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December 11, 1991

The Clinical Management of Nicotine Dependence

Author Affiliations

Georgetown University School of Medicine Washington, DC

Georgetown University School of Medicine Washington, DC

JAMA. 1991;266(22):3202-3203. doi:10.1001/jama.1991.03470220118043

This useful and modest book, written for physicians and other clinicians working with patients who are nicotine dependent, has short chapters dealing with the truly remarkable range of techniques now being used to help people quit tobacco use. There are chapters on behavior therapy and on the use of acupuncture, hypnosis, silver acetate, nicotine gum and patches, clonidine, and other specific methods, as well as on outpatient, inpatient, and mutual-aid approaches to the problem. Other chapters deal with the history of tobacco use and the societal and biological factors that promote or inhibit it. Each chapter is a self-contained essay written by an expert.

The reader is left with two conflicting impressions. First, most of the 50 million Americans who have quit tobacco use in the last two decades did so without the benefit of any program or treatment, and second, none of these modern treatments has been shown to