This work focuses upon paradoxical aspects of alcoholism. Current information suggests that double-binding dynamics exist in alcoholism and that paradoxical lifestyle themes do contribute to alcoholism abuse. Emphasis in this paper is focused upon the utilization of paradoxical dynamics within a therapeutic framework. It is suggested that treatment interventions must effectively alter negative paradoxical patterns operating in the alcoholic's life-style. Recent clinical findings are cited, and therapeutic uses of paradoxical and refraining and interventions are discussed.