The New Books Network (NBN) has just released an interview with anthropologist Eugene Raikhel on his recently released monograph Governing Habits: Treating Alcoholism in the Post-Soviet Clinic. As NBN describes,
Alcoholism is a strange thing. That it exists, no one seriously doubts. But it’s not entirely clear (diagnostically speaking) what it is, who has it, how they get it, or how to treat it. The answers to these questions depend, apparently, on where you are, which is to say what culture you were born and raise in. Alcoholism and treatments for it in Country A might be very different from alcoholism and treatments for it in countries B, C, and D. Alcoholism is, well, relative.
This is one of the many thing I learned from reading Eugene Raikhel‘s fascinating book Governing Habits: Treating Alcoholism in the Post-Soviet Clinic (Cornell University Press, 2016). An anthropologist, Raikhel tells us the tale of how the Soviet discipline of “narcology”–the diagnosis and treatment of addiction– evolved during Soviet times and how it adapted after the USSR fell. I won’t spoil the story for you, but suffice it to say that Russians treated and continue to treat alcoholism quite differently that we do in the U.S., though that’s changing (AA has arrived in Russia, something we also discuss).
Listen to the full interview here.
Cornell University Press describes Raikhel’s book on its site follows:
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Critics of narcology—as addiction medicine is called in Russia—decry it as being “backward,” hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post-Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years.
Raikhel’s book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the post-Soviet world, particularly in Putin’s Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.