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John Gavazzi - Psychologist

@drgavazzi.bsky.social
366 followers 153 following 1K posts

Practicing Psychology - Board Certified in Clinical Psychology Ethics Educator. Fan of philosophy, behavioral economics, health policy, and moral psychology.

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John Gavazzi - Psychologist @drgavazzi.bsky.social · 29/09/2026
A new Society for the Advancement of Psychotherapy work group concludes that AI can meaningfully augment psychotherapy—but can never replace the human judgment, relationships, and accountability at its core.
ethicalpsychology.com
Artificial Intelligence and Psychotherapy: Opportunities, Challenges, and Recommendations
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 25/09/2026
Famed sex therapist Vanessa Marin sparked debate by creating an AI "digital twin" trained on her expertise—and as other therapists follow suit, the industry is grappling with whether chatbot replicas can extend therapy's reach without crossing ethical lines.
ethicalpsychology.com
Would You Talk to Your Therapist’s AI ‘Twin’?
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 24/09/2026
ETHICA-4P, co-designed with more than 900 researchers and clinicians from over 40 countries, gives psychologists a practical, culturally attuned framework for ethical decision-making built on four Ps (Place, People, Principles, and Precedents) that complements the APA Ethics Code.
ethicalpsychology.com
Navigating increasing complexity in mental health practice: ETHICA-4P, a framework and toolkit to promote reflective skills for ethical clinical decision making
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 21/09/2026
AI could help bridge India's mental health care gaps, but only if deployed as a culturally adapted, ethically governed adjunct to human therapists—not a replacement.
ethicalpsychology.com
AI-enabled therapy platforms: Clinical promise, ethical challenges, and cultural considerations in mental health Care Author links open overlay panel
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 16/09/2026
Chasing perfection isn't the same as striving to do well—while aiming high can satisfy your psychological needs, holding yourself to perfectionistic standards tends to fuel fear of failure and leave those needs unmet.
ethicalpsychology.com
The basic psychological needs in excellencism and perfectionism: A dual perspective with the need-as-motives and the need-as-nutriments frameworks
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 13/09/2026
This tutorial provides clinicians with tailored prompt engineering techniques and practical guidance to effectively leverage large language models in health care while ensuring ethical standards and patient safety.
ethicalpsychology.com
Prompt Engineering in Clinical Practice: Tutorial for Clinicians
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 09/09/2026
The paper proposes psychological audits, built on three disciplinary lenses and 12 components covering model characteristics, stakeholder communication, and meta-considerations like cultural context, as a standardized way to evaluate fairness and bias in AI systems that predict human behavior.
ethicalpsychology.com
Auditing the AI Auditors: A Framework for Evaluating Fairness and Bias in High Stakes AI Predictive Models
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 08/09/2026
This systematic review and meta-analysis of observational studies demonstrates that the impact of psychotropic medications on suicide-related outcomes varies significantly across different psychiatric diagnoses.
ethicalpsychology.com
Effect of psychotropic medications on suicide-related outcomes: a systematic review and meta-analysis of observational studies
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 02/09/2026
Two leading therapies (CAMS and DBT) are proven by rigorous clinical trials to effectively reduce suicidal thoughts and behaviors.
ethicalpsychology.com
The use of CAMS and DBT to effectively treat patients who are suicidal
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 31/08/2026
Discover a practical five-pillar framework that synthesizes major clinical codes of ethics with global AI guidelines to help mental health professionals confidently navigate the uncharted ethical terrain of generative AI! 🧠🤖✨
ethicalpsychology.com
Ethical Decision-Making Guidelines for Mental Health Clinicians in the Artificial Intelligence (AI) Era
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 30/08/2026
@xfinitysucks.bsky.social Xfinity Mobile fraudulently charged my credit card for a phone and a phone line that I did not order. I did not request the device, authorize the line, or consent to any change to my account. The charges appeared without notice and without any action on my part.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 29/08/2026
This article identifies ethical principles psychologists should consider when deciding whether to address their patients’ prejudicial comments in psychotherapy. It also provides an intervention strategy for addressing patients’ prejudicial comments.
ethicalpsychology.com
Prejudiced Patients: Ethical Considerations for Addressing Patients’ Prejudicial Comments in Psychotherapy
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 26/08/2026
Therapist positionality—how intersecting identities like race, gender, and class shape clinical relationships—is essential to antiracist practice, yet often overlooked in training; this article offers strategies for reflexivity, cultural humility, and accountability.
ethicalpsychology.com
Therapist Positionality: A Cornerstone of Antiracist Clinical Practice
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 24/08/2026
It's me on the podcast. Full podcast is here. AI and psychology.
ethicalpsychology.com
Think First, AI Second: Why Human Judgment Still Matters in Psychology
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 21/08/2026
This study describes the development of a novel ethical decision-making tool for use in training clinical psychology graduate students. The study shows that the tool helps trainees improve their analysis of complex ethical dilemmas that arise in clinical practice.
ethicalpsychology.com
Development and Efficacy of an Ethical Decision-Making Tool for Training Clinical Psychologists
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Reposted by John Gavazzi - Psychologist
Robert Reich @rbreich.bsky.social · 19/08/2026
The Democratic Party’s mega-donor class is horrified by the rising tide of progressive populism. Too bad. It's time they recognize the real choice is between democracy and tyranny, between an economy that works for all or one that works for a small sliver at the top.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 20/08/2026
This new framework provides forensic experts with a four-step guide for ethically integrating generative AI into their practice while maintaining rigorous standards for admissibility and credibility.
ethicalpsychology.com
Practical Frameworks for Integrating Artificial Intelligence in Forensic Psychology
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 17/08/2026
This article offers a practical framework for training psychologists to address power, privilege, and intersectionality in therapy, emphasizing that such deliberate work is essential for enhancing clinical outcomes and deepening understanding of structural oppression.
ethicalpsychology.com
Privilege in the room: Training future psychologists to work with power, privilege, and intersectionality within the therapeutic relationship.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 15/08/2026
My article: The SHAPE model gives clinicians a fast, practical framework for navigating complex ethical dilemmas—preventing reliance on intuition alone and reducing clinical errors to ensure high-quality client care. #ethics #decisionmaking #psychology #psychotherapy
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The SHAPE Model: A Metacognitive Framework for Ethical Decision-Making
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 12/08/2026
This comprehensive review serves as a practical reference guide for clinicians by mapping professional guidelines onto AI-assisted supervision, while thoughtfully highlighting both the impact on the supervisory working alliance and the current literature's empirical limitations.
ethicalpsychology.com
An AI Perspective on Counseling Supervision
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 10/08/2026
A new systematic review highlights how AI and Natural Language Processing are transforming clinical psychology and digital mental health by boosting efficiency and personalization, while emphasizing the critical need for strict ethical standards and human oversight.
ethicalpsychology.com
The Role of Artificial Intelligence in Clinical Psychology: How AI and NLP Systems Are Reshaping Psychological Interventions. A Systematic Review
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 07/08/2026
While AI offers administrative and diagnostic boosts in psychological practice, overuse risks quietly eroding clinicians' critical reasoning, ethical autonomy, and overall wellbeing if safeguards aren't established.
ethicalpsychology.com
The unintended negative consequences of artificial intelligence use for psychologists
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 05/08/2026
This narrative review provides a vital clinical vocabulary for "AI psychosis"—showing how engaging, general-purpose AI tools can amplify patient delusions and why clinicians must screen for these risks in both therapy and supervision.
ethicalpsychology.com
AI in Psychotherapy: Opportunities and Risks
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 03/08/2026
New research suggests AI language models fall short of human brain activity on emotional and physical common sense, but while targeted fine-tuning helps narrow the gap, predicting brain signals isn't the same as truly understanding like a human.
ethicalpsychology.com
Divergences between Language Models and Human Brains
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 01/08/2026
We need transparency, independent evaluations, and safety standards benchmarked against real clinical care over realistic timescales; not just single-prompt evaluations.
ethicalpsychology.com
Specialized or General-Purpose—The Wrong Question for Mental Health AI Safety
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 29/07/2026
AI chatbots designed to please users are markedly more sycophantic than people, affirming users even when their behavior is unethical or harmful. Because users prefer and trust these flattering responses, developers have little incentive to correct a tendency that may discourage accountability.
ethicalpsychology.com
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 27/07/2026
New research shows closed-loop brain stimulation most effectively boosts memory when precisely targeted to white matter pathways with strong ties to the brain’s memory network, offering a roadmap for optimizing future neuromodulation therapies.
ethicalpsychology.com
Functional and anatomical connectivity predict brain stimulation's mnemonic effects
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 24/07/2026
New research shows for the first time that intolerance of uncertainty causally drives indecisiveness. This finding suggests that helping patients tolerate uncertainty could ease chronic decision-making struggles linked to many mental health conditions.
ethicalpsychology.com
Intolerance of uncertainty causally affects indecisiveness
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 22/07/2026
We don't want psychologists to lean on AI without deliberate safeguards; therefore, independent judgment must come before AI consultation, AI outputs deserve critical scrutiny, and documentation must stay a reflective practice, not a shortcut. www.ethicalpsychology.com/2026/07/the-...
ethicalpsychology.com
The Illusion of Competence: How AI Tools Can Mask the Erosion of Clinical Judgment
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 20/07/2026
A small 2026 Nature Medicine study found that general-purpose chatbots outperformed specialized clinical AI tools—which did no better than Google's free AI summaries—suggesting doctor-branded AI may not be worth its cost. @openevidence.bsky.social disputes these findings.
ethicalpsychology.com
General-purpose large language models outperform specialized clinical AI tools on medical benchmarks
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 17/07/2026
Pope Leo XIV's recent encyclical wasn't written for psychologists, but it offers a philosophical anchor for evaluating AI in clinical work. The core argument: efficiency should never override the dignity of the person or the primacy of the relationship.
ethicalpsychology.com
Magnifica Humanitas: Human Dignity, Artificial Intelligence, and the Essence of Psychological Practice
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 15/07/2026
AI language models best predict brain activity in regions that respond to meaning consistently across text, words, and images, even non-language areas, hinting they capture concept-level meaning, not just words. Small sample (n=17) and correlational, not causal.
ethicalpsychology.com
Language models align with brain regions that represent concepts across modalities
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 13/07/2026
This study examines how AI advice affects human decision-making. Through an incentivized experiment, it found that people tend to overrely on AI recommendations—even when the advice contradicts contextual information and their own judgment. No one is recommending blind trust in AI outputs.
ethicalpsychology.com
Trust and reliance on AI: An experimental study on the extent and costs of overreliance on AI
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 10/07/2026
This small study found that GPT-4 can generate psychodynamic reports for relationship issues that experts and clients rate as insightful and comparable to human-quality work, with low risk of harmful errors. Human oversight remains essential.
ethicalpsychology.com
GPT-4 generated psychological reports in psychodynamic perspective
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 08/07/2026
Automation bias in medicine leads clinicians to over-rely on AI recommendations—even when they’re wrong—causing potential patient harm, and the authors argue that keeping humans “in the loop” isn’t enough without better training, higher safety standards, and truly interpretable AI.
ethicalpsychology.com
Automation bias and assistive AI.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 06/07/2026
This review examines how large language models are transforming psychological research across multiple subfields by offering new tools for tasks like literature reviews, hypothesis generation, & data analysis, while emphasizing ethical challenges such as data privacy & responsible use.
ethicalpsychology.com
Exploring the frontiers of LLMs in psychological applications: a comprehensive review.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 03/07/2026
Curious about APA's guidance on using AI in psychological assessment? You can find a summary and a link to the practical overview here.
ethicalpsychology.com
Responsible Use of AI in Assessment
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 01/07/2026
This article offers psychologists a practical, principle-based framework for working through ethical dilemmas in clinical practice.
ethicalpsychology.com
Principled by Design: Ethical Decision-making with Integrity
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 29/06/2026
This research article demonstrates that LLMs exhibit covert racism through deep-seated dialect prejudice against speakers of African American English.
ethicalpsychology.com
AI generates covertly racist decisions about people based on their dialect.
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 28/06/2026
If you teach ethics and ethical decision-making, I have updated the Vignette Warehouse page. I have include 2 articles on ethical decision-making with practical worksheets. FYI- www.ethicalpsychology.com/p/vignette-w...
ethicalpsychology.com
Vignette Warehouse (39)
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 26/06/2026
This paper is important because it shifts the conversation from technical efficiency of LLMs to fundamental existential and ethical questions about autonomy, transparency, and the irreplaceable nature of human empathy. Thankfully, more states are passing laws outlawing psychotherapy chatbots.
ethicalpsychology.com
The Artificial Third: A Broad View of the Effects of Introducing Generative Artificial Intelligence on Psychotherapy
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 24/06/2026
This paper introduces a single AI model capable of predicting brain responses across vision, language, and auditory processing simultaneously. It can replicate fMRI experimental findings without running new studies, saving costs.
ethicalpsychology.com
A foundation model of vision, audition, and language for in-silico neuroscience
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 22/06/2026
In essence, this paper represents a highly speculative, "blue-sky" proof of concept trying to answer a fundamental question: Can we plug a simulated biological brain and a quantum computer into the same mathematical equation?
ethicalpsychology.com
Bio-Quantum Hybrid Linear Regression: A Novel Approach Combining Organoids Intelligence and Quantum Computing
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 19/06/2026
Great practical framework. While the examples are medical, the core concepts of cognitive offloading, deskilling, and critical thinking are directly applicable to clinical psychology and psychotherapy supervision.
ethicalpsychology.com
Educational Strategies for Clinical Supervision of Artificial Intelligence Use
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 17/06/2026
We are witnessing the infancy of true synthetic biological intelligence. While current applications are constrained to pattern recognition and disease modeling, the long-term trajectory completely disrupts the binary view of technology as "artificial" and biology as "natural."
ethicalpsychology.com
Living intelligence toward human-level models (HLMs) via Organoid-AI integration
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 15/06/2026
Princeton University researchers have developed an innovative 3D device that integrates roughly 70,000 living biological neurons with advanced electronics to perform computational tasks, such as recognizing spatial and temporal electrical pulse patterns. #biocomputing #ethics
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New 3D device harnesses living brain cells for computing
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 12/06/2026
Three LLMs outperformed first-year psychiatry residents on theoretical psychiatry exams in India but not on practical clinical assessments, leading the authors to recommend that psychiatric education emphasize human skills like empathy and judgment while using AI for knowledge synthesis.
ethicalpsychology.com
Benchmarking Large Language Models Against Psychiatry Residents Using Traditional Institutional Assessments
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 10/06/2026
A new AI framework pairing deep neural networks with neural field models successfully simulates conscious and comatose brain states, identifies two validated biological mechanisms underlying disorders of consciousness, and points to subthalamic nucleus stimulation as a potential treatment.
ethicalpsychology.com
Adversarial AI reveals mechanisms and treatments for disorders of consciousness
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 08/06/2026
A review of 74 studies found that automation bias — over-reliance on automated decision support systems — is a robust effect that increases incorrect decisions by 26%, driven by factors like cognitive load & trust, but can be mitigated through accountability, training, and thoughtful system design.
ethicalpsychology.com
Automation bias: a systematic review of frequency, effect mediators, and mitigators
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John Gavazzi - Psychologist @drgavazzi.bsky.social · 06/06/2026
AI can augment clinical diagnostic reasoning by offsetting human cognitive limitations—such as memory constraints, heuristic reliance, and bias—through data processing, hypothesis management, and explainable outputs, while functioning best as a collaborative partner.
ethicalpsychology.com
Transforming clinical reasoning—the role of AI in supporting human cognitive limitations
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