Cigarette smoking is the leading cause of preventable death and disability-
and thus an issue of considerable importance to psychotherapists. The majo
rity of smoking-cessation programs available to the public uses an effectiv
e group format, but it remains underused. Many smokers who seek treatment r
equest individual counseling however, empirically based individual treatmen
ts are still in the early stages of development, High-impact therapy is a f
orm of short-term dynamic psychotherapy adapted by the authors for the trea
tment of the hard-core smoker. It recognizes that the relationship among sm
oking, life stressors, personality factors, and psychological disorders is
complex, and it intervenes using motivational and defense-challenging techn
iques. One of the main and distinctive features of this model is the emphas
is on emotional arousal to facilitate the mastery of emotional conflict, ma
king this a high-impact form of psychotherapy. (C) 2001 John Wiley & Sons,
Inc.