“…While the addiction literature contains numerous case reports of exceptional alcohol, illicit substance and prescription medication dependence (e.g., Agrawal, 1978;Bennett, Wilson, & Roy-Byrne, 2007;Jansen, 1999;O'Brien, 2008;Yovell & Opler, 1994), the more mundane examples of strong cigarette dependence have not been documented in the same way. In fact, there is no formal paper available to which a writer could refer when wanting to reference a statement that cigarettes can be extremely addictive, or that there are smokers who struggle to achieve even a short period of abstinence despite a very high motivation for doing so.…”