Why PBYS works:
By Dominic J. Zerbolio, Ph.D
Professor Emeritus
University of Missouri, St. Louis
Most of the behavioral procedures available today try to teach you a "Competing response". Specifically, they attempt to teach you to do something else when the urge to smoke occurs. So you get to practice "not smoking" in a laboratory environment for a couple of hours a week, for a couple of weeks. Then, you are tossed back into your "real world environment", with all the cues and friends and situations in your life that have been associated with smoking for many many years. Want to guess what happens? Those "real world cues" continue to trigger the response that you have practiced and associated with them for years. Not surprising that your old habit wins out almost 90% of the time.
What this does is to create the condition that allows several things to occur simultaneously:
1. The time between your "triggered desire" to smoke and lighting up is
systematically increased as the number of pokes increases.
2. The number of behavioral elements (Pokes) between your "triggered
desire" to smoke and lighting up is systematically increased, which
lengthens the total behavioral chain.
3. Each time you light up, you are "practicing" poking in the real world in which you live, and therefore associating the "additional poking
response" with your "real world" cues.
4. As the number of pokes in your smoke increases, you will be inhaling less and less nicotine (and tar and particulate matter) which effectively
weans you from the drug habit.
5. As the number of pokes increases, it becomes more and more of a bother (I call it the PITA Effect-- which means a Pain in the $%), which
leads to you becomingly increasingly likely to "fail" to start the entire
chain because it has become a PITA to you; i.e., not worth the effort.
But you are not there yet.
All other procedures (Patch, Gum, Hypnosis, etc), behavioral consuling) have the same problem-- they do not permit their users to pick up that cigarette and smoke it, and therefore, they have a built-in AVE problem. PBYS is the only one that is different.
And how is PBYS different, you ask. PBYS allows you to pick up that cigarette and smoke it , AS LONG AS YOU POKE BEFORE YOU SMOKE!
As long as you "Poke before you smoke", you will not have broken your covenent with your self, and therefore, psychologically, you will not suffer the Abstinence Violation Effect.