MDC Digital Psychiatry Challenges Discussion Reply

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Hello, please do a reply for the following discussion of another student in the class. 

Other student discussion:

What is the risk of using digital psychiatry on patients’ autonomy?

          The risk associated with digital psychiatry on the patient’s autonomy is that it undermines the user’s trust due to the privacy issues that interfere with evaluating the possible and desired actions. Digital psychiatry increases potential risks due to the differences between human and digital psychiatrists (Burr et al., 2020). In this case, information asymmetry, a common aspect of digital psychiatry, undermines autonomy. It limits the available information that can be used by the patients in the decision-making process on how to present themselves. 

Does the passive gathering of information affect the user’s ability to take part in the decision-making process? 

          The passive collection of information from the perspective of digital psychiatry is linked to information asymmetry. It leads to the non-transparent form of informational asymmetry. This makes the patient unaware of any behavioral signals, considered an input towards the diagnosis assessment (Burr et al., 2020). The existence of the informational asymmetry caused by the passive forms of data surveillance and monitoring reduces the availability of data to guide individuals in the decision-making process.

What is the inherent risk of using AI for decision-making, and what patient’s rights can it violate? 

          The IA works well in the performance of tasks such as classification. However, it could work better in terms of therapeutic and interpersonal conversation. It interferes with the patient’s rights to take part in the decision-making process involving the treatment process (Burr et al., 2020). In this case, the patients and the participatory psychiatry process in sense-making are tampered with. Such procedures need to be better reflected within digital psychiatry.

What are the reasons for conducting online psychotherapy and possible issue that might be against the provision of the modality to clients? 

          The main intention of implementing online psychotherapy is to ensure that many clients have access to mental healthcare services. However, the success of such programs is interfered with due to the risk associated with their use (Stoll et al., 2020). In this case, their use is discouraged since they increase the risk of interference with confidentiality, privacy, and security issues. Other issues surrounding online psychotherapy include the research gaps in its benefits compared to risks, communication problems, and emergency issues.

References

Burr, C., Morley, J., Taddeo, M., & Floridi, L. (2020). Digital psychiatry: Risks and opportunities for public health and wellbeing. IEEE Transactions on Technology and Society, 1(1), 21-33. 

Stoll, J., Müller, J. A., & Trachsel, M. (2020). Ethical issues in online psychotherapy: A narrative review. Frontiers in psychiatry, 10, 993. https://doi.org/10.3389/fpsyt.2019.00993

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