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Mind the Gaps: Ethical and Epistemic Issues in the Digital Mental Health Response to Covid-19
Hastings Center Report ( IF 3.3 ) Pub Date : 2021-09-13 , DOI: 10.1002/hast.1292
JOSHUA AUGUST SKORBURG , PHOEBE FRIESEN

Well before the Covid-19 pandemic, proponents of digital psychiatry were touting the promise of various digital tools and techniques to revolutionize mental health care. As social distancing and its knock-on effects have strained existing mental health infrastructures, calls have grown louder for implementing various digital mental health solutions at scale. Decisions made today will shape the future of mental health care for the foreseeable future. Here, in hopes of countering this hype, we examine four ethical and epistemic gaps surrounding the growth of digital mental health: the evidence gap, the inequality gap, the prediction-intervention gap, and the safety gap. We argue that these gaps ought to be considered by policy-makers before society commits to a digital psychiatric future.

中文翻译:

注意差距:对 Covid-19 的数字心理健康响应中的伦理和认知问题

早在 Covid-19 大流行之前,数字精神病学的支持者就在兜售各种数字工具和技术以彻底改变精神卫生保健的前景。随着社会疏离及其连锁反应给现有的心理健康基础设施带来压力,要求大规模实施各种数字心理健康解决方案的呼声越来越高。今天做出的决定将在可预见的未来塑造精神卫生保健的未来。在这里,为了反驳这种炒作,我们研究了围绕数字心理健康发展的四个伦理和认知差距:证据差距、不平等差距、预测干预差距和安全差距。我们认为,在社会致力于数字精神病学的未来之前,政策制定者应该考虑这些差距
更新日期:2021-09-13
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