Chatbot Therapy: A Critical Analysis of AI Mental Health Treatment examines automated mental health therapy in the form of therapy chatbots, taking a critical analysis of this new technology.
Drawing on historical and emerging scholarship on critical theory, science and technology studies, and critical psychology, this project investigates the social life of mental health therapy applications. The book unearths the assumptions about subjectivity, consciousness, and mental health that underpin these applications, looking predominantly at Wysa and Woebot, but also at other chatbot and non- chatbot mental health applications.
It explores the historical emergence of this technology, the technical and design aspects of chatbot therapy apps, the therapeutic methods employed, and the economic context within which therapy chatbots have developed. It centres around the questions of what it means to automate mental health treatment and of how automated interventions alter our understanding of mental suffering and well-being.
"There has never been a more urgent moment to critically examine mental health apps and the claim that AI can deliver effective therapy. This volume is an incisive analysis of the ways the very idea of mental health is modulated to make it amenable to automatised intervention and 'solution'. At a time when demand is increasing and public services continue to diminish, the book should be on the priority reading list for anyone who wants to understand the unforeseen individual and social consequences of technologised therapy."
Dan McQuillan. Author of Resisting AI: An Anti-fascist Approach to Artificial Intelligence."There is a paradox deeply embedded in the attempt to automate therapy, one that speaks to critical debates inside the discipline of psychology. The development of increasingly sophisticated versions of ‘artificial intelligence’ that are being put to work in mental health apps makes it all the more urgent that critical psychologists engage in conceptual analysis of the issues raised.
The chatbots Eoin Fullam analyses in this clear incisive book chime with the way we have come to think and speak about ourselves in a psychologised world – a world in which our very subjectivity is configured by forms of academic and professional psychology – and we are now faced with little screens that pretend to reflect back to us images of the psyche, encouraging us to find solace, even cure, for our ills in line with the protocols that define the software.
Here we have a history and detailed critical analysis of ‘mental health’ treatment, opening up the chatbot. Here the screen is treated as a little window into what ‘artificial intelligence’ amounts to when it is put to work on our subjectivity. It is clear that we can only understand what is ‘inside’ the chatbot by also looking at the context in which it operates, what is ‘outside’ the chatbot, outside us. The perspective the book offers is both inside and outside the chatbot world, ‘outwith’ it, enabling us to appreciate how it works while taking a critical distance from it."
Ian Parker. Author of Revolution in Psychology: Alienation to Emancipation. Revolutionary Keywords for a New Left. Psychoanalysis, Clinic and Context: Subjectivity, History and Autobiography.