[Psychotherapy with an Autonomous Artifical Intelligence - Ethical Benefits and Challenges].

OBJECTIVE

This paper provides an overview of a range of ethical aspects involved in the use of autonomous, virtual or embodied artificial intelligence (AI) in the care of people with mental health issues.

METHODOLOGY

The overview is based on a thematic literature review. It is guided by the principles of biomedical ethics together with the concept of epistemic (in)justice.

RESULTS

In addition to a risk-benefit analysis, (digital) health literacy, equity of access, issues of under- or misuse of care, and an adaptation of informed consent need to be considered.

CONCLUSION

The ethical assessment of autonomous AI in psychotherapy remains open; too many clinical, ethical, legal, and practical questions remain to be addressed. Quality criteria for AI application as well as guidelines for its clinical use need to be developed before wider clinical implementation.