Reducing cigarette smoking in a retarded adult: An application of self-management procedures

An attempt was made to reduce the overall number of cigarettes smoked per day with a mildly retarded adult. Self-monitoring was compared to self-monitoring plus self-graphing and goal setting procedures in reducing the number of cigarettes smoked. Self-monitoring plus self-graphing and goal setting was superior to self-monitoring alone when the goal was set at 15 cigarettes per day, but the actual number of cigarettes smoked increased when the goal was set at 12. The number of cigarettes smoked during all treatment conditions was lower than either baseline conditions. The therapist also reduced the patient's caffeine intake and switched the client's brand of cigarettes to a low “tar”/nicotine brand. The reduction in caffeine and “tar”/nicotine was related to a small and transient increase in somatic complaints and verbal abuse, as well as the complete elimination of nocturnal enuresis. Brand switching to low “tar”/nicotine cigarettes did not result in an increase in the number of cigarettes smoked per day.