Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal?
The use of AI in digital mental healthcare promises to make treatments more effective, accessible, and scalable than ever before. At the same time, the use of AI opens a myriad of ethical concerns, including the lack of transparency, the risk of bias leading to increasing social inequalities, and th...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-09-01
|
| Series: | Internet Interventions |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782925000454 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849222582757228544 |
|---|---|
| author | Ellen Svensson Walter Osika Per Carlbring |
| author_facet | Ellen Svensson Walter Osika Per Carlbring |
| author_sort | Ellen Svensson |
| collection | DOAJ |
| description | The use of AI in digital mental healthcare promises to make treatments more effective, accessible, and scalable than ever before. At the same time, the use of AI opens a myriad of ethical concerns, including the lack of transparency, the risk of bias leading to increasing social inequalities, and the risk of responsibility gaps. This raises a crucial question: Can we rely on these systems to deliver care that is both ethical and effective? In attempts to regulate and ensure the safe usage of AI-powered tools, calls to trustworthy AI systems have become central. However, the use of terms such as “trust” and “trustworthiness” risks increasing anthropomorphization of AI systems, attaching human moral activities, such as trust, to artificial systems. In this article, we propose that terms such as “trustworthiness” be used with caution regarding AI and that when used, they should reflect an AI system's ability to consistently demonstrate measurable adherence to ethical principles, such as respect for human autonomy, nonmaleficence, fairness, and transparency. On this approach, trustworthy and ethical AI has the possibility of becoming a tangible goal rather than wishful thinking. |
| format | Article |
| id | doaj-art-b527e59b4825437e8882d61378c2f0f0 |
| institution | Kabale University |
| issn | 2214-7829 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj-art-b527e59b4825437e8882d61378c2f0f02025-08-26T04:14:18ZengElsevierInternet Interventions2214-78292025-09-014110084410.1016/j.invent.2025.100844Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal?Ellen Svensson0Walter Osika1Per Carlbring2Department of Philosophy, Stockholm University, Stockholm, Sweden; TEA Lab (Trustworthy and Ethical AI Lab), Center for Social Sustainability, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden; Corresponding author at: Department of Philosophy, Stockholm University, Stockholm, Sweden.TEA Lab (Trustworthy and Ethical AI Lab), Center for Social Sustainability, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Southern Stockholm Psychiatry District, Region Stockholm, Stockholm, SwedenTEA Lab (Trustworthy and Ethical AI Lab), Center for Social Sustainability, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden; Department of Psychology, Stockholm University, Stockholm, Sweden; School of Psychology, Korea University, Seoul, South KoreaThe use of AI in digital mental healthcare promises to make treatments more effective, accessible, and scalable than ever before. At the same time, the use of AI opens a myriad of ethical concerns, including the lack of transparency, the risk of bias leading to increasing social inequalities, and the risk of responsibility gaps. This raises a crucial question: Can we rely on these systems to deliver care that is both ethical and effective? In attempts to regulate and ensure the safe usage of AI-powered tools, calls to trustworthy AI systems have become central. However, the use of terms such as “trust” and “trustworthiness” risks increasing anthropomorphization of AI systems, attaching human moral activities, such as trust, to artificial systems. In this article, we propose that terms such as “trustworthiness” be used with caution regarding AI and that when used, they should reflect an AI system's ability to consistently demonstrate measurable adherence to ethical principles, such as respect for human autonomy, nonmaleficence, fairness, and transparency. On this approach, trustworthy and ethical AI has the possibility of becoming a tangible goal rather than wishful thinking.http://www.sciencedirect.com/science/article/pii/S2214782925000454 |
| spellingShingle | Ellen Svensson Walter Osika Per Carlbring Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? Internet Interventions |
| title | Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? |
| title_full | Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? |
| title_fullStr | Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? |
| title_full_unstemmed | Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? |
| title_short | Commentary: Trustworthy and ethical AI in digital mental healthcare – wishful thinking or tangible goal? |
| title_sort | commentary trustworthy and ethical ai in digital mental healthcare wishful thinking or tangible goal |
| url | http://www.sciencedirect.com/science/article/pii/S2214782925000454 |
| work_keys_str_mv | AT ellensvensson commentarytrustworthyandethicalaiindigitalmentalhealthcarewishfulthinkingortangiblegoal AT walterosika commentarytrustworthyandethicalaiindigitalmentalhealthcarewishfulthinkingortangiblegoal AT percarlbring commentarytrustworthyandethicalaiindigitalmentalhealthcarewishfulthinkingortangiblegoal |