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Since smokers (and other drug users) typically titrate their use to a preferred level of reinforcement, a decrease in number of cigarettes smoked indicates that the smoker requires fewer cigarettes to achieve the same level of reinforcement, which suggests that each individual mentholated cigarette is actually more reinforcing than a non-mentholated cigarette

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50 Vignette resolution: Your patient sought help for psychological symptoms likely caused by biological or social effects of his use of multiple psychoactive substances

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