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by Louis J. Bruno
Every cigarette you smoke shortens your life by 14 minutes.
Twenty-two years ago I was smoking three packs a day, or cutting
four days off my life for each week I continued smoking. With luck, I
would die at my desk a few years before retirement. Not my idea of a
fun ending.
To stop smoking, I used my training in psychophysiology to make a
plan that breaks both the behavioral and physical habits. Here's how it
works.
The habitual smoker is a bundle of behavior sequences all chained to
smoking and reinforced by the powerful nicotine rush. Every smoker will
recognize these examples:
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HAVE A CUP OF COFFEE
WRITE A LETTER
EAT A SANDWICH
MAKE A PHONE CALL
DRINK A BEER
START A PROJECT
OPEN A NEWSPAPER
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SMOKE A CIGARETTE |
GET A NICOTINE HIGH |
What makes it difficult to stop smoking isn't only the physical
addiction of nicotine in the bloodstream, but the scores of behavior
sequences, like those above, that make up the behavioral or
psychological addiction. The heavy smoker can hardly make a move
without reaching for a cigarette. The chain smoker reaches for one
cigarette after another.
To treat both aspects of the smoking habit, it's necessary to (a)
reduce the concentration of nicotine in the blood, and (b) break the
links joining other behaviors to smoking. The plan does this by
gradually drawing out the time between cigarettes while using the clock
rather than other behaviors to cue smoking.
To work the plan:
(1) Count the Number of cigarettes you smoke on an average day.
N = __________
(2) Estimate the number of Minutes you're awake each day (waking hours x 60 minutes).
M = __________
(3) Find your average Inter-Cigarette-Interval (ICI) by dividing the
number of Minutes you're awake by the Number of cigarettes you smoke.
ICI = M/N = __________
For example, a three-pack-a-day smoker (N=60) who sleeps 6 hours
(M=18x60=1080) smokes a cigarette once every 18 minutes on average
(ICI=M/N=1080/60=18).
(4) Use your personal ICI to set the time between cigarettes for the
first day of the plan. Use a kitchen timer, a watch with an alarm, or a
pocket calculator with an alarm function to tell you when to have a
cigarette. Set your timer for your own ICI. Smoke a cigarette, whether
you "want" one or not as soon as possible after the timer clocks out.
(Remember to reset the timer as you light up.)
Always smoke on cue from the timer (to maintain comfortable nicotine
levels), but never at any other time (to extinguish the links between
other behaviors and smoking). When you're tempted to smoke "between
times", realize that you're next cigarette is only ICI minutes away,
not never. You can wait that long, can't you?
(5) Each day lengthen your ICI by 10%. The heavy smoker in our
example will start his ICI at 18 minutes, increase it to 20 minutes the
second day, 22 minutes the third day, and so on. After one week his ICI
would be 35 minutes; after two weeks 72 minutes. The changes are
gradual, almost imperceptible, but each day the level of nicotine in
your system diminishes and your ability to "go without" a cigarette
increases.
(6) When your ICI reaches five or six hours (heavy smokers will
achieve this after a little more than a month), your body will start to
react to cigarettes as it did when you first started smoking. You'll
have difficulty inhaling, cough, and get light-headed and nauseous. The
taste and smell of cigarettes will once again become repugnant. You'll
find meaning in the slogan:
It's enough to make you sick.
Isn't it enough to make you stop?
At this point, your body is rejecting tobacco; your physiological
addiction to nicotine is ended. If you haven't "cheated" by "saving up"
cigarettes for after the movies, or after dinner, or whatever, you've
also broken most of the behavioral sequences that used to trigger the
"desire" to smoke.
You are just as free to stop smoking now as you were to start smoking years ago.
You've broken the habits, the rest is up to you.
Good luck!
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Please consult your physician before using this or any other plan of behavior modification.
In our experience,
this plan works best for "heavy" smokers and for people who don't fight
schedules. Light smokers who want to use the plan should lengthen the
ICI more gradually than suggested to give themselves time to extinguish
the behaviors which lead to smoking.
This plan should be
carried out in the context of your regular schedule of daily
activities, not when you are on vacation, or undertaking any other
major change in your lifestyle.
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