Aversive cigarette smoking with an habitual, excessive smoker

A 39-yr.-old patient was exposed to aversive cigarette smoking consisting of rapid smoking, handling of cigarette litter, and warm smoky air for 6 wk. He reduced from a baseline of 140 cigarettes per day to less than 20 at end of treatment. Follow-ups at 1, 2, 3, 6, and 9 mo. indicated a smoking rate of approximately 25% of baseline.