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 in.