This book constitutes a major new resource for professionals working with hard core smokers and their families. It is designed as a practical, clinically useful and up-to-date guide for all those in a position to intervene: mental health professionals, physicians, dentists, nurses, pharmacists and other health care professionals, clergy, human resource and employee assistance program corporate staff, and teachers and guidance counselors.
New research suggests that difficult-to-treat smokers often have emotional problems adjusting to stopping smoking. Some also have psychiatric diagnoses or abuse other substances. These are factors which interfere with their efforts to quit.
Because these difficulties have been poorly understood, hard-core smokers have not been provided with adequate resources and skills to overcome their addiction. These smokers are in need of increasingly comprehensive assessment and treatment.
Despite massive public health education about the dangers of cigarette smoking, rates of smoking among the population are no longer declining in the United States and the success rates of clinical programs for smokers remain low. Helping the Hard-Core Smoker seeks to explain why current approaches are often inadequate and how best to help today's highly nicotine-dependent smokers who are struggling with their addiction quit.
"I'm delighted that this information is finally available to everyone involved in treating nicotine addiction! Every clinician who is serious about health promotion and disease prevention should read this book from cover to cover. As of the printing of this book, every other smoking cessation resource manual is outdated!"
—Linda Hyder Ferry, MD
Foundation for Innovations for Nicotine Dependence Loma Linda, California
"Helping the Hard-Core Smoker: A Clinician's Guide belongs on the desk of every physician, psychiatrist, nurse practitioner, dentist, psychologist, elementary and secondary school teacher, and drug and alcohol counselor in the nation. The essays in this book present a wide range of treatment options for nicotine dependence, from nicotine and nonnicotine medications to short-term individual psychotherapy, group therapy, and hypnosis, as well as techniques for preventing relapse among former smokers. The potential efficacy of these treatments will provide hope to the practitioner attempting to help the hard-core smoker quit. Any practitioner looking for help to encourage smokers to stop, and practical suggestions to provide help, could find no better resource than this extraordinary collection of essays."
—Joseph A. Califano, Jr.
Columbia University, From the Foreword
"The management of nicotine dependence is more challenging than one might imagine from the cursory way it is usually taught to health professionals. Helping the Hard-Core Smoker resonates with experienced clinicians who know how difficult it is to help a person stop using tobacco products. It validates their experience and helps them improve their practice. More importantly, this book is a guide for the initiate into the challenge and intrigue of managing this prevalent, deadly, and often complex disease."
—John Slade, MD
University of Medicine and Dentistry of New Jersey
Contents: J.A. Califano, Jr., Foreword. L.S. Covey, D.F. Seidman, Preface. Part I:Background Conceptual Issues. D.F. Seidman, J. Rosecan, L. Role, Biological and Clinical Perspectives on Nicotine Addiction. Part II:Developments in Clinical Research. L.S. Covey, Nicotine Dependence and Its Associations With Psychiatric Disorders: Research Evidence and Treatment Implications. Part III:Assessment and Treatment: Special Populations. G.J. Botvin, J.A. Epstein, Preventing Cigarette Smoking Among Children and Adolescents. C.S. Pomerleau, Issues for Women Who Wish to Stop Smoking. M. Drayton-Martin, F.T. Manners, N.R. Novak, J. Shamban, Implementation of a Prenatal Smoking Cessation Program in Three Inner-City Communities. N.R. Boyd, C.T. Orleans, Intervening With Older Smokers. Part IV:Treatment Approaches: Medical and Psychological. T. Eissenberg, M.L. Stitzer, J.E. Henningfield, Current Issues in Nicotine Replacement. A. Johnston, M.D. Robinson, D.P. Adams, A.H. Glassman, L.S. Covey, Nonnicotine Medications for Smoking Cessation. L.S. Covey, A Psychotherapeutic Approach for Smoking Cessation Counseling. H. Spitz, D.F. Seidman, Group Psychotherapy for Hard-Core Smokers. D. Douglas, Stopping Smoking: A Study on the Nature of Resistance and the Use of Hypnosis. D.F. Seidman, L.S. Covey, A Comprehensive Psychological Approach to Preventing Relapse. Part V:The Smoker and the Health Care System. T.J. Glynn, M.W. Manley, S. Mills, K. Gerlach, R. Epps, Challenges and Techniques for the Treatment of Nicotine Dependence by Physicians and Dentists. L.M. Tepper, D.F. Seidman, The Role of the Dental Profession in Tobacco Cessation. C. Healton, Afterword: The Public Health Perspective: Have Hard-Core Smokers Been Written Off?