Tobacco

'Mark S. Gold, MD, the most prolific and brilliant of the addiction experts writing today, has devoted the fourth volume of his impressive books in the Drugs of Abuse series to tobacco. Here, in one small, comprehensive, and readable book is an authoritative treatment of topics ranging from the history of tobacco in the US economy to the effects of tobacco use on the mind and the body...This book provides valuable information that every physician can use.' JAMA

• 1. Tobacco in the 1990s.- The Facts about Tobacco.- Smoking in the Workplace.- Smoking and Children.- The Tobacco Lobby versus the Medical Evidence.- Cigarettes—Reality Sinks In.- References.- Additional Sources.- 2. Tobacco: A Short History of the American Economy.- References.- Additional Source.- 3. The Neurobiological Effects of Tobacco.- A Common Neuroanatomy of Reward for Drugs of Abuse.- Reward and Reinforcement.- Reinforcement.- Stimulant Reinforcement.- Reinforcement Leads to Learning.- Nicotine and Withdrawal.- Clinical Implications.- Behavioral Manifestations of Reinforcement.- Nicotine and Its Neurobiological Effects.- Comorbidity and Cholinergic Effects.- Nicotine’s Neurobiological Link to Tolerance and Dependence.- Conclusion.- References.- Additional Sources.- 4. Tobacco and the Body.- The Pharmacology of Cigarettes.- Mortality and Tobacco.- Smoking-Associated Illnesses.- Smoking and the Heart.- Respiratory Effects.- Cancer.- Smoking and Pregnancy.- Smoking, Aging, and Alzheimer’s Disease.- Smoking and Weight.- Metabolism.- Secondhand Smoke.- Reversibility of Effects.- References.- 5. The Psychiatric Aspects of Tobacco Use.- How the Tobacco Industry Lives with Itself.- The Real Truth Behind Tobacco’s Psychiatric Effect.- Comorbidity and Tobacco.- Is There a Biological Link?.- Smoking, Depression, and Alcohol.- Smoking and Other Psychiatric Problems.- Reinforcement and Cues.- Cognitive Effects and Anxiety.- Craving.- Other Effects.- Chronic and Acute Tolerance.- Nicotine Withdrawal: Signs and Symptoms.- Conclusion.- References.- Additional Sources.- 6. Treatment and the Role of the Physician.- The Challenge to the Medical Profession.- Getting a Program Off the Ground.- Diagnosis: The First Step.- Assessing the Practitioner’s Role: Step Two.-Devising the Program: Step Three.- Treatment Options: Step Four.- Recovery.- References.- Additional Sources.- 7. A Model Cessation Program: Basic Guidelines from the National Cancer Institute.- Synopsis for Physicians: How to Help Your Patients Stop Smoking.- Synopsis for Office Staff: How to Develop Office Procedures to Help Patients Stop Smoking.- Step 1: Select an Office Smoking-Cessation Coordinator.- Step 2: Create a Smoke-Free Office.- Step 3: Action Summary.- Step 4: Action Summary.- Step 5: Action Summary.- 8. Smoking and Special Populations.- Children and Adolescents.- The Role of the Health Profession in Preventing Smoking among the Young.- Smoking, Children, and Health Consequences.- Heart Disease.- Cancer.- Smokeless Tobacco.- Addictive Behavior.- Why Young People Smoke: Psychosocial Risk Factors.- Baiting the Hook: Tobacco Advertising and Promotional Activities.- Smoking and Young Women.- Menstruation.- Pregnancy.- Racial Targets: Smoking Differences between Blacks and Whites.- Physicians and Smoking.- References.- 9. Prevention and Education.- Education Is the Best Measure of Prevention.- How to Help Your Patients Stop Smoking: More Ideas from the National Cancer Institute Manual for Physicians.- References.- Additional Source.