通过人工智能改变精神病学?道德挑战。

IF 3.6 3区 医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2023-11-02 DOI:10.1186/s12991-023-00476-9
Saskia Wilhelmy, Giancarlo Giupponi, Dominik Groß, Klaus Eisendle, Andreas Conca
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引用次数: 0

摘要

数字化转型已经进入社会的许多领域,包括医学。虽然基于人工智能的系统在医学学科中广泛存在,但它们在精神病学中的应用进展较慢。然而,他们承诺在预防选择、诊断甚至治疗方面彻底改变精神病实践。精神病学正处于这种数字化转型之中,因此问题不再是“是否”使用技术,而是“如何”使用它来实现进步或改进的目标。这篇文章的目的是认为,这场革命不仅给精神病学带来了新的机会,而且也给精神病学带来新的伦理挑战,特别是在安全、责任、自主性或透明度方面。例如,精神病学中医生和患者之间的关系将得到解决,在这种关系中,数字化也导致了伦理上的相关变化。对人工智能系统使用的伦理反思为谨慎地伴随这些变化提供了机会,以利用这种变化带来的好处。因此,重点应该始终放在平衡技术上可能的与道德上必要的。
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A shift in psychiatry through AI? Ethical challenges.

The digital transformation has made its way into many areas of society, including medicine. While AI-based systems are widespread in medical disciplines, their use in psychiatry is progressing more slowly. However, they promise to revolutionize psychiatric practice in terms of prevention options, diagnostics, or even therapy. Psychiatry is in the midst of this digital transformation, so the question is no longer "whether" to use technology, but "how" we can use it to achieve goals of progress or improvement. The aim of this article is to argue that this revolution brings not only new opportunities but also new ethical challenges for psychiatry, especially with regard to safety, responsibility, autonomy, or transparency. As an example, the relationship between doctor and patient in psychiatry will be addressed, in which digitization is also leading to ethically relevant changes. Ethical reflection on the use of AI systems offers the opportunity to accompany these changes carefully in order to take advantage of the benefits that this change brings. The focus should therefore always be on balancing what is technically possible with what is ethically necessary.

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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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