Alcoholism

In section discusses the use of alcohol in the historical aspect. Presents ways of formation of alcoholism as a disease. The urgency of the problem of overcoming of drunkenness and alcoholism. Discusses biochemical, psychopharmacological, neurophysiological and psychological aspects of the development of alcoholism. The description of the main clinical manifestations of the disease. Are modern, scientifically sound methods of treatment and prevention.
Also contains information about the harmful effects of alcohol on children and adolescents. Describes not only the immediate negative impact of alcohol on developing organism, but also elaborates on indirect effects of alcoholism adults on the formation of a child. Recommendations on the prevention of the spread of alcohol by children and adolescents.
Intended for a wide circle of readers.
Completed with new data on the prevalence and consequences of alcoholism, substantial transformation has been the main Chapter of the book "the Organization of the fight against alcoholism", introduced a new section on primary prevention of alcoholism, play an important part in propaganda of healthy way of life.
For organizers of public health, drug treatment specialists, and other professionals interested in the problems of alcoholism.

Table of contents

  • Preface

  • Chapter I. the Definition and classification of alcoholism
  • About the terminology of alcoholism
  • Diagnostic criteria and classification of alcoholism

  • Chapter II. Methods of study of alcoholism
  • Methodological approaches to the study of alcoholism as a socio-hygienic problems
  • Program and methodology of complex social-hygienic researches of alcoholism

  • 2. Chapter III. The consumption of alcoholic beverages
  • Dynamics of consumption of alcoholic drinks in economically developed countries
  • The consumption of alcoholic beverages in pre-revolutionary Russia and USSR

  • Chapter IV. The prevalence of alcoholism
  • The prevalence of alcoholism in different countries of the world
  • Some socially-hygienic aspects of the prevalence of alcohol abuse

  • Chapter V Medical-social consequences of alcohol abuse
  • Deaths from alcohol abuse and alcoholism
  • The impact of alcohol abuse on General morbidity of the population
  • Morbidity with temporary incapacity of work, abuse alcohol
  • Economic and moral damage from alcohol and drunkenness

  • Chapter VI. Social causes of alcoholism and alcohol abuse
  • The analysis of modern concepts of alcoholism
  • The role of social-hygienic factors in the development of alcoholism

  • Chapter VII. From the history of the struggle with alcoholism
  • Fighting alcoholism in foreign countries
  • The main stages of the fight against alcoholism in pre-revolutionary Russia and USSR

  • Chapter VIII. Organization of the fight against alcoholism in the USSR
  • Administrative and social measures of struggle against drunkenness and alcoholism
  • Organization of narcological assistance
  • Organization of alcohol at industrial enterprises
  • The main directions of prevention of alcoholism
  • List of literature

  • * * *

  • List of abbreviations

  • Chapter 1. A glance at the past
    Chapter 2. Alcohol in the modern world
    Chapter 3. Alcohol and alcoholism
  • Socio-psychological factors that contribute to alcohol use and the development of alcoholism
  • Individual psychological factors contributing to the development of alcoholism
  • Chapter 4. Alcohol intoxication from different points of view
  • What is alcohol?
  • Physiology of alcoholic intoxication
  • The distribution of alcohol in the body
  • The oxidation of alcohol
  • Toxic effect of alcohol
  • The degree of alcoholic intoxication
  • Psycho-physiological aspects of intoxication
  • Changes in the endocrine system and metabolism in the intoxication

  • Chapter 5. Vicious circles, or the pathogenesis of alcoholism
  • The ethanol metabolism and the formation of alcoholism
  • Changes in metabolism
  • Disorders of the immune processes
  • Part hormonal systems in the pathogenesis
  • Neurophysiological changes
  • Alcohol and liver

  • Chapter 6. A disease called alcoholism
  • Patients with characteristic features of unstable circle
  • Patients with characteristic features sintongo circle
  • Patients with characteristic features of asthenic circle
  • Patients with characteristic features interessnogo circle
  • Patients with characteristic features scenicheskoe circle
  • Alcoholism in Teens-adolescence
  • Alcoholism in women
  • The role of heredity

  • Chapter 7. Classification of alcoholism and diagnostics
    Chapter 8. Modern approaches to the treatment of alcoholism
  • Medical treatment
  • Drug-free treatment
  • Alcoholics anonymous

  • Chapter 9. To prevent illness
  • The formation of personality
  • Healthy lifestyle
  • The mental hygiene
  • Specific prevention
  • Conclusion
  • Literature

  • * * *
  • Personality and alcoholism
  • Alcoholism among children and adolescents
  • The harmful impact of alcohol on society



  • Alcoholism and alcohol - obstacle on the way of development of any society and civilization. The obstacle that must be overcome, as too high a price the human costs of alcohol. And the essence is not only in material losses, and loss of spiritual power, the broken fates and lost lives.
    Alcoholism cannot be treated in isolation, although he is closely associated with alcoholism and alcohol at all. More broadly, that the man's attention to alcohol only a fragment of the more difficult problems - the people's attitude to the use of psychoactive (able to change the mental state) drugs. Among them, there are many substances that cause addiction and addiction, leading to the development of drug addiction and substance abuse. Although the range of distribution of abuse of psychotropic substances is different in different regions, alcohol here is an undisputed leader.
    The real picture is that in most countries, consumption of alcohol and alcoholism cause the most serious concerns and lead to serious consequences. At the same time, according to the world health organization, in the early 80-ies of the world production of alcoholic beverages reached 2.5 liters per capita per year in terms of 100%alcohol.
    Narcological situation historically formed in the USSR, also characterized by prevalence of alcoholism. Alcohol consumption than any other psychotropic substances significantly associated with a variety of customs, traditions and rituals, existing in our society. So now is the understanding that the overcoming of alcoholism and alcohol abuse are not momentary action, but a multi-stage process, with the aim of transition to a new, healthier lifestyle. This requires major restructuring in different spheres of life. This perestroika in the USSR already started happening before our eyes.
    The party and government adopted the documents, distinctive feature of which is their fundamental character: they are directed not to reduce, but to overcome alcoholism and alcohol abuse, which is especially important in modern conditions, when everything is fully disclosed the creative forces of our socialist system, the advantages of the socialist way of life, special importance is the strict observance of the principles of the Communist morality" 1. To meet goals and national scale of the interventions.
    The task is to eradicate the conditions that support the use of both alcohol and other causes addiction funds. Solved this problem only by implementing a long-term program of complex of measures, including socio-economic, educational, psychological and medical-biological aspects of the struggle with alcohol. However, it is particularly difficult to overcome actually alcoholism.
    What is alcoholism? The debate about the disease it or not,a time in the past. Alcoholism is tailaoshan as it progresses and becomes chronic disease, emerging in the course of regular use of alcohol and characterized by the development of pathological attraction to alcohol, with the emergence of other mental and physical disorders, as well as the social consequences related to alcohol use. Alcoholism as a disease primarily a medical problem. But its development drinking becomes possible only in the presence of large-scale social phenomena - production and preservation of traditions of alcohol. The danger of the disease lurking in every link of the chain "alcohol - drinking (regular alcohol consumption) - alcoholism". Every previous link is necessary for the subsequent appearance. And it is clear that to solve not enough to focus only on combating the most obvious, the terrible disease - alcohol addiction. We should not forget that the tragic results of the admission of alcohol appear in any link of the chain. As installed, the "normal" consumption of alcohol reduces labour productivity, helps offences, injury, can lead to a fatal outcome. Requires no proof, and the statement about the danger of a systematic use of alcohol - drinking, disastrous for the drinker and to others. Hence the natural desire of society to the displacement of any form of alcohol. Although the reduction of consumption of alcohol is not enough, it must be supported by a complex of structural measures), it is clear that radical overcoming of drunkenness and alcoholism fundamentally feasible only on the background of significant reduction of alcohol consumption. Moreover, are decisive here the reduction of interest and the elimination of the need for alcohol.
    From the total number of persons who consume alcohol sick alcoholism become on average 6% (Slowik, 1984). Seems a bit? But if to take into account the real extent of alcohol consumption in the world, a significant burden of alcoholism as a disease, the total amount of negative consequences for society, brought by alcoholism, then it will be clear strenuous efforts now to study and overcome the disease.
    However, extensive study of alcoholism representatives of different specialties and directions caused increasingly deepening differentiation of scientific research, led to the accumulation of a huge mass of factual material, sometimes heterogeneous.
    The problem of alcoholism is so complex that, in order to understand it, you need to be an expert in several areas of knowledge. In this regard, the authors, as doctors, yet attempted not to be limited in this book, only the medical aspects of the problem, and to analyse the main results of biological, sociological and other studies. This approach will require some effort from the reader, however, we hope that efforts will be fruitful and will lead to a more complete understanding of alcoholism.

    1. The resolution of the CPSU Central Committee "On measures for overcoming drunkenness and alcoholism" // Pravda. 1985. on may 17.