The old self and the new self consist of three major subcomponents: behavior, the physiological self, and the psychophysiological self. Behavioral aspects are activities (job, school, sports), relationships, self-reliance, honesty, self-respect, respect for others, self-worth, values, planning/constructive thinking, self-discovery, self-awareness, acceptance, and decisionmaking. The physiological self involves habits of eating, sleeping, general health, and physical fitness. The psychophysiological self is comprised of the drug urge, sobriety, maturity, and hygiene. The four-pronged change strategy consists of system introspection, process learning, adapting environment, and self-confrontation. Systems introspection entails examining the components of the old self; process learning involves becoming familiar with the characteristics of the new self (ex-addict); adapting environment examines all the contributing factors of a life of chemical dependency; and self-confrontation involves the patient's making daily realistic appraisals of successes and failures. 46 references.