Paradoxical intention helps clients separate themselves from their neurotic symptoms. The client is instructed to exaggerate the symptom and finds, paradoxically, the symptom occurs less. In provocative exaggeration symptoms are described so as to evoke laughter at the very symptom that causes anxiety. (Author)

Describes how metaphors can be used in a weight control approach to: (1) uncover underlying feelings; (2) reveal hidden solutions; (3) create an aversion to undesirable intakes; (4) provide the client with a thin self-concept; and (5) increase compliance. Provides examples to demonstrate these uses. (Author/RC)

Loneliness and isolation of older adults can be treated with group therapy. Group methods such as reality orientation, remotivation, reminiscing and psychotherapy groups can increase social interaction but require special consideration of environment, scheduling and individual limitation as well as counselor training. (JAC)