The relatively slim social science literature on drug treatment is reviewed
. Attention is paid to the institutionalization of treatment at the meso (l
ocal community or clinic) level and the micro (client) level rather than to
the more commonly examined macro (societal or national) level. The inter-p
enetration across these levels of ideologies and practices around drugs is
revealed through discussion of the targeting of certain populations for tre
atment, methods of client control in treatment settings, and the client's v
iew of treatment. In the literature, drug users are often presented as pass
ive individuals, subject to various forms of restrictive social control in
therapeutic settings. Their perspective on the processes or efficacy of tre
atment is ra rely sought. The concept of drug treatment as necessarily bene
ficial to clients is questioned in this paper.