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Coding (also known as the Dovzhenko method) is a catch-all term for various
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n and
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alternative therapeutic methods used to treat
addiction Addiction is a neuropsychological disorder characterized by a persistent and intense urge to engage in certain behaviors, one of which is the usage of a drug, despite substantial harm and other negative consequences. Repetitive drug use o ...
s, in which the therapist attempts to scare patients 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 is a human condition involving focused attention (the selective attention/selective inattention hypothesis, SASI), reduced peripheral awareness, and an enhanced capacity to respond to suggestion.In 2015, the American Psychologica ...
,
placebo A placebo ( ) is a substance or treatment which is designed to have no therapeutic value. Common placebos include inert tablets (like sugar pills), inert injections (like saline), sham surgery, and other procedures. In general, placebos can af ...
s, and drugs with temporary adverse effects to instill the erroneous beliefs. Therapists may pretend to "code" patients for a fixed length of time, such as five years. Coding was created by
Aleksandr Dovzhenko Oleksandr Petrovych Dovzhenko or Alexander Petrovich Dovzhenko ( uk, Олександр Петрович Довженко, ''Oleksandr Petrovych Dovzhenko''; russian: Алекса́ндр Петро́вич Довже́нко, ''Aleksandr Petro ...
, a
Soviet The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, it was nominally a federal union of fifteen nation ...
psychiatrist.


Methods

In the case of alcohol addiction, the procedure may be carried out with a drug that temporarily affects the
respiratory system The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and plants. The anatomy and physiology that make this happen varies ...
when mixed with alcohol, administered under hypnosis. 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 Visual impairment, also known as vision impairment, is a medical definition primarily measured based on an individual's better eye visual acuity; in the absence of treatment such as correctable eyewear, assistive devices, and medical treatment ...
or paralysis. In one method, the therapist numbs patients' mouths with
local anaesthetic A local anesthetic (LA) is a medication that causes absence of pain sensation. In the context of surgery, a local anesthetic creates an absence of pain in a specific location of the body without a loss of consciousness, as opposed to a general ...
, then places
electrode An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or air). Electrodes are essential parts of batteries that can consist of a variety of materials d ...
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.


See also

*
Aversion therapy Aversion therapy is a form of psychological treatment in which the patient is exposed to a stimulus while simultaneously being subjected to some form of discomfort. This conditioning is intended to cause the patient to associate the stimulus wit ...
* Mind-body interventions * Neurolinguistic programming


References

{{reflist Alternative medical treatments Deception Hypnosis Soviet inventions Drug rehabilitation Addiction psychiatry