Nicotine Dependence: Understanding and

Presents in-depth coverage of the available techniques and methods clinicians can use to treat nicotine dependence in their patients. Synthesizes the current theoretical and clinical research regarding nicotine dependence and discusses counseling and pharmacological treatment methods, specifically those with documented success. Includes a 10-session treatment model.

Charles E. Dodgen, PhD, is a clinical psychologist in private practice in Caldwell, New Jersey

Acknowledgments

xi

Introduction

3

(1)

Purpose of This Book

3

(5)

Content and Organization of This Book

8

(3)

Negative Consequences of Cigarette Smoking

11

(22)

Physical Consequences

11

(7)

Psychosocial Consequences

18

(9)

Negative Consequences Form and Case Example

27

(2)

Concluding Comments

29

(2)

Summary

31

(2)

Psychological Processes and Smoking

33

(20)

Prevalence of Cigarette Use

34

(1)

Initiation, Progression, and Maintenance of Cigarette Use

35

(4)

Misperceptions of Smokers

39

(2)

Denial

41

(5)

Coping

46

(4)

Treatment Considerations

50

(1)

Summary

51

(2)

Pharmacology of Nicotine

53

(12)

Nicotine Intoxication

59

(1)

Performance Enhancement

60

(1)

Nicotine Withdrawal

61

(1)

Nonpharmacological Factors and Smoking

62

(1)

Summary

63

(2)

Nicotine and Addiction

65

(16)

Disease Concept

65

(2)

Disease Model of Addiction

67

(2)

Nicotine and the Disease Model

69

(7)

Some Special Aspects of Nicotine Use

76

(3)

The Federal Government's Attitude Toward Nicotine

79

(1)

Summary

79

(2)

Assessment of Nicotine Dependence

81

(34)

Overview

81

(1)

Stage Model of Assessment

82

(23)

Summary

105

(10)

Intervention Strategies

115

(38)

Counseling Interventions

116

(24)

Pharmacological Interventions

140

(12)

Summary

152

(1)

Outcomes and Application of Interventions

153

(22)

Evaluating Treatment Validity

153

(4)

Counseling Interventions

157

(4)

Treatment Parameters

161

(3)

Pharmacological Interventions

164

(2)

Harm Reduction as a Treatment Goal

166

(1)

Weight Control

167

(1)

Motivating Smokers to Quit

167

(4)

Summary

171

(4)

Craving and Relapse Prevention

175

(22)

Craving

175

(5)

Relapse Prevention

180

(10)

Summary

190

(7)

Special Populations

197

(14)

Psychiatric Status

197

(8)

Race and Ethnicity

205

(3)

Gender

208

(2)

Summary

210

(1)

Adolescent Smoking

211

(10)

Treatment Considerations

216

(3)

Summary

219

(2)

Appendix: Basic Outline of a Treatment Plan

221

(4)

References

225

(24)

Index

249

(14)

About the Author

263

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Nicotine Dependence: Understanding and Applying the Most Effective Treatment Interventions

Summary

Author Biography

Table of Contents

Supplemental Materials