Part 1: Scope of America's alcohol problem -- How much of a drinking problem do we have? -- Ups and downs in our drinking history -- Part 2: Why efforts to control alcohol have failed -- Undernourished government alcohol programs -- Movements to institute better treatment and control -- The alcohol merchants -- Part 3: Elements of effective prevention and treatment -- Primary prevention and the good-health movement -- How well do alcohol treatment programs work? -- Economics and management of treatment -- Part 4: Recommendations for combatting alcohol problems -- What helping professionals can do -- Needed directions in alcohol research -- Steps action agencies can take.