Increasingly, therapists and researchers have begun to explore a relatively new set of psychotherapy techniques that are known collectively as paradoxical therapy. Although the outcome research has been generally supportive of the clinical efficacy of paradoxical therapy, critics have voiced concerns about this therapeutic approach and have described it as being dishonest and unethical. Many of these concerns appear to be based on mistaken notions about the context of paradoxical therapy. This article is designed to clarify some issues surrounding the paradigm, ethics, and practice of paradoxical therapy and to rectify some misconceptions that might otherwise interfere with the development of this promising therapeutic orientation.