The Silicon Shrink

How Artificial Intelligence Made the World an Asylum

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  • Why
  • the
  • race
  • to
  • apply
  • AI
  • in
  • psychiatry
  • is
  • so
  • dangerous,
  • and
  • how
  • to
  • understand
  • the
  • new
  • tech-driven
  • psychiatric
  • paradigm.AI
  • psychiatrists
  • promise
  • to
  • detect
  • mental
  • disorders
  • with
  • superhuman
  • accuracy,
  • provide
  • affordable
  • therapy
  • for
  • those
  • who
  • can’t
  • afford
  • or
  • can’t
  • access
  • treatment,
  • and
  • even
  • invent
  • new
  • psychiatric
  • drugs.
  • But
  • the
  • hype
  • obscures
  • an
  • unnerving
  • reality.
  • In
  • The
  • Silicon
  • Shrink,
  • Daniel
  • Oberhaus
  • tells
  • the
  • inside
  • story
  • of
  • how
  • the
  • quest
  • to
  • use
  • AI
  • in
  • psychiatry
  • has
  • created
  • the
  • conditions
  • to
  • turn
  • the
  • world
  • into
  • an
  • asylum.
  • Most
  • of
  • these
  • systems,
  • he
  • writes,
  • have
  • vanishingly
  • little
  • evidence
  • that
  • they
  • improve
  • patient
  • outcomes,
  • but
  • the
  • risks
  • they
  • pose
  • have
  • less
  • to
  • do
  • with
  • technological
  • shortcomings
  • than
  • the
  • application
  • of
  • deeply
  • flawed
  • psychiatric
  • models
  • of
  • mental
  • disorder
  • at
  • unprecedented
  • scale.Oberhaus
  • became
  • interested
  • in
  • the
  • subject
  • of
  • mental
  • health
  • after
  • tragically
  • losing
  • his
  • sister
  • to
  • suicide.
  • In
  • the
  • book,
  • he
  • argues
  • that
  • these
  • new,
  • ostensibly
  • therapeutic
  • technologies
  • already
  • pose
  • significant
  • risks
  • to
  • vulnerable
  • people,
  • and
  • they
  • won’t
  • stop
  • there.
  • These
  • new
  • breeds
  • of
  • AI
  • systems
  • are
  • creating
  • a
  • psychiatric
  • surveillance
  • economy
  • in
  • which
  • the
  • emotions,
  • behavior,
  • and
  • cognition
  • of
  • everyday
  • people
  • are
  • subtly
  • manipulated
  • by
  • psychologically
  • savvy
  • algorithms
  • that
  • have
  • escaped
  • the
  • clinic.
  • Oberhaus
  • also
  • introduces
  • readers
  • to
  • the
  • concept
  • of
  • “swipe
  • psychology,”
  • which
  • is
  • quickly
  • establishing
  • itself
  • as
  • the
  • dominant
  • mode
  • of
  • diagnosing
  • and
  • treating
  • mental
  • disorders.It
  • is
  • not
  • too
  • late
  • to
  • change
  • course,
  • but
  • to
  • do
  • so
  • means
  • we
  • must
  • reckon
  • with
  • the
  • nature
  • of
  • mental
  • illness,
  • the
  • limits
  • of
  • technology,
  • and
  • what
  • it
  • means
  • to
  • be human.
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