Skip to content
Home/ Smoking Privileges: Psychiatry, the Mentally Ill, and the Tobacco Industry in America
Smoking Privileges: Psychiatry, the Mentally Ill, and the Tobacco Industry in America

Smoking Privileges: Psychiatry, the Mentally Ill, and the Tobacco Industry in America

No customer reviews yet ISBN 9780813563978

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.

About the author

Product details

Pub dateFeb 11, 2015
ISBN-100813563976
ISBN-139780813563978
LanguageEnglish
Last updated 2026-01-11 22:42
$179.33
In stock — ships in 24 hours with free tracking
Delivery by Thursday, October 1, 2026
Qty
Sign in to Add to Saved list
Free delivery on orders over $35.
15-day returns. Any reason.
Secure checkout. We never store card details.

Readers who bought this also bought

More from Mental Health
See all
Children and Adolescents: Clinical Formulation and Treatment: Comprehensive Clinical Psychology, Vol
<p><i>Children and Adolescents: Clinical Formulation & Treatment</i> draws on the experience and research of leading scientists and clinicians from the United States, Australia, the United Kingdom, Israel and Canada to present state-of-the-art information on all aspects of child psychology and psychiatry. Special attention is given to the psychopathology, assessment, treatment, and prevention of childhood behavioral disorders.</p> <p>The volume highlights the developmental-contextual framework used in the clinical formulation of these disorders, as well as process and outcome issues in treatment. Various theoretical perspectives are also reviewed, including applied behavior analysis, family systems therapy, play therapy, and pharmacologic therapy. In the final section, all of the major childhood disorders found in the DSM and ICD are described, with information on their prevalence, etiology, assessment, and treatment. This section also analyzes the empirical status of the various therapies used for the treatment of childhood disorders.</p> <p>Section I examines the foundations for the conceptualization, assessment, and treatment of child psychopathology. Section II reviews major theoretical approaches that have been used in the treatment of diverse child behavior disorders. Chapters use a similar format to discuss the approach including the following: theoretical underpinnings&#x3b; history and current status&#x3b; assessment and clinical formulation&#x3b; description of the intervention procedures&#x3b; proposed mechanisms of change&#x3b; research findings&#x3b; future directions for research and practice. Section III addresses major child psychopathologies, their assessment, and treatment. Also using a structured format, chapters in this section include: a review of the disorder under consideration and exploration of its phenomenology, prevalence, etiology, and diagnostic features&#x3b; a detailed examination of the conceptualization and clinical formulation of the disorder, its multimethod and multisource assessment&#x3b; psychosocial and pharmacological treatment&#x3b; future directions for research and practice.</p> <p><i>Children and Adolescents: Clinical Formulation & Treatment</i> was previously published as Volume 5 of the highly acclaimed major reference work, <i>Comprehensive Clinical Psychology</i>, the single, most comprehensive source of information in the field of Clinical Psychology.</p>
$277.50