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We appreciate Dr. Chaiton's perspective and his thoughtful response,[1] as well as the opportunity to reply and discuss this issue further. This process should include acknowledgment that, while cigarette use has been the leading cause of preventable morbility and premature mortality for decades, tobacco use disorder has never been given a seat at the substance use disorder treatment table. [Extracted from the article]

From legislatures to schools to workplaces, as well as in scientific discourse and clinical practice, the past few decades have seen a move away from labels such as "user", "addict", or "alcoholic", for their lack of precision, negative connotation, and the way they equate the person with behavior or condition. Focusing on the use of cigarettes rather than referring to "smoking" would bring greater consistency with discussion of other substance use. [Extracted from the article]

Objective: This purpose of this study was to identify clinicians' perceptions of the benefits of aquatic therapy for young children with autism. Methods: Eighteen aquatic occupational therapists treating young children with autism responded to a survey soliciting their opinions on changes in skill performance resulting from aquatic therapy. Results: A majority of clinicians reported a substantial increase in swim skills, attention, muscle strength, balance, tolerating touch, initiating/maintaining eye contact, and water safety. Conclusion: The impairments, activity limitations, and participation restrictions seen in children with autism can be wide-ranging and outcomes can be difficult to operationally define and measure. In this preliminary study, clinicians identified the areas they perceived as improving as a result of aquatic therapy. This information could help narrow the field of likely outcomes as a first step toward studies of the effectiveness of aquatic therapy for children with autism. [ABSTRACT FROM AUTHOR]