Adjective Check List (ACL) descriptions of 88 addicts in treatment toward methadone maintenance, multimodality, and therapeutic community clients and program staff within and across rating groups representing the three types of drug treatment conditions were compared. Data analysis procedures included single-groups analyses of variance; combined-groups analyses of covariance with sex, age, race, months addicted, months in treatment, and scores on the Raven Progressive Matrices treated as covariates; and principal-components analysis. Addicts as a group were characterized by high elevations on ACL scales Aggression and Succorance. Client descriptions varied significantly as a function of category rated, with program staff described more positively than client groups, therapeutic community residents described more favorably than other client groups, and methadone clients rated with marked negativity. Between-category differences were most succinctly summarized by factor score comparisons on General Adjustment, one of four factors identified by principal-components analysis and differentially associated with all four categories rated, Results suggest that addict opinions represent a valuable source of ideas for evaluating current treatment approaches and identifying self-and staff perceptions of therapeutic significance.Treatment successes have been limited maintenance, multimodality programming, and among therapeutic approaches to opiate addic-the therapeutic community. Predicting the tion, and pessimism has characterized reports long-range fate of addict clients treated in of treatment outcome studies evaluating the traditional fashion at the U.S. Public Health effectiveness of strategies such as methadone Service Hospital at Lexington, Vaillant (1970) estimated that 2% of addicts at risk become permanently abstinent each year. Similarly, This research was supported by General Research methadone maintenance programs have been Support Grant 22620-GR26 from the Medical Uni-regarded as only partially successful in meeting versity of South Carolina to the first author and was earlier daims ( Dole & Nyswander, 1976), and presented at the annual meeting of the Southeastern , , , -ni-ir j T Mrw"\ v. A Psychological Association in New Orleans, Louisiana, although Williams and Lee (197o) showed March 1976. Special appreciation is expressed to Maggie positive behavioral and attltudmal changes Pike and Barry Pike of Odyssey House Louisiana and among addicts remaining in methadone treatto Ward Suddereth of the Drug Research Clinic who ment l onger than 3 months, they described a made access to clients^ in these treatment modalities hi , dropout rate . Other investigators reported possible. Appreciation is also expressed to Joanne B.