让大模型从辅助工具变身为有伦理的共创伙伴,提升心理健康服务
Position: Beyond Assistance -- Reimagining LLMs as Ethical and Adaptive Co-Creators in Mental Health Care
- 提出将大模型定位为心理健康的共创者,而非简单助手
- 设计SAFE-i与HAAS-e双框架,确保伦理合规与人性化评估
- 适合关注AI医疗伦理、人机协作的研究者与临床实践者
本文主张重新定位大型语言模型(LLMs)在心理健康领域的角色,倡导其作为共创伙伴而非辅助工具。尽管LLMs有望提升可及性、个性化和危机干预能力,但其应用受限于偏见、评估不足、过度依赖、去人性化及监管不确定性等问题。为此,我们提出两条结构化路径:SAFE-i(支持性、适应性、公平性与伦理实施)指南,用于数据治理、自适应模型工程与现实集成,确保符合临床与伦理标准;以及HAAS-e(人-人工智能对齐与安全评估)框架,引入超越技术准确性的多维度评估指标,涵盖可信度、同理心、文化敏感性与可操作性。呼吁采用这些系统化方法,建立负责任且可扩展的LLM驱动心理健康支持模式,使AI真正补充而非取代人类专业能力。
原文摘要 · Abstract (English)
This position paper argues for a fundamental shift in how Large Language Models (LLMs) are integrated into the mental health care domain. We advocate for their role as co-creators rather than mere assistive tools. While LLMs have the potential to enhance accessibility, personalization, and crisis intervention, their adoption remains limited due to concerns about bias, evaluation, over-reliance, dehumanization, and regulatory uncertainties. To address these challenges, we propose two structured pathways: SAFE-i (Supportive, Adaptive, Fair, and Ethical Implementation) Guidelines for ethical and responsible deployment, and HAAS-e (Human-AI Alignment and Safety Evaluation) Framework for multidimensional, human-centered assessment. SAFE-i provides a blueprint for data governance, adaptive model engineering, and real-world integration, ensuring LLMs align with clinical and ethical standards. HAAS-e introduces evaluation metrics that go beyond technical accuracy to measure trustworthiness, empathy, cultural sensitivity, and actionability. We call for the adoption of these structured approaches to establish a responsible and scalable model for LLM-driven mental health support, ensuring that AI complements, rather than replaces, human expertise.
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