I have a question for you Dr. Phillips. Could we see more research focused on those of us who are medically dependent on nicotine (as opposed to "addicted")?
Vocalek,
That is a very good question, and gets to the heart of my motives and interests. One of my core messages is that many dedicated nicotine users would be much better off using a low-risk alternative than they would be smoking (high health costs) *or* abstaining (loss of important benefits). I am sometimes reminded that there are a lot of people who would rather just quit than use a product whose functionality does not appeal to them, and I am often startled by this reminder because I am really most interested in people who want nicotine so much that they will knowingly endure high costs to get it -- those (10% of the population? maybe 15%?) who are like you: Nicotine is the difference between misery, of one sort or another, and a much higher quality of life. That is what motivates me to fight those who traffic in the lie that nicotine has no benefits and that people only use it because they are too weak to go through the challenge of quitting.
Because people who get huge benefit, like you, are such an inconvenient truth for the anti-nicotine extremists who want to just make everyone abstain, and those extremists control 99% of the research, there is very little research. I suppose that there will never be much research on a phenomenon that officially does not exist. I try to do what I can, following discussions like this, doing a few focus groups, trying to find out what manufacturers know about their customers, etc.
Maybe you (and anyone else "listening") can give me some insight into what you think would be most worth researching. Nicotine users are one of the most dismissed stakeholder groups anywhere -- for most other behaviors, diseases, etc. it is taken as a given that the people being studied should have a major influence on what we study. Most of the billion dollar anti-tobacco "research" industry is not interested in your views, but I am. What do you know that we have not officially turned into scientific knowledge? What do you not know but think we ought to know?
And, do you have any thoughts about research methods and so forth? I realize that I am the expert in research methods, but I am asking seriously -- you probably have insights that would never occur to me. (FYI: I am a casual nicotine user, and get substantial benefit from it in terms of focus and alertness, especially when jet lagged, but can totally take it or leave it.)
--Carl
[Note: I am not sure if something like this should be in another thread or whatever. I do not know the local customs. If someone would like to move this to a dedicated thread and point me there, I would be happy to move. Or I can continue this here.]