Vol.1, No 8, 2001 pp. 51 - 59
UDC 796.011.5:178
Scientific Paper

DOPING IN SPORT:
SOME ISSUES FOR MEDICAL PRACTITIONERS
Ivan Waddington
 Centre for Sports Studies, University College Dublin, Ireland; University College Chester, UK; Visiting Researcher, Norwegian University of Sport and Physical Education, Oslo, Norway
E-mail: ivan.waddington@ntlworld.com

Abstract. The paper examines the recent history of sports medicine. It is argued that, beginning sometime in the interwar period and accelerating rapidly in the last three or four decades, there has been a dramatic shift in the research orientation of many leading sports physicians and, associated with this, an equally dramatic change in the nature of sports medicine as a discipline. This process has involved a radical shift away from the situation in which early sports physicians saw sport primarily as a source of data for the study of human physiology and were more or less uninterested in the attempt to set new athletic records; conversely, as sports physicians have become more and more involved in a sporting world which, particularly since the 1950s, has become increasingly competitive, so have their scientific activities both increasingly underpinned and increasingly been given meaning by, the search for winning, and perhaps above all, for record-breaking performances. If the early pioneers of sports medicine were largely unconcerned about improving athletic performance, this has now become an important part of the raison d'?tre of contemporary sports medicine. The growing involvement of sports physicians in the search for record-breaking and competition-winning performances, especially since the 1950s, has increasingly involved them not merely in the search for improved diets or training methods, but also in the development of performance-enhancing drugs and techniques. In order to understand doping in modern elite sport it is therefore necessary to understand the relationships between elite level performers and sports physicians.
Key words:  Drugs, doping, sports medicine, medical practitioners

DOPING U SPORTU:
NEKI PROBLEMI ZA MEDICINSKE STRUČNJAKE
Ovaj rad istražuje blisku istoriju medicine sporta. Pretpostavlja se da se pojavila negde u periodu između dva rata i rapidno je napredovala u poslednje tri do četiri decenije, kada su nastale dramatične promene u istraživačkoj orjentaciji mnogih vodećih sportskih lekara i u vezi s tim, istovetne dramatične promene u prirodi sportske medicine, kao discipline. Ovaj proces je podrazumevao radikalne promene, daleko od situacija u kojima su raniji sportski lekari sagledavali sport, prvenstveno, kao izvor podataka za studije fiziologije čoveka, i bili su, manje ili više, nezainteresovani za pokušaje postavljanja novih sportskih rekorda; s druge strane, kako su sportski lekari sve više i više uključivani u svet sporta koji je, posebno od 1950-tih godina postao izuzetno takmičarski, tako se njihove naučne aktivnosti, ujedno neprekidno razvijaju i istovremeno dobijaju smisao potrage za pobedom i verovatno, iznad svega, potrage za dostignućima koja obaraju rekorde. Ukoliko su rani predvodnici sportske medicine bili, mahom, nezainteresovani za napredak sportskog dostignuća, ovo sada predstavlja najznačajniji smisao i razlog postojanja savremene medicine sporta. Rastuće uključivanje sportskih lekara u trku za obaranjem rekorda i pobedničkih dostignuća, naročito posle 1950-tih, sve ih više povezuje, upravo, ne samo sa unapređivanjem pravilne ishrane ili metoda treninga, već sa razvojem droga i tehnika koje doprinose poboljšanju dostignuća. Radi razumevanja dopinga u savremenom elitnom sportu, neophodno je razumeti povezanost između vrhunskih dostignuća i sportskih lekara.
Ključne reči: lekovi, doping, sportska medicina, sportski lekari.