Many substance abusers return to substance abuse treatment. This article uses the life-history interview method to explore why chronic substance abuse recidivists, from their perspective, repeatedly access substance abuse treatment programs. This approach reveals that their intentions for accessing treatment are not based on abstinence but rather in response to other, more immediate needs. Therefore, relapsing and returning to treatment is normative for chronic recidivists and patterned by their differential social and institutional associations.