Abstract
The purpose of this essay is to examine the elite sports physician as a medical and moral actor within the world of high-performance sport along with his or her relationship to medical ethics. High-performance sports medicine requires a concept of human nature that enables the medical practitioner to interpret the capacities and limitations of the athlete as a performing organism. This model of human nature enables the physician to administer “treatments” designed to boost athletic performance. At the same time, it should encourage the physician and other observers to think about the ethical limits to this sort of medical behavior. Thinking about human nature is an exercise in philosophical anthropology that can imagine two diametrically opposed interpretations of human limits in relation to athletic performance. A theological doctrine that regards the human being as the product of a Creator will regard the human body as endowed with divinely sanctioned limits that rule out the manipulation of the athletic body by means of drugs or other “doping” techniques. The Vatican has propounded such a doctrine since the 1950s. High-performance sport, in contrast, enlists every human faculty on behalf of producing an optimal athletic performance in defiance of perceived limits. The performance principle [Leistungsprinzip] that animates our technology-based civilization has created an anthropological model of human functioning that presupposes a human organism that must adapt itself, physiologically and psychologically, to the requirements of efficiency and productivity. Performance-enhancement is increasingly a way of life for large numbers of people. Elite athletes represent an extreme subset of this group, and there is a subculture of sports physicians who are willing to administer doping drugs and other unorthodox procedures to promote the repair and enhancement of these extreme performers.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
On the cult of the elite sports physician in Germany, see Hoberman (1992: 252–265).
- 2.
On the death of Birgit Dressel, see Hoberman (1992: 1–2).
- 3.
The Spanish runner Sergio Sanchez has described one seduction scenario as follows. “Now I’m an elite athlete. And I get a lot of uncomfortable offers from doctors. When a doctor approaches you and before he even begins treating you he asks you a long list of questions like: “Have you ever used anabolic steroids? Have you used EPO? Have you consumed human growth hormone before? Have you taken testosterone?” If you say no to everything, two things happen: (1) He doesn’t believe that you’ve gotten where you are without having ever having taken anything, and decides not to treat you. Or (2) that the same doctor gets the idea that you really are a diamond in the rough, and he says, “Man, there’s a ton of room for improvement. With what I can give you, you can become awesome.”” See Martinez 2010.
References
Abrahams, Adolphe. 1953. ‘Doping’ of athletes (letter), The Times [London], 10 July.
Associated Press. 2011. Canadian doctor Galea remorseful ahead of sentencing. Associated Press, 15 December.
Athletic Exercises as a Cause of Diseases of the Heart and Arteries. The British Medical Journal (December 3, 1892): 1, 235–236.
Bassett, David R. 2002. Scientific contributions of A. V. Hill: Exercise physiology pioneer. Journal of Applied Physiology 93(2002): 1574, 1575.
Blakesley, S. 2003. Video-game killing builds visual skills, researchers report. New York Times, 29 May.
British Medical Journal. 1958. Pope Pius XII: One of His last talks to doctors. No. 970, 18 October.
British Medical Journal. 2004. Health claims for functional food. British Medical Journal 328: 180–181.
Carey, B. 2005. Implant device for depression nears approval. New York Times, 21 May.
Canguilhem, G. 1989. The normal and the pathological [1966]. New York: Zone Books.
Clouson, T.S. 1883. Female education from a medical point of view. Popular science monthly, December, 215.
Collier, A. 1892, December 3. Athletic exercises as a cause of diseases of the heart and arteries. British Medical Journal 1: 235–236.
Dargis, M. 2005. One word: Plastics. New York Times, 13 January.
Der Spiegel. 1984. Typen wie aus dem Panoptikum, 23 July, 71.
Der Spiegel. 1988. Da reißen Mädels Bäume aus. Der Spiegel, 12 September, 216, 219, 221, 223.
Der Speigel. 1991. Ich mache meine eigene Medizin. Der Spiegel, 1 April, 196, 198.
Der Spiegel. 2004. Botschaft aus dem Traumreich. Der Spiegel, 180–181.
Der Spiegel. 2011. Rotwein im Kofferraum. Der Spiegel, 154–155.
Fahim, K. 2006. Crackdown makes the pleasures of ‘a cultural thing’ riskier. New York Times, 31 July.
Fish, M. 2011. The doctor they call ‘Healing Hans’. ESPN.com, 15 December. http://espn.go.com/espn/print?id=7324261&;type=story. Accessed 23 Oct 2012.
Forero, J. 2004. Bolivia’s knot: No to cocaine, but yes to coca. New York Times, 12 February.
Heggie, V. 2011. A history of British sports medicine, 5. Manchester/New York: Manchester University Press.
Hill, A.V. 1925. The physiological basis of athletic records. The Scientific Monthly 21: 420.
Hill, A.V. 1927a. Are athletes machines? Scientific American, August.
Hill, A.V. 1927b. Muscular movement in man: The factors governing speed and recovery from fatigue. New York: McGraw-Hill; cited in David R. Bassett. 2002. Scientific contributions of A. V. Hill: Exercise physiology pioneer. Journal of Applied Physiology 93: 1573
Hoberman, J. 1992. Mortal engines: The science of performance and the dehumanization of sport. New York: The Free Press.
Hoberman, J. 1998. Fin-de-Siècle Physiology as Sexual Farce:
Hoberman, J. 2006. Amphetamine and the four-minute mile. Sport in History 26: 289–304.
Hollmann, W. 1987. Risikofaktoren in der Entwicklung des Hochleistungssports. In Sportmedizin–Kursbestimmung, ed. Rieckert, H. Kiel: Deutscher Sportärztekongreß, 16–19 October 1986; 15–16. Berlin: Springer.
Hubbard, Alan. 2004. Inside lines: Why mozart is ‘better than drugs’ for sport. The Independent on Sunday [London], 11 April.
Huffinton Post. 2010. Pope Warns athletes on doping, 15 November. http://www.huffingtonpost.com/2010/11/15/pope-warns-athletes-on-do_n_783840.html. Accessed 30 Mar 2012.
Jarry, A. 1902. The supermale (1902). Nineteenth-Century Prose 25(Spring 1998): 154–166.
Katan, M.B. 2004, January 24. Health claims for functional food. British Medical Journal: 180–181.
Kirby, K, Aidan Moran, and Suzanne Guerin. 2011. A qualitative analysis of the experiences of elite athletes who have admitted to doping for performance enhancement. International Journal of Sport Policy and Politics 3(July 2011).
Kirstner, T., and A. Burkert. 2010. Meine Arbeit ist Teamarzt, nicht Dopingkommissar. Süddeutsche Zeitung, 17 May.
Koch, J. 2004. Botschaft aus dem Traumreich. Der Spiegel, 1 March, 180–181.
MacMichael, S. 2010. WADA president to urge re-banning of caffeine. Road.CC, 11 August. http://road.cc/content/news/21341-wada-president-urge-reconsideration-lifting-caffeine-ban. Accessed 23 Oct 2012.
Margaret, T. 2009. Brain gain. The New Yorker, 27 April, 32, 35.
Martinez, S.S. 2010. Spanish athletics doping scandal: Sergio Sanchez opens up about doping in Spain. LetsRun, 14 December. http://www.letsrun.com/2010/sergio-1214.php. Accessed 23 Oct 2012.
Müller-Wohlfarth see Mike Fish. 2011. The doctor they call ‘healing hans’. ESPN.com (December 15, 2011). http://espn.go.com/espn/print?id=7324261&type=story.
Myung-Ok Lee, M. 2011. Designer vagina surgery: Snip, stitch, kerching!. The Guardian, 14 October. http://www.guardian.co.uk/lifeandstyle/2011/oct/14/designer-vagina-surgery. Accessed 23 Oct 2012.
New York Times. 2003. Video-games killing builds visual skills, researchers report. New York imes, 21 May, XXX.
New York Times. 2005. One word: Plastics. New York Times, 23 January.
New York Times. 2006a. Bolivia’s knot: No to cocaine, but yes to coca. New York Times, 12 February.
New York Times. 2006b. Pleasure of ‘a Cultural Thing’ turns riskier. New York Times, 31 July.
New York Times. 2009. Doctor who treated top athletes is subject of a doping inquiry. New York Times, 15 December.
Pius XII. 1955. Address to the centro sportivo italiano. 9 October, found in Italian in Discorsi e radiomessaggi di Pio XII XVII(1955): 277.
Pope Pius XII: One of His Last Talks to Doctors. British Medical Journal (October 18, 1958): 970.
Rocca, F.X. 2010. Pope warns athletes on doping. The Huffington Post, 15 November. http://www.huffingtonpost.com/2010/11/15/pope-warns-athletes-on-do_n_783840.html. Accessed 23 Oct 2012.
Schüller, H. 1988. Da reißen Mädels Bäume aus. Der Spiegel, 12 September, 216–223.
Scientific American Supplement. 1892, September 24. Cycling and vitality, 13: 597–598.
Sehling, Michael, Reinhold Pollert, and Dieter Hackfort. 1989. Doping im Sport: Medizinische, sozialwissenschaftliche und juristische Aspekte, 99. Munich: BLV.
Should Athletes Take ‘Pep’ Drugs?. The Sunday Times (June 16, 1957): 27.
Spanish Athletics Doping Scandal: Sergio Sanchez Opens Up About Doping in Spain. (December 14, 2010). http://www.letsrun.com/2010/sergii-1214.php#ixzz11k2irmnm.
St. John the Baptist Greek Orthodox Church. 2011. The athletes of Christ, November. http://stjohndfw.info/the-athletes-of-christ.html. Accessed 18 Nov 2011.
Süddeutsche Zeitung. 1985. Der Sport ist wie ein ungepflügtes Land. Süddeutsche Zeitung, 30 January.
Süddeutsche Zeitung. 1988a. Sportmediziner uneins. Süddeutsche Zeitung, 2 February.
Süddeutsche Zeitung. 1988b. Frontmann, Guru, Zielscheibe: Klümper öffnet die Tür. Süddeutsche Zeitung, 19 July.
Süddeutsche Zeitung. 2000. Audienz für die Radsport-Sünder. Süddeutsche Zeitung, 13 May.
Süddeutsche Zeitung. 2006. Meine Arbeit ist Teamarzt, nicht Dopingkommissar. Süddeutsche Zeitung, 19/20 August, 547.
Sunday Times. 1957. Should athletes take ‘Pep’ drugs? 16 June, 27.
The Guardian. 2011. Designer vagina surgery: Snip, stitch, kerching! The Guardian, 14 October
The New York Times (NYT). 2005. Implant device for depression nears approval. The New York Times, 21 May.
Tissié, P. 1894a. Concernant un record velocipédique. Archives de physiologie normale et pathologique, 837.
Tissié, P. 1894b. L’entraînement physique. La Revue Scientifique, 518.
Tissié, P. 1919. L’Éducation physique de la Race, 156–157. Paris: Ernest Flammarion, Éditeur.
Tudora, Fr.V. 2008. The athletes of Christ. Father Vasile’s Monthly Reflections. http://stjohndfw.info/the-athletes-of-christ.html. Accessed 23 Oct 2012.
Van Natta, D. Jr, M.S. Schmidt, and I. Austen. 2009. Sports medicine pioneer subject of doping inquiry. New York Times, 14 December.
Von Hacke, D., and U. Ludwig. 2011, October 31. Rotwein in Kofferraum. Der Spiegel 44: 154–155.
Von Halter, H., and H. Schlimmöller. 1991. Ich mache meine eigene Medizin. Der Spiegel, 1 April, 196–198.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Hoberman, J. (2013). Sports Physicians, Human Nature, and the Limits of Medical Enhancement. In: Tolleneer, J., Sterckx, S., Bonte, P. (eds) Athletic Enhancement, Human Nature and Ethics. International Library of Ethics, Law, and the New Medicine, vol 52. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-5101-9_14
Download citation
DOI: https://doi.org/10.1007/978-94-007-5101-9_14
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-007-5100-2
Online ISBN: 978-94-007-5101-9
eBook Packages: Humanities, Social Sciences and LawPhilosophy and Religion (R0)