Why do individuals smoke? In discussing this central question, the
authors first examine a number of studies of the complex
interaction between the toxicology of smoking and genetically based
susceptibility to smoking-related disease, which suggest that the
link between smoking and disease is more equivocal than recent
epidemiological studies have claimed. Several theories of smoking
recruitment and maintenance are considered and judged in the light
of the known pharmacological effects of nicotine, a psychoactive
drug that is the primary reinforcer in smoking. A review of
psychological and behavioural evidence from animal and human
studies indicates that nicotine can promote psychological comfort
and performance enhancement in a variety of tasks; such effects are
produced by self-titration, evidenced in smoking style, which
itself is subject to some genetically imposed constraints. The
effectiveness of smoking intervention and cessation strategies is
assessed, and some improvements suggested, against the background
of these putative smoking motives. The book is of value to
pharmacologists, psychologists, and specialists in the treatment of
drug abuse and in preventive health.
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