This widely used clinical resource and text captures the breadth of current knowledge about substance abuse and its treatment. For each of the major contemporary treatment approaches, a chapter on basic assumptions and theories is followed by a chapter bringing clinical applications to life. Expert contributors provide coverage of 12-step, psychodynamic, cognitive-behavioral, marital/family, and motivational approaches, augmented by new chapters on contingency management. Also covered (in a single chapter) are psychopharmacological interventions, which are supported by a growing body of empirical research. Finally, a new concluding chapter demonstrates how the clinician can successfully integrate elements of multiple approaches into carefully planned work with individual clients.