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Current public health literature suggests that the mentally ill may represent as much as half of the smokers in America. In Smoking Privileges, Laura D. Hirshbein highlights the complex problem of mentally ill smokers, placing it in the context of changes in psychiatry, in the tobacco and pharmaceutical industries, and in the experience of mental illness over the last century. Hirshbein, a medical historian and clinical psychiatrist, first shows how cigarettes functioned in the old system of psychiatric care, revealing that mental health providers long ago noted the important role of cigarettes within treatment settings and the strong attachment of many mentally ill individuals to their cigarettes. Hirshbein also relates how, as the sale of cigarettes dwindled, the tobacco industry quietly researched alternative markets, including those who smoked for psychological reasons, ultimately discovering connections between mental states and smoking, and the addictive properties of nicotine. However, Smoking Privileges warns that to see smoking among the mentally ill only in terms of addiction misses how this behavior fits into the broader context of their lives. Cigarettes not only helped structure their relationships with other people, but also have been important objects of attachment. Indeed, even after psychiatric hospitals belatedly instituted smoking bans in the late twentieth century, smoking remained an integral part of life for many seriously ill patients, with implications not only for public health but for the ongoing treatment of psychiatric disorders. Making matters worse, well-meaning tobacco-control policies have had the unintended consequence of further stigmatizing the mentally ill. A groundbreaking look at a little-known public health problem, Smoking Privileges illuminates the intersection of smoking and mental illness, and offers a new perspective on public policy regarding cigarettes.
Tobacco Use Disorder --- Tobacco Industry --- Object Attachment. --- Mentally Ill Persons. --- Smoking --- psychology. --- ethics.
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tobacco --- public health --- health policy --- smoking cessation --- smoking prevention --- Smoking cessation --- Smoking --- Tobacco use --- Tobacco Use Cessation. --- Tobacco Use --- Tobacco Use Disorder. --- Health aspects --- Prevention --- Treatment. --- prevention & control. --- Tobacco habit --- Cigarette habit --- Cigarette smoking cessation --- Giving up smoking --- How to stop smoking --- Quitting smoking --- Smoking cessation programs --- Stopping smoking --- Cigarette smokers --- Habit breaking --- Nicotine addiction --- Tobacco-Use Disorder --- Nicotine Dependence --- Nicotine Use Disorder --- Tobacco Dependence --- Dependence, Nicotine --- Dependence, Tobacco --- Disorder, Nicotine Use --- Disorder, Tobacco Use --- Disorder, Tobacco-Use --- Nicotine Use Disorders --- Tobacco Dependences --- Tobacco Use Disorders --- Use Disorder, Nicotine --- Tobacco --- Tobacco Cessation --- Smokeless Tobacco Cessation --- Cessation, Smokeless Tobacco --- Cessation, Tobacco --- Cessation, Tobacco Use --- Cessations, Tobacco Use --- Smoking Reduction --- Tobacco Use Disorder --- Tobacco Use Cessation Products --- Habit --- Substance abuse --- Cigarette smoking --- Tobacco smoking --- Rehabilitation --- Treatment --- Tobacco Use Cessation Devices --- Public Health - General --- Nicotine Addiction --- Addiction, Nicotine --- Nicotine Addictions
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