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Sex, drugs and science: the IOC’s and IAAF’s attempts to control fairness in sport

Abstract This paper traces the history of two important policies in sport: rules against drugs and ‘ambiguous’ athletes in women’s events. We identify three phases in the work of the International Olympic Committee’s and International Amateur Athletic Federation’s medical committees: (1) from the mid-1960s to the 1970s, the medical grounding of the committees and the members’ worldviews encouraged the groups to enlist scientific techniques to solve drug use and sex ambiguity issues; (2) from the 1970s to the 1980s, administrative confusion underscored both committees, but scientific personnel gained legitimacy and furthered their own agendas; and (3) from the 1980s to the mid-1980s, the seeds of diversion in sex and drug tests were sown. The central finding of this study is that the stakeholders who shaped anti-doping and sex testing policies took for granted concerns regarding ethics and instead increasingly relied upon medical, scientific, and technical practices to define and control fairness in sport.