Elizabeth Ettorre offers a clear account of women and substance use in a field which has been resistant to a woman-oriented perspective. The authors of most "addiction studies" view women as stigmatized and marginalized. Ettorre strongly counters this perspective. She focuses specifically on women's use of alcohol, prescribed drugs (specifically minor tranquilizers), heroin, tobacco, and food. Using the term "substance use" rather than "abuse" throughout the text, she directly challenges ideas regarding women in the field of addiction. More significantly, Ettorre deliberately puts forward a feminist perspective rooted in the identity and consciousness of women substance users. In order to expose the major misconception held by both clinicians and researchers in the field--that women substance abusers are a homogeneous group--Ettorre provides separate analyses of the different substances used and abused by women. She emphasizes the types of feminist strategies to use in the substance abuse field which will mobilize women. These strategies, she argues, must become increasingly visible if changes are to occur. Women need to build an alternative creative response which challenges the pervasive dogmatism in the substance abuse field.