Doping and Neuro-Enhancement in Elite and Leisure Times Sports: a Severe Danger for Girls

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Doping and Neuro-Enhancement in Elite and Leisure
          Times Sports: a Severe Danger for Girls and
                            Women

Giselher Spitzer (Berlin / Odense)

Main Arguments against Doping as Misuse of Pharmacy in Sports and Body Culture:
The scientific construct of “Doping” focuses on misuse of pharmacy in sports and lei-
sure times sports in order to enhance performance:
The construct presents mainly three arguments against misuse of pharmacy in sports:
   • The principal of equal chances for all competitors are in danger by doping which
       is therefore unfair -- doping as a mean in training or competition that fore has the
       value like cheating or to bribe the arbiter;
   • And: Health is in danger by misuse of pharmacy as an enhancer – the research
       on “side effects” after 20 Years has brought more and more proves for that hy-
       potheses. We can find more then 25 dangerous side effects for females, which
       are not reversibel.1 Also, by that reason substances and methods are banned by
       IOC and Intnernatuionale Federations of Sports, today by WADA-Decisions.
   • The third argument gainst Doping on male and female individuals focuses on the
       different sexes and obvious Gender-disturbances: Doping is especially a severe
       danger for girls and women, comparable with criminal sexual abuse or heavy
       body damage.

Anti-Doping Mainstream in longitudinal section: Rules, Controls, Punishment
The reconstruction of the Doping phenomenon is possible through the means of social
science2 - Doping is basically the abuse of performance-enhancing drugs (P.E.D.) for a

1
     25 dangerous side effects for female athletes; cf. in English language: G. Spitzer, ‘Doping
     with Children’, in C. Peters, T. Schulz, H. Michna (Ed.), Biomedical Side Effects of Doping,
     Project of the European Union, Cologne : Sport und Buch Strauss, p. 127-139 . G. Spitzer,
     ‘Doping in the former GDR’, in C. Peters et al., Biomedical Side Effects, p. 115-125. Spitzer,
     G. (2006). „Wunden und Verwundungen”. Opfer des DDR-Dopingsystems. Eine Dokumenta-
     tion. Köln: Sport und Buch Strauss.
2
     Cf. first a woman fought against Doping and dangers for male and especially female ath-
     letes: B. Berendonk, Dopingdokumente, Von der Forschung zum Betrug Berlin Heidelberg :
     Springer, 1991. See also: J. Hoberman, Sterbliche Maschinen. Doping und die Un-
     menschlichkeit des Hochleistungssports, Aachen : Meyer & Meyer Verlag, 1994 (Original
Giselher Spitzer

better achievement in competition sports of humans (but also giving it animals, e.g.
horses for cheating in a race).
The word “abuse” of pharmacy demonstrates that Doping means are not used for the
medical goal, they are constructed and sold in order to heel illness. Abused are means
like male sexual hormone or “pep-pills” of the amphetamine type (which are todays
“neuro enhancers” outside sports!).
Because the pharmacy is used for other then medical reasons the intake causes un-
wanted effects on health of athletes: “Side effects” (“S.E.”). Especially girls and women
suffer more than male athletes – it is only to remind on male hormone change to male
body shape and to the male type of behaviour. Beside that the gynaecological organs of
the biological female body suffer, most cases irreversible.3
Growing abuse caused regulations against Doping as well as (first :) drug testing sys-
tem in competition since about 30 Years and then (secondly :) as reaction of new prac-
tises Random Doping Controls in the process of training since about 18 Years. The latter
seem to be very effective, because suddenly the average achievement in elite sports
went down (!) since the, e.g. in shot putting especially of female throwers.4 That fact
proves that even by better forms of coaching and training the abuse of e.g. Steroids are
lowered since then.
Venen in history terms: Slowly, a system of national or IOC-punishment regulations
started. It depends on International Sport Federation and / or national law system if
there are differences between the way of intake: self administered misuse or mandatory
against the own will or without knowing of the athlete by others, namely a coach or a
medical doctor, like in the GDR. Even the punishment differed, until Doping definitions

    „Mortal engines“). B. Hoolihan, Dying to Win. Doping in Sport and the Development oft
    Anti-Doping Policy, Strasbourg, 1999. I. Waddington, Sport Health and Drugs. A Critical
    Perspective, London / New York : Taylor & Francis, 2000.
    English Summary about GDR: G. Spitzer, ‘Remarks to the Hidden System of Stately Organ-
    ized Doping in the German Democratic Republic (G.D.R.)’, in Buschmann, J., Pfister, G. (ed.)
    Sports and Social Changes, Sankt Augustin : Academia-Verlag, 2001, p. 161-170. Summary
    in Danish language cf. G. Spitzer, ‘Sejrskode, oekonomi og politik som begrundelse for
    sundhedsfare og regelbrud - doping-historie og doping i DDR’, in J. Hansen og T. Skov-
    gaard (ed.) Sportens vaesen og uvaesen, Odense, 2002, p. 95-117.
3
    G. Spitzer, ‘Auswirkungen von Doping bei Frauen. Ethische Grenzen und ihre Missachtung
    im DDR-Leistungssport’, in G. Anders, E. Braun-Laufer (ed.), (2001a) . Grenzen fuer Maed-
    chen und Frauen im Sport. Wissenschaftliche Berichte und Materialien des Bundesinstituts
    fuer Sportwissenschaft, 2001 Bd. 6, Cologne : Sport und Buch Strauss, p. 83-100. Cf. W. W.
    Franke, ‘Funktion und Instrumentalisierung des Sports in der DDR: Pharmakologische Ma-
    nipulationen (Doping) und die Rolle der Wissenschaft’, in Enquete-Kommission (ed.), Aufar-
    beitung von Geschichte und Folgen der SED-Diktatur in Deutschland: Bd. III, 2, Baden-
    Baden : Nomos, 1995, pp. 987-1089.
4
    Scientific German studies are, even to doping international Top-10-Level statistics: A.
    Singler, G. Treutlein, Doping im Spitzensport, Sportwissenschaftliche Analysen zur nation-
    alen und internationalen Leistungsentwicklung, Aachen : Meyer & Meyer Verlag, 2000. To
    have scientific work against Doping the „International Network on Humanistic Doping Re-
    search” was built 2001 at the University of Southern Denmark, Odense (Steering Committee
    J. Hoberman, G. Spitzer V. Moeller).

2
DOPING AND ENHANCEMENT AS A DANGER FOR GIRLS AND WOMEN.

were centred to the actual W.A.D.A.-World Anti-Doping Code which is accepted by the
Olympic Sports Federations.5 The new universal Code in roughly shortening words
deals with use of forbidden drugs or methods in competition or Training (testing by ac-
credited I.O.C.-Anti-Doping-Laboratories. Even hiding the abused pharmacy against
doping control6 or denying or refusal to give the urine sample to a controller are positive
cases. Highest institution in the decision is the C.A.S. in Switzerland (Court of Arbitra-
tion). The CAS work is well known sinc the posuitive case by indirect blood testing of
Claudia Springstein. (even if it is not proved if it was self administered or a case of dop-
ing without knowledge!)
On the other hand there is an basically important institution “Therapeutic use exemption
committee” (“TUEC”) which supervises the use of banned substances as real medical
treatment. Nowadays also the first regulations allow Transsexuals to take part under
male hormones treatment (because Testosterone “TE” is a powerful Doping mean, in
this case as a medical substance for transformed biological women or, striking, for
male competitors with a section of the TE producing testicals in the scrotum after Can-
cer).
In many states Anti-Doping-Laws exist, some punish with Jail: France, Italy. Other na-
tions like Germany have a prosecution on the line of Medical distribution regulations.

Public health: body damages by Doping and prevention against misuse
E.g. we can find more then 25 dangerous side effects for female. In a first phase a
model like the (West German) Deutscher Sportaerzte-Bund Doping defines perform-
ance enhancing by drugs, which are not in physiological (“normal”) concentration in
ones body or which are given to the goal as performance enhancer. So, substances and
methods are banned, as well as mimetic which do not enhance but cover doping (like
male post cancer treatment in Italy, forgiving for women who normally have no male
prostate).
Because of the fundamental meaning of P.E.D. every enthusiast of body culture should
inform her/himself about this great danger for ethics of sports as well as the danger for
health, especially biological women. That goes also for IOC-world of “Classic” sport
disciplines, normally represented at the Olympic arenas, as well as sports in the Fitness
sector (with a growing meaning into wellness and anti-aging treatment which are based
on drug which are forbidden in Olympic sport like male sexual hormone).
The unique GDR-System7 brought data which can give a picture of the short- and long
term side effects of drug abuse in sports as well as causal medical links between health

5
    See www.WADA-AMA.Org. The German Foundation N.A.D.A. has published a unique ap-
    proach: an authorized translation of the WADA-Code for the German speaking audience
    (www.NADA.de).
6
    Reflecting the ideas of the (Western) German sport medical doctors organisation Doping is
    performance enhancing by drugs, which are not in physiological (“normal”) concentration
    in ones body or which are given to the goal as performance enhancer. So, substances and
    methods are banned, as well as mimetic which do not enhance but cover doping (like male
    post cancer treatment in Italy, forgiving for women who normally have no male prostate).
7
    Historical and sociological analyse in German language: G. Spitzer, Doping in der DDR.
    Ein historischer Ueberblick zu einer konspirativen Praxis. Genese – Verantwortung – Ge-

                                                                                           3
Giselher Spitzer

and abuse; the re=analyzing produces strong and grounded arguments against Dop-
ing:
Nearly 1,500 persons were active in „research” or „application” of Doping means, work-
ing for the leading Communist party aimed to win against the Western state, the today
even existing Federal Republic of Germany. The leaders of the East began to set the
goal higher: Ranking as No 3 in the world. Internal plans for 1984 and 1988 saw World
Mastery in Summer Olympics, caused by Mandatory Doping.8 The functional „maling“
of female sport as success model of GDR-sport9 is one aspect. The sex transformation of
a female short-putter represents only the top of the iceberg, reminding on the distur-
bances of sexual drive and orientation by sexual hormones. About 10.000 athletes were
victims of that industrial doping. 2000 a Year since 1970.
     •   As a rule athletes were exposed to mandatory (or compulsory) doping because
         of affiliation to cadres – without active cooperation: Only few athletes knew about
         doping practice.
     •   Every selected athlete was doped – it was impossible to refuse.
     •   At the same time we see a paradox: In soccer on national leagues Doping was
         forbidden – because of guarantying equal chance within the GDR. But the Na-
         tional Team had to abuse drugs to get better than other nations, even the Club
         teams in the European Cup competitions.10
An Official Doping manual proves that side effects were well known, but kept as a se-
cret. Generally, doping means had (nearly in every case on women) negative effects on
health status.11 Typical S.E. are described in a Secret Manual from 1982 of male and fe-
male athletes: „inhibition of production of sperms as well as Gynaecomastia at the
man“ and „Cycle-anomalies and Virilisation (if high dosage and long treatment: partly

     fahren. Wissenschaftliche Berichte und Materialien des Bundesinstituts fuer Sportwissen-
     schaft. 1998 Bd. 3 [ISBN 3-89001-315-5], Cologne : Sport und Buch Strauss, 1998, 434 S.; 2nd.
     edition 2000; 3d. edition May 2004. Results about side effects: G. Spitzer, ‘Spaetschaeden
     durch Doping bei Sportlern der ehemaligen DDR’, in Mueller-Platz, C. (ed.), Leistungsma-
     nipulation: eine Gefahr fuer unsere Sportler. Wissenschaftliche Berichte und Materialien
     des Bundesinstituts fuer Sportwissenschaft. 1999 Bd. 12. Cologne : Sport und Buch Strauss,
     1999, p. 27-46. Pfister, G., Frauen und Sport in der DDR, Cologne : Sport und Buch Strauss,
     2002.
8
     Cf. about Stasi-Volunteers or Blood Doping practise, an reflexes on blood doping before
     and after the end of the GDR: G. Spitzer, ‘Blutdoping als Domaene im Wintersport. Eine
     Therapie, die in der DDR der Leistungsmanipulation seit 1972 gebraeuchlich war’, in Neue
     Zuercher Zeitung, 16th of March, 2002.
9
     Brigitte Berendonk and Werner W. Franke have named it so strikingly as „androgenization“
     and „Virilisation“ of the woman, especially in the book “Dopingdokumente”.
10
     Cf. G. Spitzer, Fussball und Triathlon, Sportentwicklungen in der DDR, Aachen: Meyer &
     Meyer, 2004, 208 pp. [3891248636]. It is not surprising that the knowledge about doping in
     soccer went „down“ to the first and second division, but not as stately mandatory doping
     but individual financed mean of the clubs themselves. The Victims – the players -- even got
     no information.
11
     Cf. the manual of FKS, 1982, in Spitzer, „Sicherungsvorgang Sport“

4
DOPING AND ENHANCEMENT AS A DANGER FOR GIRLS AND WOMEN.

not reversible“.12 We see changes of phenotype: Side effects on the Skin, organs like the
Liver, the heart, high blood pressure, increasing of water-storage in body cells and con-
nective tissue. We find strong disturbances of the psyche. Some specific Side effects of
female athletes are moustache or beard, male hair growing at the body-trunk, abase-
ment of the sexual hormones and thereby increasing Virilisation, reduction of the
breast-gland and deep lowering of the voice. Problems with the menstruation and hy-
pertrophy of the Clitoris to some centimetres are followed by polycystic Ovary-syndrome
and loss of the ability to get pregnant or to have living children. The damage on the
germ line was discussed secretly by athletes: The children of doped athletes have to a
high percentage typical diseases (research is not ended to that topic, which is strong
impressive for prevention.

Drug abuse in Leisure Time Sports
The international debate on the phenomenon of doping has not reached at a definite
end; and first studies in prevention activities arrived.13
Beginning with investigations in the USA14 the abuse of doping substances like anabolic
steroids is a phenomenon beyond Olympic sports (or a parallel one?), namely in the Fit-
ness Centres or the Body building scene (e.g. Californian “Muscle Beach”). Since two
decades Doping practices are increasing in Youth culture of mostly male High Scholars
abusing drugs “like” in sports, maybe about 10 % of the boys in U.S. or Canada.
Systematic investigations in Germany brought clear figures: In 58 commercial sports
studios dangerous anabolic steroids were abused established in 22% of the men and
8% of the women – by there own will! The products were in 88% of cases anabolic,
mainly bought illegal. In 19 % the steroids were prescribed by medical doctors. The
study of Boos & Smith proved: Drug abuse in Fitness studios has a positive correlation
with a low educational and professional status; even a doping “career” shows up.15
A European Study, financed by the E. U., resulted with lower number of drug abuse in
leisure sports, but with a clear tendency, seen as qualities in drug abuse. Also the work
of Prof. Sandro Donati proved Drug abuse in Italy, as well as black market and criminal

12
     Cf. Spitzer (ed.), Doping in Europe, 2006.
13
     A University course at France and many activities like anonymous “Telephone vert” for
     seeking help; information’s by regional Anti-Doping-Centres. See also a book about pre-
     vention against Doping of younger athletes: N. Arndt, A. Singler, G. Treutlein, G. Spitzer and
     T. Rous, Sport ohne Doping! Argumente und Entscheidungshilfen fuer junge Sportlerinnen
     und Sportler sowie in deren Umfeld, 2004 [„Arguments against Doping to young athletes“;
     Austrian version in print; cf. www.dsj.de]. A. Singler, G. Treutlein, Doping – Analyse und
     Praevention, Aachen : Meyer & Meyer Verlag, 2001. See also: “Dopingbekaempfung in
     kommerziell gefoerderten Fitnessstudios”. This project has bee carried with the support of
     the European Community 2001 (on www of BISP.de or EU.org).
14
     E.g. T. L. Dezelsky, J. V. Toohey, R. S. Shaw, ‘Non-medical drug use behaviour at five United
     States universities: a 15-year study’, in Bulletin Narcotics; 37 1985 (2-3), p. 49-53.
15
     Cf. C. Boos, P. Wulff, ‚Medicament abuse by leisure sportsmen and women in the field of
     physical fitness’, in G. Spitzer (Ed): Doping in European Sport, Routledge : London 2005, in
     Prep.

                                                                                                 5
Giselher Spitzer

ways of distribution16 - Massive Doping outside IOC and WADA! More clear than in
sports the aspect of Addiction shows up.
Public Health in General as well as helping girls and women in society makes it neces-
sary to fight against legal and mostly illegal buying and abusing pharmacy to other
reasons than the were designed. Other aspects are the use of pharmacy for schoolers
against abnormal activity: Ritalin© is a pharmaceutical product using Methylphendiate -
a derivate of Amphetamine. Anti-Aging medicine with hormonal treatment (real Testos-
terone!) and so called Nutrition Supplements (in reality containing Steroids or Prohor-
mones and thereby forbidden in Germany) are increasing in selling.
Here is a link for struggle against social drugs and the tendency of “Over-medication”
by abusing pharmacy to feel better or avoid pain or moods, which are natural and help
to stand a life, even in industrial societies which claim “tough” and “strong” behaviour.

16
     Cf. A. Donati in G. Spitzer (Ed): Doping in European Sport,

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DOPING AND ENHANCEMENT AS A DANGER FOR GIRLS AND WOMEN.

BIBLIOGRAPHY:

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   Argumente und Entscheidungshilfen fuer junge Sportlerinnen und Sportler sowie in deren
   Umfeld, [“Arguments against Doping to young athletes“; Austrian, French and English
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Berendonk, B. (1991) Dopingdokumente, Von der Forschung zum Betrug Berlin Heidelberg :
   Springer.
Boos, C., Wulff, P. (2005) ‚Medicament abuse by leisure sportsmen and women in the field of
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Dezelsky, T. L., Toohey, J. V., Shaw, R. S. (1985) ‘Non-medical drug use behaviour at five United
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   Bd. III, 2, Baden-Baden : Nomos, pp. 987-1089.
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   Hochleistungssports, Aachen : Meyer & Meyer Verlag (Original „Mortal engines“).
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   Bundesinstituts fuer Sportwissenschaft, 2002, Cologne : Sport und Buch Strauss.
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                                                                                               7
Giselher Spitzer

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