The goal of treating alcoholism is abstinence. Attempts have been made to enable the alcoholic to continue drinking in a controlled fashion, but without sustained success. This goal must be stated to alcoholics clearly, simply, and unmistakably. With regard to alcohol abuse, there is debate as to whether the goal should be abstinence or controlled drinking. Although some alcohol abusers are able to moderate their drinking to a “social” level, it is not possible to predict which of them will be able to accomplish this. Given this unpredictability, and the potentially grievous complications of alcohol abuse, it may be prudent to approach alcohol abusers in the same way as alcoholics.