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Ethical reflection is a process that comes from the deeper attitudes and values of the therapist and supervisor. The capability to recognize one's perspectives and ethical dimensions and how they affect own practice is one of the crucial tasks of a responsible therapist. Attitudes and values of an individual or a group may significantly influence the therapeutic process and a choice of strategies and behaviour towards the patient, often working at an unconscious, unreflected levels. Ethics is closely connected with psychotherapeutic treatment. Basic principles, such as expediency, honesty, integrity, justice, and respect, apply to all people equally, including psychologists, psychiatrists, psychotherapists, and supervisors. The goal of supervision is to cultivate the therapeutic process in the client's best interest. The supervisor-supervisee relationship is then grounded on principles similar to those in the therapeutic relationship.
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Cien Saude Colet
August 2025
Universidade Federal do Rio Grande do Sul. R. São Manoel 963. 90620-110 Porto Alegre RS Brasil.
The aim is to analyze the photovoice method as a mental health care tool for adolescents from the perspective of co-production of autonomy, in a Child and Adolescent Psychosocial Care Center (CAPSi). Research based on the constructivist paradigm, with a qualitative and participatory approach, through the theoretical-methodological path of photovoice. Field notes and Culture Circles were used to collect data.
View Article and Find Full Text PDFPLOS Glob Public Health
September 2025
Division of Clinical Epidemiology, Department of Medicine, McGill University and Research Institute of the McGill University Health Centre, Montréal, Canada.
For digital health interventions, the "gold standard" of evaluating effectiveness is the randomized control trial (RCT). Yet, RCT methodology presents issues such as precluding changes to the technology during the study period as well as the use of study settings that do not reflect "real world" contexts. In this paper, we draw on empirical material from our ethnographic research on an app-based program called HIVSmart!, which is a digital strategy designed to support people in the process of HIV self-testing.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Harvard Medical School, Boston, Massachusetts.
Importance: Research in behavioral economics has demonstrated that people have irrational biases, which make them susceptible to decisional shortcuts, or heuristics. The extent to which physicians consciously might use nudges to exploit these heuristics and thereby influence their patients' decision-making is unclear. In addition, ethical questions about the conscious use of nudges in medicine persist, yet little is known about how physicians experience and perceive their use.
View Article and Find Full Text PDFEur J Clin Microbiol Infect Dis
September 2025
School of Bioengineering and Biosciences, Department of Biochemistry, Lovely Professional University, Punjab, 144411, India.
Purpose: This study investigates codon usage and amino acid usage bias in the genus Acinetobacter to uncover the evolutionary forces shaping these patterns and their implications for pathogenicity and biotechnology.
Methods: Codon usage patterns were examined in representative genomes of the genus Acinetobacter using standard codon bias indices, including GC content, relative synonymous codon usage (RSCU), effective number of codons (ENC), and codon adaptation index (CAI). Neutrality and parity plots were employed to evaluate the relative influence of mutational pressure and natural selection on codon preferences.