The social role of alcohol in Russian culture

The year 1995 marks the tenth anniversary of the beginning of perestroika in Russia. The country has paid with its health for all the social, economic and political reforms. The chronic state of social stress, which is already in its tenth year, has led to a sharp growth in alcoholism and drug addiction, an increasing prevalence of neurosis and psychosomatic diseases and an increase in the death rate and decrease in the birth rate. This is the degeneration of the Russian nation. Alcohol stimulates and alcoholism indicates the process of self‐destruction of the population. Unfortunately, there are no accurate statistics on alcohol consumption and problems in Russia today, as there is no state monopoly on alcohol production and sale and no common drug treatment service for the whole country. According to generalized estimates from epidemiological investigations, the average prevalence of alcoholism is 200–250 per 1000 adults, but this differs significantly in different professional groups: 10% of the workers in the nuclear energy industry suffer from alcoholism, 35% of the sailors, 22% of the workers in the machine‐tool industry and 42% of the people working in the woodworking industry. There is one woman alcoholic for each 5 men. On average, only 1 of every 7 alcoholics seeks medical and social aid. The main cause of alcoholism is alcoholism itself ‐its uncontrolled and expanding reproduction. The investigation of alcoholism is being intensively removed from the clinical to the social sphere. It can be explained by understanding the role of social and psychological factors in the origin and development of alcoholism and the harsh socio‐economic consequences and moral damage. The appearance of a new class of specialists ‐ social workers ‐ in Russia in 1991 was predetermined by these factors. The main objective of social workers is to fight social diseases and alcoholism in particular as the most terrible social disease of the Russian Federation. The history and place of alcohol in modern Russian culture, the stages and forms of the development of alcoholism and its ethnocultural peculiarities in different social strata of the population are described in this article. The reasons for and consequences of alcoholism are systematized, and the principles and directions of the activity of the social services in dealing with the treatment of alcoholism and rehabilitation of the diseased are defined.