title: The quality world change as a cause of addiction development in conditions of the north.
abstract: OBJECTIVE
  The aim was to study the quality world (QW), according to Glasser, in newcomers to the North.
  
  
  METHODS
  The study included clinical examination of newcomers to the North according to DSM-IV criteria. The QW was studies defined as important figures of significant others (parents, family members, persons loved, friends, acquaintances etc.) with various functions, such as control, revision, support and others.
  
  
  RESULTS
  It was found in the newcomers of North that they were unable to structure time in the way typical of their previous life, and that the absence of outside control from the significant others was expressed. The clinical evaluation revealed a strong sense of discomfort, anxiety, and depression. It was typical of the newcomers that they often tried to escape these feelings by alcohol intake, The newcomers used alcohol as a remedy to stimulate the imagination and to overcome the barriers in interpersonal relationships in the new environmental conditions. Alcohol also helped to re-establish the former patterns of self-object relationships and to re-experience the feelings of the comfortable QW pattern. The obtained data revealed that social isolation and hypostimulation led to a faster development of psychological alcohol dependence.
authors.affiliation: Novosibirsk State Medical Academy, Department of Psychiatry, Novosibirsk, Russia. korolenko@online.nsk.ru
authors.forename: C P
authors.initials: CP
authors.lastname: Korolenko
authors.forename: D V
authors.initials: DV
authors.lastname: Kensin
mesh_terms: D000328:Adult; D000428:Alcohol Drinking; D000437:Alcoholism / Q000523:psychology; D016739:Behavior, Addictive / Q000523:psychology*; D005191:Family Characteristics; D005260:Female; D015438:Health Behavior; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012800:Siberia; D012944:Social Support; D013315:Stress, Psychological