Mental Health Care, Authenticity, and Unintended Experiments
Two philosophers discuss chatbots, digital therapeutics, and mental health care.
Last month, I interviewed Dr. Brent Kious about AI-based digital platforms for mental health care. You can read our conversation on my blog @psychologytoday.com #artificialintelligence #bioethics #philosophy #mentalhealth
08.08.2025 00:04 β π 1 π 2 π¬ 0 π 0
βDonβt Tell Them Anythingβ: Should Surrogate Decision-Makers Be Allowed to Withhold Information from Other Family Members or Prevent Them from Visiting with a Patient? - HEC Forum
While patients have the right to control who has access to their health information and designate visitors, it is not always clear whetherβwhen a patient lacks capacityβtheir surrogate also exercises such rights. States and federal laws are often vague about the limits of surrogate authority. Even where legal or institutional guidance on this issue is clear, requests by surrogates to withhold information or restrict visitation with a patient can be a source of ethical uncertainty and distress on the part of the clinical team. This paper explores the ethical issues raised by such requests. To date, there has been little exploration of this issue in the clinical ethics literature. First, we summarize the scant existing ethical and legal guidance on this issue. Second, we present two potential approaches to navigating requests from surrogates to withhold information or restrict visitation. Third, we discuss the merits and limitations of both approaches, and introduce some additional considerations that further complicate the picture. We argue for a flexible restrictive approach to information-sharing, and a constrained permissive approach to visitation. Finally, we propose several considerations that clinicians and clinical ethicists might think through in these situations to help guide their practice.
π¨ our new article is out now in HEC Forum! in it, we explore how to navigate requests by surrogate decision-makers to withhold information from other family members or prevent them from visiting with a patient π¨ #clinicalethics #medicaldecisionmaking
04.07.2025 15:43 β π 1 π 2 π¬ 0 π 0
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26.06.2025 20:30 β π 150 π 7 π¬ 9 π 2
A Therapist in Every Pocket: Why Access Isnβt Everything
AI therapy apps promise easy access to mental health care. But convenience comes with hidden costs we're only just beginning to understand.
π¨ My new blog, The (Un)Examined Digital Life, is hosted by @psychologytoday.com and explores the intersection of minds, morals, and machines. You can read my first post on therapy chatbots now! #psychology #ai #mentalhealth #ethics
09.06.2025 22:13 β π 1 π 0 π¬ 0 π 0
A selfie with faculty in academic regalia.
Faculty and students standing outside together in their graduation garb.
Photo of me peeking out behind a blue flag with yellow trimming with the words "SCHOOL OF MEDICINE & DENTISTRY" on it.
Graduation π₯²
@urochestersmd.bsky.social @bryannamoore.bsky.social @safetyworkhstm.bsky.social
19.05.2025 20:41 β π 10 π 1 π¬ 0 π 0
Excellent work by new NYT headline writer Werner Herzog
28.03.2025 18:28 β π 17100 π 2628 π¬ 144 π 113
The Integration of Artificial Intelligence-Powered Psychotherapy Chatbots in Pediatric Care: Scaffold or Substitute?
In April 2024, the United States Food and Drug Administration (FDA) approved the first
digital application to treat major depression in adults 22 and older.1 The appβRejoynβjoins
a growing list of art...
π’π¨ new pub with @thebusyowl.bsky.social π’π¨ We explore the use of therapy bots in pediatrics. There are a host of open ethical questions associated with these bots that highlight the need for robust, interdisciplinary inquiry into their development and use in pediatric mental health. #ai #pediatrics
10.03.2025 15:04 β π 2 π 1 π¬ 0 π 0
Deciding with Children in Pediatrics
Deciding with Children in Pediatrics: Children’s Participation in Healthcare Decision-making provides the ethical underpinning and off
Deciding With Children in Pediatrics is out! Grateful for the opportunity to contribute to this volume (eds John Massie, Georgina Hall, and Lynn Gillam). Dr. Frayman and I discuss "Deciding with children who know more than you. Cystic fibrosis as a chronic disease" shop.elsevier.com/books/decidi...
15.01.2025 19:53 β π 1 π 0 π¬ 0 π 0
UCSF doctors, Eric Widera & Alex Smith, invite the brightest minds in geriatrics, hospice, & palliative care to talk about topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night.
Professor of Business, Public Policy, and Medicine. Duke University. Interested in decision making.
The legendary independent bookstore.
Portland, OR | est. 1971
MD, PhD candidate (University of Birmingham & University of Melbourne). Psychiatrist, philosopher & qual-researcher interested in psychosis, delusion, phenomenological psychopathology, philosophy of psychiatry, qualitative methods.
https://rosar.me/
Scholar, author, policy advisor
alondranelson.com
Science, Technology, and Social Values Lab
https://www.ias.edu/stsv-lab
Insight about everybody's favorite subject: Ourselves.
Here for shits 'n' giggles.
Solitary, poor, nasty, brutish and short.
Cohost of Maintenance Phase. Author of two books. In a documentary called Your Fat Friend. She/her/hers. Photo by the wonderful Josh Coen.
Philosophy professor, Honors faculty.
JD, PhD. Political & legal philosophy, global justice, international human rights law.
Human rights-based climate litigation, refugees, free speech.
Zen Buddhism.
From Toronto π¨π¦, now in MA.
Distinguished Professor & Chair of Philosophy at Utica University; #ethics, #bioethics, #politicalphilosophy, #disabilitystudies; π¨π¦ in πΊπ².
Reviews Editor at the Canadian Journal of Disability Studies.
www.christopherariddle.com
We support @urochester.bsky.social researchers & study ways to improve research processes to ultimately improve health for all people. | ctsi.urmc.edu | @urochestersmd.bsky.social | #CTSAProgram
Philosophy PhD student at the University of Cincinnati
π feminist philosophy of science, female health & sexualityβ¨
talk to me about periods π©Έ
Who knows me better suggests that integrity, intellectual curiosity, analytical depth, pragmatism, and vision are my defining characteristics.
Socratic reasoning compels me to challenge assumptions, and uncover the deeper truths that shape our world.
Aspiring philosopher; tolerable human; "amusing combination of sardonic detachment & literally all the feelings felt entirely unironically all at once" [he/his]
The APA is the largest philosophical society in North America, promoting the discipline of philosophy and serving philosophers at all levels.
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Historian of home injuries, public health, and product safety at the University of Rochester School of Medicine and Dentistry. Former Ph.D. student and graduate worker organizer at Johns Hopkins. Still frustrated and/or over-caffeinated.
Reader of case studies
#bioethics #neuroethics
The Neiswanger Institute for Bioethics and Healthcare Leadership is a pluralistic program that draws upon the commitment to social justice of the Jesuit and Roman Catholic heritage of the Stritch School of Medicine in its teaching, research, and service.
Ethicist and educator living with gratitude on the traditional, unceded, and ancestral lands of the xΚ·mΙΞΈkΚ·ΙyΜΙm (Musqueam)
