The present volume contains a large variety of treatment approaches to the long-term rehabilitation of the alcoholic, ranging from the biological to the physiological to the psychological to the social. The multiplicity of proposed therapies, each of which has its strong proponents, suggests that alcoholism is either a complex medical-social disease syndrome requiring a multipronged treatment approach or a very simple illness for which we have not yet dis covered the remedy. The latter may, indeed, be true, but we cannot use what we do not know and must use what we do know. We do, however, have the obligation to be responsible in our treatment, to provide the best that is known at this time, and to be discriminating in our prescription of appropriate treat ment for individual patients. If there is one conclusion we would like to offer in our preface, it is that alcoholics constitute a markedly heterogeneous popula tion with widely disparate needs, for whom, at least at our present level of knowledge, a broad spectrum of treatment modalities is necessary. If this is true, then probably most of this book has validity. With this volume on the treatment and rehabilitation of the chronic alco holic, we bring to completion our five-volume series, The Biology of Alcoholism. As the title of the present volume indicates, we have departed from our original intention to deal solely with biological aspects of the syndrome and have attempted rather to produce a more comprehensive work.

Ernest Kurtz has been the outstanding thinker of the A.A. tradition's second generation, the one who played a constant leadership role in pushing the movement towards the highest professional standards of history writing and supplied some of its most influential interpretive concepts. His ideas are vitally important for anyone who wishes to understand A.A. history during the period following Bill Wilson's death in 1971. As a Ph.D. student at Harvard University in the 1970's, he was the first researcher to be granted full access to the archives of Alcoholics Anonymous. The book that resulted, Not-God: A History of Alcoholics Anonymous (1979), is still the classic work on early A.A. history. His book on the spiritual life-Ernest Kurtz and Katherine Ketcham, The Spirituality of Imperfection: Modern Wisdom from Classic Stories (1992)-is equally well known, and has also been an enduring best seller through the years since it appeared. His work on Shame & Guilt (orig. pub. 1981, rev. ed. 2007) has given a whole new depth to the discussion of those two vital recovery issues. This present book, containing twelve key articles written by Kurtz between 1982 and 1996, gives us a fourth volume from his hand, displaying the impressive range and breadth of his thought on alcoholism, addiction, and spirituality. "Here under one cover is Kurtz at his best: historian, gadfly, teacher, interpreter, and master storyteller . This is must reading for any student of Alcoholics Anonymous and the evolution of spirituality in America." -William L. White, author of Slaying the Dragon: The History of Addiction Treatment and Recovery in America