Treating mental stress in elite footballers using a stigma-free psychological approach: the Power Threat Meaning Framework

There are many pressures on elite footballers. They work in a meritocracy, where only the best are selected and play at the highest levels. From the moment they enter an academy to their retirement there is a fear of deselection and rejection. Elite players need to contend with criticisms from fans and via social media; team and management dynamics can be stressful. Fears of injury are major concerns. In addition, the players are likely to face everyday difficulties experienced by the rest of society, such as relationship, family and financial problems. There is a great deal of stigma associated with mental health problems in footballers, hence approaches are required that are destigmatising. This article presents two frameworks conceptualising stress in footballers: the Power Threat Meaning Framework, which describes stress in non-diagnostic terms; and the Yerkes- Dodson curve, which describes how stress can affect footballers' mental and physical performances on the pitch. Both frameworks can combine to enable therapists to understand players' distress and its impact and to guide towards appropriate treatments, as we show in a fictitious case study. LEARNING OBJECTIVES After reading the article you will be able to: outline some of the barriers faced by professional footballers, and other elite athletes, that prevent them disclosing mental health difficulties describe the key concepts of the Power Threat Meaning Framework and be able to apply it as a non-stigmatising therapeutic model describe the important relationship between arousal and performance using the Yerkes- Dodson curve and use the curve as a template to discuss howto achieve optimal performance.