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Elite sport typically provides obvious rewards in terms of recognition, finance and acclaim for athletic performance. Increasingly, we are becoming aware of the risks that elite athletes, their entourage, including families, sport-science support team and coaches are exposed to. Twelve original articles, seven commentaries and a corrigendum, are structured in a five chapter format. Chapter 1, comprising the Editorial is titled “An Overview of Mental Health in Elite Sport: Changing the Play Book” to reflect the advocacy role of this article. Chapter 2 (“Finding the Sweet Spot”) amplifies the voice of key stakeholders across three qualitative studies with three additional commentaries. Quantitative evidence is presented in Chapter 3 which has the sub-title the “State of Play.” Chapter 4, entitled the “Field of Play” includes three original publications which present contrasting conceptual approaches to guide researchers in hypothesis generation, formulation and implementation science. Finally, in Chapter 5, “Seeing the Ball Early” prospective perspectives are provided in three publications reinforced by two commentaries. The future thinking ideas includes the use of virtual reality training, a broadening of the concept of mental health literacy, tackling stigma and focusing on the potential positive effect of the natural environment on well-being and recovery.To date the research topic has generated widespread in the field. For example, several articles have generated an Altmetric score above 40 with one publication meriting an Altmetric score of 102. We envisage that the impact of this e-book will not simply be measured in citations, views, downloads nor social media impact, but in the discourse that emerges from this collection of contributions from a combined total of 53 authors from across three continents. It is our hope that this e-book, providing a snapshot of global challenges for elite athletes mental health and well-being, becomes a touchstone for researchers and practitioners in the field.

mental health stigma --- well-being --- psychology of injury --- green exercise --- elite athletes --- recovery --- psychological literacy

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Introduction to the paralympic movement / Walter R. Thompson -- Biomechanics and ergonomics / Helco van Keeken, Sonja de Groot, Riemer Vegter, Lucas van der Woude -- Physiology / Claudio Perret, Thomas Abel -- Paralympic sports medicine / Cheri A. Blauwet, Jan Lexell, Wayne Derman -- The psychology of paralympians and mental preparation / Jeffrey J. Martin -- Sociology of sport and coaching / P. David Howe -- Research needs for the development of evidence-based systems of classification for physical, vision, and intellectual impairments / Sean M. Tweedy, David Mann, Yves C. Vanlandewijck -- Sport and technology / Osnat Fliess-Douer, Barry Mason, Larry Katz, Chi-hung Raymond So -- Contribution of sport science to performance : wheelchair rugby / Yves C. Vanlandewijck -- Contribution of sports science to performance : swimming / Brendan Burkett -- Contribution of sport science to performance : Nordic skiing / Vesa Linnamo, Walter Rapp, Stefan J. Lindinger.

Athletes with disabilities. --- Sports for people with disabilities. --- Sports. --- Disabled Persons. --- Athletes. --- Sports Medicine. --- Sports --- Disabled Persons --- Athletes --- Sports medicine. --- Sports Medicine --- Athletes with disabilities --- Sports for people with disabilities --- Medicine, Sport --- Medicine, Sports --- Sport Medicine --- Psychology, Sports --- Physical Conditioning, Human --- Athlete --- Physically Disabled --- Handicapped --- People with Disabilities --- Persons with Disabilities --- Physically Challenged --- Physically Handicapped --- Disabilities, People with --- Disabilities, Persons with --- Disability, Persons with --- Disabled Person --- Disabled, Physically --- Handicapped, Physically --- People with Disability --- Person, Disabled --- Persons with Disability --- Persons, Disabled --- Rehabilitation Research --- Bedridden Persons --- Immobilization --- Sports for Persons with Disabilities --- Health Services for Persons with Disabilities --- Athletics --- Athletic --- Sport --- Exercise Therapy --- Physical Exertion --- Exercise --- Exercise Movement Techniques --- Sports for the handicapped --- Sports for the physically handicapped --- People with disabilities --- Physically handicapped athletes --- Elite Athletes --- Professional Athletes --- Athlete, Elite --- Athlete, Professional --- Athletes, Elite --- Athletes, Professional --- Elite Athlete --- Professional Athlete

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Sports medicine --- Women athletes --- Athletic Injuries. --- Sports Medicine. --- Women. --- Sex differences. --- Wounds and injuries --- Treatment. --- Girls --- Woman --- Women's Groups --- Girl --- Women Groups --- Women's Group --- Medicine, Sport --- Medicine, Sports --- Sport Medicine --- Psychology, Sports --- Physical Conditioning, Human --- Injuries, Athletic --- Injuries, Sports --- Sports Injuries --- Athletic Injury --- Injury, Athletic --- Injury, Sports --- Sports Injury --- Sports --- Sports for Persons with Disabilities --- Sports Medicine --- Athletes, Women --- Female athletes --- Athletes --- Athletic medicine --- Athletics --- Medicine and sports --- Physical education and training --- Medicine --- Sports sciences --- injuries --- Medical aspects --- Athletes. --- Women's Health. --- Woman's Health --- Womens Health --- Health, Woman's --- Health, Women's --- Health, Womens --- Elite Athletes --- Professional Athletes --- Athlete --- Athlete, Elite --- Athlete, Professional --- Athletes, Elite --- Athletes, Professional --- Elite Athlete --- Professional Athlete --- Sports medicine.

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"In 1968, the International Olympic Committee (IOC) implemented sex testing for female athletes at that year's Games. When it became clear that testing regimes failed to delineate a sex divide, the IOC began to test for gender --a shift that allowed the organization to control the very idea of womanhood. Lindsay Parks Pieper explores sex testing in sport from the 1930s to the early 2000s. Focusing on assumptions and goals as well as means, Pieper examines how the IOC in particular insisted on a misguided binary notion of gender that privileged Western norms. Testing evolved into a tool to identify--and eliminate--athletes the IOC deemed too strong, too fast, or too successful. Pieper shows how this system punished gifted women while hindering the development of women's athletics for decades. She also reveals how the flawed notions behind testing--ideas often sexist, racist, or ridiculous--degraded the very idea of female athleticism"-- "To assess the long-lasting significance of sex testing in sport, this book explores its history, from the 1930s to the early 2000s, with particular emphasis on the International Olympic Committee's mandated compulsory sex checks on all female competitors. In 1968 the Medical Commission implemented the first test of the modern Olympic Movement. The procedure intended to guarantee the authenticity of Olympic competitors and identify male masqueraders, as well as to scientifically confirm the separation of men and women in athletic competition. Although the Medical Commission never discovered a single male imposter, and the test illustrated the impossibility of determining the exact constitution of woman, the IOC maintained the policy for three decades. With both the impossibility of discovering a clear sex divide and the increased presence of female dopers, the IOC adjusted its semantic framework to encapsulate gender normativity. The conspicuous adjustment from sex to gender underscored the Medical Commission's changing anxieties. Rather than to catch men disguised as women, the test evolved into a measure to preclude female Olympians with biological advantages. In other words, the Medical Commission eventually viewed gender verification as a tool to eliminate competitors it deemed too strong, too fast or too successful for women's competition. Olympic womanhood--dependent on a belief in natural, dichotomous sex/gender difference--required female athletes to conform to conventional notions of white, Western femininity. Through these regulations, the IOC has continuously reaffirmed a binary notion of sex, privileged white gender norms and hampered female athleticism"--

SPORTS & RECREATION / Olympics. --- SOCIAL SCIENCE / Women's Studies. --- SOCIAL SCIENCE / Gender Studies. --- Sports --- Sex discrimination in sports. --- Women athletes --- Field sports --- Pastimes --- Recreations --- Recreation --- Athletics --- Games --- Outdoor life --- Physical education and training --- Sex differences. --- Physiology. --- IOC Medical Commission. --- International Olympic Committee. --- Sex discrimination in sports --- Athletes --- Athletic Performance --- Sex Characteristics --- Sexism --- Gender Identity --- Racism --- 612:796 --- 316.7:796 --- 796.032 --- 316.371 --- Covert Racism --- Racial Bias --- Racial Discrimination --- Racial Prejudice --- Bias, Racial --- Covert Racisms --- Discrimination, Racial --- Discriminations, Racial --- Prejudice, Racial --- Prejudices, Racial --- Racial Discriminations --- Racial Prejudices --- Racism, Covert --- Racisms, Covert --- Apartheid --- Gender --- Gender Identities --- Identity, Gender --- Transgender Persons --- Sex Discrimination --- Gender Bias --- Gender Discrimination --- Sex Bias --- Sexual Discrimination --- Bias, Gender --- Bias, Sex --- Discrimination, Gender --- Discrimination, Sex --- Discrimination, Sexual --- Sexual Dimorphism --- Gender Characteristics --- Gender Differences --- Gender Dimorphism --- Sex Differences --- Sex Dimorphism --- Sexual Dichromatism --- Characteristic, Gender --- Characteristic, Sex --- Dichromatism, Sexual --- Dichromatisms, Sexual --- Difference, Sex --- Dimorphism, Gender --- Dimorphism, Sex --- Dimorphism, Sexual --- Gender Characteristic --- Gender Difference --- Gender Dimorphisms --- Sex Characteristic --- Sex Difference --- Sex Dimorphisms --- Sexual Dichromatisms --- Sexual Dimorphisms --- Sexual Selection --- Sex --- Sports Performance --- Athletic Performances --- Performance, Athletic --- Performance, Sports --- Performances, Athletic --- Performances, Sports --- Sports Performances --- Psychomotor Performance --- Elite Athletes --- Professional Athletes --- Athlete --- Athlete, Elite --- Athlete, Professional --- Athletes, Elite --- Athletes, Professional --- Elite Athlete --- Professional Athlete --- 612:796 Fysiologie van de sport --- Fysiologie van de sport --- 316.371 Gender --- 796.032 Olympische gedachte. Olympische beweging --- Olympische gedachte. Olympische beweging --- 316.7:796 Sociologie van de sport --- Sociologie van de sport --- Physiology --- Sex differences --- Everyday Racism --- Racism, Everyday --- Gender identity. --- Sex identity (Gender identity) --- Sexual identity (Gender identity) --- Identity (Psychology) --- Sex (Psychology) --- Queer theory --- Antiracism --- Gender Issues --- Gender dysphoria