enhancement and doping in elite sport. Combining historical and sociological analysis, the book shows how sports medicine, as it developed in the late nineteenth and twentieth centuries, became increasingly disengaged from its origins in preventive medicine to become closely linked with elite level competitive sport. The book demonstrates how this link between sports medicine and elite competitive sport drew sports physicians into the search for enhanced performance so that by the second half of the twentieth century performance enhancement had become an essential raison d'être of sports medicine practitioners. It examines how this search for enhanced performance has often led sports physicians to play a prominent role in the development and provision of performance-enhancing drugs, and looks in depth at the case study of France and professional cycling, scene of some of the most high-profile and consequential doping cases of all time. This book is fascinating reading for anybody with an interest in sport history, the history of medicine, medical ethics, the ethics of sport, sport and society, or science and society.

Ivan Waddington is Visiting Professor at the University of Chester, UK. His books include Sport, Health and Drugs (2000), Drugs in Sport (2002), An Introduction to Drugs in Sport (with Andy Smith, 2009), Pain and Injury in Sport (with Sigmund Loland and Berit Skirstad, 2006), and he was co-editor (with Verner Møller and John Hoberman) of the Routledge Handbook of Drugs and Sport (2015). His work has been translated into French, German, Italian, Spanish, Flemish and Japanese. Christophe Brissonneau is a researcher in the Department of Sports Science, University of Paris Cité, France. He has authored many journal articles on the subject of doping in sport, and his books include Doping in Elite Sport: Voices of French Sportspeople and their Doctors, 1950-2000 (with Jeffrey Montez de Oca, 2018), L'Epreuve du Dopage (O. Aubel F. Ohl, 2008), and Sociologie du Cyclisme Professionel (with F. Ohl, 2008).

'Introduction: Understanding the Development of Sports Medicine. Part 1. The Origins and Early Development of Sports Medicine. 1. Premodern Conceptions of Exercise and Health. 2. The Development of Modern Sport and the Marginalisation of Exercise in Nineteenth Century Medicine. 3. The Incipient Development of Sports Medicine. 4. The Early Movement Towards the Institutionalisation of Sports Medicine. 5. The Physician-athlete and the Development of Sports Medicine. Part 2. The Post-1945 Period: Sports Medicine Comes of Age. 6. The Medicalization of Sport and the Establishment of Sports Medicine from the 1950s. 7. Sports Medicine and the Development and Use of Performance-enhancing Drugs: Three Case Studies. Part 3. Sports Medicine and Drugs: The Development of Sports Medicine in France. 8. The Medical Embrace of Sport in Modern France. 9. The Structural Ambivalence of Sports Medicine. 10. Drug Use in Elite Sport: A Case Study of Professional Cycling and the 1998 Tour de France. Part 4. Sports Medicine and the Rediscovery of Public Health. 11. Sport for All Policy, Sports Medicine and Public Health. Part 5. Conclusion. 12. Client Control and the Limits of Professional Autonomy - or Why Do Sports Physicians Dope Athletes?.