I found some chapters more appealing than others in this edited text, which reaches across disciplines through rather broad overviews, and I am sure that many readers will agree with me. However, as a consequence of the broad audience to which this text is relevant, I am also sure that there will be disagreements about which specific chapters are more pleasing. In part 1, George Vaillant's views of the usual clinical course or natural history of the substance use disorders and how psychotherapeutic approaches might differ across this cycle is thought-provoking. I was also intrigued by Griffith Edwards' historical perspective on three major developments in therapies relevant to the substance use disorders over the last 200 years. Dr. Edwards presents the theme of the need for psychotherapies to take advantage of the natural healing processes, a thought that ties together the questions raised by Dr. Vaillant in part 1 with two treatment-related chapters on addictive behaviors and Alcoholics Anonymous in part 2. Regarding this latter and more extensive section, the reader might find especially helpful Susan Davison's chapter, on differing intensities of psychotherapy for different individuals, the reviews of cognitive and behavioral approaches by Ruth Williams and by Michael Gossop, the overview of motivational issues by Robin Davidson, and the application of these and other approaches to a group treatment setting by Wojciech Falkowski.