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Six major patterns of provocative behavior during the psychotherapy of adolescents are discussed: 1. Silence and the voluntary withholding of material; absence from sessions; general withdrawal. 2. Defiant behavior and the devaluation of identification. 3. Voluntary distortions to conceal or entrap; malingering somatic illness. 4. Sibling rivalry problems among patients of the same psychotherapist. 5. Attempting to humiliate the psychotherapist in public; paranoid projection; offering gifts and bribes. 6. Escape from the hospital and suicidal attempts.