In my early career, I was adamant about abstinence as the only viable solution to alcohol and other drug (AOD) problems—problems that I then universally framed as “addiction.” At that time, declaring that moderated use was a legitimate, potentially effective strategy for some people with AOD problems would have been tantamount to waving the proverbial(……)

It has become fashionable by commentators in the addictions arena to point to research studies confirming three linked findings:  1) the course of alcohol and other drug (AOD) problems are highly variable rather than inevitably progressive, 2) the majority of people experiencing substance use disorders and broader patterns of AOD-related problems resolve these challenges without(……)