Criteria for alcohol dependence in DSM-III-R.
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Biomedical subjects
Publications and source records attributed to B M Segal.
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The author believes that the first level of psychiatric care in the U.S.S.R.--the general polyclinics (outpatient clinics) and the medical-sanitary units--have not been adequately studied. He describes this level of care, which is considered useful and progressive in that the clinics are supposed to make psychiatric care available to the population, lighten the load placed on psychiatric facilities, and improve follow-up therapy. However, he also points out the shortcomings in this first level of psychiatric care in the U.S.S.R., including the bureaucratic nature of the system and the uneven quality of service the clinics render to various social groups in urban and rural areas.
Soviet psychotherapy follows Western European traditional pre-psychoanalytical "rationalistic" methodology. On the other hand, Soviet therapists assign great importance to clinical diagnosis within the framework of the classical scheme of Kraepelin. Finally, methods close to behavior therapy, especially so-called "training" approaches, are popular.
Some Soviet therapists admit the role of latent (that is, sexual) conflicts and childhood experiences in the origin of emotional disorders. They also attempt to utilize the influence of the social environment in the "readaptation" of neurotics. However, these attempts are limited by certain ideological as well as practical restrictions.
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Beginning in the 1930's all Western psychologic theories, especially psychoanalysis, were labeled reactionary. Pavlov's theory remained as the sole "truly materialistic" basis for Soviet psychotherapy. Only in recent years has theoretical research shown signs of life. Certain concepts from cybernetics, information theory, and even social psychology are now used widely.
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