Introduction and Objective: One of the most widely used approaches to addressing resistance in psychotherapy is the application of paradoxical interventions. The aim of this technique is to help clients view their problems from a new perspective and to facilitate rapid behavioral change. Critics argue that such practices risk oversimplifying clients’ problems. The purpose of this study is to review the ethical arguments surrounding the legitimacy of paradoxical strategies in psychotherapy.

Research Methodology: This study was conducted as a narrative–critical review. Sources were identified through searches in reputable academic databases, including PubMed, Google Scholar, Web of Science, SID, and Magiran, covering the period from 1975 to 2025 and using the keywords “paradoxical intervention”, “paradoxical intention”, and “psychological reactance.”

The selected texts were analyzed based on their degree of innovation, theoretical rigor, and empirical evidence, and were categorized into three main themes: Critiques of the application of paradoxical strategies, Ethical analysis grounded in moral theories and Ethical considerations in the practical use of paradoxical strategies.

Findings: The review of philosophical perspectives in applied ethics, together with the ethical analysis of paradoxical interventions, suggests that if the therapist has first established trust with the client, and if the client presents with a sense of helplessness, the intervention should directly address this issue. In such cases, no deception is involved. The therapist’s temporary stance against change is genuine and not misleading. As a result, the client may conclude: “If my therapist believes I do not need to change right now, then I do not need to change at this moment.” This process enables the client to regain a sense of control over the situation.

Conclusion: Paradoxical interventions represent a valuable tool for clients with high psychological reactance. Nevertheless, obtaining informed consent remains essential and requires sensitivity.