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Withdrawal‐oriented Therapy for Smokers
Author(s) -
HAJEK PETER
Publication year - 1989
Publication title -
british journal of addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0952-0481
DOI - 10.1111/j.1360-0443.1989.tb03474.x
Subject(s) - nicotine withdrawal , nicotine , nicotine replacement therapy , nicotine gum , medicine , psychology , duration (music) , smoking cessation , psychotherapist , psychiatry , alternative medicine , pathology , placebo , art , literature
Summary The treatment approach of the Maudsley Hospital Smokers Clinic is described. It stems from the notion that smokers seeking help are dependent on nicotine, and that withdrawal discomfort is a major block to their success in quitting. Accordingly, therapy focuses on helping clients overcome nicotine deprivation. It uses nicotine replacement and a special format of group treatment. Details are given of preparation of clients, use of nicotine chewing gum, use of group‐oriented groupwork, use of information about withdrawal, and training in withdrawal‐oriented therapy. Data are presented concerning characteristics of the clientele, treatment adherence, and treatment results. A number of controversial issues are addressed, such as the optimal duration of treatment, timing of the quit date, the value of educational input, and the value of individualization of treatment goals.