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My freezer has been filling up with these hockey pucks of tobacco I order online, and the logos are almost comically macho: a grizzly bear, a rifle, a longhorn bulleverything but a scrotum

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(2008: 1691) cautioned against using concepts of self-medication to rationalize allowing ongoing tobacco use and limited smoking cessation efforts in many mental health treatment settings. As the authors further illustrated, smoking in psychiatric facilities may be not only passively accepted but also implicitly encouraged: the habit provides opportunities for social contact among inpatients without the clinicians intruding on them