Department of Sociology, University of Surrey, Guildford, GU2 7XH, UK.
Cult Med Psychiatry. 2024 Dec;48(4):840-857. doi: 10.1007/s11013-024-09876-2. Epub 2024 Aug 17.
Whilst chatbots for mental health are becoming increasingly prevalent, research on user experiences and expectations is relatively scarce and also equivocal on their acceptability and utility. This paper asks how people formulate their understandings of what might be appropriate in this space. We draw on data from a group of non-users who have experienced a need for support, and so can imagine self as therapeutic target-enabling us to tap into their imaginative speculations of the self in relation to the chatbot other and the forms of agency they see as being at play; unconstrained by a specific actual chatbot. Analysis points towards ambiguity over some key issues: whether the apps were seen as having a role in specific episodes of mental health or in relation to an ongoing project of supporting wellbeing; whether the chatbot could be viewed as having a therapeutic agency or was a mere tool; and how far these issues related to matters of the user's personal qualities or the specific nature of the mental health condition. A range of traditions, norms and practices were used to construct diverse expectations on whether chatbots could offer a solution to cost-effective mental health support at scale.
虽然用于心理健康的聊天机器人越来越普及,但关于用户体验和期望的研究相对较少,并且对于它们的可接受性和实用性也存在争议。本文探讨了人们如何理解在这个领域中什么是合适的。我们借鉴了一组没有使用过聊天机器人但有过支持需求的非用户的数据,这些人可以想象自己是治疗目标,使我们能够挖掘他们对自我与聊天机器人对方以及他们认为正在发挥作用的代理形式的想象推测;不受特定实际聊天机器人的限制。分析指出,一些关键问题存在歧义:应用程序是否被视为在特定的心理健康事件中发挥作用,还是在支持幸福感的持续项目中发挥作用;聊天机器人是否可以被视为具有治疗作用,还是仅仅是一种工具;以及这些问题在多大程度上与用户的个人素质或心理健康状况的特定性质有关。一系列传统、规范和实践被用来构建关于聊天机器人是否可以提供一种解决方案来实现具有成本效益的大规模心理健康支持的不同期望。