Tobacco
Author Mark S. Gold presents the latest medical information on nicotine and tobacco's neurobiological, physiological, and psychological effects. This timely monograph also discusses the latest diagnostic and treatment programs as well as model programs fo
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DRUGS OF ABUSE
A Comprehensive Series for Clinicians Volume 1
MARIJUANA Mark S. Gold, M.D.
Volume 2
ALCOHOL Norman S. Miller, M.D., and Mark S. Gold, M.D.
Volume 3
COCAINE Mark S. Gold, M.D.
Volume 4
TOBACCO Mark S. Gold, M.D.
A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher.
Tobacco Mark S. Gold, M.D. University of Florida Brain Institute Gainesville, Florida
Springer Science+Business Media, LLC
Library of Congress Cataloging-in-Publication Data On file
ISBN 978-1-4613-5748-3 ISBN 978-1-4615-1845-7 (eBook) DOI 10.1007/978-1-4615-1845-7 © 1995 Springer Springer Science+Business Media New York
Originally published by Plenum Press, New York in 1995 Softcover reprint of the hardcover 1st edition 1995
1098765432 1 AU rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfiJming, recording, or otherwise, without written permission from the Publisher
Preface
Concern and controversy about the nature of nicotine and the effects of tobacco are constantly in the news. In fact, we may finally be seeing the beginning of the end for one of the most dangerous substances of abuse: nicotine. Despite the fact that reports linking smoking to cancer and heart disease have appeared in the popular and scientific press for three decades, only in the past two years has public opinion turned almost completely against smoking. To be a smoker today is not that far removed from being a leper a century ago. Today, public opinion about smoking is almost 180 degrees from where it was in 1964, before the Surgeon General's Report was issued that officially linked smoking to a variety of pulmonary and cardiovascular disorders. Today, an overwhelming majority of Americans recognize that nicotine is a dangerous and addicting substance, over two-thirds of Americans favor banning smoking in all public places, and almost 50 percent of Americans would ban cigarettes altogether (New York Times/CBS News Survey, April 21, 1994). Even among current smokers, more than 75 percent believe that tobacco companies have been preventing the public from learning the truth about the virulent effects of nicotine v
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PREFACE
and tobacco. This year, the American Medical Association is issuing new guidelines on the diagnosis and treatment of nicotine dependence which stress the physician's role in preventing tobacco use. These guidelines emphasize practice-based and community-based programs which suggest that the doctor must playa key role in leading the fight against smoking. Over the past decade, our knowledge of the fundamental neurobiological and behavioral processes involved in addiction have contributed to the acceptance of nicotine as a drug whose effects are as powerful as those of cocaine and the opiates. It is the goal of this
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