In the 1980s the study of alcoholism was in a period of rapid change, this book, originally published in 1985, identifies and explores the three most controversial contemporary issues: changes at the basic explanatory level in our concept of harmful drinking; the undermining of our confidence that drinking behaviour can be effectively modified in the traditional context of ‘treatment’; and the changes in our concept of the effective prevention of harmful drinking. The authors of the book came from a variety of backgrounds, but all were members of the New Directions in the Study of Alcohol Group. They broadly reject the disease concept of alcoholism, but, as this volume shows, there is still scope for vigorous debate and this book should have something of interest for all concerned with problems of alcoholism.