Cited by 92Grief, Bereavement, and Mental HealthSocial Robot Interaction and HRIDigital Mental Health Interventions

The "Conversation" about Loss: Understanding How Chatbot Technology was Used in Supporting People in Grief.

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Xygkou, Anna, Siriaraya, Panote, Covaci, Alexandra, Prigerson, Holly Gwen, Neimeyer, Robert, Ang, Chee Siang, She, Wan-Jou·2023·Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems

Abstract

While conversational agents have traditionally been used for simple tasks such as scheduling meetings and customer service support, recent advancements have led researchers to examine their use in complex social situations, such as to provide emotional support and companionship. For mourners who could be vulnerable to the sense of loneliness and disruption of self-identity, such technology offers a unique way to help them cope with grief. In this study, we explore the potential benefits and risks of such a practice, through semi-structured interviews with 10 mourners who actively used chatbots at different phases of their loss. Our findings indicated seven approaches in which chatbots were used to help people cope with grief, by taking the role of listener, acting as a simulation of the deceased, romantic partner, friend and emotion coach. We then highlight how interacting with the chatbots impacted mourners’ grief experience, and conclude the paper with further research opportunities.

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  • AI companions helped people cope with grief by taking the role of a listener simulating deceased, romantic partners or friends.

    “helped people cope with grief by taking the role of a listener simulating deceased, romantic partners or friends (Xygkou et al., 2023)”

    From Are Attributions of Consciousness to AI Chatbots Epistemically Innocent? (2026) · cites this paper as Xygkou et al., 2023

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  1. EA AlGamal, S Bin Saeed, M Agnes, and T Long. 2016. Prolonged grief disorder and its association with perceived social support. Medicine 42 (2016), 18-6.
  2. Lorena Alonso-Llácer, Pilar Barreto Martín, Marta Ramos-Campos, Patricia Mesa-Gresa, Laura Lacomba-Trejo, and Marian Pérez-Marín. 2020. Mindfulness and grief: The MADED program mindfulness for the acceptance of pain and emotions in grief. Psicooncologia 17, 1 (2020).
  3. American Psychiatric Association et al. 2019. Diagnostic and statistical manual of mental disorders (DSM-5®): American Psychiatric Pub; 2013. J. Physiother. Res., Salvador 9, 2 (2019), 155-158.
  4. Blanka Bálint et al. 2017. The Griever as a Stranger. A Discussion. Acta Univer- sitatis Sapientiae, Social Analysis 7 (2017), 39-77.
  5. Eileen Bendig, Benjamin Erb, Lea Schulze-Thuesing, and Harald Baumeister. 2019. The next generation: chatbots in clinical psychology and psychotherapy to foster mental health-a scoping review. Verhaltenstherapie (2019), 1-13.
  6. John Bowlby. 1969. Attachment and loss v. 3 (Vol. 1).
  7. John Bowlby. 1982. Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry 52, 4 (1982), 664.
  8. Priya Choudhary, Rachna Devi, Samreen Naz, and Komal Rai. 2021. Social Connectedness, Spirituality, Quality of Life, and Hopelessness among Older Adults. Annals of the Romanian Society for Cell Biology 25, 6 (2021), 12241-12253.
  9. Victoria Clarke, Virginia Braun, and Nikki Hayfield. 2015. Thematic analysis. Qualitative psychology: A practical guide to research methods 222, 2015 (2015), 248.
  10. Alexis Elder. 2021. Conversation from Beyond the Grave? A Neo-Confucian Ethics of Chatbots of the Dead. Journal of Applied Philosophy (2021), 100012.
  11. Russell Fulmer, Angela Joerin, Breanna Gentile, Lysanne Lakerink, and Michiel Rauws. 2018. Using psychological artificial intelligence (Tess) to relieve symp- toms of depression and anxiety: randomized controlled trial. JMIR mental health 5, 4 (2018), e64.
  12. Khalil G Ghanem, Heidi E Hutton, Jonathan M Zenilman, Rebecca Zimba, and Emily J Erbelding. 2005. Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patients. Sexually transmitted infections 81, 5 (2005), 421-425.
  13. Lorraine Hedtke and John Winslade. 2016. Remembering lives: Conversations with the dying and the bereaved. Routledge.
  14. Jason M Holland, Christopher P Plant, Kara L Klingspon, and Robert A Neimeyer. 2020. Bereavement-related regrets and unfinished business with the deceased. Death studies 44, 1 (2020), 42-47.
  15. Chen Jiang. 2020. Memoron: How to provide support to people in grief with AI technology? Master's thesis. Universitat Politècnica de Catalunya.
  16. Kira Kretzschmar, Holly Tyroll, Gabriela Pavarini, Arianna Manzini, Ilina Singh, and NeurOx Young People's Advisory Group. 2019. Can your phone be your therapist? Young people's ethical perspectives on the use of fully automated con- versational agents (chatbots) in mental health support. Biomedical informatics insights 11 (2019), 1178222619829083.
  17. Kien Hoa Ly, Ann-Marie Ly, and Gerhard Andersson. 2017. A fully automated conversational agent for promoting mental well-being: A pilot RCT using mixed methods. Internet interventions 10 (2017), 39-46.
  18. Robert A Neimeyer, Scott A Baldwin, and James Gillies. 2006. Continuing bonds and reconstructing meaning: Mitigating complications in bereavement. Death studies 30, 8 (2006), 715-738.
  19. Gary M Olson and Judith S Olson. 2000. Distance matters. Human-computer interaction 15, 2-3 (2000), 139-178.
  20. M. Range, Stacey H. Kovac, and Lillian Michelle S. Marion. 2000. Does writing about the bereavement lessen grief following sudden, unintentional death? Death studies 24, 2 (2000), 115-134.
  21. Kerstin Ruhland, Christopher E Peters, Sean Andrist, Jeremy B Badler, Norman I Badler, Michael Gleicher, Bilge Mutlu, and Rachel McDonnell. 2015. A review of eye gaze in virtual agents, social robotics and hci: Behaviour generation, user interaction and perception. In Computer graphics forum, Vol. 34. Wiley Online Library, 299-326.
  22. Tracy J Trothen. 2022. Replika: Spiritual Enhancement Technology? Religions 13, 4 (2022), 275.
  23. Marloes Wezel, Emmelyn AJ Croes, Marjolijn L Antheunis, et al. 2020. "I'm Here for You": Can Social Chatbots Truly Support Their Users? A Literature Review. In International Workshop on Chatbot Research and Design. Springer, 96-113.

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Authors
Xygkou, A., Siriaraya, P., Covaci, A., Prigerson, H. G., Neimeyer, R., Ang, C. S., & She, W.-J.
Affiliations
  • University of Kent (GB)
  • Kyoto Institute of Technology (JP)
  • Weill Cornell Medicine (US)
  • University of Memphis (US)
  • Nara Institute of Science and Technology (JP)
Venue
Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems
Publisher
ACM
Published
2023-04-19
Pages
1-15
OpenAlex
W4366549502
Cited by
91
References
69
Citations by year
2026: 34 · 2025: 29 · 2024: 22 · 2023: 6
FWCI
331.99
Type
conference paper
Language
en
Open access
Locations
  • CHI Conference on Human Factors in Computing Systems (publishedVersion)
  • Kent Academic Repository (University of Kent) (submittedVersion)
Funders
Engineering and Physical Sciences Research Council (EP/S018964/1)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
chatbots, grief, bereavement, emotional support, coping with loss, loneliness, self-identity, emotion coaching

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