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In the past, neither the fundamental facts about intoxicant use and misuse nor the treatment of those with intoxicant problems was given a prominent place in clinical education or training, despite the enormous costs, numbers involved, and the implications for health care. Various factors contributed to the neglect, including the social, psychological, and political distance between clinicians and those with intoxicant problems, the disruptive impact of early psychoanalytic thinking, and clinicians' lack of faith in the efficacy of treatment. As a new, more treatment-oriented group developed intoxicant problems, treatment facilities and techniques improved, leading to a greater optimism about outcome among clinicians. These and other changes make further education in this field feasible and desirable, and a sample curriculum is presented.