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The current review revisits the article entitled: “Active Ingredients: How and Why Evidence‐Based Alcohol Behavioral Treatment Interventions Work” published in Alcoholism: Clinical and Experimental Research. This work summarized proceedings from a 2004 Symposium of the same name that was held at the Annual Meeting of the Research Society on Alcoholism (RSA). A decade has passed, which provides occasion for an evaluation of progress. In 2014, an RSA symposium titled Active Treatment Ingredients and Client Mechanisms of Change in Behavioral Treatments for Alcohol Use Disorders: Progress 10 Years Later did just that.

The current review revisits state‐of‐the‐art research on the 3 treatments examined 10 years ago: cognitive behavioral therapy, alcohol behavior couples therapy, and 12‐step facilitation. Because of its empirically validated effectiveness and robust research …