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PSYCHOLOGICAL ASPECTS OF SPORTS INJURES AND OVERTRAINING: THE PSYCHOLOGICAL NEEDS OF THE PATIENT WITH A SPORTS INJURY
It is remarkable that there has been so little recognition of the need for psychological treatment for injured athletes. In 1989 two editions of the British Physiotherapy Journal (October and December) were largely devoted to the topic of physiotherapy in sport, yet none of the articles addressed psychological issues. Similarly, a search of the journal of The Association of Chartered Physiotherapists in Sports Medicine, Physiotherapy in Sport, revealed no articles directly relating sport psychology to physiotherapy practice. In order to effect a successful rehabilitation programme there are fundamental psychological as well as medical needs to be met. It has been pointed out by Eldridge (1983) that the emotional conflicts associated with sports injuries can remain undetected, and that patients have few opportunities to receive practical guidance about how to reconcile a sudden loss of a significant part of their lives, even though that loss is likely to be temporary. Such perceived losses, be they real or imagined, can represent a severe retardation of the healing process for many athletes if their needs are not considered sympathetically. The psychological significance of sport is of considerable importance to many individuals, especially to those who have developed a positive self-image through their involvement in it and who may consider themselves unsuccessful in other aspects of life.
If we subscribe to the ancient maxim mens sana in corpore sano, then it surely follows that an unhealthy or an injured body may be associated with an injured' mind. Eldridge (1983) suggested several ways in which the sport Psychologist might work effectively with the sports-injured patient. It is important, for example, for athletes to be able to express the relevance of Physical activity and sport in their lives and to explain, in psychological terms, what their injuries mean to them. Their perceived competence as people and their self-esteem may be adversely affected by an injury. Help is also required of the situation so that the potential benefits of being out of action for a while can be assessed. Benefits might include having an opportunity for forward planning and goal-setting, having the time to acquire relaxation skills and learning to develop visualization techniques.
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