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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
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URI: https://cronfa.swan.ac.uk/Record/cronfa68468
first_indexed 2024-12-05T19:46:43Z
last_indexed 2024-12-05T19:46:43Z
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spelling 2024-12-05T13:43:40.3753024 v2 68468 2024-12-05 Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023 85b0b1623e55d977378622a6aab7ee6e 0000-0002-5857-909X Michael McNamee Michael McNamee true false 2024-12-05 EAAS 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. Journal Article Sport, Ethics and Philosophy 18 3-4 383 403 Informa UK Limited 1751-1321 1751-133X Concussion; vulnerability; ethics; autonomy; healthcare 11 6 2024 2024-06-11 10.1080/17511321.2024.2363379 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee 2024-12-05T13:43:40.3753024 2024-12-05T13:34:19.2272307 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Francisco Javier Lopez Frias 0000-0001-7278-7656 1 Michael McNamee 0000-0002-5857-909X 2
title Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
spellingShingle Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
Michael McNamee
title_short Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
title_full Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
title_fullStr Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
title_full_unstemmed Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
title_sort Autonomy, relationality, and brain-injured athletes: a critical examination of the Concussion in Sport Group’s Consensus Statements between 2001 and 2023
author_id_str_mv 85b0b1623e55d977378622a6aab7ee6e
author_id_fullname_str_mv 85b0b1623e55d977378622a6aab7ee6e_***_Michael McNamee
author Michael McNamee
author2 Francisco Javier Lopez Frias
Michael McNamee
format Journal article
container_title Sport, Ethics and Philosophy
container_volume 18
container_issue 3-4
container_start_page 383
publishDate 2024
institution Swansea University
issn 1751-1321
1751-133X
doi_str_mv 10.1080/17511321.2024.2363379
publisher Informa UK Limited
college_str Faculty of Science and Engineering
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hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description 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.
published_date 2024-06-11T08:36:56Z
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