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The use of self-compassion techniques in elite footballers: mistakes as opportunities to learn

Published online by Cambridge University Press:  10 October 2022

I. A. James*
Affiliation:
Innovations Department, CNTW NHS Trust, Campus for Ageing and Vitality, Westgate Road, Newcastle upon Tyne, UK
B. Medea
Affiliation:
Newcastle University, Newcastle upon Tyne, UK
M. Harding
Affiliation:
Newcastle United FC, Osborne Clinic, Jesmond, Newcastle upon Tyne, UK
Danny Glover
Affiliation:
Burnley FC Academy, Burnley, UK
B. Carraça
Affiliation:
Lisbon University, Lisbon, Portugal
*
*Corresponding author. Email: Ianandrew.james@cntw.nhs.uk
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Abstract

Mistakes made by players during a game are common in football, and when handled well they provide opportunities to learn and develop skills. However, when there is excessive self-criticism associated with the error, leading to dysfunctional cognitions about the self, there is the potential for a reduction in performance and wellbeing. Self-criticism can serve a number of functions but when it is excessive and undermines a player’s sense of adequacy and self-esteem it can lead to anxiety and depression. The current article explores the use of self-compassion techniques as methods for reducing the potential negative impacts of self-criticism.

This paper is a narrative review of the literature, examining the theory and evidence base associated with the use of self-compassion approaches in sport, particularly football. The article presents protocols used with professional footballers to promote performance and wellbeing.

Key learning aims

  1. (1) Elite athletes are prone to a range of mistakes and stressors, sport and non-sport related, that they are required to deal with in order to maintain their performance and wellbeing.

  2. (2) Self-compassion strategies are useful techniques for elite athletes to both help maintain wellbeing and prevent the occurrence of ‘mental health symptoms’.

  3. (3) Evidence suggests that self-compassion strategies are helpful to footballers, and beneficial protocols have been used in studies with professional footballers.

Information

Type
Empirically Grounded Clinical Guidance Paper
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the British Association for Behavioural and Cognitive Psychotherapies

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Introduction

This paper examines the potential role of self-criticism and self-compassion in footballers. It is worth noting at the outset that self-criticism can take different forms and serve different functions (Driscoll, Reference Driscoll1989). Gilbert (Reference Gilbert2010) suggests that some individuals criticise themselves in the belief that it will help improve and motivate them to be successful, assigning self-criticism a positive function. In contrast, other people can be critical because they dislike or want to get rid of different parts of the self (Gilbert, Reference Gilbert2020). Thus, the specific functions influence how people feel, behave and think in relation to themselves. The present article addresses those circumstances where the impact of self-criticism is dysfunctional. This is not to deny that self-criticism for some people, on some occasions, can serve a positive functional purpose. Nevertheless, it is important to recognise when the criticism is ‘self-harming/persecutory’, excessive and left unchecked it can lead to beliefs of self-inadequacy and self-hatred, and mental health symptoms (Gilbert, Reference Gilbert2020).

The prevalence of mental health disorders has not been studied widely in football, but there is a growing literature on the prevalence of mental health symptoms (Gouttebarge et al., Reference Gouttebarge, Kerkhoffs and Mountjoy2021b; Kilic et al., Reference Kilic, Carmody, Upmeijer, Kerkhoffs, Purcell and Rice2021; Junge and Prinz, Reference Junge and Prinz2019). Mental health disorders refer to clinically diagnosed conditions significantly impacting on a person’s life, while mental health symptoms are defined as adverse/abnormal thoughts, feelings and/or behaviour that lead to functional impairments in daily life and sport ( Reardon et al., Reference Reardon, Hainline, Aron, Baron, Baum and Bindra2019). Mental health symptoms include: excessive self-criticism, low self-esteem, hopelessness, memory and attentional problems; feelings of anger, depression, anxiety; actions of aggression, avoidance, drug misuse; physiological and physical signs of hyper- and/or hypo-arousal, poor sleep, changes in appetite, etc. (Gouttebarge et al., Reference Gouttebarge, Bindra, Blauwet, Campriani, Currie and Engebretsen2021a). Gouttebarge et al. (Reference Gouttebarge, Backx, Aoki and Kerkhoffs2015) conducted a large international study on the prevalence of symptoms in professional footballers from five European countries (Finland, France, Norway, Spain and Sweden). The prevalence of the symptoms was: 25–43% for anxiety/depression; 19–33% for sleep problems; 11–18% for distress; and 6–17% for alcohol misuse. The findings showed that the prevalence rates of mental health symptoms were similar across the five European countries. A study of Australian male (n = 149) and female (n = 132) professional footballers using the Athlete Psychological Strain Questionnaire (Rice et al., Reference Rice, Olive and Gouttebarge2020) showed that sport-related psychological distress was common, with prevalences of 52 and 63%, respectively. The prevalence of mental health symptoms ranged from 2% for substance misuse to 51% for alcohol (Kilic et al., Reference Kilic, Carmody, Upmeijer, Kerkhoffs, Purcell and Rice2021). Based on an overview of the area by Gouttebarge and colleagues, the researchers concluded that ‘… the prevalence of mental health symptoms among active professional footballers seems similar to that of the general population, and it does not differ much to that of athletes from other professional sports’ (Gouttebarge et al., Reference Gouttebarge, Kerkhoffs and Mountjoy2021b; p. 228).

The UK football ‘family’ recently signed the ‘Mentally healthy football declaration of UK football associations and leagues’ (MH Declaration, 2020). Its aim is to change attitudes and behaviour towards mental health, using four guiding principles: Spot the distress; Speak about the difficulties; receive Support; use of good Signposting. While such campaigns are endorsed by elite players, and high-profile footballers appear in the promotional materials, the main target for these campaigns has been non-elite players. Indeed, there is very little acknowledgement that top professionals experience mental health problems too. Purcell and colleagues (Purcell et al., Reference Purcell, Gwyther and Rice2019; Purcell et al., Reference Purcell, Pilkington, Carberry, Reid, Gwyther, Hall, Deacon, Manon, Walton and Rice2022) have provided a helpful and comprehensive mental health framework for elite athletes. The framework highlights the importance of: taking account of an athlete’s social and ecological environments; understanding diversity; the use of preventative strategies; early detection, measurement and management of difficulties; promoting mental health literacy for athletes and their support team; and specialist mental health input in complex situations. Despite Purcell et al. making a series of recommendations regarding how to support wellbeing and health, they do not provide advice on the use of specific therapeutic interventions (i.e. types of psychotherapy). This is because the authors acknowledge that each sport is performed within a specific format and context, and therefore each has a bespoke set of needs.

In terms of a clinical model, the use of Beckian cognitive behaviour therapy may appear to be an appropriate approach in football because many players experience anticipatory anxiety, critical self-appraisal and ‘post-morteming’ following games (i.e. replaying negative incidents; Gkika et al., Reference Gkika, Wittkowski and Wells2018; Wilkins et al., Reference Wilkins, Sweeney, Zaborski, Nelson, Tweddle, Beukes and Allen2020). Yet, despite Beckian CBT being well established amongst mental health clinicians, empirical evidence of its use in elite sport in the UK is relatively sparse (Didymus and Fletcher, Reference Didymus and Fletcher2017; Wilkins, et al., Reference Wilkins, Sweeney, Zaborski, Nelson, Tweddle, Beukes and Allen2020). There are, however, a moderate number of studies demonstrating the value of rational emotive behaviour therapy (REBT; Ellis, Reference Ellis1957) for elite athletes and football players (Turner, Reference Turner2014; Turner et al., Reference Turner, Barker and Slater2014; Wood and Turner, 2020). For example, Turner and colleagues undertook a quasi-experimental single-case design working with academy players over the course of a season. Their longitudinal teaching programme successfully tackled irrational beliefs about ‘the absolute need to win’ and the need for events and/or decisions made by others ‘to always be fair’. According to REBT theory both of these features (i.e. ‘winning’ and ‘fairness’) are beyond the control of the individual, and hence if players value them too highly such irrational beliefs can lead to negative emotions and therefore become a threat to performance. In relation to the topic of self-criticism, an REBT clinician would typically want to focus on the language used by players in relation to the self. The clinician would target any catastrophising irrational cognitions, such as: ‘I’m totally awful; I’m terrible; I must never do that again; I’ll never recover from the mistake’. These negative cognitive biases (overgeneralising, awfulizing; Ellis and Dryden, Reference Ellis and Dryden2007) would be assessed for their relative functionality in relation to the player’s wellbeing and performance. If found to be unhelpful, the footballer would be assisted to ‘dispute’ the belief systems underpinning their thoughts in order to arrive at more rational interpretations (Wood and Turner, 2020). The work with REBT is encouraging but is still in its early development; although a number of coaches in the UK are using the techniques in their training (Coventry FC; Batstone, Reference Batstone2022). In contrast to the infrequent use of the more traditional forms of CBT, there is a well-established literature for the use of third wave CBT approaches [mindfulness, acceptance and commitment therapy (ACT), Gilbert et al.’s early models of compassion focussed therapy]. These third wave approaches employ strategies that help a distressed person to change their relationship with their negative thoughts. Hence, these newer approaches do not require a person to re-evaluate their negative thinking, and generate more functional alternative thoughts; rather they enable the person to mentally step back from their cognitions. The stepping back enables the person to disengage from the thoughts, which reduces their emotional impact, and this provides the mental space for more functional thinking to occur. For example, in the case of mindfulness a person is encouraged to observe their thoughts and feelings without judging them as being good or bad. This is achieved by paying attention, on purpose, to what is happening in the present moment in a non-judgemental and accepting way (Segal et al., Reference Segal, Teasdale and Williams2002). It is worth noting that mindfulness skills are often used alongside, or often integrated within, many of the newer CBT approaches.

The greater use of these third wave approaches is probably due to the close links between these types of approach with the employment of mentalisation strategies which are commonly used within sports psychology and by sports psychologists (Dixon et al., Reference Dixon, Barker, Thelwell and Mitchell2020). The present article examines the use of some of the techniques associated with one of the third generation approaches known as compassion focused therapy (CFT) (Gilbert, Reference Gilbert2020; Tirch et al., Reference Tirch, Shoendorff and Silberstein2015). In the current context, compassion is defined as the ‘sensitivity to suffering in self and others, with the commitment to alleviate and prevent it’ (Gilbert, Reference Gilbert2014; p. 19). It is worth noting that the definition suggests a two-stage process, firstly recognising the distress and secondly attempting to alleviate it. The notion of having compassion for ‘self’ and ‘others’ is also key to the concept. It is referred to as ‘flow’ and includes the receiving of compassion from others, including from a partner, parent or coach. Hence, over the next sections of this article the reader will be introduced to the concept of compassion in relation to sport. From a practical perspective, a number of ‘real world’ examples of the use of self-compassion techniques are illustrated and their evidence base discussed. It is important to highlight that many of the interventions discussed in the article are based on ideas derived from CFT, but the manner in which they are applied are not wholly consistent with a CFT format as described by Gilbert (Reference Gilbert2020).

Self-criticism put into context

Players transition through times of varying degrees of form throughout their careers. When players are enduring a difficult period for whatever reason they may experience fragility in their confidence, and their reaction to errors or poor performances may be more negative compared with periods when their self-belief is high. Consequently, on-field and off-field reactions occur in response to the frustration of mistakes or dips in form. The on-field reaction can be more immediate, physiological and emotional (physical tension, agitation, lack of focus). The off-field processing can involve post-morteming (mental replaying; Gkika et al., Reference Gkika, Wittkowski and Wells2018) and cognitive reflection. Further, owing to the nature of the modern game, mistakes are repeatedly scrutinised by the media, peers and ‘experts’. In order to develop the current argument simply and clearly, three potential responses to criticism are illustrated. The first response attributes the blame for the mistake internally, the second externally, while the third describes a self-compassion approach.

  1. (a) Self-critical response: players can blame themselves exclusively for the error in ways that are self-attacking and persecutory (Gilbert, Reference Gilbert2020). Their criticism may go beyond the details of the mistake, extending to dysfunctional comments about the self. The player may start to engage in a range of negative cognitive biases, including magnifying the error and its relevance to the self. The typical types of thinking one might see include: ‘It was all my fault we conceded; the manager is going to drop me; I hate myself; I can’t face my team mates’, etc. Such thinking may precipitate undesirable coping mechanisms, such as avoidance, under/over-training and alcohol misuse.

  2. (b) Blame/attribution: the players displace or deflect their mistakes towards a third party (team mate/coach). In the short term this may preserve self-esteem, but it can create resentment within the team. It also prevents the footballers analysing the causes of the error, their degree of responsibility for it, and learning lessons for the future.

  3. (c) Self-compassionate response: the player accepts that mistakes are part of the game. As the mistake was not intentional, their responsibility as a professional athlete is therefore to learn from it, rather than to engage in excessive self-blame or punishment. Indeed, they recognise they cannot change the past, but can only strive to be better in the future; the player can influence and exercise control over the future but not the past. The ability to use this strategy can often depend on the external support that the athlete receives from trusted sources (e.g. coaches, team therapists, family and friends) as well as previous experiences of using self-compassion cognitions.

Over time, the frequent use of strategy (a) can lead to negative consequences in terms of emotional and psychological illbeing (e.g. shame, fear of failure, passivity, objectified body consciousness, negative automatic thinking, worry, anxiety and depression), ultimately concluding in failure or developing a sense of inadequacy and/or self-hate. Moreover, negative automatic thinking, worry and self-criticism will maintain the athlete in an undesirable physiological state (e.g. heightened heartbeat, body tension), leading to sub-optimal performance (Ceccarelli et al., Reference Ceccarelli, Giuliano, Glazebrook and Strachan2019). The long-term effect of strategy (b) is a lack of appropriate self-reflection, and thereby the inability to learn from one’s errors. In contrast, the use of strategy (c) assists the athlete to accept their mistakes and maintain a balanced view of themselves and their abilities. It will also reduce engagement in negative thinking, worry and self-blame (Ferguson et al., Reference Ferguson, Kowalski, Mack and Sabiston2015; Gilbert and Procter, Reference Gilbert and Procter2006; Mosewich et al., Reference Mosewich, Crocker, Kowalski and DeLongis2013; Neff, Reference Neff2009; Reis et al., Reference Reis, Kowalski, Ferguson, Sabiston, Sedgwick and Crocker2015). Its use will help create positive coping strategies and self-care, which will in turn help maintain a more balanced physiological state (Kim et al., Reference Kim, Henderson, Best, Cunnington and Kirby2020a; Kim et al., Reference Kim, Parker, Doty, Cunnington, Gilbert and Kirby2020b). In the longer term, this strategy will help the athletes improve and maintain their wellbeing and mental health (Walton et al., Reference Walton, Baranoff, Gilbert and Kirby2020). In order to employ a self-compassion approach, the player is required to make themselves sufficiently ‘open’ to the influences of compassionate cognitions and thoughts, which can be generated either from within the self, or from external sources (Gilbert, Reference Gilbert2020). Such receptiveness is a key process and therefore it is helpful for athletes and coaches to be made aware of the importance of this feature, because there may be a negative tendency for some athletes to ‘put-up’ barriers (Gulliver et al., Reference Gulliver, Griffiths, Christensen, Mackinnon, Calear, Parsons, Bennett, Batterham and Stanimirovic2012). To a degree, the barriers may be a feature of the highly competitive environments that the elite sports people are working within, in which criticism towards the self and others is common-place; thus it requires support and coaching to counteract (Basran et al., Reference Basran, Pires, Matos, McEwan and Gilbert2019). As an example of some of the cognitions that need to be overcome, researchers have observed that some young athletes associate ‘self-criticism’ (i.e. being ‘hard’ on oneself) with their sporting successes (Ferguson et al., Reference Ferguson, Kowalski, Mack and Sabiston2014). Athletes also express concerns that showing too much self-compassion may diminish their sporting ‘edge’, and that adopting a kind and caring self-attitude would be letting themselves ‘off the hook’ (Ferguson et al., Reference Ferguson, Kowalski, Mack and Sabiston2014). Gilbert and colleagues have explored the reasons why some people struggle to use self-compassion, and why they prefer to use self-critical styles of thinking (Gilbert, Reference Gilbert2020). Gilbert and colleagues have developed self-report scales to assess both the use of self-criticism and a related concept they refer to as ‘self-reassurance’ (Gilbert et al., Reference Gilbert, McEwan, Matos and Rivis2011).

Compassionate approaches

Carraça and colleagues’ (2019, 2020) use of compassion in athletes comes from an ACT tradition which promotes the use of mindfulness, acceptance and psychological flexibility (Tirch et al., Reference Tirch, Shoendorff and Silberstein2015). They argue that using compassion leads to greater honesty and allows the athletes to take responsibility for their own actions (Carraça et al., Reference Carraça, Rosado, Magalhães, Ferreira and Serpa2020). They believe that the use of self-compassion leads to more helpful solutions both for short- and long-term wellbeing, allowing past experiences to prevent the same difficulties happening in the future (Gilbert, Reference Gilbert2020). Research suggests that compassion encourages personal improvement (Ferguson et al., Reference Ferguson, Kowalski, Mack and Sabiston2014), instead of causing complacency, denial or avoidance (Barczak and Eklund, 2018; Mosewich et al., Reference Mosewich, Sabiston, Kowalski, Gaudreau and Crocker2019). Being self-compassionate can also reduce the negative affect people experience when they encounter obstacles in their progress towards their goals (Hope et al., Reference Hope, Koestner and Milyavskaya2014). A comprehensive review of the use of self-compassion in performers (athletes, dancers, actors and musicians) was recently undertaken by Walton et al. (Reference Walton, Osborne, Gilbert and Kirby2022). Walton and colleagues identified a number of studies in which athletes perceived the ability to be self-compassionate as critical in responding to adversity (Ingstrup et al., Reference Ingstrup, Mosewich and Holt2017) and to be crucial in the development of mental toughness (Wilson et al., Reference Wilson, Bennett, Mosewich, Faulkner and Crocker2019). For athletes who choose to use self-compassion, one of the first steps is to acknowledge the stress they are constantly under, both on and off the pitch, and recognise the criticism that they may have to bear coming from coaches, fans and team-mates. Moreover, it requires athletes to admit when a mistake had been made and respond in a way that does not compromise performance and, most importantly, does not affect their mental health. In a study of women athletes who employed compassion strategies they described self-compassion as the use of ‘big picture thinking’ (recognising that the present moment is part of a larger goal, and maintaining a balanced perspective). The athletes also viewed the strategies as helping them to be optimistic, and enabling them to avoid trying to control the uncontrollable (Frentz et al., Reference Frentz, McHugh and Mosewich2019). A review by Carraça et al. (Reference Carraça, Serpa, Palmi and Rosado2018) examined 26 articles on the topic of mindfulness in the field of elite performance; the authors included self-compassion approaches within the broad umbrella of ‘mindfulness’. Two of these studies specifically focused on self-compassion techniques – Mosewich et al. (Reference Mosewich, Crocker, Kowalski and DeLongis2013) and Awamleh et al. (Reference Awamleh, Mansi and Ermely2014). In the former randomised controlled trial (RCT) study, psychoeducation sessions were given to a group of 31 females athletes prone to self-criticism. The programme was effective in terms of managing self-criticism and ruminations, reducing concerns for mistakes. Mosewich et al. found that their 7-day intervention programme helped the athletes foster self-compassion, leading to the development of better coping strategies to deal with negative events in sport. The Awamleh et al. study examined the impact of a 12-week mental skills programme, composed of self-compassion and mindfulness training on a group of 32 female university gymnasts. The results showed increased levels of self-compassion as assessed on the Self-Compassion Scale (SCS; Neff, Reference Neff2003).

Research also suggests that the use of self-soothing and compassionate strategies have a positive impact on the immune system, increasing parasympathetic nervous system activity (Pace et al., Reference Pace, Negi, Adame, Cole, Sivilli, Brown and Raison2009). Regular use of self-compassion exercises (see Walton et al., Reference Walton, Osborne, Gilbert and Kirby2022) increases general wellbeing by increasing the heart rate variability (index of a healthy body; Krygier et al., Reference Krygier, Heathers, Shahrestani, Abbott, Gross and Kemp2013), and improving the person’s physiological reactivity to stress (Cosley et al., Reference Cosley, McCoy, Saslow and Epel2010; Kim et al., Reference Kim, Henderson, Best, Cunnington and Kirby2020a; Kim et al., Reference Kim, Parker, Doty, Cunnington, Gilbert and Kirby2020b). Such parameters are commonly used in elite sports, especially in football, to assess players’ readiness to perform, train and their overall injury risk. Therefore, helping athletes to master their physiological states by a means of self-soothing could have important impact on their day-to-day performance and availability to compete. Moreover, accessing a compassionate state facilitates the activation of the prefrontal cortex of the brain which is the area of the brain involved with mentalisation and problem-solving (Klimecki et al., Reference Klimecki, Leiberg, Ricard and Singer2014; Liotti and Gilbert, Reference Liotti and Gilbert2011; Thayer and Lane, Reference Thayer and Lane2000). The use of these skills is fundamental for footballers, and other athletes, to be able to adjust their performance during the match, but also in the aftermath of a game. The review by Walton and colleagues on the use of self-compassion in performers also provides a useful set of transcripts detailing how to conduct self-compassion interventions (Walton et al., Reference Walton, Osborne, Gilbert and Kirby2022). The transcripts were not designed to be used within any specific sport or profession, but demonstrate the use of breathing, body-posture and imagery in the development of a self-compassionate mindset. In the next section we will examine similar transcripts that have been used in empirical studies with professional footballers.

Self-compassion in football

Carraça and colleagues (Carraça et al., Reference Carraça, Serpa, Palmi and Rosado2018; Carraça et al., Reference Carraça, Serpa, Rosado., Palmi Guerrero and Magalhaes2019; Carraça et al., Reference Carraça, Rosado, Magalhães, Ferreira and Serpa2020) have undertaken a number of empirical studies on the use self-compassion approaches in footballers, and they were one of the first groups of researchers to undertake empirical studies within a major European professional football league. Their work is influenced by ACT perspectives, with themes of acceptance and psychological flexibility being strongly promoted (Tirch et al., Reference Tirch, Shoendorff and Silberstein2015). According to Carraça, self-compassion can help players to accept difficulties, especially during periods of harsh self-criticism. Self-kindness can often build courage and willingness to engage with what is occurring ‘in the moment’. Carraça believes that in order to stay engaged in such activities, athletes need ‘courage’ to able to be kind and compassionate to themselves. In a 2019 waiting-list controlled study (Carraça et al., Reference Carraça, Serpa, Rosado., Palmi Guerrero and Magalhaes2019), 28 elite male footballers of the Portuguese professional second league partook in a training programme called MBSoccerP (total n = 58). Carraça’s 8-session MBSoccerP contained mindfulness, acceptance and compassion-focused sessions, incorporating training in: non-judgemental thinking, empathy, distress tolerance and compassionate motivation. The results showed that the compassion elements of the training produced lowered levels of psychological distress, anxiety, and reduced levels of self-criticism. Examples of the instructions from the compassion element of the program are outlined in Boxes 1 and 2.

Box 1. Instructions for a self-compassion exercise, making use of a positive memory

  • Sit comfortably and begin to focus on your breathing. Allow the air of each breath to come down into your chest and feel it move in and out as you breathe. Next, pay attention to your body and sense the weight of your body resting on the chair. Remember that it is okay for your mind to wander – just notice where it wanders to and guide it back to an awareness of your body. If your mind wanders easily, it may be easier to look at an object/ornament to focus your attention.

  • Once in a relaxed state, think of a time when someone who you value and respect was genuinely kind to you following a football match; not because you were distressed, but because they saw something good or positive in you.

  • Recall how it felt to receive that kindness. Spend a minute thinking about the expressions of the person who was kind to you. Try to remember the memory in as much detail as possible, the situation, what he/she was wearing, their expression, etc. Make the memory vivid, including sounds, the atmosphere, smells.

  • Focus on the kinds of things this person said, as well as the tone of their voice when they spoke. Next, focus on the feeling of the emotion in the person – what they really thought about you at that moment. Focus on that for another minute.

  • Finally, focus on the entire experience. Think about whether they helped you in some other way. Allow the experience of gratitude and joy in being helped to grow in you.

  • When you are ready, let the memory gently fade. Come slowly out of the exercise, and take some notes about how you felt before, during, and after the exercise.

Box 2. Mindfulness-based Soccer Program – practical key exercises practising mindfulness, compassion and acceptance in the context of elite footballer (on or off pitch) (Carraça et al., Reference Carraça, Serpa, Palmi and Rosado2018)

  • Exercise for the start of the game – to be used by the footballers at the beginning of the game, or the beginning of second half: Pay close attention to your breathing, especially when you’re feeling intense emotions, nerves or frustration. Use the breath as an anchor to come out of your mind and into the body. Re-centre yourself on the present. Decide to accept the feelings you have, let them go, don’t judge or rebuke yourself. Once you do this you will be able to smile and enjoy the situation you find yourself in – embrace the challenge.

  • Exercise to use when preparing to take an important place kick – to be used when footballers are about to take a corner, free kick or penalty: Notice – really notice – what you’re sensing in a given moment, the texture of the pitch below you, the sound of the ball, and the smells that ordinarily slip by without reaching your conscious awareness. Trust in your body to do the right thing without interference from thoughts.

  • Exercise to deal with a confrontational scenario – to be used during heated exchanges with coaches, manager or another player when faced with a tense and difficult situation: Imagine a divider between the situation and yourself; give yourself space. This space provided will give you room to focus on your body and relax the areas that are tense or tight. Do this while staying present in the situation, i.e. don’t rush ahead and compose your response or argument, simply breathe and stay with the moment. Get out of your own head and listen intently to the player or coach while still keeping an eye on your body’s reactions. Accept the emotions you are feeling as normal. Take time with your response and be empathetic so as not to let the situation escalate.

The example in Box 1 is a generic exercise that can be easily adapted by athletes of all sports (also see Walton et al., Reference Walton, Osborne, Gilbert and Kirby2022). In Box 2, however, there are examples of exercises taken from the MBSoccerP programme which have been shown to be particularly useful for footballers (Carraça et al., Reference Carraça, Serpa, Palmi and Rosado2018). The strategies assist the players to be ‘focused in the moment’. The examples in Box 2 present exercises to be deployed at three different phases of a football match: at the start of the game; taking place kicks; and dealing with confrontations and disputes.

Based on the ideas of Carraça, and the work of others discussed in this paper, there are seven key points for footballers to consider when employing self-compassion techniques:

  1. (1) The footballers need to be encouraged to recognise and name the effect of setbacks on their mood (e.g. sadness, anger) and physiological reactions (e.g. stomach churning, muscle tension). They should develop acceptance and the ability to tolerate (‘remain with’) these states without immediately turning the experiences into problems that need to be dealt with. Moreover, mistakes should be framed not as isolated events but rather as ‘commonly’ experienced setbacks and a natural part of playing football (Neff, Reference Neff2003).

  2. (2) Players need to be reminded of their personal strengths and previous successful coping experiences, as well as their own worth beyond sport. Thus, any potential excessive self-criticism needs to be counter-balanced.

  3. (3) The footballers should be helped to recognise the negative impact that self-criticism has on their physical and mental health in the short- and longer term.

  4. (4) Potential resistances and fears in using self-compassion should be explored and validated (Gilbert, Reference Gilbert2010). It should be explained that self-compassion should not be in any way associated with ‘looking for excuses’, ‘weakness’ and/or ‘laziness’, instead it has the potential to increase performance (e.g. by helping athletes to have the courage to deal with failure; Turner et al., Reference Turner, Chadha, Davis, Deen, Gilmore, Jones, Goldman and Terjesen2022). King and colleagues have explored the various ways irrational self-critical beliefs are formed and maintained in athletes using a REBT perspective, and they also discussed how the beliefs may be disputed (King et al., Reference King, Turner, Plateau and Barker2022).

  5. (5) Compassion should be explained as the intention to use honesty and fairness in judging the footballers’ own performances and the desire of not losing sight of their sporting goals. Compassion must be framed as a way of improving performance, not hindering it.

  6. (6) Exercises should be taught to facilitate compassionate self-soothing states and help regulate the footballers’ autonomic nervous system before and after a competition. Among these, there are deep breathing and imagery exercises of receiving compassion (see Gilbert, Reference Gilbert2010) which have soothing effects on internal states of activation and help to access more helpful thinking styles (see Boxes 1 and 2).

  7. (7) It is important that coaches, physiotherapists, team doctors and other backroom staff are aware of the problems associated with destructive self-criticism. According to Ingstrup et al. (Reference Ingstrup, Mosewich and Holt2016), coaches need to be trained to give constructive feedback in order for athletes to develop self-acceptance even when making errors (Frentz et al., Reference Frentz, McHugh and Mosewich2019).

As a consequence of this narrative review of the area, it is suggested that the work of Carraça and others should be incorporated within the training portfolios of clubs to enable their players to cope better with criticism, both internal and external. Such training should ideally be delivered by clinicians with the appropriate expertise, experience and certification (e.g. Health and Care Professions Council registration in the UK). The wider use of self-compassion and similar approaches have the potential to improve players’ wellbeing and health, both in the long- and shorter term, and may serve as useful preventative and protective factors against common mental disorders.

While there is evidence that self-compassion can be effective with footballers, there will inevitably be barriers to introducing concepts like compassion to players. It has already been noted that mental health issues are often not discussed due to features like stigmatisation and perceptions of being weak or self-indulgent (Confectioner et al., Reference Confectioner, Currie, Gabana, van Gerven, Kerhoffs and Gouttebarge2021). The authors of this article, some of whom are currently working directly with elite footballers, suggest that the barriers could be reduced by refining the terminology, making the language more palatable to players. Furthermore, it would help if the outcomes and intentions of the clinical approaches were directly linked to performance goals or injury prevention. Such performance-based goals would also achieve greater buy-in from managers, coaches and other support staff.

Conclusions

Elite footballers are subjected to constant judgements and criticism, and for some players an overly self-critical approach will be impacting on their performance. Such criticism can severely undermine self-esteem, leading to anxiety and depression. This paper has explored the advantages of the use of a compassionate self-correction style of thinking based on self-compassion approaches. It has been suggested that a compassionate approach can promote mental health and wellbeing, whilst maintaining goal-directed behaviours and general wellbeing. Training in self-compassion techniques can bring about awareness of the problems of excessive criticism and provide methods for dealing with them through simple behavioural, imagery and breathing techniques. Mosewich et al. (Reference Mosewich, Sabiston, Kowalski, Gaudreau and Crocker2019) suggest that the adoption of self-compassion will require the athlete to integrate the techniques learned in educational sessions into their training and competitive matches. Such transfer is likely to be effortful and conscious at first, but with practice, increased skill, and proper execution, strategies should become more automatic.

Key practice points

  1. (1) Elite athletes are exposed to numerous stressors that are both sports and non-sports related. The use of self-compassion can be employed to better manage their mental distress.

  2. (2) A range of CBT methods are currently being used to improve the mental health of elite athletes.

  3. (3) Some athletes are resistant to using self-compassion techniques, believing they may take the ‘edge off’ their motivation to succeed.

  4. (4) Effective self-compassion techniques can be successfully taught to professional footballers.

  5. (5) Training transcripts promoting self-compassion are available for professional footballers to use.

Data availability statement

No new data were generated as part of this project.

Acknowledgements

None.

Author contributions

Ian James: Conceptualization (lead), Supervision (lead), Writing – original draft (lead), Writing – review & editing (lead); Barbara Medea: Conceptualization (equal), Writing – original draft (equal), Writing – review & editing (equal); Michael Harding: Writing – original draft (equal), Writing – review & editing (equal); Danny Glover: Conceptualization (equal), Supervision (equal), Writing – review & editing (equal); Bruno Carraça: Supervision (equal), Writing – review & editing (equal).

Financial support

This work received no specific grant from any funding agency, commercial or not for profit sectors.

Conflicts of interest

The authors declare none.

Ethical standards

All authors have abided by the Ethical Principles of Psychologists and Code of Conduct as set out by BABCP and BPS. No ethical approval was required, and all governance approvals were met by the first author.

References

Further reading

Gilbert, P. (2020). Compassion: from its evolution to a psychotherapy. Frontiers in Psychology, 11, 131. https://doi.org/10.3389/fpsyg.2020.586161 CrossRefGoogle ScholarPubMed
Walton, C. C., Osborne, M. S., Gilbert, P., & Kirby, J. N. (2022). Nurturing self-compassionate performers. Australian Psychologist, 57, 7785.CrossRefGoogle Scholar

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