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Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023

Francisco Javier Lopez Frias Orcid Logo, Michael McNamee Orcid Logo

Sport, Ethics and Philosophy, Volume: 18, Issue: 3-4, Pages: 383 - 403

Swansea University Author: Michael McNamee Orcid Logo

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Abstract

This article critically examines the development and consensus outputs of the Concussion in Sport Group. We examine the six Consensus Statements between 2001 and 2023 to explore the challenges that the presence of contextual forces pose to the development of effective and ethically justifiable medic...

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Published in: Sport, Ethics and Philosophy
ISSN: 1751-1321 1751-133X
Published: Informa UK Limited 2024
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa68468
Abstract: This article critically examines the development and consensus outputs of the Concussion in Sport Group. We examine the six Consensus Statements between 2001 and 2023 to explore the challenges that the presence of contextual forces pose to the development of effective and ethically justifiable medical guidelines to manage situations involving brain-injured athletes. First, we discuss the implicit and explicit ethical framework and goals underlining the statements. Secondly, drawing on a relational account of athlete choice, we expound on the limitations of the framework, concentrating on those resulting from a simplified understanding of athlete autonomy. Thirdly, we conclude by proposing a series of recommendations to improve concussion management protocols: (1) adopting a broader understanding of autonomy built upon relational accounts, beyond just the healthcare professional-athlete relationship; (2) further minimizing conflicts of interest that increase athletes’ vulnerability and hinder decision-making ability; (3) enhancing healthcare professional training to allow better adjustment of treatment plans to athletes’ contexts; and (4) promoting research on sociocultural elements affecting athletes’ vulnerability and autonomy.
Keywords: Concussion; vulnerability; ethics; autonomy; healthcare
College: Faculty of Science and Engineering
Issue: 3-4
Start Page: 383
End Page: 403