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Implementing Nudges in Online Therapy: Balancing Autonomy and Beneficence

Implementing Nudges in Online Therapy: Balancing Autonomy and Beneficence

Understanding Nudges in Online Therapy

In the realm of online therapy services, particularly those aimed at children, the concept of nudges can be a powerful tool to enhance decision-making processes. The research article "Nudges and Hard Choices" by Sarah Zoe Raskoff provides insights into how nudges can be applied ethically in medical and therapeutic settings. Nudges, as defined in the study, are subtle changes in the presentation of options that influence decision-making without compromising autonomy.

The Ethical Implications of Nudges

The study highlights a crucial balance between beneficence and autonomy. Beneficence refers to actions that promote the well-being of patients, while autonomy emphasizes respecting individuals' capacity to make informed choices. In speech language pathology, especially when working with children, practitioners must navigate these principles carefully. Nudges can be employed to guide children and their guardians towards beneficial therapeutic choices while ensuring that their autonomy is respected.

Practical Applications in Online Therapy

For practitioners at TinyEYE, implementing nudges can be particularly effective in the following ways:

Encouraging Further Research

While nudges offer a promising approach, practitioners are encouraged to delve deeper into research to understand the nuances of implementing these strategies effectively. Understanding the ethical considerations and potential impacts on formative autonomy is essential for creating a therapeutic environment that respects and empowers children and their families.

For those interested in exploring the original research, please follow this link: Nudges and Hard Choices.


Citation: Raskoff, S. Z. (2022). Nudges and hard choices. Bioethics, 36, 948–956. https://doi.org/10.1111/bioe.13091
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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