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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bekhterev</journal-id><journal-title-group><journal-title xml:lang="ru">Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева</journal-title><trans-title-group xml:lang="en"><trans-title>V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7053</issn><issn pub-type="epub">2713-055X</issn><publisher><publisher-name>V. M. BEKHTEREV  NATIONAL  RESEARCH  MEDICAL  CENTER  FOR  PSYCHIATRY  AND  NEUROLOGY                           OF    THE  RUSSIAN  FEDERATION   MINISTRY  OF  HEALTH</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31363/2313-7053-2026-1-1181</article-id><article-id custom-type="elpub" pub-id-type="custom">bekhterev-1320</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ДИСКУССИОННЫЙ КЛУБ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>TALKING SHOP</subject></subj-group></article-categories><title-group><article-title>«Клуб 27» как системный феномен:   качественное исследование факторов риска   в биографиях Д. Джоплин, К. Кобейна и Э. Уайнхаус</article-title><trans-title-group xml:lang="en"><trans-title>“The 27 Club” as a systemic phenomenon: a qualitative study of risk factors in the biographies of J. Joplin, K. Cobain and A. Winehouse</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Скрябин</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Skryabin</surname><given-names>V. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Скрябин В.Ю. — кандидат медицинских наук, доцент кафедры наркологии </p><p>125993, Москва, ул. Баррикадная, д. 2/1, стр. 1</p></bio><bio xml:lang="en"><p>Moscow</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российская медицинская академия непрерывного профессионального образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>02</day><month>03</month><year>2026</year></pub-date><volume>60</volume><issue>1</issue><fpage>81</fpage><lpage>88</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Скрябин В.Ю., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Скрябин В.Ю.</copyright-holder><copyright-holder xml:lang="en">Skryabin V.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.bekhterevreview.com/jour/article/view/1320">https://www.bekhterevreview.com/jour/article/view/1320</self-uri><abstract><p>Настоящее исследование ставит под сомнение культурный миф «Клуба 27» как статистической аномалии смертности музыкантов в возрасте 27 лет, ссылаясь на эпидемиологические данные, не выявляющие специфического пика смертности в этом возрасте, но подтверждающие общий повышенный риск в раннем взрослом возрасте. В рамках качественного исследования нескольких случаев (Джэнис Джоплин, Курта Кобейна и Эми Уайнхаус) анализируется, как индивидуальная психологическая уязвимость, характеризуемая триадой признаков: эмоциональная дисрегуляция, хронический дистресс и использование психоактивных веществ (ПАВ) в качестве основного механизма совладания (копинга), катастрофически усиливается системными факторами.</p><p>Культурные нарративы романтизируют саморазрушительное поведение и стигматизируют обращение за профессиональной помощью, превращая психопатологию в маркер аутентичности. Музыкальная индустрия выступает катализатором риска, способствуя нормализации употребления ПАВ, навязывая изнурительные графики и ограничивая доступ к лечению контрактными санкциями. Клинические системы неадекватно реагируют из-за фокусировки на одном диагнозе в ущерб другим (феномен «диагностического затмевания») и недоступности интегрированных подходов к лечению коморбидных состояний. Тематический анализ выявил паттерны культурного усиления, индустриального катализа и системных барьеров помощи, действующих рекурсивно с индивидуальной триадой уязвимости. Результаты свидетельствуют о том, что смерти артистов связаны с предотвратимыми профессиональными рисками, а не с мистическим совпадением. Статья обосновывает необходимость реформ: интеграции оценки психического здоровья в контракты, созданию мобильных служб интегрированной помощи и деконструкции образа «мучимого гения».</p></abstract><trans-abstract xml:lang="en"><p>This study challenges the cultural myth of the “27 Club” as a statistical mortality anomaly among musicians aged 27 years, drawing on epidemiological evidence that does not demonstrate a distinct mortality spike at this age, while confirming an overall elevated risk during early adulthood. Using a qualitative multiple-case study design (Janis Joplin, Kurt Cobain, and Amy Winehouse), we examine how individual psychological vulnerability—characterised by a triad of features (emotional dysregulation, chronic distress, and the use of psychoactive substances as a primary coping strategy)—is catastrophically amplified by systemic factors. Cultural narratives romanticise self-destructive behaviour and stigmatise help-seeking, thereby turning psychopathology into a marker of authenticity. The music industry acts as a risk catalyst by normalising substance use, imposing exhausting schedules, and restricting access to treatment through contractual sanctions.</p><p>Clinical systems respond inadequately due to an overemphasis on a single diagnosis at the expense of others (the “diagnostic overshadowing” phenomenon) and limited availability of integrated approaches to comorbidity management. Thematic analysis identified recurring patterns of cultural amplification, industrial catalysis, and systemic barriers to care that operate recursively with the individual vulnerability triad. The findings suggest that these artists’ deaths are linked to preventable occupational risks rather than a mystical coincidence. The article argues for reforms, including the integration of mental health assessment into contracts, the development of mobile integrated care services, and the deconstruction of the “tortured genius” narrative.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>эмоциональная дисрегуляция</kwd><kwd>хронический дистресс</kwd><kwd>употребление психоактивных веществ</kwd><kwd>культурные нарративы</kwd><kwd>качественное исследование отдельных случаев</kwd></kwd-group><kwd-group xml:lang="en"><kwd>emotional dysregulation</kwd><kwd>chronic distress</kwd><kwd>psychoactive substance use</kwd><kwd>cultural narratives</kwd><kwd>qualitative multiple-case study</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Агранат Д.Л. Тотальные институты. Знание. Понимание. Умение. 2004;1:144-145.</mixed-citation><mixed-citation xml:lang="en">Agranat DL. Total institutions. Znanie. Ponimanie. 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