人工智能应用于心理健康干预的伦理挑战
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军队指令性课题资助项目(2024-432-132).


Ethical challenges in artificial intelligence-based mental health interventions
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Supported by Military Directive Research Project (2024-432-132).

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    摘要:

    近年来,人工智能(AI)被引入心理健康干预领域,其在带来创新和进步的同时,也引发了一系列伦理问题。本文系统剖析了AI应用于心理健康干预的三重伦理挑战:首先,当前AI心理健康干预的伦理框架主要基于医疗伦理原则扩展,强调受益最大化、风险最小化及患者自主权,但面临标准化不足与技术快速迭代导致伦理风险难以被动态捕捉与规制;其次,AI在心理健康干预应用中,数据隐私问题与算法偏见导致的决策公平性问题是与数据治理相关的主要伦理挑战;最后,AI作为代理资源诱发自主性侵蚀与人际异化,主要体现在AI可能通过超出理解范围的方式施加影响,削弱用户自主决策能力,在使用过程中患者可能会对AI产生过度依赖和盲目信任,削弱其社交动机,进而威胁其自主性和心理完整性。

    Abstract:

    In recent years, artificial intelligence (AI) has been introduced into the field of mental health interventions, which not only brings innovation and progress, but also causes a series of ethical problems. This paper systematically analyzes the triple ethical challenges of AI applying to mental health interventions. Firstly, the current ethical frameworks for AI-based mental health interventions primarily expand upon medical ethics principles, emphasizing benefit maximization, risk minimization, and patient autonomy. However, these frameworks face challenges such as insufficient standardization and difficulties in dynamically capturing and regulating ethical risks arising from rapid technological iteration. Secondly, ethical challenges related to data governance in AI-based mental health applications include data privacy issues and decision fairness concerns stemming from algorithmic bias. Finally, AI as a proxy resource risks eroding user autonomy and fostering interpersonal alienation, primarily through exerting influence beyond comprehension to undermine autonomous decision-making capabilities. Overreliance and blind trust in AI systems during usage may weaken social motivation, thereby threatening autonomy and psychological integrity.

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  • 收稿日期:2025-07-04
  • 最后修改日期:2025-07-28
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  • 在线发布日期: 2025-08-19
  • 出版日期: 2025-08-20
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