The role of the Self in assessing doping cognition: Implicit and explicit measures of athletes’ doping-related prototype perceptions

ObjectivesTo examine athletes’ implicit and explicit prototype perceptions of performance enhancing substance (PES) users and non-users.DesignA cross-sectional mixed-method study.MethodsCompetitive athletes from 39 sports (N = 226; mean age = 27.66 ± 9.74 years; 59% male) completed four self-report questions and two Brief Implicit Association Tests online, assessing prototype favourability and similarity of PES users and non-users.ResultsAthletes explicitly associated themselves with a non-user (M = 3.13 ± 0.92) more than a PES user (M = 0.56 ± 0.88) and perceived a non-user (M = 89.92 ± 14.98) more favourably than a PES user (M = 13.18 ± 21.38). Indexing behaviour on self-reports, doping contemplators did not differ from ‘clean’ athletes in their perceptions of PES user prototypes while dopers perceived PES users favourably and similar to themselves. In comparison, doping contemplators paired the concept of 'dopers' easier with themselves than with others, while clean athletes and dopers had no preference for either pairing (D = −0.33, -0.08 and 0.01, respectively). All groups demonstrated some degree of preference for ‘good and doper’, moving from slight to moderate to strong preference in the groups of clean athletes, dopers and contemplators, respectively (D = −0.20, −0.37 and −0.80, respectively).ConclusionsResults suggest that doping contemplators may have a positive bias towards doping which is not endorsed in self-reports. Implicit preferences, along with the disparity between the implicit and explicit measures of athletes’ doping-related prototype perceptions advance understanding of doping behaviour and make a unique contribution to research methodology. Factors influencing the interplay between explicit and implicit endorsements of PES user prototypes warrant further research.     

This Girl Can,can’t she? Perspectives from physical activity providers and participants on what factors influence participation

AimsThe present study used a multi-method approach to qualitatively explore whether the perceptions of young women and girls and exercise providers are aligned in terms of the factors that influence participation with the aim to better understand how these factors influence participation.DesignThematic analysis was used to synthesise focus groups and interview data within the intrapersonal, interpersonal, organisation, environmental, and policy levels of an ecological model.MethodsInterviews were conducted with 4 experienced exercise providers (2 men, 2 women). Focus groups were conducted with 21 young women and girls (M = 17.9, SD = 2.4) who had participated in one of the exercise interventions developed and delivered by the providers.ResultsThe perceptions of participants and providers were often disparate but revolved around the same themes especially at the intrapersonal and interpersonal levels. They expressed contrasting views regarding the importance of skill development and enjoyment, and the role of boys and instructors. At the organisational level, both participants and providers agreed that schools offer opportunities as well as barriers to engagement in physical activity and exercise. At the environmental level, urbanisation, safety, culture, and social media appeared as main themes where the perspectives of participants and providers complemented each other. Finally, at the policy level the main themes were derived from providers and concerned issues around programme funding. Participants provided valuable commentary about a nationwide campaign to promote physical activity to females.ConclusionsIn order to provide engaging physical activity and exercise for young women and girls it is necessary to align the needs and expectations of participants and providers at the intrapersonal and interpersonal levels. For sustainable exercise provision that impacts young women and girls, it is essential to align funding strategies and deliverables between exercise providers, local and national stakeholders.     

L’évaluation psychologique en situation transculturelle : une révision de la littérature

Human migration provokes transcultural clinical encounters that may challenge the way clinicians see themselves and how they proceed in their usual practices. In the field of psychology, psychological assessment is an important tool to better understand the patients’ needs and to design psychological interventions. Considering that most diagnostic tests and manuals have been developed in the Western context, the application of these tools with other populations remains controversial. The present literature review aims to describe the state of current knowledge on psychological transcultural assessment. Specifically, we will address: (1) the use of psychological tests in transcultural contexts, (2) the development of the Cultural Formulation Interview (CFI, DSM-5) and (3) the clinical interview: language, therapeutic relationship and participation of interpreters. In the first section, we discuss the international norms for scales and tests translation and adaptation, as well as the cultural issues that may bias the test’ application and interpretation. In the second section, we describe the creation of the CFI, and its use in recent studies. The CFI is composed by four clusters: (1) cultural definition of a problem, (2) cultural perceptions of cause, context, and support, (3) cultural factors affecting self-coping and past help seeking, and (4) cultural factors affecting current help seeking. The revised studies indicated that the CFI has a positive impact on the cultural sensibilization of mental health professionals, also improving the relationship between the patients and professionals. The cultural formulation may also prevent misdiagnosis. Beyond the use of tests and structured interviews, the clinician also faces other challenges during a transcultural assessment. We discuss in the third section the transferential and countertransferential relationship in a transcultural situation. Several elements may influence this relationship, at an individual, institutional and societal level. The evaluation of these elements may allow the clinician to better understand results of the psychological assessment. We also describe the current guidelines for the use of interpreters during health consultations in France. In conclusion, several advances have been made in the field of transcultural psychological assessment, among other things the development of guides for good translation and cultural adaptation of tools, as well as the integration of cultural issues into the DSM. However, research and changes in clinical practice are still needed, as the evaluation of cultural biases in cognitive tests and the expansion of cultural competences training among clinicians.