The social dynamics of cigarette smoking: a family systems perspective

Family Process
W J Doherty, D A Whitehead

Abstract

This paper uses family systems concepts and the Family FIRO model to show how cigarette smoking occurs in the context of the important relationships in a smoker's life. Specifically, smoking is viewed as a way a person is included in relationships, is in control in relationships, and perhaps is intimate in relationships. When smoking is well-established in the relationship, predictable interaction patterns surround it. When a person tries to quit or succeeds in quitting, these patterns change and may need to be replaced by nonsmoking alternatives. Partners may respond with support and willingness to create alternative patterns, or with undermining behavior stemming from a perceived threat to the established patterns. The model is offered for its heuristic value in guiding research and clinical experimentation. The paper also describes implications for family therapists as consultants to smoking-cessation programs.

References

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Citations

Jan 1, 1991·Social Science & Medicine·M C Robbins, A Kline
Nov 21, 2007·Journal of Abnormal Psychology·Varda ShohamSarah E Trost
Aug 15, 2013·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Isaac M LipkusBenjamin Toll
Jul 20, 2005·Research in Nursing & Health·Joan L BottorffMary Kelly
Apr 22, 2009·Family Process·Michael J RohrbaughJeffrey S Berman
Sep 29, 2004·American Journal of Preventive Medicine·Colleen M McBridePauline Lyna
Nov 7, 2006·Journal of Substance Abuse Treatment·Varda ShohamMyra Muramoto
Apr 7, 1997·American Journal of Health Promotion : AJHP·P D MullenD H Ershoff
Aug 10, 2016·OTJR : Occupation, Participation and Health·Patricia SchaberEmily Thurner
Jun 14, 2019·Journal of Smoking Cessation·Michelle R vanDellenIsaac M Lipkus

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