Is it ethical to use prognostic estimates from machine learning to treat psychosis
Open accessAbstract
Machine learning is a method for predicting clinically relevant variables, such as opportunities for early intervention, potential treatment response, prognosis, and health outcomes. This commentary examines the following ethical questions about machine learning in a case of a patient with new onset psychosis: (1) When is clinical innovation ethically acceptable? (2) How should clinicians communicate with patients about the ethical issues raised by a machine learning predictive model?
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Because humans and machines have such different capacities, patient expectations of AI capabilities may impact treatment decisions and consent to data sharing.
“Because humans and machines have such different capacities, patient expectations of AI capabilities may impact treatment decisions and consent to data sharing (23).”
From Key Considerations for Incorporating Conversational AI in Psychotherapy (2019) · cites this paper as [23]
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- Authors
- Martinez‐Martin, N., Dunn, L. B., & Roberts, L. W.
- Affiliations
- Stanford University (US)
- Stanford Medicine (US)
- Venue
- AMA Journal of Ethics
- Publisher
- American Medical Association (AMA)
- Published
- 2018-09-01
- Volume
- 20
- Issue
- 9
- Pages
- E804-811
- ISSN
- 1937-7010 (ISSN-L)
- 2376-6980
- PMC
- PMC6689530
- OpenAlex
- W2888957630
- Cited by
- 33
- References
- 23
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 3
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- The AMA Journal of Ethic (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Human Genome Research Institute (T32HG008953)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Safety Research › Ethics and Social Impacts of AI
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- machine learning, psychosis, prognostic model, treatment response prediction, clinical ethics, new-onset psychosis, early intervention, clinician-patient communication
- MeSH terms
- Machine Learning, Humans, Morals, Prognosis, Psychotic Disorders, Treatment Outcome
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