RU2462279C2 - Method of treating tobacco addiction - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine. If experiencing desire to have a smoke, one travels over potential or suffered health troubles or diseases caused by smocking. Only if desire to smoke appears to be stronger than the assurance that smocking is unhealthy, tobacco products are bought. A place outside of living spaces is chosen for smoking to smoke continuously when smoking of the first tobacco product is followed by lighting up each following as a chain. Smoking is continued while enjoying smoking, and smoking is stopped regardless of the number of smoked cigarettes, even if it is one, when enjoying smoking is changed by satisfaction. Thereafter a pack with the rest tobacco products is crumpled, and thrown off irreversibly without having the tobacco products available until bought for the next time.

EFFECT: method provides resistance of a diving up to smoking and ensures a psychological relief of treating tobacco addiction.

1 ex

Description

The invention relates to the field of medicine.

There is a known method of forming the habit of not smoking (the book "All ways to quit smoking: from the" ladder "to Carr. Choose your own.", Compiled by D.V. Nesterova, published by RIPOL Classic, 2011, chapter "Methods and techniques to help quitters smoking ", section" Popular ways to quit smoking ", method" Compromise "), according to which the smoker engages in smoking during treatment.

The method involves smoking between the breaks in smoking only one cigarette, independence in the treatment and independence from medical care, because nothing else is said.

The method is based on a gradual decrease in the number of cigarettes smoked per day and an increase in the time intervals between smoking.

To implement the method, the smoker must first discard one cigarette from each pack purchased within two weeks, preserving the pack itself, which thus leaves one cigarette less than the original, and document the remaining cigarettes.

Preservation of cigarettes after the completion of regular smoking, the permission to "carry no more than three to five pieces" means that the smoker, having set the task to quit smoking, does not allow the thought that it is after the next smoking to throw out a pack of all the remaining cigarettes, and thereby exclude access to cigarettes until their next purchase.

This behavior of the smoker does not work to solve the problem of suppressing the desire to smoke and stop smoking.

Then, according to the implementation plan of the method, the smoker should "gradually reduce the number of cigarettes smoked (one to three per day) over the next 20 days."

Thus, during treatment, the practice of daily smoking is maintained.

The requirement of the method of "buying no more than one pack of cigarettes at a time" and "not buying cigarettes for future use", given that the number of one-time purchases of cigarettes per day is unlimited, means that the decision to make a purchase of cigarettes is made when they end, regardless of correlation of the desire to smoke and the belief that smoking is harmful to health.

It also does not contribute to suppressing the desire to smoke and stop smoking.

In order to increase the intervals between smoking, smokers are offered to choose remote stores for cigarette purchases. This indicates that the smoker must visit the shops himself and buy cigarettes on his own.

The method allows smoking in a living room, excluding some typical situations, for example, smoking at home before bedtime.

Smoking in a living room is harmful because the smoker, after smoking, which he conducts with obvious pleasure, already, in addition to his desire, continues to breathe the tobacco smoke remaining after smoking within the limited limits of the living room.

And this, in turn, contradicts the goal of quitting smoking, because the more time a smoker spends in an atmosphere of tobacco smoke, the stronger his tobacco dependence becomes.

The disadvantage of this method is the lack of resistance to quit smoking against smoking, since the method does not completely suppress the desire to smoke.

Characteristic features of the method:

- smoking during treatment;

- The practice of daily smoking, which is supported in the treatment process;

- smoking between breaks in smoking only one cigarette;

- the independence of the purchase of cigarettes;

- independence in the conduct of treatment and independence from the help of a doctor;

- the permissibility of smoking in a residential area;

- the availability of cigarettes after regular smoking.

A known method of exemption from tobacco abuse (patent No. RU 2360708 C2, class A61M 21/00, A24F 7/00, published July 10, 2009), according to which the smoker smokes "habitual tobacco" during treatment.

The method involves smoking between breaks in smoking only one cigarette, as it is not stated otherwise.

The method is based on a forced smoking regimen, the purpose of which is to cause a smoker aversion to tobacco smoke and increase the time between smoke breaks.

To do this, the smoker must by deep and frequent puffs bring himself to exhaustion with abundant saliva, perspiration and weakness in the legs.

Deep and frequent inhalation of smoke is harmful to human health. Therefore, in the course of treatment, a mouthpiece is used that limits the ingress of smoke into the smoker's lungs, and the treatment itself is carried out in courses under the supervision of medical staff.

This creates a great psychological and physiological burden on the smoker, which is aggravated by the need to take a “decision on the complete mandatory cessation of smoking without returning” at the second stage of treatment against the background of the temptations of smoking that still await the smoker at the end of the course of treatment.

The need to "resist the temptations of smoking" not only in the second, but also in the third stage of treatment, when it has already been decided to quit smoking, indicates that the method does not completely suppress the desire to smoke, and indicates an insufficient degree of solving the problem of "increasing the frequency and reliability complete smoking cessation "declared as a technical result.

"In the second and subsequent classes of the first preparatory stage of the" treatment ", the conditions of privacy and soundproofing at the time of smoking at home and at work, changes in the number of cigarettes smoked per day are monitored and adjusted."

Thus, the method allows smoking in a living room, which, as in the first method discussed, is contrary to the goal of quitting smoking.

Daily monitoring of the number of cigarettes smoked indicates the continued practice of daily smoking during treatment.

During smoking at the first stage of treatment, the smoker should pronounce "phrases of self-hypnosis about the dangers of smoking and its complete cessation."

The disadvantages of the method are:

- insufficient resistance of the smoker against smoking due to the fact that the desire to smoke is not suppressed, and after treatment the temptations of smoking and the attraction to smoking remain;

- psychological and physiological stress caused by the painful process of developing an aversion to tobacco smoke and to smoking itself;

- the need to attend courses, which probably requires time and money;

- the danger of independent treatment by the smoker and, as a result, the mandatory monitoring of the smoker’s actions by the medical staff and the use of a smoke exhaust mouthpiece;

- the need to make a decision to stop smoking without returning.

Characteristic features of the method:

- smoking habitual cigarettes during treatment;

- The practice of daily smoking, which is supported in the treatment process;

- smoking between breaks in smoking only one cigarette;

- encouraging smokers to smoke in the living room;

- Creation of privacy and soundproofing conditions at the time of smoking;

- execution by the smoker of self-hypnosis while smoking a cigarette.

The closest analogue of the claimed method is a method of quitting smoking (patent No. RU 2330689 C2, class A61M 21/00, published on 08/10/2008), according to which the smoker smokes, "as usual, any acceptable brand of cigarettes in the usual mode" during treatment ( Clause 11.2 of the method description).

The method involves smoking between breaks in smoking only one cigarette. This was repeatedly mentioned in the description of the "mechanism of microdosed reduction of smoking" (paragraph 10.2 of the method description).

The method is based on the assertion that the satiety from smoking occurs already during the smoking of one cigarette and that the satiation and satisfaction from smoking are one and the same from the point of view of the moment of termination of the pleasure of smoking. It is written in the description of the method: "Smoking until the feeling of satiety ... causes a state of satisfaction" (clause 6.5 of the description of the method).

The fact that a satiety occurs when smoking just one cigarette is evidenced by the characteristic of satiety as a condition when “you don’t feel like smoking”, which comes to the smoker “at the end of a smoke break before the cigarette has not burned out completely” (Section 10.2 method descriptions).

However, it must be borne in mind that one cigarette, the standard length of which is 84 mm, is a smoking portion.

Mankind has come up with and introduced the concept of dose, or portion, in order to limit consumption.

For example, in the case of meals in the dining room, a person eats one serving of the first, second and third dishes. This is the end of lunch.

But, being at the festive table with an abundance of dishes, a person eats unlimitedly, trying various foods with pleasure. And the satisfaction of the food comes when several servings of different dishes are eaten.

So the smoker usually smokes one smoking portion, that is, one cigarette.

But with pleasure, with pleasure, he can smoke several cigarettes continuously, that is, without a break, as a whole.

The author of the method himself agrees with this, figuratively saying that "a well-educated person rises from the table with a feeling of slight hunger" (section 11.2 of the method description).

That is, in the concept of satiety, some consciously deliberate intentional incompleteness of smoking is invested in relation to the moment of the real end of the pleasure of smoking, which is replaced by a feeling of satisfaction.

Thus, satiety and satisfaction from smoking are different concepts. Saturation occurs intentionally, according to the requirement to quit smoking before one cigarette is smoked completely, and satisfaction occurs when one is finished smoking pleasure, and is not related to the number of continuously smoked cigarettes.

After smoking one cigarette at a time, the feeling of satiety disappears in less than one day, and again there is a desire to smoke. As a result, the practice of daily smoking is maintained for almost the entire time of treatment until the smoker moves from the second stage of smoking addiction (clause 7.2 of the method description) to the first stage of smoking addiction (clause 7.1 of the method description), in which he condition (strength) to quit smoking immediately "(clause 7.1 of the method description).

During daily repeated smoking throughout the day, one cigarette at a time is smoked by the smoker to capture the moment of saturation from smoking by observing the length of the cigarette smoked visually by the smoker and comparing it with the established dose of smoking, which is defined as the average "amount of smoked part" cigarettes for each break "(clause 10.2.1 of the description of the method).

But it’s difficult to catch such a moment, because the mechanism of “microdosed smoking reduction” due to the reduction of the smoking dose “when smoking one cigarette is not obvious”. “It is possible to notice this visually at the initial stage only by daily and more average data on smoking reduction” (paragraph 10.2 of the method description).

Therefore, "the account goes in some cases in time for seconds, in dose - for one puff" (section 10.2 of the method description).

Hence there is an increased psychological burden on the smoker during treatment for tobacco dependence. This load persists even after the end of treatment, since the smoker must fulfill the decision to quit smoking immediately (clause 7.1 of the method description).

In order to "take into account the results of smoking reduction, both by a single smoked dose and by reducing the intensity" (paragraph 11.3 of the method description), that is, the frequency of smoking, the smoker is asked to save cigarette butts and "use half-cigarette halves for subsequent smoke breaks" (paragraph 11.3 method descriptions). Thus, the smoker is ensured the availability of tobacco products after regular smoking.

Such availability of cigarettes provokes a smoker to frequent smoke breaks, which does not contribute to smoking cessation.

To successfully carry out smoking cessation measures, smokers “with an unstable psyche, mainly with a long smoking history” are offered to devote leave (item 11.1 of the method description), which usually has a duration of no more than 28 days, which is less than required by the conditions of the method " standard 60 days "(clause 11.3 of the description of the method).

This creates an additional psychological burden for users of the method in connection with organizational difficulties arising at work (or in school, if there is no time to postpone smoking cessation for the holidays).

The disadvantages of the method are:

1) increased psychological stress, since the smoking process is considered as a medical procedure, during which the smoker's attention is focused on the smoked area of the tobacco product and comparing it with the established dose of smoking;

2) organizational difficulties associated with the need to allocate free time for treatment;

3) the need to replace the daily smoking practice supported during treatment, to make a strong-willed decision to “quit smoking immediately” after switching to the first stage of smoking dependence (clause 7.1 of the method description).

Characteristic features of the method:

- smoking habitual cigarettes during treatment;

- The practice of daily smoking, which is supported in the treatment process;

- smoking between breaks in smoking only one cigarette;

- the availability of cigarettes after their next smoking.

The author of the method uses the term “continuous smoking” to cover long periods of smoking, calculated in years, “up to one year, for example, continuous smoking”, “after two, three years of continuous smoking” (section 7.1 of the method description), “every five years of continuous smoking "(Clause 11.1 of the method description), - which has nothing to do with continuous smoking, which by definition consists in smoking several cigarettes without interruption.

The purpose of the invention is to increase the resistance of quitters to smoking, to psychologically facilitate the treatment of tobacco dependence.

The essence of the invention is to saturate the smoker's body with nicotine through continuous smoking of tobacco products (cigarettes, cigarettes), during which, after smoking the first tobacco product, each subsequent cigarette is smoked from a cigarette that has already been smoked for a while, while the pleasure of smoking lasts.

As a result, the achieved saturation of the smoker's body with nicotine does not exceed the level hazardous to health, but it is sufficient to create a feeling of satisfaction for a sufficiently long time, after which the smoker can repeat continuous smoking if the desire to smoke is stronger than the belief that smoking is harmful to health.

A voluntary break after smoking one tobacco product, as shown by extensive experience in smoking, lasts less than one day. At the same time, smoking is becoming everyday.

On the contrary, a voluntary break after continuous smoking with the pleasure of several tobacco products lasts more than one day, as evidenced by the experience of using the claimed method.

This allows the smoker from the very beginning of the application of the method not to smoke one, two or more days in a row. Thus, they immediately stop the practice of daily smoking.

This is very important, because it is everyday smoking that leads to the formation and consolidation of human tobacco dependence.

Conversely, cessation of daily smoking practices to a large extent helps smokers to quit smoking.

It turns out that the longer the time interval between the previous and the ongoing continuous smoking, the less will be the number of tobacco products that a smoker who can quit smoking with pleasure.

The smaller the number of tobacco products smoked continuously and always with pleasure, the feeling of satisfaction comes, the longer will be the time interval between the onset and the subsequent continuous smoking.

Thus, the desire and ability to smoke for pleasure disappear in an avalanche.

The stopping and throwing of a pack of leftover tobacco products irrevocably after the end of continuous smoking helps the smoking cessation case to prevent access to tobacco products until their next purchase. At the same time, such an act fosters contempt for smoking and tobacco products as sources of harm to health.

The method does not provide for auto-suggestion as a medical procedure with the utterance of phrases about the dangers of smoking and the complete cessation of smoking. The issue of resuming smoking is decided on the basis of ordinary everyday judiciousness.

When there is a desire to smoke in a calm tone, they decide what is stronger, the desire to smoke or the belief that smoking is harmful to health. For this, the known possible and acquired health troubles (for example, fatigue, cough) and diseases (for example, chronic bronchitis, asthma, lung cancer) that smoking leads to are sorted out in memory. And according to the results of the comparison, they decide to postpone the purchase of tobacco products for a while or buy them and start smoking.

During smoking, the smoker should feel the pleasure of smoking and stop smoking when pleasure ends and a feeling of satisfaction comes, which is the boundary between pleasure and aversion.

As a result, pretty soon, within a few weeks or months, the smoker quitters creates his own set of instructions for quitting smoking, a persistent feeling of hostility to smoking and tobacco smoke, which over time is completely invisible to the smoker and completely eliminates the desire to smoke and smoking cessation.

Characteristic features of the method:

- the absence of a threat to the health of the smoker, because the method is based on smoking habitual or perceptually similar tobacco products, which lasts as long as the pleasure of smoking lasts, which is consistent with the usual behavior of the smoker and does not lead to saturation of the body with nicotine dangerous to health;

- cessation of the practice of daily smoking from the very beginning of the application of the method;

- an assessment of the degree of smoking cessation is made by the smoker himself, who is thus not enslaved psychologically and does not need any encouragement or condemnation from other people;

- the time and money spent on the application of the method do not exceed the generally accepted when smoking;

- there is no need to attend treatment courses and to see a doctor;

- there is no need for a strong-willed cessation of smoking tobacco products;

- high resistance to quitting smoking against smoking, because during the application of the method the desire to smoke completely disappears;

- the absence of a psychological burden on the smoker, since smoking is accompanied by a sense of pleasure, and instead of self-hypnosis, common sense works.

Distinctive features of the method:

- a mandatory reminder of the dangers of smoking for health only before purchasing tobacco products;

- the implementation of the purchase of tobacco products only if the desire to smoke is stronger than the belief that smoking is harmful to health.

- smoking outside the living room;

- continuous smoking;

- the continuation of smoking, while the pleasure of smoking lasts, and the end, when the satisfaction of smoking comes;

- inaccessibility of tobacco products after the end of regular smoking throughout the time until their next purchase.

Treatment of tobacco dependence by the proposed method is carried out in the following order:

1) if there is a desire to smoke, the possible and acquired health troubles (for example, fatigue, cough) and diseases (for example, chronic bronchitis, asthma, lung cancer) that smoking leads to solve the problem of what is stronger the desire to smoke or the belief that smoking is unhealthy.

2) independently buy habitual or perceptual tobacco products (one pack or more, if one seems small) if the desire to smoke is stronger than the belief that smoking is harmful to health;

3) stay solitary in a quiet place outside the living quarters;

4) they begin continuous smoking, during which, after smoking the first tobacco product, each subsequent cigarette is smoked from already smoked;

5) continue continuous smoking, while the pleasure of smoking lasts;

6) end continuous smoking, regardless of the number of smoked tobacco products, even if only one, when the feeling of satisfaction from smoking is replaced by a feeling of satisfaction;

7) crumple a pack with the remaining tobacco products (all packs, if several are bought) and get rid of them irrevocably, leaving no access to tobacco products until their next purchase.

In order to successfully conduct treatment, a smoker who has decided to quit smoking should additionally be guided by the following rules:

1) it is forbidden to discuss their actions with anyone in order to avoid pressure from other people in order to quit this unnecessary activity and continue to live as before;

2) it is forbidden to borrow tobacco products from other smokers;

3) during smoking it is forbidden to conduct distracting conversations with other people, except for short answers to questions of passers-by;

4) it is allowed to lend tobacco products to passers-by at their request in single copies during smoking, but not in the form of an entire pack.

Example.

A smoker with 17 years of smoking experience. He started smoking from 24 years old. On the eve of the first smoking by the proposed method, the rate of smoked cigarettes was about 20 pieces per day (one pack).

After the first continuous smoking of six cigarettes, he stood without smoking for about three days.

Subsequently, the time interval between cases of continuous smoking increased, and the number of continuously smoked tobacco products remained at the level of up to six pieces. There have been no cases of smoking in the last 23 years.

Claims (1)

A method of treating tobacco dependence, including smoking habitual or perceptually similar tobacco products during treatment, in which tobacco products are bought on their own, stop in a secluded place and begin to smoke, characterized in that if a desire arises to smoke, they may sort through the memory of already acquired health troubles and diseases caused by smoking, and only if the desire to smoke is stronger than the belief that smoking is harmful to health, buy tobacco products, choose a place outside the living room for smoking and carry out continuous smoking, during which, after smoking the first tobacco product, each subsequent smoke from the one already smoked is smoked, continue smoking while the pleasure of smoking lasts, and stop smoking, regardless of the number of tobacco products smoked, at least one, when the pleasure of smoking replaces the pleasure of smoking, after which a pack of the remaining tobacco products is crumpled and disposed of irrevocably, without leaving UPA to tobacco products before their next purchase.