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Limited research exists on the health and injuries of South African senior netball players. Senior netball players may be at greater risk of injuries and chronic disease due to their age. To treat these conditions, they may use prescription and over-the-counter (OTC) medications and, therefore, may be more vulnerable to unintentional doping. The primary aim of this study was to determine the health status, medication use and attitudes towards doping of South African senior netball players. A cross-sectional descriptive design was employed to collect data by means of an online survey. The validated 8-item Performance Enhancement Attitudes Scale (PEAS) was used to gather information on the netball player's attitudes towards doping. Descriptive statistics were used to describe the data using proportions (categorical), means (normally distributed, continuous) and medians (non-normal distributed, continuous). Doping prevalence and accompanying 95% confidence interval were calculated. Sixty senior netball players consented and completed the self-report questionnaire. The prevalence of chronic disease was 11.67%. Asthma and other conditions such as depression and attention-deficit/hyperactivity (ADHD) had the highest prevalence of 3.33%. The prevalence of chronic prescription medication use was 8.33% and 66.67% of the netball players reported receiving prescription injections, medications or utilizing OTC medications for treating injury or illness suffered 1–6 weeks before or during competition. The netball players do not have a lenient attitude towards doping. The prescription and OTC medication use could put this cohort of netball players at risk of unintentional doping. Anti-doping education aimed at senior athletes may be beneficial to reduce the risk of unintentional doping due to prescription and OTC medication use for injury or illness.

The concept of ego has various meanings in the field of psychology, depending on the paradigmatic and theoretical framework point of departure. The ego phenomenon as operationalized and measured in the theoretical framework of goal orientation will be the contextual framework for a historical conceptual analysis. In the past three decades, research in the theoretical framework of goal orientation has revealed a positive relationship between ego involvement and the tendency to use the prohibited substances to enhance performance in sport. The concept of the ego phenomenon as operationalized within goal orientation theory and meanings attached to the concept can be connected to the historic oriental writings that were written ~2,500 years ago. These attached meanings to the ego phenomenon include elements of extreme competitiveness and outcome orientation, as well as social comparisons and the external norms for the measurement of success and failure. These meanings can be traced back to the classical works involving the Bhagavad Gita, the Tao Te Ching, and the Eastern Origins of Mindfulness that are part of the broader Buddhist philosophical system. Meister Eckhart, a 12th century German theologian, in his significant contribution on the analysis of the having mode as opposed to the being mode also provides insight into the ego phenomenon that can explain why the ego phenomenon can be linked to some of the deeper psychological motives of using the prohibited substances. The researchers in psychology do not yet have a full understanding of why certain athletes dope or have a susceptibility to use the prohibited substances or performance enhancing drugs (PEDs) and thus the motivation for this historical conceptual analysis of the ego phenomenon. Therefore, this article aimed to deepen the understanding of psychological motives of the athletes who exhibit tendencies toward cheating in general and the proclivity to use the prohibited substances.