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Strengthening safeguards requires acknowledging these forces and integrating structured psychological assessment, clinician support and reflective practice to reduce unconscious bias and enhance the reliability, transparency and ethical integrity of decisions.<\/jats:p>","DOI":"10.1192\/bjp.2026.10540","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T08:43:49Z","timestamp":1770194629000},"page":"134-136","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Assisted dying and countertransference: unconscious forces in life-and-death decisions"],"prefix":"10.1192","volume":"229","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-8689","authenticated-orcid":false,"given":"Rachel","family":"Gibbons","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03ekq2173","id-type":"ROR","asserted-by":"publisher"}],"name":"Independent Clinical Researcher"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"North Central London NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"S0007125026105406_ref3","volume-title":"Annual Report on Medical Assistance in Dying in Canada 2023","year":"2023"},{"key":"S0007125026105406_ref4","volume-title":"This is Assisted Dying: A Doctor\u2019s Story of Empowering Patients at the End of Life","author":"Downie","year":"2016"},{"key":"S0007125026105406_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/9781009414890"},{"key":"S0007125026105406_ref8","unstructured":"8 Calabro, EP. 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}