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Open Access 09-04-2024 | Psychotherapy | Original Paper

Digitization and its Discontents: The Promise and Limitations of Digital Mental Health Interventions

Author: Jordan A. Conrad

Published in: Journal of Contemporary Psychotherapy

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Abstract

There is a mental health crisis in the United States that shows no signs of abating. Prevalence rates of mental disorders among both adults and children are rising and there are simply not enough mental health professionals to meet the growing demand. To address this problem, digital programs are being designed to diagnose and treat mental health conditions either adjunctively to a human clinician or as stand-alone treatments. Such developments hold great promise in ameliorating the mental health professional supply shortage. However, certain limitations of digital programs may prevent many users from desiring a digital psychotherapist. This paper surveys both the promise, and limitations, of digital psychotherapies.
Literature
go back to reference Abd-Alrazaq, A. A., Rababeh, A., Alajlani, M., Bewick, B. M., & Househ, M. (2020). Effectiveness and safety of using chatbots to improve mental health: Systematic review and meta-analysis. Journal of Medical Internet Research, 22(7), e16021. Abd-Alrazaq, A. A., Rababeh, A., Alajlani, M., Bewick, B. M., & Househ, M. (2020). Effectiveness and safety of using chatbots to improve mental health: Systematic review and meta-analysis. Journal of Medical Internet Research, 22(7), e16021.
go back to reference Arnaez, J. M., Krendi, A. C., McCormick, B. P., Chen, Z., & Chomistek, A. K. (2020). The association of depression stigma with barriers to seeking mental health care: A cross-sectional analysis. Arnaez, J. M., Krendi, A. C., McCormick, B. P., Chen, Z., & Chomistek, A. K. (2020). The association of depression stigma with barriers to seeking mental health care: A cross-sectional analysis.
go back to reference Blagys, M. D., & Hilsenroth, M. J. (2006). Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychological Science, 7(2), 167–188. Blagys, M. D., & Hilsenroth, M. J. (2006). Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychological Science, 7(2), 167–188.
go back to reference Camacho, E., Cohen, A., & Torous, J. (2022). Assesment of mental health services available through smartphone apps. JAMA Network, 5(12), e2248784.CrossRefPubMedCentral Camacho, E., Cohen, A., & Torous, J. (2022). Assesment of mental health services available through smartphone apps. JAMA Network, 5(12), e2248784.CrossRefPubMedCentral
go back to reference Chalmers, D. J. (1996). The conscious mind. Oxford University Press. Chalmers, D. J. (1996). The conscious mind. Oxford University Press.
go back to reference Cresswell, K., Cunningham-Burley, S., & Sheikh, A. (2018). Health care robotics: Qualitative exploration of key challenges and future directions. Journal of Medical Internet Research, 20(7), e10410.CrossRefPubMedPubMedCentral Cresswell, K., Cunningham-Burley, S., & Sheikh, A. (2018). Health care robotics: Qualitative exploration of key challenges and future directions. Journal of Medical Internet Research, 20(7), e10410.CrossRefPubMedPubMedCentral
go back to reference De Vries, D., Brennan, Z., Lankin, M., Morse, R., Rix, B., & Beck, T. (2017). Healing with books: A literature review of bibliotherapy used with children and youth who have experienced trauma. Therapeutic Recreation Journal, 51(1), 48–74.CrossRef De Vries, D., Brennan, Z., Lankin, M., Morse, R., Rix, B., & Beck, T. (2017). Healing with books: A literature review of bibliotherapy used with children and youth who have experienced trauma. Therapeutic Recreation Journal, 51(1), 48–74.CrossRef
go back to reference Fiske, A., Henningsen, P., & Buyx, A. (2019). Your robot therapist will see you now: Ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy. Journal of Medical Internet Research, 21(5), e13216. Fiske, A., Henningsen, P., & Buyx, A. (2019). Your robot therapist will see you now: Ethical implications of embodied artificial intelligence in psychiatry, psychology, and psychotherapy. Journal of Medical Internet Research, 21(5), e13216.
go back to reference Grodniewicz, J. P., & Hohol, M. (2023). Waiting for a digital therapist: Three challenges on the path to psychotherapy delieverd by artificial intelligence. Frontiers in Psychiatry, 14, 1190084.CrossRefPubMedPubMedCentral Grodniewicz, J. P., & Hohol, M. (2023). Waiting for a digital therapist: Three challenges on the path to psychotherapy delieverd by artificial intelligence. Frontiers in Psychiatry, 14, 1190084.CrossRefPubMedPubMedCentral
go back to reference Guerrero, A. P. S., Balon, R., Beresin, E. V., Louie, A. K., Coverdale, J. H., Brenner, A., & Roberts, L. W. (2019). Rural mental health training: An emerging imperative to address health disparities. Academic Psychiatry, 43, 1–5.CrossRefPubMed Guerrero, A. P. S., Balon, R., Beresin, E. V., Louie, A. K., Coverdale, J. H., Brenner, A., & Roberts, L. W. (2019). Rural mental health training: An emerging imperative to address health disparities. Academic Psychiatry, 43, 1–5.CrossRefPubMed
go back to reference Jackson, F. (1982). Epiphenomenal qualia. Philosophical Quarterly, 32(127), 127–136. Jackson, F. (1982). Epiphenomenal qualia. Philosophical Quarterly, 32(127), 127–136.
go back to reference Koch, C., Massimini, M., Boly, M., & Tononi, G. (2016). Neural correlates of consciousness: Progress and problems. Nature Reviews Neuroscience, 17, 307–321.CrossRefPubMed Koch, C., Massimini, M., Boly, M., & Tononi, G. (2016). Neural correlates of consciousness: Progress and problems. Nature Reviews Neuroscience, 17, 307–321.CrossRefPubMed
go back to reference Ledoux, J. E. (2000). Emotion circuits in the brain. Annual Reviews of Neuroscience, 23, 155–184.CrossRef Ledoux, J. E. (2000). Emotion circuits in the brain. Annual Reviews of Neuroscience, 23, 155–184.CrossRef
go back to reference Luborsky, L., Barber, J. P., & Crits-Christoph, P. (1990). Theory-based research for understanding the process of dynamic psychotherapy. Journal of Consulting and Clinical Psychology, 58(3), 281–287. Luborsky, L., Barber, J. P., & Crits-Christoph, P. (1990). Theory-based research for understanding the process of dynamic psychotherapy. Journal of Consulting and Clinical Psychology, 58(3), 281–287.
go back to reference McGinn, C. (1989). Can we solve the mind-body problem? Mind, 98(391), 349–366.CrossRef McGinn, C. (1989). Can we solve the mind-body problem? Mind, 98(391), 349–366.CrossRef
go back to reference Mendes, J. P. M., Moura, I. R., Van de Ven, P., Viana, D., Silva, F. J. S., Coutinho, L. R., Teixeira, S., Rodrigues, J. J. P. C., & Teles, A. S. (2022). Sensing apps and public data sets for digital phenotyping of mental health: Systematic review. Journal of Medical Internet Research, 24(2), e28735.CrossRefPubMedPubMedCentral Mendes, J. P. M., Moura, I. R., Van de Ven, P., Viana, D., Silva, F. J. S., Coutinho, L. R., Teixeira, S., Rodrigues, J. J. P. C., & Teles, A. S. (2022). Sensing apps and public data sets for digital phenotyping of mental health: Systematic review. Journal of Medical Internet Research, 24(2), e28735.CrossRefPubMedPubMedCentral
go back to reference Mojtabai, R. (2021). U.S. health care reform and enduring barriers to mental health care among low-income adults with psychological distress. Psychiatric Services, 72(3), 338–342.CrossRefPubMed Mojtabai, R. (2021). U.S. health care reform and enduring barriers to mental health care among low-income adults with psychological distress. Psychiatric Services, 72(3), 338–342.CrossRefPubMed
go back to reference Moore, C., Coates, E., Watson, A., de Heer, R., McLeod, A., & Prudhomme, A. (2022). It’s important to work with people that look like me: Black patients’ preferences for patient-provider race concordance. Journal of Racial and Ethnic Health Disparities, 10, 2552–2564.CrossRefPubMed Moore, C., Coates, E., Watson, A., de Heer, R., McLeod, A., & Prudhomme, A. (2022). It’s important to work with people that look like me: Black patients’ preferences for patient-provider race concordance. Journal of Racial and Ethnic Health Disparities, 10, 2552–2564.CrossRefPubMed
go back to reference Moshe, I., Terhorst, Y., Philippi, P., Domhardt, M., Cuijpers, P., Cristea, I., Pulkki-Råback, L., Baumeister, H., & Sander, L. B. (2021). Digital interventions for the treatment of depression: A meta-analytic review. Psychological Bulletin, 147(8), 749–786.CrossRefPubMed Moshe, I., Terhorst, Y., Philippi, P., Domhardt, M., Cuijpers, P., Cristea, I., Pulkki-Råback, L., Baumeister, H., & Sander, L. B. (2021). Digital interventions for the treatment of depression: A meta-analytic review. Psychological Bulletin, 147(8), 749–786.CrossRefPubMed
go back to reference Nagel, T. (1974). What is it like to be a bat? Philosophical Review, 83(4), 435–450.CrossRef Nagel, T. (1974). What is it like to be a bat? Philosophical Review, 83(4), 435–450.CrossRef
go back to reference Nesse, R. M. (2019). Good reasons for bad feelings: Insights from the Frotnier of Evolutionary Psychiatry. Dutton. Nesse, R. M. (2019). Good reasons for bad feelings: Insights from the Frotnier of Evolutionary Psychiatry. Dutton.
go back to reference O’Day, E. B., & Heimberg, R. G. (2021). Social media use, social anxiety and loneliness: A systematic review. Computers in Human Behavior Reports, 3, 100070.CrossRef O’Day, E. B., & Heimberg, R. G. (2021). Social media use, social anxiety and loneliness: A systematic review. Computers in Human Behavior Reports, 3, 100070.CrossRef
go back to reference Parrish, E. M., Filip, T. F., Torous, J., Nebeker, C., Moore, R. C., & Depp, C. A. (2022). Are mental health apps adequately equipped to handle users in crisis? Crisis, 43(4), 289–298.CrossRefPubMed Parrish, E. M., Filip, T. F., Torous, J., Nebeker, C., Moore, R. C., & Depp, C. A. (2022). Are mental health apps adequately equipped to handle users in crisis? Crisis, 43(4), 289–298.CrossRefPubMed
go back to reference Perou, R., Bitsko, R. H., Blumberg, S. J., Pastor, P., Ghandour, R. M., Gfroerer, J. C., Hedden, S. L., & Huang, L. N. (2013). Mental health surveillance among children – United States, 2005–2011. The Morbidity and Mortality Weekly Report Supplement, 62(2), 1–35.PubMed Perou, R., Bitsko, R. H., Blumberg, S. J., Pastor, P., Ghandour, R. M., Gfroerer, J. C., Hedden, S. L., & Huang, L. N. (2013). Mental health surveillance among children – United States, 2005–2011. The Morbidity and Mortality Weekly Report Supplement, 62(2), 1–35.PubMed
go back to reference Pylyshyn, Z. W. (1984). Computation and cognition: Toward a foundation for cognitive science. MIT Press. Pylyshyn, Z. W. (1984). Computation and cognition: Toward a foundation for cognitive science. MIT Press.
go back to reference Substance Abuse and Mental Health Services Administration (2022). Key substance use and mental health indicators in the United States: Results from the 2021 National Survey on Drug Use and Health (HHS Publication No. PEP22-07-01-005, NSDUH Series H-57). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from: https://www.samhsa.gov/data/report/2021-nsduh-annual-national-report. Substance Abuse and Mental Health Services Administration (2022). Key substance use and mental health indicators in the United States: Results from the 2021 National Survey on Drug Use and Health (HHS Publication No. PEP22-07-01-005, NSDUH Series H-57). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from: https://​www.​samhsa.​gov/​data/​report/​2021-nsduh-annual-national-report.
go back to reference Taher, R., Hsu, C., Hampshire, C., Fialho, C., Heaysman, C., Stahl, D., Shergill, S., & Yiend, J. (2023). The safety of digital mental health interventions: Systematic review and recommendations. JMIR Mental Health, 10, e47433.CrossRefPubMedPubMedCentral Taher, R., Hsu, C., Hampshire, C., Fialho, C., Heaysman, C., Stahl, D., Shergill, S., & Yiend, J. (2023). The safety of digital mental health interventions: Systematic review and recommendations. JMIR Mental Health, 10, e47433.CrossRefPubMedPubMedCentral
go back to reference Tekin, S. (2023). Ethical issues surrounding artificial intelligence technologies in mental health: Psychotherapy chatbots. In G. Robinson, & J. Tsou (Eds.), Technology ethics: A philosophical introduction and readings (pp. 152–159). Routledge. Tekin, S. (2023). Ethical issues surrounding artificial intelligence technologies in mental health: Psychotherapy chatbots. In G. Robinson, & J. Tsou (Eds.), Technology ethics: A philosophical introduction and readings (pp. 152–159). Routledge.
go back to reference Tkacz, J., & Brady, B. L. (2021). Increasing rate of diagnosed childhood mental illness in the United States: Incidence, prevalence and costs. Public Health in Practice, 2, 100204.CrossRefPubMedPubMedCentral Tkacz, J., & Brady, B. L. (2021). Increasing rate of diagnosed childhood mental illness in the United States: Incidence, prevalence and costs. Public Health in Practice, 2, 100204.CrossRefPubMedPubMedCentral
go back to reference Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt-Jepsen, M., Whelan, P., Carvalho, A. F., & Firth, J. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20(3), 318–335.CrossRefPubMedPubMedCentral Torous, J., Bucci, S., Bell, I. H., Kessing, L. V., Faurholt-Jepsen, M., Whelan, P., Carvalho, A. F., & Firth, J. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20(3), 318–335.CrossRefPubMedPubMedCentral
go back to reference Wang, J., Knitter, A. C., Staab, E. M., Beckman, N., Araújo, F. S., Vinci, L. M., Ari, M., Yohanna, D., & Laiteerapong, N. (2023). Association between wait time and behavioral health appointment attendance across patient characteristics. Psychological Services, 20(4), 983–987. https://doi.org/10.1037/ser0000768.CrossRefPubMed Wang, J., Knitter, A. C., Staab, E. M., Beckman, N., Araújo, F. S., Vinci, L. M., Ari, M., Yohanna, D., & Laiteerapong, N. (2023). Association between wait time and behavioral health appointment attendance across patient characteristics. Psychological Services, 20(4), 983–987. https://​doi.​org/​10.​1037/​ser0000768.CrossRefPubMed
Metadata
Title
Digitization and its Discontents: The Promise and Limitations of Digital Mental Health Interventions
Author
Jordan A. Conrad
Publication date
09-04-2024
Publisher
Springer US
Keyword
Psychotherapy
Published in
Journal of Contemporary Psychotherapy
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-024-09620-2