Governance of Direct‐to‐User Digital Mental Health Tools: Emphasizing Transparency over Paternalism.
Digital mental health tools are increasingly used outside traditional clinical settings, creating an engagement paradigm beyond the existing regulatory scope, as noted by Amitabha Palmer and David Schwan in their article "Digital Mental Health Tools and AI Therapy Chatbots: A Balanced Approach to Re...
| Publicado en: | Hastings Center Report Vol. 55; no. 3; pp. 29 - 34 |
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| Autores principales: | , |
| Formato: | Artículo |
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Wiley-Blackwell
May/Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=186162339&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 186162339 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00930334 HCR jtl: Hastings Center Report issn: 00930334 maglogo: Y pubinfo: dt: May/Jun2025 vid: 55 iid: 3 pid: 480 pub: Wiley-Blackwell artinfo: ui: 186162339 10.1002/hast.5009 ppf: 29 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P size: 567KB tig: atl: Governance of Direct‐to‐User Digital Mental Health Tools: Emphasizing Transparency over Paternalism. aug: au: Panda, Om D. Binkley, Charles E. su: Patients Self-efficacy Privacy Paternalism Trust Medical ethics Mental health laws Digital technology Health services administration Digital health sug: subj: Patients Self-efficacy Privacy Paternalism Trust Medical ethics Administration of Public Health Programs Offices of Mental Health Practitioners (except Physicians) Mental health laws Digital technology Health services administration Digital health keyword: accountability agency bioethics digital mental health paternalism transparency accountability agency bioethics digital mental health paternalism transparency ab: Digital mental health tools are increasingly used outside traditional clinical settings, creating an engagement paradigm beyond the existing regulatory scope, as noted by Amitabha Palmer and David Schwan in their article "Digital Mental Health Tools and AI Therapy Chatbots: A Balanced Approach to Regulation." Introducing the direct‐to‐user concept (which concerns individuals as autonomous agents navigating self‐regulation, enhancement, and meaning making), we propose a shift from paternalism and rigid standards critiqued by Palmer and Schwan toward a human‐centered governance approach in which radical transparency, individual agency, and shared accountability are themselves the standards. Transparency enables informed choice through intelligible disclosure of data, validity, and incentives, which empower users to assess trade‐offs based on personal goals and values. Evolving accountability frameworks, such as voluntary certification with collective liability, reinforce the scalability and ethics of this model, which can also be broadly applied to other digital health tools and cognitive‐enhancement technologies. This governance framework fosters individualized, participatory ecosystems to make this new generation of tools more accessible. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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