What Is Paradoxical Intention?

Updated November 22, 2022 by BetterHelp Editorial Team

Many people throughout the world experience fear, anxiety, and phobias. The Anxiety and Depression Association of America states that there are over 40 million Americans that live with anxiety disorders each year. One way that some people have found to make progress is through something that psychologists call paradoxical intention. Read on to learn more about this strategic way to improve your mental well-being.

Explore Paradoxical Intention And Its Applications

To improve anxiety disorders, many treatment options have emerged, including cognitive psychotherapy and behavioral treatment solutions. However, what if you could make progress with your fear and anxiety by facing it head-on? What if the best way to get rid of it were to experience more of it? Although it may seem counterintuitive, that is what paradoxical intention therapy is, and many people are using it to confront their anxiety disorder, performance anxiety, obsessive compulsive disorder, and chronic insomnia.

Breaking Down Paradoxical Intention

To understand paradoxical intention, we’ll first consider the meaning of both words. A paradox is a seemingly contradictory statement. Some examples come in the form of familiar terms, such as jumbo shrimp and crash landing. A paradox can be anything that is both true and contradicts popular belief or putative mechanisms.

According to the Merriam-Webster Dictionary, the word “intention” means "a determination to act in a certain way." When we combine this with the word "paradox," we come to understand that a paradoxical intention is a plan to act in a way that seems to contradict what you should be doing. For example, if someone has a phobia, they might face it head-on and perform an action that creates that discomfort. Instead of avoiding it, they purposefully choose to expose themselves to it. In this article, we'll explore this concept and how it is sometimes applied in therapy.

The History And Backstory

Psychologist Viktor Frankl initially developed paradoxical intention as a treatment method. Known for his book Man's Search for Meaning, he survived World War II and the Holocaust. While he was imprisoned in concentration camps during the war, Frankl had the opportunity to make many observations about human capacity and what happens when people are put into dire situations with extreme conditions. Later, he developed several therapeutic methods based on his observations, including paradoxical intention.

While he was refining this treatment, Frankl noticed a cycle. When people became afraid of something, they felt fear and wanted to avoid it, taking voluntary control of this feeling to stop a vicious cycle. Then, they developed a fear of the fear that they had. The fear just continued to grow, and they had anxiety over being fearful of the thing. Having this type of fear may cause problematic symptoms or an involuntary physiological process to arise and lead to physical and mental problems, such as increased heart rate and anxiety.

How And Why Does This Approach Work?

One of the ideas behind paradoxical intention is the notion that the mind often does the opposite of what we want it to do. When you make an effort to try to suppress a thought or concern, it often makes it worse. For example, if someone tells you not to think about a white dog with spots, it's nearly impossible to not think of that very thing. The more you try to resist the thought, the more frustrating it becomes. Similarly, the longer you try to avoid the thing you fear, the more the fear may grow. Even if we know that avoidance may increase the power of the things we fear, it's still a common response to avoid them.

For example, think about someone who has a fear of failure. This person might naturally avoid putting themselves into situations where they might fail. They may refuse to try new things because they don't want to take the risk of failing. The longer that they live like this, the more the fear may develop and grow until it consumes their life. It may become harder and harder to think about ever trying something new. They may even express exaggerated responses if asked about trying something new. 

If this person went through paradoxical intention therapy, they might repeatedly put themselves into situations where they are forced to try new things, even though they could fail. They might continue to do this until it becomes so natural that the fear is no longer present.

This type of cognitive psychotherapy may lead to improvement for this type of problem, as well as for symptoms related to performance anxiety, obsessive compulsive disorder, and insomnia and sleep restriction.

By continuing to face the things that cause you anxiety, you may be able to change your focus. Instead of avoiding something because you don't want to do it, you might change your mindset and think by default that you are going to do it. With the paradoxical intention approach, you might become more intentional about facing the things that cause you to fear and anxiety.

Use for Insomnia

There are mixed opinions on the use of paradoxical intention for insomnia. Some experimental studies have found evidence that the treatment can be effective in helping patients to gain control over their ability to sleep by controlling their ability to not sleep. When a patient constantly struggles with insomnia, they often begin to worry about it. The more they focus on sleeping, the harder it may be for them to fall asleep. They may spend so much time thinking about how long it will take them to fall asleep that they wind up not sleeping at all.

To combat the worry and anxiety flooding the person’s brain, a therapist using the paradoxical intention approach might advise the person to strive to stay awake as long as they can. Sleeping is an involuntary function, so we can't always control it. However, we can make an effort to stay awake for as long as we can. When a person focuses on staying awake instead of trying to go to sleep, the anxiety of insomnia may begin to vanish or cause self-detachment that promotes relaxation and sleep. Therefore, it may be easier for that person to experience relaxation and eventually fall asleep.

To put this treatment to use, you might try turning the lights off and lying in bed. Next, you might focus on keeping your eyes open as long as you can. If you feel sleep overtaking you, do not stir or try to fight it; simply let sleep come. Remember that staying awake until the last possible second is the goal, so you don't need to check the time or worry about how long you've been awake. This may alleviate the initial insomnia you experience.

If the problem is impacting your routine, you may want to look into sleep medicine, where a doctor can conduct subjective and actigraphy measurement tests to detect how much sleep you get each night. This may help them gain a better understanding of what you are experiencing and allow them to address the performance anxiety or other symptom that is preventing you from getting to sleep easily.

Other Uses

Paradoxical intention has the potential to help with many challenges. For example, some people experience a condition called shy bladder syndrome (paruresis, or the inability to urinate in public restrooms or anyplace where other people are nearby), but few people talk about it. People with this condition often have difficulty urinating in certain situations, despite trying as hard as they can. They may try to convince themselves to relax, or they may think of water and try all kinds of tricks, but sometimes nothing works.

However, if you had this condition and decided to practice paradoxical intentionality, you would do the opposite. Instead of trying to convince yourself to go to the restroom, you would try to see how long you can last without having to use the restroom. You would try to hold it. If you did this, you might subconsciously alleviate the anxiety surrounding the problem. This might help you overcome the problem and urinate with less trouble.

How You Might Use This Approach In Your Life

If you experience fear and anxiety, it might be time to try a little paradoxical intention. Here's what you might do:

  1. Identify the thing that causes your fear and anxiety.

  2. Look for ways to make it bigger than it is. For example, if you have a fear of failing, then you might consider trying things that you don't know how to do. You can set yourself up to do something where you might fail.

  3. Start putting yourself in situations where you are going to fail.

  4. Continue to do this until the idea of failing no longer causes you intense fear.

As you can see, this approach can be applied to many different situations, not only to large fears and performance anxiety. Some people experience difficulty implementing it on their own. However, there is evidence that it can be effective, and if you work with a therapist, it may be easier to follow through with the plan. A licensed therapist may be able to help you identify the behaviors, fears, and anxieties that you can address with this treatment.

Explore Paradoxical Intention And Its Applications

Seeking Help With Paradoxical Intention

You don't have to live in fear or face your fears on your own. There is a growing body of evidence suggesting that online therapy can help individuals manage and overcome certain phobias. For example, one study examined the effects of internet-based therapy on social phobia, particularly the fear of public speaking. The study utilized certain aspects of cognitive-behavioral therapy (CBT), including exposure therapy. 

If you’re nervous about going into a therapist’s office to discuss your concerns, you might try online therapy with BetterHelp. You can speak with a therapist from the comfort of your own home, and you can even reach out to them in between sessions if you are experiencing anxiety or have questions.

Takeaway

If you’ve been trying to handle your fears and anxieties on your own, don't hesitate to get professional help with paradoxical intention. The licensed counselors at BetterHelp may be able to help you confront and overcome your fears, including through paradoxical intention. BetterHelp therapists are here to support you every step of the way. Take the first step today.

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