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Saturday, January 18, 2025

LGBTQ rights in Russia

From Wikipedia, the free encyclopedia
LGBTQ rights in Russia
StatusSame-sex sexual activity legal since 1993 for consenting men and not criminalised for women. "Promotion" of LGBT identity illegal since 2013 (homosexuality) and 2022 (trans identity)
Gender identityGender change legal between 1997 and 2023, illegal afterwards
MilitaryLGBT people can serve in the army, there are no restrictions.
Discrimination protectionsNone
Family rights
Recognition of relationshipsNo recognition of same-sex unions
RestrictionsSame-sex marriage constitutionally banned since 2020
AdoptionNo

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in Russia face severe legal and social challenges not experienced by non-LGBTQ residents. Although sexual activity between consenting adults of the same sex is legal, homosexuality is disapproved of by most of the population and pro-LGBTQ advocacy groups are deemed "extremist" and banned. It is illegal for individuals to "promote homosexuality" and same-sex couples and households headed by same-sex couples are ineligible for the legal protections available to opposite-sex couples. Russia provides no anti-discrimination protections for LGBTQ people and does not have a designation for hate crimes based on sexual orientation and gender identity. Transgender people are not allowed to change their legal gender and all gender-affirming care is banned. There are currently no laws prohibiting discrimination based on gender identity or expression, and recent laws could be used to discriminate against transgender residents.

Russia has long held strongly negative views regarding homosexuality, with recent polls indicating that a majority of Russians are against the acceptance of homosexuality and have shown support for laws discriminating against homosexuals. Despite receiving international criticism for the recent increase in social discrimination, crimes, and violence against homosexuals, larger cities such as Moscow and Saint Petersburg have been said to have a thriving LGBTQ community. However, there has been a historic resistance to gay pride parades by local governments; despite being fined by the European Court of Human Rights in 2010 for interpreting it as discrimination, the city of Moscow denied 100 individual requests for permission to hold Moscow Pride through 2012, citing a risk of violence against participants. In 2016, Russia was rated the second least LGBT-friendly nation in Europe by ILGA-Europe. In 2024, the status of LGBTQ rights in Russia was ranked the worst out of the 49 countries surveyed within Europe.

In December 1917, after the October Revolution, the Russian Soviet Republic (later the Russian SFSR) decriminalised homosexuality. However, the Soviet Union under Joseph Stalin would later recriminalise sex between men in March 1934 with the addition of Article 154-a to the Soviet criminal code, which punished consensual anal sex between men with three to five years' imprisonment. The revised criminal code of 1961 continued to classify sexual relations between men as a crime, relocating it to Article 121 and providing for only a maximum of five years' imprisonment for consensual sex. Western observers estimated that, during the Soviet era, between 800 and 1000 men were imprisoned per year under Article 121. After the dissolution of the Soviet Union, homosexual acts between consenting males were re-legalised in 1993 (they had not been criminalised for women), removing Article 121 from the RSFSR penal code.

Since 2006, under Vladimir Putin, regions in Russia have enacted varying laws restricting the distribution of materials promoting LGBTQ relationships to minors; in June 2013, a federal law criminalizing the distribution of materials among minors in support of non-traditional sexual relationships was enacted as an amendment to an existing child protection law. The law has resulted in the numerous arrests of Russian LGBTQ citizens publicly opposing the law and there has reportedly been a surge of anti-gay protests, violence, and even hate crimes. It has received international criticism from human rights observers, LGBTQ activists, and media outlets and has been viewed as a de facto means of criminalizing LGBTQ culture. The law was ruled to be inconsistent with protection of freedom of expression by the European Court of Human Rights but as of 2021 has not been repealed. In 2022, the law was extended to apply to anyone regardless of age, thus making any expression deemed a promotion of non-traditional sexual relationships illegal.

In a report issued on 13 April 2017, a panel of five expert advisors to the United Nations Human Rights CouncilVitit Muntarbhorn, Sètondji Roland Adjovi; Agnès Callamard; Nils Melzer; and David Kaye—condemned the wave of torture and killings of gay men in Chechnya.

Since the Russian invasion of Ukraine, the authorities have stepped up reactionary measures, particularly against trans people. On 24 July 2023, President Putin signed into law a bill banning [ru] gender-affirming care in Russia.

On 30 November 2023, the Supreme Court ruled the international LGBTQ movement to be "extremist", outlawing it in the country. The next day, Russian security forces raided bars, male saunas and nightclubs across Moscow.

History

Under the reign of Peter the Great in the 18th, who introduced a wide range of reforms aimed at modernizing and Westernizing Russia, there was a ban on male homosexual activity, but only in military statutes for soldiers. In 1832, the criminal code included Article 995, which stated that muzhelozhstvo (Russian: мужеложство, 'sodomy'), or men lying with men, was a criminal act punishable by exile to Siberia for up to 5 years. Men lying with men was interpreted by courts as meaning anal sex. Application of the laws was rare, and the turn of the century found a relaxation of these laws and a general growing of tolerance and visibility.

In the wake of the October Revolution, the Bolshevik regime decriminalized homosexuality. The Bolsheviks rewrote the constitution and "produced two Criminal Codes – in 1922 and 1926 – and an article prohibiting homosexual sex was left off both." The new Communist Party government removed the old laws regarding sexual relations, effectively legalising homosexual intercourse within Russia, although it remained illegal in other territories of the Soviet Union, and the homosexuals in Russia were still persecuted and sacked from their jobs. Under Joseph Stalin, the Soviet Union recriminalized homosexuality in a decree signed in 1933. The new Article 154-a, later relocated to Article 121 in 1961, punished sexual relations between men with up to five years' imprisonment and led to several raids and arrests. Female homosexuals were sent to mental institutions. The decree was part of a broader campaign against "deviant" behavior and "Western degeneracy". Following Stalin's death, there was a liberalisation of attitudes toward sexual issues in the Soviet Union, but homosexual acts remained illegal. Discrimination against LGBT individuals persisted in the Soviet era, and homosexuality was not officially declassified as a mental illness until 1999.

Soviet Article 121 was often commonly used to extend prison sentences and to control dissidents. Among those imprisoned were the well-known film director Sergei Paradjanov and the poet Gennady Trifonov. Under Mikhail Gorbachev's administration in the late 1980s, the first gay organisation came into being. The Moscow Gay & Lesbian Alliance was headed by Yevgeniya Debryanskaya and Roman Kalinin, who became the editor of the first officially registered gay newspaper, Tema. The fall of the USSR accelerated the progress of the gay movement in Russia. Gay publications and plays appeared. In 1993, a new Russian Criminal Code was signed, without Article 121. Men who had been imprisoned began to be released.

Current situation

  • The age of consent currently stands at 16 since 2003, regardless of sexual orientation.
  • Homosexuality was officially removed from the Russian list of mental illnesses in 1999 (after the endorsement of the World Health Organization's ICD-10 classifications). However, there is a movement within Russia to bring it back. The Russian government introduced new laws on 1 July 2023 to effectively reinstate the classification of homosexuality as a mental illness.
  • Single persons living within Russia, regardless of their sexual orientation, can adopt children. Russian children can be adopted by a single person who lives in a foreign country provided that country does not recognize same-sex marriage. A couple can adopt children together, as a couple, only if they are a married heterosexual couple.
  • The Russian constitution guarantees the right of peaceful association. Nevertheless, organs of authority in Russia refuse to register LGBTQ organisations, and pro-LGBTQ advocacy groups have been declared extremist organisations and therefore prohibited from operating within Russian territory.

Public opinion

Public opinion in Russia tends to be hostile toward homosexuality and the level of intolerance has been rising. A 2022 survey found that 74% of Russians said homosexuality should not be accepted by society (up from 60% in 2002), compared to 14% who said that homosexuality should be accepted by society. In a 2015 survey of 2,471 Russians, 86% said homosexuality should not be accepted by society. In a 2007 survey, 68% of Russians said homosexuality is always wrong (54%) or almost always wrong (14%). In a 2005 poll, 44% of Russians were in favour of making homosexual acts between consenting adults a criminal act; at the same time, 43% of Russians supported a legal ban on discrimination on the basis of sexual orientation. In 2013, 16% of Russians surveyed said that gay people should be isolated from society, 22% said they should be forced to undergo treatment, and 5% said homosexuals should be "liquidated". In Russian psychiatry, Soviet mentality about homosexuality has endured into the present day. For instance, in spite of the removal of homosexuality from the nomenclature of mental disorders, 62.5% of 450 surveyed psychiatrists in the Rostov Region view it as an illness, and up to three-quarters view it as immoral behavior. The psychiatrists sustain the objections to pride parades and the use of veiled schemes to lay off openly lesbian and gay persons from schools, child care centres, and other public institutions. A Russian motorcycle club called the Night Wolves, which is closely associated with Russian President Vladimir Putin and which suggests "Death to faggots" as an alternate name for itself, organised a large Anti-Maidan rally in February 2015 at which a popular slogan was "We don't need Western ideology and gay parades!"

Same-sex unions

Neither same-sex marriages nor civil unions of same-sex couples are allowed in Russia. In July 2013, Patriarch Kirill, the leader of the Russian Orthodox Church, of which approximately 71% of Russians are adherents, said that the idea of same-sex marriage was "a very dangerous sign of the Apocalypse". At a 2011 press conference, the head of the Moscow Registry Office, Irina Muravyova, declared: "Attempts by same-sex couples to marry both in Moscow and elsewhere in Russia are doomed to fail. We live in a civil society, we are guided by the federal law, [and] by the Constitution that clearly says: marriage in Russia is between a man and a woman. Such a marriage [same-sex] cannot be contracted in Russia." The vast majority of the Russian public are also against same-sex marriage. In July 2020, Russian voters approved a Constitution amendment banning same-sex marriage. In the 2021 case Fedotova and Others v. Russia, the European Court of Human Rights ruled that it was a violation of human rights for Russia not to offer any form of legal recognition to same-sex relationships. However, Russia left the court in 2022.

Military service

Before 1993, homosexual acts between consenting males were against the law in Russia, and homosexuality was considered a mental disorder until adoption of ICD-10 in 1999, but even after that military medical expertise statute was in force to continue considering homosexuality a mental disorder which was a reason to deny homosexuals to serve in the military. On 1 July 2003, a new military medical expertise statute was adopted; it said people "who have problems with their identity and sexual preferences" can only be drafted during war times. However, this clause contradicted another clause of the same statute which stated that different sexual orientation should not be considered a deviation. This ambiguity was resolved by the Major-General of the Medical Service Valery Kulikov who clearly stated that the new medical statute "does not forbid people of non-standard sexual orientation from serving in the military." However, he added that people of non-standard sexual orientation should not reveal their sexual orientation while serving in the army because "other soldiers are not going to like that; they can be beaten". President Vladimir Putin said in a U.S. television interview in 2010 that openly gay men were not excluded from military service in Russia. In 2013, it was reported that the Defense Ministry had issued a guideline on assessment of new recruits' mental health that recommends recruits be asked about their sexual history and be examined for certain types of tattoos, especially genital or buttocks tattoos, that would allegedly indicate a homosexual orientation.

As of April and May 2023 there has been a proposed crackdown on the changing of genders. The Russian State Duma is considering passing new laws to prevent men from changing their gender from male to female without surgery. The proposed changes, as first discussed by the Russian Minister of Justice, Konstantin Chuychenko, in April are to "rule out the possibility of changing a person’s gender purely by changing the documents.” Duma Committee on Family, Women, and Children's Affairs head Nina Ostanina said: "Amendments will soon be introduced in the State Duma to officially ban gender reassignment without surgery," In part it is to protect "family values" in Russia. However Russian men have considered changing their genders to avoid being called by the military authorities. According to one Russian source "In connection with the special operation, many young people have turned to private clinics to provide a sex change to avoid conscription..."Vyacheslav Volodin, Speaker of the Duma, claims that some "2,700" such decisions have been made in "recent times".

Gay pride events

LGBT activists in Saint Petersburg, Russia, 1 May 2017

There have been notable objections to the organisation of gay pride parades in several Russian cities, most prominently Moscow, where authorities have never approved a request to hold a gay pride rally. Former Moscow mayor Yuri Luzhkov supported the city's refusal to authorize the first two editions of Nikolay Alexeyev's Moscow Pride events, calling them as "satanic". The events still went on as planned, in defiance of their lack of authorisation. In 2010, Russia was fined by the European Court of Human Rights, ruling that, as alleged by Alexeyev, Russian cities were discriminating against the gay community by refusing to authorize pride parades. Although authorities had claimed allowing pride events to be held would pose a risk of violence, the Court ruled that their decisions "effectively approved of and supported groups who had called for [their] disruption." In August 2012, contravening the previous ruling, the Moscow City Court upheld a ruling blocking requests by the organisers of Moscow Pride for authorisation to hold the parade yearly through 2112, citing the possibility of public disorder and a lack of support for such events by residents of Moscow.

Chechnya

Chechen leader Ramzan Kadyrov (right) with Chechnya's parliamentary chairman Magomed Daudov

Anti-gay purges in the Chechen Republic have included forced disappearances — secret abductions, imprisonment, and torture — by authorities targeting persons based on their perceived sexual orientation. An unknown number of men, who authorities detained on suspicion of being gay or bisexual, have reportedly died after being held in what human rights groups and eyewitnesses have called concentration camps.

Allegations were initially reported on 1 April 2017 in Novaya Gazeta, a Russian-language opposition newspaper, which reported that since February 2017 over 100 men had allegedly been detained and tortured and at least three had died in an extrajudicial killing. The paper, citing its sources in the Chechen special services, called the wave of detentions a "prophylactic sweep". The journalist who first reported on the subject went into hiding. There have been calls for reprisals against journalists who report on the situation.

As news spread of Chechen authorities' actions, which have been described as part of a systematic anti-LGBTQ purge, Russian and international activists scrambled to evacuate survivors of the camps and other vulnerable Chechens but were met with difficulty obtaining visas to conduct them safely beyond Russia.

The reports of the persecution were met with a variety of reactions worldwide. The Head of the Chechen Republic Ramzan Kadyrov denied not only the occurrence of any persecution but also the existence of gay men in Chechnya, adding that such people would be killed by their own families. Officials in Moscow were sceptical, although in late May the Russian government reportedly agreed to send an investigative team to Chechnya. Numerous national leaders and other public figures in the West condemned Chechnya's actions, and protests were held in Russia and elsewhere. A report released in December 2018 by the Organization for Security and Cooperation in Europe (OSCE) confirmed claims that persecution of LGBTQ persons had taken place and was ignored by authorities.

On 11 January 2019, it was reported that another 'gay purge' had begun in the country in December 2018, with several gay men and women being detained. The Russian LGBT Network believes that around 40 persons were detained and two killed.

In March 2021, Reuters reported that the European Union imposed economic sanctions on two Chechen officials accused of persecuting LGBTQ people in Chechnya.

Public opinion

Support for same-sex marriage in the Russian Federation (2019 poll)

  Oppose (87%)
  Support (7%)
  Other (6%)

Russia has traditionally been socially conservative on LGBT rights, with 2013 polls indicating a large majority of Russians oppose legal recognition of same-sex marriage, and support for laws restricting the distribution of "propaganda" that promotes non-traditional sexual relationships.

In 2019, a survey showed that 47% of Russian respondents agreed that "gays and lesbians should enjoy the same rights as other citizens," while 43 percent disagreed, a rise from 39% in 2013. This marks the highest level of support in 14 years.

In 2019, a poll showed that only 2% would show interest and a willingness to communicate if the neighbour was a homosexual couple or a member of a religious sect, the last of the category of people presented.

According to a 2019 poll carried out by the Russian Public Opinion Foundation (FOM), 7% of Russians agreed that same-sex marriages should be allowed in Russia, while 87% opposed the idea.

Demographics Support for same-sex marriage
Yes No
Total 7% 87%
Gender
Male 5% 89%
Female 8% 85%
Age
18–30 12% 82%
31–45 6% 90%
46–60 7% 87%
60 and older 3% 88%
Federal district
Central 9% 84%
– Moscow 11% 80%
North West 10% 84%
South 2% 94%
North Caucasus 4% 90%
Volga 8% 83%
Ural 6% 88%
Siberia 6% 89%
Far East 5% 89%

Employment discrimination

Anton Krasovsky, a television news anchor at government-run KontrTV, was immediately fired from his job in January 2013 when he announced during a live broadcast that he is gay and disgusted by the national anti-gay propaganda legislation that had been proposed although had not yet passed.

In September 2013, a Khabarovsk teacher and gay rights activist, Alexander Yermoshkin, was fired from his two jobs as school teacher and university researcher. A week earlier, he had been attacked by members of a local neo-Nazi group "Shtolz Khabarovsk". An activist group called "Movement against the propaganda of sexual perversions" had campaigned for his dismissal.

Viewpoints of political parties

The federal law banning LGBT propaganda among minors was passed unanimously by the Russian Duma; as the bill amended an existing child protection law, it is difficult to know whether or not all of the MPs, and their respective political parties, supported every aspect of the bill or not. A few political parties without members in the Duma have expressed some limited support for LGBT rights.

Yabloko is a member of the Liberal International, and has organised public demonstrations against intolerance under the banner of building a "Russia without pogroms".

The Libertarian Party of Russia, formed in 2007, has objected to the government ban on "gay propaganda" as a violation of people's right to freedom of speech.

In 2016, two openly gay men ran for seats in the Russian duma. While they admit that they probably will not win a seat, they were supported by a liberal coalition. They are also probably the first openly gay candidates to run for seats in the Russian parliament.

The LGBT rights organisation Gayrussia.ru has been monitoring homophobic political parties since 2011. In the middle of 2013 their list included: United Russia, Communist Party of Russian Federation, Narodnaya Volya, National Bolshevik Party, National Bolshevik Front, Patriots of Russia, Eurasian Youth Union and Fair Russia.

President Vladimir Putin has used the existence of transgender rights in other countries as justification for the potential deployment of nuclear weapons against Ukraine. In a speech given on September 30, 2022, Putin said "Do we want things that lead to degradation and extinction to be imposed on children from elementary school? Do we want them to be taught that instead of men and women, there are supposedly some other genders and to be offered sex-change surgeries? This is unacceptable to us." before following up by stating that Russia would be willing to use "all means at our disposal" against Ukraine, and saying that the United States "created a precedent" when it used nuclear weapons against Japan in 1945, mirroring comments by other Russian officials that nuclear weapons were on the table.

Hate crimes

Hate crimes against LGBTQ individuals are on the rise in Russia. They became more prevalent as a direct consequence of the "gay propaganda law". The introduction of this discriminatory legislation caused a disturbing chain reaction. Across the country, numerous individuals, sometimes with implicit support from authorities, engaged in acts of violence against LGBTQ individuals. Some of those individuals organized hate groups that viewed the elimination of LGBTQ people as a means of restoring societal order. The Russian government does not officially record hate crimes against the LGBTQ community, perpetuating a narrative that such individuals do not exist.

Overall, the number of crimes is triple that prior to the law. This has been reported by a number of research projects and NGOs (2 Russian NGOs - LGBT Initiative Group Stimul and SOVA Center and 1 international organization - OSCE Office for Democratic Institutions and Human Rights – ODIHR). In addition to this quantitative change, crimes against LGBTQ people have become more violent, and more are perpetrated by groups rather than individuals.

Increase in hate crime

Number of hate crimes against LGBTQ individuals in Russia (2010–2020)

Between 2013 and 2018 the number of hate crimes against LGBTQ people tripled. Such crimes existed before 2013, but the level of violence increased significantly after the introduction of the discriminatory legislation. The increase was recorded in the following year, and it remained on a higher level throughout the decade. It was reported that between 2010 and 2020 there were 1056 hate crimes committed against 853 individuals, with 365 fatalities. The number of crimes after the "gay propaganda" law was enacted is three times higher than before (46 in 2010 compared to 138 in 2015).

These incidents include violent attacks, murders, threats, destruction of property, robberies and others.

After 2013 crime against gay people was found by research to have become more violent, with 67% of hate crime incidents having indications of "extreme violence".

Additionally, the crimes became more elaborate, there were more premeditated crimes, committed with preparation (oftentimes by a group of perpetrators with a purposeful selection of a homosexual target) - for 3 years in a row (2017, 2018, 2019) there was an increase in organized hate crimes against LGBTQ, attributed to the activity of homophobic hate groups. In most of the cases those hate groups used dating apps and websites in order to "hunt" homosexuals. Those attacks would oftentimes include physical abuse and harassment, the videos of attacks are disseminated on the Internet.

One of the most prevalent hate group - Occupy Pedophilia became very active in the aftermath of "the gay propaganda law". Launched by Maxim Martsinkevich, a.k.a. Tesak, at the peak of its activity it was present in 40 regions of Russia. The ideology of this hate group was described in Tesak's book Restruct (2012), where he specifically addresses homosexuality, stating that it “cannot be cured” and therefore needs to be exterminated:

Restrukt [Tesak's follower] is heterosexual. In all his actions, he relies on the laws of nature, therefore he does not allow any tolerance for homosexuals. He hates them, like all other vices. However, this one, unlike some of the others, cannot be cured. There might be former smokers and former alcoholics, but there cannot be former faggots.

Between 2010 and 2020 the research identified 205 cases of hate crimes committed by various homophobic hate groups. Moreover, the introduction of the "gay propaganda law" had a noticeable effect on this - the number of cases grew from 2 in 2010 to 38 in 2014. Many of those crimes are committed by Tesak, his followers or copycat movements.

Some notable cases

The crimes committed by the numerous hate groups follow the same scenario.

The presumed paedophile is subjected to a filmed interrogation in which the microphone is replaced by a dildo or a toilet brush. Tesak asks him to identify himself, to hold his passport up to the screen, to indicate his address, to say whether or not he is married and if he has children. After the naming and shaming stage, the questions are then aimed at making the presumed paedophile admit his intentions in going to the date and, more generally, his sexual preferences: ‘are you a paedophile or a paederast?’ […] “Congratulations, you have just completely ruined your life”, jokes Tesak while filming another of his prey lying motionless in his bathtub and being subjected to this pretence of an investigation. The presumed paedophile must often call close people in his life – his wife, children, brother or employer – and has to confess his guilt in front of the camera. His head is sometimes shaved or his hair dyed green. Homophobic and defamatory inscriptions are written on his forehead (‘Fuck LGBT’, or a rainbow flag). He is made to simulate fellatio with a dildo, and to prance around and sing silly songs. Sometimes he is filmed without any clothes on. He is slapped, shouted at and roughed up. The punishment known as ‘urotherapy’ is a common practice in all of Occupy Paedophilia’s videos and a hallmark of neo-Nazi vigilantes. It involves throwing urine in the prey’s face or making them drink it.

On 20 January 2013, six demonstrating LGBT activists in the provincial capital of Voronezh were attacked by over 500 people. The protest by these agitators, who appeared with Hitler salutes and hate slogans and threw snowballs, bottles and other objects at the demonstrators and then beat them up, was not registered. The police assigned 10 officers to this event. The employees of the nearby Adidas sports shop staged its mannequins with Hitler salutes in solidarity with the beating. At least three LGBT activists, including women, were injured and hospitalized during the resistance. On the same day, the author of the Petersburg law against 'homosexual propaganda', Vitaly Milonov, posted on his Twitter that "Voronezh is great".

Activists in Madrid protest LGBT rights violations in Russia. 'El amor siempre gana' translates as 'Love always wins'.

Unlike in many western nations, LGBT persons in Russia are not protected by specific legal protections. Violent criminal acts carried out against LGBT people are prosecuted as criminal offences under Russian law, but the fact that these crimes are motivated by the sexual orientation or gender identity of the victim is not considered an aggravating factor when the court determines the sentence. Among the more vicious crimes that would qualify as hate crimes outside of Russia and are reported in the press would include the following;

  • On 9 May 2013, after Victory Day parades in Volgograd, the body of a 23-year-old man was found tortured and murdered by three males who stated anti-homosexual motivations, even though family and friends state the victim had no behavior inclination.
  • On 29 May 2013, the body of 38-year-old deputy director of Kamchatka airport Oleg Serdyuk (rus: Олег Сердюк) was found in his burned-out car, having been beaten and stabbed the previous day. Local authorities said the murder was motivated by homophobia. Three suspects (who were local residents) were tried and sentenced to prison terms of 9 to 12 years.
  • From October 2013 – February 2014, anti-gay attacks targeting the LGBT community in Moscow were reported at Russia's largest gay nightclub Central Station, including gunfire and gas attacks. Several attacks and victim responses were documented in an ABC News Nightline special "Moscow is Burning". Several employees of the club subsequently left the country.

Transgender issues

In Tsarist Russia, young women would sometimes pose as men or act like tomboys. This was often tolerated among the educated middle classes, with the assumption that such behavior was asexual and would stop when the girl married. However, cross-dressing was widely seen as sexually immoral behavior, punishable by God promoted through the Church and later criminalized by the government.

In Soviet Russia, sex reassignment surgeries were first tried during the 1920s but became prohibited until the 1960s. Later they were performed by Irina Golubeva, an endocrinologist, authorized by psychiatrist Aron Belkin, who was the strongest Soviet advocate for transgender people until his death in 2003.

On 29 December 2014, Russia passed a road safety law, allowing the government to deny driver's licenses to people with several classes of mental disorders according to ICD-10. Class "F60-69 Disorders of adult personality and behaviour" includes "F64 Transsexualism" Russian and foreign critics perceived the law as a ban on transgender drivers: journalist Yelena Masyuk questioned the relevance of a person's transgender identity in regards to their ability to drive. On 14 January 2015, Russia's Health Ministry clarified the law, stating that it would only deny licenses to those with disorders that would impair their ability to drive safely, and explicitly stated that one's sexual orientation would not be considered a factor under the law, as it is not considered a psychiatric disorder.

In 2018, the Ministry of Health of the Russian Federation developed a draft medical certificate that will help transgender people with confirming their gender identity on their legal documents. The Ministry of Justice approved this document on January 19, 2018. Up to this point, changes related to the gender change could only be made to the documents on the basis of a court decision. The Ministry of Health explained that, in accordance with the legislation, the registry offices make changes to the birth certificate if a mentioned certificate is submitted.

A certificate of gender change required to change person's gender in documents such as a birth certificate and passport, and can be obtained on the basis of a medical commission consisting of a psychiatrist, a sexologist and a medical psychologist. Neither sex-affirmative surgery nor hormone replacement therapy are required. The minimum duration of psychiatric observation is not specified in the final document of the Ministry of Health. On average, the commission lasts from 2 days to 1 month.

On 31 May 2023, a bill to legally ban individuals having any sex change and reassignments within Russia, annulling marriages with partners that have changed gender and banning said individuals from adopting children was introduced in the State Duma. On 19 July, the bill unanimously passed its three required readings in the State Duma (lower house of parliament). On 19 July, the upper house of parliament unanimously approved the bill as well.

On 24 July, the bill was signed into law by Russian president Vladimir Putin. State Duma Speaker Vyacheslav Volodin said the number of gender reassignment surgeries in the U.S. has increased by 50 times over the past 10 years, and around 1.4% of all US teenagers aged between 13 and 17 identified themselves as transgender in 2022. He said “This is the path leading to the degradation of a nation”, stating that the newly adopted law was designed to avoid such a scenario.

In July 2023, Russia enacted the "Law Banning Gender Transition in Russia" [ru], which includes the following provisions:

  • doctors are prevented from offering gender-affirming healthcare and sexual reassignment surgery to any individual, regardless of age.
  • changing gender markers on official documents is not allowed.
  • people suffering from gender dysphoria have been deprived of the right to adopt children.
  • a marriage by a trans individual with a person who shares the same birth sex as them is deemed null.

In January 2024, Meduza reported that Russia's MVD had begun bringing transgender people in for questioning. According to one transgender subject, he was questioned about where he got the medical certificate approving his transition, how much it cost, who was on the committee to approve it, and if he had attended any LGBT parties. After answering that he didn't remember the answer to the last question, he was told that they would keep bringing him in until he did. He was also told that if his approval certificate turned out to be invalid, that he would be forcibly detransitioned.

Propaganda bans

Displayed in   are countries where homosexuality is not illegal, but where freedom of expression and association is censored or prohibited.   are countries where such laws result in arrest or detention. Russia is listed in this category.

Regional laws

Ten Russian regions passed laws banning the distribution of "propaganda" relating to homosexuality, and/or other LGBT relationships, to minors.
  Ban on the promotion of homosexuality, bisexuality and transidentity
  Ban on the promotion of homosexuality and bisexuality
  Ban on the promotion of homosexuality

Between 2006 and 2013, ten regions enacted a ban on "propaganda of homosexualism" among minors. The laws of nine of them prescribe punishments of administrative sanctions and/or fines. The laws in some of the regions also forbid so-called "propaganda of bisexualism and transgenderism" to minors. As of May 2013 the regions that had enacted these various laws, and the years in which they had passed the laws, included: Ryazan Oblast (2006), Arkhangelsk Oblast (2011), Saint Petersburg (2012), Kostroma Oblast (2012), Magadan Oblast (2012), Novosibirsk Oblast (2012), Krasnodar Krai (2012), Samara Oblast (2012), Bashkortostan (2012), and Kaliningrad Oblast (February 2013). Then, Arkhangelsk (2013) and Saint Petersburg (2014) removed the law.

In 2019, Russia cut and censored gay sex scenes in the movie musical Rocketman based on the life of British singer Elton John, a decision he criticized, saying it is "cruelly unaccepting of the love between two people."

National laws

Federal laws passed on 29 June 2013 ban the distribution of "propaganda of non-traditional sexual relationships" among minors. Critics contend the law makes illegal holding any sort of public demonstration in favour of gay rights, speak in defence of LGBT rights, and distribute material related to LGBT culture, or to state that same-sex relationships are equal to heterosexual relationships. Additionally the laws have received international condemnation from human rights campaigners, and media outlets that even display of LGBT symbols, such as the rainbow flag, have resulted in arrests, and incited homophobic violence.

The law subjects Russian citizens found guilty to fines of up to 5,000 roubles and public officials to fines of up to 50,000 roubles. Organisations or businesses will be fined up to 1 million rubles and be forced to cease operations for up to 90 days. Foreigners may be arrested and detained for up to 15 days then deported, as well as fined up to 100,000 rubles. Russian citizens who have used the Internet or media to promote "non-traditional relations" will be fined up to 100,000 rubles.

The statute amended a law that is said to protect children from pornography and other "harmful information". One of the authors of the statute, Yelena Mizulina, who is the chair of the Duma's Committee on Family, Women, and Children and who has been described by some as a moral crusader, told lawmakers as the bill was being considered, "Traditional sexual relations are relations between a man and a woman.... These relations need special protection". Mizulina argued that a recent poll had shown 88% of the public were in support of the bill.

Member of the Legislative Assembly of Saint Petersburg, Vitaly Milonov. Milonov is interviewed in the 2014 American documentary film Campaign of Hate: Russia and Gay Propaganda.

Commenting on the bill prior to its passage, President Putin said, during a visit to Amsterdam in April 2013, "I want everyone to understand that in Russia there are no infringements on sexual minorities' rights. They're people, just like everyone else, and they enjoy full rights and freedoms". He went on to say that he fully intended to sign the bill because the Russian people demanded it. As he put it, "Can you imagine an organization promoting pedophilia in Russia? I think people in many Russian regions would have started to take up arms.... The same is true for sexual minorities: I can hardly imagine same-sex marriages being allowed in Chechnya. Can you imagine it? It would have resulted in human casualties." Putin also mentioned that he was concerned about Russia's low birth-rate and that same-sex relationships do not produce children.

Critics say that the statute is written so broadly that it is in effect a complete ban on the gay rights movement and any public expression of LGBT culture.

In July 2013, four Dutch tourists were arrested for allegedly discussing gay rights with Russian youths. The four were arrested for allegedly spreading "propaganda of nontraditional relationships among the under-aged" after talking to teens at a camp in the northern city of Murmansk.

In March 2018 the Russian authorities forbade the biggest gay website Gay.ru because of "propaganda of nontraditional sexual relationships".

In December 2022, an amendment to the propaganda law was signed into law by Putin, extending it to all age groups. It also prohibits the distribution of materials that promote "pedophilia", or give minors a "desire to change their sex".

In February 2023, the Russian government introduced the AI program Oculus to scan the internet for illegal content, including “LGBT propaganda.”

In November 2023, Russia's Supreme Court declared the "international LGBT movement" an extremist organisation, following a Ministry of Justice lawsuit citing "various signs of an extremist orientation." This decision raised concerns for LGBTQ+ individuals and organisations in Russia, as it could lead to criminal prosecution for simple acts like displaying the rainbow flag, and was seen as part of President Putin's campaign to emphasize "Russian traditional values." The ruling has been criticized by human rights groups, including Amnesty International, as "shameful and absurd."

On 22 March 2024, the Supreme Court of Russia declared the "international LGBT social movement and its structural units,” to be a terrorist and extremist organization.

Domestic reactions

Saint Petersburg protest march, 1 May 2014

According to a survey conducted in June 2013 by the Russian Public Opinion Research Center (VTsIOM), at least 90% of those surveyed were in favor of the law.

Russian historian and human rights activist Lyudmila Alexeyeva has called it "a step toward the Middle Ages".

In January 2016, the State Duma rejected a proposal by the Communist Party to punish people who publicly express their homosexuality with fines and arrests.

International reactions and boycott

Activists painted the pedestrian pavement in front of the Russian Embassy in Finland with rainbow colours to protest Russian's anti-LGBT sentimentality and legislation. Similar activism has been done in Sweden.

International human rights organisations and the governments of developed democracies around the world have strongly condemned this Russian law. The Office of the United Nations High Commissioner for Human Rights has condemned this Russian statute and another similar one in Moldova (which was later repealed) as discriminatory and has made clear that the Russian statute in question is a violation of international human rights law, including the right of gay children to receive proper information. The European Parliament has condemned Russia for homophobic discrimination and censorship and the Council of Europe has called on Russia to protect LGBT rights properly. The European Court of Human Rights had previously fined Russia for other infringements of LGBT rights. In 2012 the UN Human Rights Committee ruled that a similar statute in the Russia's Ryazan Region was discriminatory, infringed on freedom of expression, and was inadmissible under international law – a Russian court in Ryazan later agreed and struck it down. Some members of the gay community commenced a boycott of Russian goods, particularly Russian vodka.

Many Western celebrities and activists are openly opposed to the law and have encouraged a boycott of Russian products – notably Russian vodka – as well as a boycott of the 2014 Winter Olympic Games, which were scheduled to be held in Sochi, unless the Games were relocated out of Russia.

Political figures

United States President Barack Obama said that while he did not favour boycotting the Sochi Olympics over the law, "Nobody's more offended than me about some of the anti-gay and lesbian legislation that you've been seeing in Russia". Obama subsequently, in September 2013, met with Russian gay rights activists during a visit to St. Petersburg to attend a meeting of the G-20 nations' leaders. Obama said that he was proud of the work the activists were doing. His aides had said that Obama's opposition to the anti-gay propaganda law was one reason Obama had canceled a meeting previously planned to have been held with Russian President Putin during the trip.

The law was also condemned by German Chancellor Angela Merkel and German cabinet secretaries, British Prime Minister David Cameron, Australian Foreign Minister Bob Carr, as well as Canadian Prime Minister Stephen Harper and Foreign Affairs Minister John Baird.

Sneaker wave

From Wikipedia, the free encyclopedia
https://en.wikipedia.org/wiki/Sneaker_wave
Sneaker wave at Bolinas, California

A sneaker wave, also known as a sleeper wave, or in Australia as a king wave, is a disproportionately large coastal wave that can sometimes appear in a wave train without warning.

Terminology

The term "sneaker wave" is popular rather than scientific, derived from the observation that such a wave can "sneak up" on an unwary beachgoer. There is no scientific coverage of the phenomenon as a distinct sort of wave with respect to height or predictability as there is on other extreme wave events such as tsunamis or rogue waves, and little or no scientific evidence has been gathered to identify, describe, or define sneaker waves. Although the term "rogue wave" — meaning an unusually tall or steep wave in mid-ocean — is sometimes used as a synonym for "sneaker wave," one American oceanographer distinguishes "rogue waves" as occurring on the ocean and "sneaker waves" as occurring at the shore, while the National Oceanic and Atmospheric Administration loosely defines rogue waves as offshore waves that are at least twice the height of surrounding waves and sneaker waves as waves near shore that are unexpectedly and significantly larger than other waves reaching shore at the time. Scientists do not yet understand what causes sneaker waves, and their relationship to rogue waves, if any, has not been established.

In a 2018 paper, Oregon State University researchers wrote that sneaker waves form in offshore storms that transfer wind energy to the ocean surface. The resulting waves then arrive along a coastline during periods of calm weather, and the greater amount of energy they contain compared to the regular waves that preceded them causes them to travel far higher up the shore than the other waves. As of 2021, the National Weather Service in the United States viewed ocean conditions along the United States West Coast as favorable for sneaker waves when an offshore storm generates waves with a particularly long period — perhaps longer than 15 seconds — between swells, allowing the swells to build considerable force before reaching shore, where they might appear either as conventional large waves or as sneaker waves.

Characteristics

Sneaker waves appear suddenly on a coastline and without warning; generally, it is not obvious that they are larger than other waves until they break and suddenly surge up a beach. A sneaker wave can occur following a period of 10 to 20 minutes of gentle, lapping waves. Upon arriving, a sneaker wave can surge more than 150 feet (50 m) beyond the foam line, rushing up a beach with great force. In addition to containing a large volume of rapidly surging water, a sneaker wave also tends to carry a large amount of sand and gravel with it. It can be strong enough to break over rocks and float or roll large, waterlogged logs lying on the beach weighing several hundred pounds, moving them up the beach during the landward surge and then back down toward the ocean as the wave retreats. Sneaker waves appear to be more common along steep coastlines than in areas with broader, more gently sloped beaches.

Hazards

The unpredictability of sneaker waves and their tendency to arrive suddenly after lengthy periods of gentle, lapping waves makes it easy for them to surprise unwary or inexperienced beachgoers; because they are much larger than preceding waves, sneaker waves can catch inattentive swimmers, waders, and other people on beaches and ocean jetties and wash them into the sea. The force of a sneaker wave's surge and the large volume of water rushing far up a beach is enough to suddenly submerge people thigh- or waist-deep, knock them off their feet, and drag them into the ocean or trap them against rocks. Many coastlines more prone to sneaker waves lie in colder parts of the world where beachgoers tend to wear heavier clothing; the amount of sand and gravel in a sneaker wave can quickly fill such clothing and footwear such as boots with sediment that weighs a person down as he or she is swept up a beach and then back into the sea, increasing the chances of drowning. Floating and rolling logs in a sneaker wave also pose a danger, as they can badly injure people as well as pin people down when they come to rest, and it can be difficult or impossible to move such a log before a person pinned by it drowns as later waves arrive and fill the person's lungs with water and sediment.

Geographic distribution

Sneaker waves are mainly referred to in warnings and reports of incidents for the coasts of Central and Northern California (including the San Francisco Bay Area's beaches, especially Ocean Beach, Baker Beach, and those that face the Pacific Ocean, e.g. from Big Sur to the California–Oregon border), Oregon, and Washington in the Western United States. Sneaker waves also occur on the coast of British Columbia in Western Canada, especially the province's southern coast, because they commonly occur on the west coast of Vancouver Island (including Tofino, Ucluelet, and Cape Scott Provincial Park). Sneaker waves are common on the southern coast of Iceland, and warning signs were erected at Reynisfjara and Kirkjufjara beaches, following three unrelated tourist deaths at those beaches over several years, the third of them in January 2017. In Australia, where they are known as "king waves," sneaker waves occur especially in Western Australia and Tasmania, where they can be a hazard for rock fishermen.

Along much of the United States West Coast, sneaker waves kill more people than all other weather hazards combined. In Oregon, 21 deaths were attributed to sneaker waves from 1990 through March 2021, most of the deaths occurring between October and April, although sneaker waves also occurred at other times of year.

A sneaker wave incident gained worldwide media attention when two large waves suddenly and unexpectedly struck a crowd watching the Mavericks surfing competition at Mavericks in Princeton-by-the-Sea, California, on February 13, 2010, breaking over a seawall onto a narrow beach and injuring at least 13 people. The incident was caught on film.

In March 2014, a massive wave struck Roi-Namur in Kwajalein Atoll in the Marshall Islands on an otherwise calm, sunny day, penetrating well inland, flooding parts of the island and swamping coastal roads.

On September 18, 2023, a sneaker wave smashed into a beachside restaurant at Marina Beach near Southbroom, South Africa, injuring seven people. One restaurant patron was swept out to sea but rescued by lifeguards. The wave was filmed.

Rio de Janeiro's Barra de Tijuca beach in Brazil experiences sneaker waves, known locally as ressaca waves. It also is a steep beach and a December 2023 news film shows the whole beach being cleared by a sneaker wave.

On 20 January 2024, one or more sneaker or rogue waves struck the United States Army′s Ronald Reagan Ballistic Missile Defense Test Site on Roi-Namur in Kwajalein Atoll in the Marshall Islands, breaking down the doors of a dining hall, knocking several people off their feet, moderately to severely damaging the dining hall, the Outrigger Bar and Grill, the chapel, and the Tradewinds Theater, and leaving parts of the island, including the automotive complex, underwater. The flooding of the dining hall was filmed. The wave or waves penetrated 300 feet (100 m) inland and probably were between 29 and 40 feet (8.8 and 12.2 m) tall amid a significant wave height of 10 feet (3 m) to 15 feet (5 m).

Seventh wave

In many parts of the world, local folklore predicts that out of a certain number of waves, one will be much larger than the rest. "Every seventh wave" or "every ninth wave" are examples of such common beliefs that have wide circulation and have entered popular culture through music, literature, and art. These ideas have some scientific merit, due to the occurrence of wave groups at sea, but there is no explicit evidence for this specific phenomenon, or that these wave groups are related to sneaker waves. The saying is likely derived more from a cultural fascination with certain numbers, and it may also be designed to educate shore-dwellers about the necessity of remaining vigilant when near the ocean.

Subjective response to alcohol

Subjective response to alcohol (SR) refers to an individual's unique experience of the pharmacological effects of alcohol and is a putative risk factor for the development of alcoholism. Subjective effects include both stimulating experiences typically occurring during the beginning of a drinking episode as breath alcohol content (BAC) rises and sedative effects, which are more prevalent later in a drinking episode as BAC wanes. The combined influence of hedonic and aversive subjective experiences over the course of a drinking session are strong predictors of alcohol consumption and drinking consequences. There is also mounting evidence for consideration of SR as an endophenotype with some studies suggesting that it accounts for a significant proportion of genetic risk for the development of alcohol use disorder.

Theoretical models

Low Level of Response Model

The Low Level of Response Model proposes that individuals who are less sensitive to the effects of alcohol are at greater risk for developing alcohol use disorder. One explanation for this phenomenon is that the experiences of elevated intoxication constitutes a feedback mechanism, which prompts drinking cessation. Low-level responders need to consume more alcohol than high responders to achieve a similar level of intoxication and experience the aversive effects of alcohol; consequently, these individuals must consume more alcohol to trigger the negative feedback loop. Escalating alcohol consumption may ultimately contribute to the development of tolerance, which further dampens sensitivity to alcohol's unpleasant effects. Notably, there is no population-level demarcation separating low from high responders and so level of response is arbitrarily defined (generally in terciles) within a given sample.

Early studies compared SR in individuals (mostly males) with (FH+) and without (FH-) a family history of alcohol dependence in order to demonstrate that individual differences in SR could be considered genetically linked determinants of alcohol use disorder. Non-placebo controlled studies conducted by Schuckit and colleagues found that FH+ males experienced less of the aversive effects of alcohol as compared to FH- males matched on key demographic and body mass variables. Furthermore, FH+ young males and their fathers showed similar SR after reaching peak BAC, suggesting that SR is a heritable risk factor for the development of alcohol use disorder. Schuckit's placebo-controlled studies generally reported lower SR among FH+, as compared to FH-, subjects along declining BAC, with differences more evident among men than women. Additional studies found that FH+ subjects who experienced low-level of response were more than 4 times as likely to meet criteria for alcohol use disorder at 10-year follow-up as compared to FH- subjects who reported the same SR pattern. Subsequent follow-up studies conducted primarily by Schuckit's group established that low-level of response is a genetically linked risk factor for alcohol use disorder, which is not better explained by robust confounding factors such as age of first drink, current alcohol use and impulsivity. A 1992 meta-analysis further buttressed the Low Level of Response Model by reporting that sons of alcoholics exhibited lower responses to alcohol on both the ascending and descending limbs of the BAC curve. Importantly, differences in SR by family history were significant only in the alcohol condition and not the placebo condition, suggesting that SRs observed in the alcohol condition could be attributed to the pharmacological effects of alcohol, rather than to a confounding factor. A 2011 meta-analysis revealed that FH+ individuals reported lower SR in comparison to FH- individuals across both limbs of intoxication, consistent with the Low Level of Response Model. These findings were more robust along the descending limb of the BAC curve where sedative effects of alcohol are more prevalent and among males who comprised the overwhelming majority of participants in early SR studies.

Critics noted that studies supporting the Low Level of Response Model only accounted for the negatively valenced sedative effects of alcohol and that while decreased sensitivity to aversive effects of alcohol would likely lead to increased drinking frequency and severity, the subjective effects of alcohol are, in actuality, quite varied. For example, it is widely accepted that the rewarding properties of alcohol are reinforcing. Yet, according to the Low Level of Response Model, reduced sensitivity to these rewarding effects is an indicator of problematic drinking. To that end, critics have noted that in Schuckit's seminal SR study, FH+ males experienced more "energy" than FH- males along rising BAC, suggesting that heightened sensitivity to the stimulating effects of alcohol may convey risk for developing alcohol problems. Another study found that FH+ subjects reported experiencing less intoxication than FH- subjects in response to a placebo drink, indicating that alcohol expectancies may account for differences in risk more so than SR. That is, individuals at greatest risk for developing alcohol use disorder may expect alcohol to be more enjoyable and less aversive than low-risk individuals.

Differentiator Model

The Differentiator Model is based on the widely accepted notion that alcohol's effects are biphasic. That is, the stimulating effects of alcohol (i.e., euphoria, sociality, energy) are more prevalent as BAC rises (i.e., ascending limb), while alcohol's sedative effects (i.e., relaxation, nausea, headaches) are experienced most strongly as BAC falls (i.e., descending limb). The Differentiator Model proposes that individuals at greatest risk for developing alcohol use disorder (or those who already meet criteria for alcohol use disorder) are more sensitive to the stimulating effects of alcohol on the ascending limb of intoxication and less sensitive to the sedative effects on the descending limb. Additionally, the combination of heightened rewards and diminished consequences over the course of a drinking episode increases motivation to consume alcohol, leading to longer and more frequent drinking episodes. Repeated engagement in these risky drinking occasions may ultimately contribute to the development of alcohol use disorder.

Support for the Differentiator Model is mixed, perhaps reflecting the paucity of studies designed to test the model itself or record SR over both limbs of intoxication. Both oral and intravenous alcohol administration studies reported that FH+ subjects experienced elevated sensitivity to stimulating effects of alcohol along rising BAC, without the corresponding attenuation of sedative effects as BAC fell. A study using an intravenous alcohol clamping method (participants were titrated to a BAC of .06 g/dl whereupon alcohol was infused to maintain a stable BAC for the duration of the study) reported that FH+ subjects experienced heightened stimulation on the ascending limb of intoxication, consistent with the Differentiator Model. However, FH+ subjects reported decreased stimulation during clamping, indicative of acute tolerance.

Findings by King and colleagues, which are largely corroborated by a recent meta-analysis, suggest that the Differentiator Model best characterizes heavy drinkers at risk for developing alcohol use disorder. Specifically, over the course of several studies, heavy drinkers reported greater positive SR on the ascending limb of intoxication and lower negative SR on the descending limb, in relation to light drinkers. Increased sensitivity to alcohol's stimulating effects along rising BAC and muted sensitivity to alcohol's sedative effects along waning BAC were subsequently predictive of future increases in binge drinking, blackouts, hangovers and alcohol use disorder symptomatology.

Measurement

The Subjective High Assessment Scale (SHAS) captures sensations frequently associated with intoxication such as "clumsy," "dizzy," "drunk" and "high" and was administered extensively in early SR studies. The SHAS is typically administered as a visual analog scale, allowing subjects to rate the extent to which they experienced each symptom during a given experiment. Critics of the measure argue that it primarily captures the sedative effects of alcohol while omitting many of alcohol's stimulating properties. The Biphasic Effects of Alcohol Scale (BAES) assesses 7 stimulating (elated, energized, excited stimulated, talkative, up, vigorous) and 7 sedative (difficulty concentrating, down, heavy head, inactive, sedated, slow thoughts, sluggish) effects of alcohol along an 11-point scale. Studies supporting the Differentiator Model have almost universally used the BAES, rather than the SHAS, as a measure of SR. Critics of the BAES assert that it does not adequately capture positive sedative effects. The Subjective Effects of Alcohol Scale (SEAS) was published in 2013 to address this apparent limitation by referencing positive and negative stimulating and sedative effects; to date, this scale has not been widely used in alcohol challenge studies.

Genetic moderators

Most genetic studies in addiction research focus on the genetic determinants of diagnostic phenotypes such as alcohol use disorder. However, because the causes of alcohol use disorder are so numerous and varied, researchers have turned their attention to endophenotypes, or distinct, genetically linked phenotypes associated with a broad disorder. Endophenotypes are especially useful in addictions research because they are more closely linked to genetic variations than the broad disorder. Therefore, investigators have explored the effects of genetic variation in the endogenous opioid system and the GABAergic system on SR.

Alcohol activates endogenous opioid receptors, potentiating dopamine release which increases the rewarding effects of alcohol. To that end, the A118G single nucleotide polymorphism (SNP) of the mu-opioid receptor gene (OPRM1), has garnered much interest as a potential moderator of SR. Numerous laboratory studies have demonstrated that G-allele carriers experience the stimulating, hedonic effects of alcohol more strongly than A homozygotes. However, a study of non-treatment seeking participants with alcohol dependence found that A homozygotes experienced more stimulation than G carriers, and a study of heavy drinkers reported no differences in SR between OPRM1 genotype. These mixed findings may stem from differences in alcohol use severity among samples, as the allostatic model of addiction contends that individuals shift from reward to relief drinking as alcohol use disorder progresses. Thus, it is possible that social drinkers and individuals with mild alcohol use disorder may experience the hedonic effects of alcohol as most salient while individuals with more severe alcohol use disorder may consume alcohol for its negative reinforcing properties (i.e., to reduce withdrawal symptoms). The use of retrospective, instead of real time, self-reports of SR as well as differences in ethnicities of samples may further contribute to discrepancies in studies exploring the effects of the OPRM1 gene and SR. Taken together, the literature pertaining to the expression of SR by OPRM1 genotype suggests that the A118G SNP of the OPRM1 gene is associated with enhanced sensitivity to the stimulating, but not sedative, effects of alcohol.

Expression of the DAT1 dopamine transporter gene has also been shown to predict severity of alcohol use disorder symptoms with a recent study linking simultaneous carriers of the OPRM1 G-allele and DAT1 A10 allele homozygotes to pleasurable subjective effects along rising BAC.

Alcohol researchers have also evaluated the role of gamma-Aminobutyric acid (GABA) receptors as moderators of SR. Most investigation has focused on genes coding for GABAA receptors, which are involved in dopamine release. Some studies have linked GABRA2 and GABRG1 genes to reductions in the experience of positive and negative subjective effects.

Clinical implications

Because SR is such a strong predictor of future alcohol consumption and problems, medication development has focused on drugs which either reduce the pleasant or increase the unpleasant effects of alcohol.

Naltrexone, an opioid receptor antagonist, is frequently prescribed to patients suffering from alcohol use disorder, with moderate effectiveness. Studies have demonstrated that naltrexone reduces the stimulating and heightens the aversive sedative effects of alcohol in individuals at-risk for alcohol use disorder, contributing to decreases in self-reported subjective high and liking of alcohol. Only one study has reported on the effects of naltrexone on SR in a sample of participants with alcohol dependence: naltrexone, in comparison to a placebo, attenuated subjective stimulation within 10 minutes of administration of a moderate dose of alcohol, but not thereafter.

Laboratory studies have shown that OPRM1 genotype moderates the subjective effects of naltrexone in social and heavy drinkers, such that G carriers reported reduced sensitivity to the stimulating effects of alcohol. Moreover, a placebo-controlled study of heavy drinkers of East Asian descent demonstrated that G carriers experienced greater sensitivity to alcohol's aversive effects as compared to A homozygotes.

There is limited evidence suggesting that quetiapine and varenicline increase the aversive effects of alcohol.

Thought disorder

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Thought_disorder     ...