The Influence of Competition and Lack of Emotional Expression in Perpetuating Steroid Abuse and Dependence Among Male Weightlifters

Addiction to anabolic-androgenic steroids among male weightlifters has historically been conceptualized and treated from a substance abuse-recovery model. This study, in contrast, examined steroid abuse and dependence through a men’s issues model. Specifically, this qualitative investigation examined several themes related to competition, lack of emotional expression, body image, aggression, and the endorsement of the traditional male sex-role in perpetuating steroid abuse and dependence. Using a case study methodology, two male weightlifters in their mid-20s (who had discontinued steroid abuse for several years) served as participants (informants). Each informant was interviewed twice. Three risk factors of steroid abuse that stemmed from a men’s issues model were identified and discussed. Clinicians who work with male athletes (at risk for steroid abuse) are encouraged to be cognizant of such risk factors.