Abstract
ABSTRACTIn this invited editorial, Prof. William R. Miller reflects on lessons learned through 40 years in addiction research and treatment on topics including evidence-based treatment, client-treatment matching, waiting lists, brief intervention, therapist effects, empathy, polydrug use, relapse, diagnostic labels, manual-guided treatment and standard care, abstinence and moderation, acute treatment and case management, residential and outpatient care, concomitant disorders and integrated care, motivation for change, and spirituality. Concluding that there are ample reasons for humility about our professional expertise, he offers recommendations in nine areas for improving the care of people with substance use disorders.
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