Coding (therapy)
Encyclopedia
Coding is a catch-all term for various Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

n alternative therapeutic methods
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

 used to treat addiction
Addiction
Historically, addiction has been defined as physical and psychological dependence on psychoactive substances which cross the blood-brain barrier once ingested, temporarily altering the chemical milieu of the brain.Addiction can also be viewed as a continued involvement with a substance or activity...

s, in which the therapist attempts to scare patient
Patient
A patient is any recipient of healthcare services. The patient is most often ill or injured and in need of treatment by a physician, advanced practice registered nurse, veterinarian, or other health care provider....

s into abstinence from a substance they are addicted to by convincing them that they will be harmed or killed if they use it again. Each method involves the therapist pretending to insert a "code" into patients' brains that will ostensibly provoke a strong adverse reaction should it come into contact with the addictive substance. The methods use a combination of theatrics, hypnosis
Hypnosis
Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary...

, placebo
Placebo
A placebo is a simulated or otherwise medically ineffectual treatment for a disease or other medical condition intended to deceive the recipient...

s, and drug
Drug
A drug, broadly speaking, is any substance that, when absorbed into the body of a living organism, alters normal bodily function. There is no single, precise definition, as there are different meanings in drug control law, government regulations, medicine, and colloquial usage.In pharmacology, a...

s with temporary adverse effects to instil the erroneous beliefs. Therapists may pretend to "code" patients for a fixed length of time, such as five years.

Coding was created by Alexander Dovzhenko, a psychiatrist
Psychiatrist
A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders. All psychiatrists are trained in diagnostic evaluation and in psychotherapy...

 in the former Soviet Union
Soviet Union
The Soviet Union , officially the Union of Soviet Socialist Republics , was a constitutionally socialist state that existed in Eurasia between 1922 and 1991....

. It has been widely used to treat alcohol addiction in Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

, but 16 percent of Russian narcologists also report using it in their practices to treat heroin addiction, and it has also been used to treat gambling addiction. Coding is not based on any scientific evidence
Scientific evidence
Scientific evidence has no universally accepted definition but generally refers to evidence which serves to either support or counter a scientific theory or hypothesis. Such evidence is generally expected to be empirical and properly documented in accordance with scientific method such as is...

, and is not recommended under either Russian or Western
Western world
The Western world, also known as the West and the Occident , is a term referring to the countries of Western Europe , the countries of the Americas, as well all countries of Northern and Central Europe, Australia and New Zealand...

 therapeutic guidelines.

Methods

In the case of alcohol addiction, the procedure may be carried out with a drug
Drug
A drug, broadly speaking, is any substance that, when absorbed into the body of a living organism, alters normal bodily function. There is no single, precise definition, as there are different meanings in drug control law, government regulations, medicine, and colloquial usage.In pharmacology, a...

 that temporarily affects the respiratory system
Respiratory system
The respiratory system is the anatomical system of an organism that introduces respiratory gases to the interior and performs gas exchange. In humans and other mammals, the anatomical features of the respiratory system include airways, lungs, and the respiratory muscles...

 when mixed with alcohol
Alcohol
In chemistry, an alcohol is an organic compound in which the hydroxy functional group is bound to a carbon atom. In particular, this carbon center should be saturated, having single bonds to three other atoms....

, administered under hypnosis
Hypnosis
Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary...

. The therapist gives patients the drug, then allows them a small amount of alcohol, which triggers an adverse reaction and makes them erroneously believe that the therapy has had a long-term effect. Another method involves the therapist giving patients hypnotic suggestions during a head massage, with the message that alcohol will cause blindness
Blindness
Blindness is the condition of lacking visual perception due to physiological or neurological factors.Various scales have been developed to describe the extent of vision loss and define blindness...

 or paralysis
Paralysis
Paralysis is loss of muscle function for one or more muscles. Paralysis can be accompanied by a loss of feeling in the affected area if there is sensory damage as well as motor. A study conducted by the Christopher & Dana Reeve Foundation, suggests that about 1 in 50 people have been diagnosed...

.

In one method, the therapist numbs patients' mouths with local anaesthetic, then places electrode
Electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit...

s with a very weak current into their mouths. This is to make patients believe that the "nerve points" in their mouth are being "manipulated" and that it is no longer safe for them to drink alcohol. A further method involves the therapist using a special helmet to persuade patients that the therapist's suggestions are controlling their minds. Typically, therapists will also make patients sign a disclaimer, supposedly absolving the therapist of any responsibility should the patient use the addictive substance and suffer ill effects or die.
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