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=== Lack of reliable and objective research === Turner and Ascher say that paradoxical intention has not gained complete acceptance in behaviour therapy because the research supporting its clinical efficacy is mainly limited to uncontrolled case studies.<ref name=":3" /> Some have argued that studies have also shown a lack of evidence directly gleaned from the clients in order to explain the effectiveness of PI approaches, rendering the data unreliable, and that the insomniac self-reports are unreliable as participants may provide socially desirable answers.<ref>{{Cite journal|last=Riebel|first=Linda|date=1984|title=Paradoxical intention strategies: A review of rationales.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/h0085982|journal=Psychotherapy: Theory, Research, Practice, Training|language=en|volume=21|issue=2|pages=260β272|doi=10.1037/h0085982|issn=1939-1536}}</ref><ref>Carskadon, M. A., Dement, W. C., Mitler, M. M., Guilleminault, C., Zarcone, V. P., & Spiegel, R. (1976). Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. ''Am J Psychiatry'', ''133''(12), 1382-1388.</ref> Thereby, paradoxical intention is viewed as a last case resort in the event of the ineffectiveness of other relaxation-desensitisation programs.<ref name=":1" /><ref name=":0" />
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