Smoking Privileges : Psychiatry, the Mentally Ill, and the Tobacco Industry in America / Laura D. Hirshbein.

Format:

Book

Author/Creator:

Hirshbein, Laura D., Author.

Series:

Critical issues in health and medicine.

Critical Issues in Health and Medicine

Language:

English

Subjects (All):

Tobacco Use Disorder--psychology.

Tobacco Industry--ethics.

Object Attachment.

Persons with Psychiatric Disorders.

Smoking--psychology.

Medical Subjects:

Tobacco Use Disorder--psychology.

Tobacco Industry--ethics.

Object Attachment.

Persons with Psychiatric Disorders.

Smoking--psychology.

Genre:

Electronic books.

Physical Description:

1 online resource (228 p.)

Edition:

1st ed.

Place of Publication:

New Brunswick, NJ : Rutgers University Press, [2015]

Language Note:

English

Summary:

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.

Contents:

Frontmatter

Contents

Acknowledgments

Introduction: Smoking Privileges

Chapter 1. Ecology of Smoking in Mental Hospitals through the 1970s

Chapter 2. Conflict and Smoking in Mental Hospitals in the 1960s and 1970s

Chapter 3. Smoker Psychology and the Tobacco Industry through the Early 1980s

Chapter 4. Psychiatry Engages Smoking

Chapter 5. The Many Faces of Nicotine

Chapter 6. From Tolerance to Treatment

Chapter 7. Tobacco Control and the Mentally Ill

Chapter 8. Double Marginalization

Conclusion: Corporate Squeeze

Notes

Index

About the Author

Notes:

Includes index.

Includes bibliographical references and index.

Description based on online resource; title from PDF title page (publisher's Web site, viewed 21. Dez 2019)

ISBN:

0-8135-6398-4

OCLC:

904960161