俄罗斯东正教教区家庭戒酒俱乐部。康复工作详情(1992-2016)

A. Baburin, E. Sobornikova, O. Borisova, A. Magay
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引用次数: 0

摘要

根据世卫组织2014年发布的报告,俄罗斯按酒精消费量排名世界第4位,克罗地亚第11位,塞尔维亚第32位,意大利第37位,美国第56位。现代俄罗斯人均酒精消费量平均为15.76升纯酒精。与1912年相比,俄罗斯人均酒精消费量为3.14升纯酒精。世卫组织认为,人均纯酒精消费量超过8.0升是一种国家危险。针对酒精成瘾者的援助项目在美国已经存在了100多年。与1930-1940年建立的最受欢迎和广泛传播的匿名戒酒会方法的过时有关,其他项目现在正在积极发展。在俄罗斯,社会清醒运动已有130多年的历史。从19世纪中期开始,一场活跃的社会节制运动与伟大的俄罗斯教师和公众人物拉钦斯基、大祭司亚历山大·罗日德文斯基、喀琅施塔得的正义圣约翰等人有关。然而,以科学为基础的酒精成瘾者援助计划直到20世纪80年代才在苏联普及。在克罗地亚,从二十世纪六十年代开始制定对酗酒者的科学援助方案,并与世界著名精神病学家弗拉基米尔·胡德林(2.05.192226.12.1996)的名字联系在一起。Vladimir Hudolin毕业于萨格勒布大学医学院神经和精神疾病系主任,该系主任于1921年由杰出的精神病学教授、俄罗斯贵族Lapinskiy Michail Niki- tovich(1862年,俄罗斯- 1949年,阿根廷)创立。1952-1953年在英国和苏格兰的诊所实习,Vladimir Hudolin认识了临床精神病学家和社会精神病学的先驱Joshua Birer,他在1938-1939年为精神病院的病人创建了第一个治疗性社会俱乐部,也结识了Maxwell Jones和他在贝尔蒙特医院(亨德森医院)的治疗社区。以“Mladen Stojanovic医生”Vladimir Hudolin命名的大学医院精神病学办公室为基础,在他返回萨格勒布的时候组织了苏格兰精神病学家John Batty Tyyuk建议的“敞开大门”系统。他还开始在那里实施治疗社区方法、小组工作策略和家庭方法。“社会精神病学的新星”——世界社会精神病学协会主席A. Guilherme Ferreira这样评价45岁的Vladimir Hudolin。胡德林在贝尔塔兰菲的经验、系统理论和自身反思的基础上,开始发展社会生态学的酗酒理论。根据这种方法,与酒精和其他精神活性药物消费有关的问题应在成瘾者的异常行为和生活方式的背景下加以考虑。在这方面,有必要考虑到直接环境和一般可居住环境对个人的影响,即估计个人心理和社会文化因素的影响。1964年4月1日,已经是医学博士的弗拉基米尔·胡多林在大学医院开设了克罗地亚第一家酗酒者俱乐部系统。到1979年,巴尔干地区已经有2000多个这样的俱乐部,目前俱乐部援助计划不仅在前南斯拉夫国家推广,而且在全世界30多个国家推广。这个项目的效果是惊人的,因为他们已经表明,在俱乐部成员中,大约60%的人有永久性的长期缓解。在B. Gachich, T.P. Neborakova和E.A. Koshkina在《成瘾问题杂志》上发表了一篇文章之后,俄罗斯的许多专家都熟悉了Vladimir Hudolin的方法。1994年,巴布林和一组作者发表了一篇文章,其中俄罗斯专家分享了他们在莫斯科和莫斯科地区管理家庭戒酒俱乐部的经验。…
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Russian Orthodox Parish Family Clubs of Sobriety. Specific of Rehabilitation Work (1992-2016)
According to WHO report published in 2014 Russia ranks world N°4 by alcohol consumption, Croatia - N° 11, Serbia - N° 32, Italy - N° 37, USA - N° 56. Per capita alcohol consumption in modern Russia is an average 15.76 litres of pure alcohol. To compare with the year 1912 per capita alcohol consumption in Russia was 3.14 litres of pure alcohol. In WHO opinion per capita alcohol consumption over 8.0 litres of pure alcohol is a national danger.Aid programs for alcohol addicted people exist in the USA for over 100 years. In connection with obsolescence of the most popular and wide-spread Alcoholics Anonymous approach founded in 1930-1940 - other programs are actively developing now.In Russia social sobriety movement has a history of more than 130 years' experience. From the middle of the 19th century there was an active social sobriety movement connected with such names as a great Russian teacher and public figure Rachinsky S.A., the archpriest Alexander Rozhdestvensky, St. Righteous John of Kronstadt. However scientifically based aid programs for alcohol addicted people have spread in the USSR only in the eighties of the XX Century.In Croatia the development of scientific aid program for alcohol addicted has started in the sixties of the XX Century and is connected with the name of a world-famous psychiatrist Vladimir Hudolin (2.05.192226.12.1996). Vladimir Hudolin has graduated from the chair of nervous and mental diseases of medical faculty of the Zagreb university, the chair was based in 1921 by a distinguished psychoneurologist, professor, Russian nobleman Lapinskiy Michail Niki- tovich (1862, Russia - 1949, Argentina). Doing an internship in Great Britain and Scotland clinics in 1952-1953, Vladimir Hudolin has got acquainted with clinical psychiatrist and the pioneer of social psychiatry Joshua Birer who has created in 1938-1939 the first therapeutic social club for patients of lunatic asylum and also with Maxwell Jones and his therapeutic community in Belmont hospital (Henderson Hospital). On the base of psychoneurological office of university hospital named after "Doctor Mladen Stojanovic" Vladimir Hudolin on his returning to Zagreb has organized "open doors" system suggested by Scottish psychiatrist John Batty Tyyuk. He has also begun to implement there a therapeutic communities methodology, strategy of work in small groups and family approach."Rising star of social psychiatry"- the president of World association of social psychiatry A. Guilherme Ferreira has said about 45-year-old Vladimir Hudolin. Hudolin on the base of experience, theory of systems of Bertalanfi and reflections of his own began to develop social-ecological theory of alcoholism. According to this approach - problems connected with consumption of alcohol and other psychoactive agents are to be considered in the context of deviant behavior and lifestyle of addicted person. In this regard it is necessary to take into consideration the influence of immediate environment and inhabitable environment in general on the individual i.e., to estimate the influence of both individually-psychological and sociocultural factors.On April 1, 1964 Vladimir Hudolin being already a doctor of medical sciences opens at university hospital the Croatia's first The Club System for Treated Alcoholics. By 1979 there were already over 2000 such clubs on the Balkans, and currently the club aid program has spread not only in the countries of the former Yugoslavia but also in more than 30 countries worldwide. The results of the efficiency of this program were amazing as they have shown that among clubs members about 60% had permanent long remission.In Russia wide range of experts became familiar with Vladimir Hudolin's method after an article published by B. Gachich, T.P. Neborakova and E.A. Koshkina in "Journal of Addiction Problems". In 1994 an article by A.N. Baburin together with a group of authors was published, in the article Russian experts have shared their experience in Family Clubs of Sobriety (FCS) management in Moscow and Moscow area. …
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期刊介绍: Archives of Psychiatry Research is an international peer reviewed journal, open to scientists and clinicians dealing with all basic and clinical studies of all disciplines relating to psychiatric illness or addiction, as well as normal human behaviour, including biological, environmental, psychological, social and epidemiological factors.
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